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. 7-50-2060-EN/01
Part No. 7-50-20600-EN

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  • Page 1 ICS Impulse USB User Guide Doc. No. 7-50-2060-EN/01 Part No. 7-50-20600-EN...
  • Page 2 Copyrightnotice No part of this documentation orprogram may be reproduced, stored in a retrieval system, ortransmitted, in any form orby any means, electronic, mechanical, photocopying, recording,or otherwise,without the prior written consent of GN Otometrics A/S. Copyright© 2015, GN Otometrics A/S Published in Denmark byGN Otometrics A/S, Denmark All information, illustrations, and specifications in this manual are based on the latest productinformation available at the time of publication.

  • Page 3: Table Of Contents

    11 Video Record/Playback 12 Reports 13 System settings 14 Installation and Setup 15 Upgrading 16 Accessories 17 Other references 18 Standards 19 Manufacturer 20 Warning notes 21 Definition of symbols 22 Notes on EMC (Electromagnetic Compatibility) Otometrics - ICS Impulse USB...

  • Page 4: Your New Ics Impulse System

    Indicates that there is a 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. • Note Indicates that you should take special notice. • Otometrics - ICS Impulse USB...

  • Page 5: System Startup

    Ensure that at least one user has administrator privileges. For information on how to add new users, refer Set up a new user ► 109 to  At the login screen Note The password is case sensitive. • 1. Enter your user name. 2. Enter your password and click Otometrics - ICS Impulse USB...
  • Page 6 Head Position Press the left button instead of clicking Center • When using Feedback For more information about the presentation remote, refer to Adding a presentation remote ► 112 Otometrics - ICS Impulse USB...

  • Page 7: Patient Data Entry/Lists

    Once data is saved, you will be prompted to edit the temporary patient information. For information about editing existing ► 9 patient information, refer to page Otometrics - ICS Impulse USB...
  • Page 8 Save Click to close the form without saving any changes. Click to save the data. Note The system alerts you with a message with the first occurrence of a required entry that is blank. • Otometrics - ICS Impulse USB...
  • Page 9 ) indicates the user has chosen to mark one or more tests or videos for a spe- cific purpose (for example, it may refer to abnormal results, results to be used for a study, etc.) Otometrics - ICS Impulse USB...
  • Page 10 To select a patient, click the patient name. Buttons at the bottom of the patient list allow you to open and edit the patient file: • Click Open (or double-click) to open the patient to view test results. Previously collected data for the patient is indicated by a checkmark next to each test type name. Otometrics - ICS Impulse USB...
  • Page 11 Entries that cannot be left blank are marked with an asterisk (*). Note The patient's birth date is required to determine the age-based normative data to be used for head • impulse gains for that patient. Otometrics - ICS Impulse USB...

  • Page 12: Managing Test Data

    Note The status of the Vision Denied check box is set when performing the test. It is not possible to change the status • in the test selection window. Otometrics - ICS Impulse USB...
  • Page 13 Oculomotor and Positional videos Delete Video Select- To delete the video(s) for a selected test, click . For more information about selecting a test, refer to ing a test ► 12 Otometrics - ICS Impulse USB...
  • Page 14 • If you choose to delete the video(s) for the selected test and click Yes at the prompt(s), the video data is permanently deleted. There is no possibility to retrieve the video data. Otometrics - ICS Impulse USB...
  • Page 15 Remarks in the Review Report Options window Review Report Options Test remarks added during analysis can be viewed in the window. Remarks viewed in this window cannot be edited. Otometrics - ICS Impulse USB...

  • Page 16: Pre-Testing Setup

    Caution Improper cleaning of either the mirror or the camera lens may scratch the surfaces. • Caution A small cooling fan is inside the goggles housing. Keep the fan blades free from any obstruction. • Otometrics - ICS Impulse USB...
  • Page 17 6. Slightly flex the goggles at the opposite side, align the tab of the face cushion with the hole on this side of the goggles. 7. Double check both sides are fully inserted by pressing in at each side. Otometrics - ICS Impulse USB...
  • Page 18 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 19 2. For patients with long eyelashes, it is advised to remove any mascara. Mascara deposited on the inside of the black window of the right eye cup (through which the pupil is tracked and the eye is recorded) adversely affects both pupil tracking and recording of the eye. Otometrics - ICS Impulse USB...
  • Page 20 4. If the patient’s eyelid droops, hold the eyelid up when placing the cup. This will assist in keeping the patient’s eye wide open during testing. 5. Fold back the inside edge of the cup placing the ridge against the right side of the nose. A. Ridge B. Fold back the inside edge Otometrics - ICS Impulse USB...
  • Page 21 You do not want to tighten the strap as tight as you would for head impulse testing. A strap that is too tight pushes the vision-denied solution into the face causing discomfort which makes recording of eye movement more difficult. Otometrics - ICS Impulse USB...

  • Page 22: Oculomotor

    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 23 Center (A). Vision Denied 4. If using the vision-denied solution, select the check box Test environment ► 44 5. Position the patient at least one meter in front of the wall. (Refer to for information.) Otometrics - ICS Impulse USB...
  • Page 24 • When is set to , make additional adjustments to remove any white areas outside the white circular image of the pupil. 10. Select to accept the ROI position. Calibration ► 48 11. Continue to Otometrics - ICS Impulse USB...
  • Page 25 (not cooperating). 4. If the cross-hair fails to track the pupil (jumps around and does not stay centered on the pupil), use the + or – button of the threshold slider to adjust. Otometrics - ICS Impulse USB...
  • Page 26 Calibration check 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. Otometrics - ICS Impulse USB...
  • Page 27 Good calibration - Eye and head velocities match Head Impulse (Examples of poor calibration show a calibration performed in Poor calibration - Eye velocity is too low Poor calibration - Eye velocity is too high Otometrics - ICS Impulse USB...
  • Page 28 Note • The external monitor is supported for head impulse testing. Head Position Feedback • Head Position Feedback For SPV tests, the option is the default setting. When set to this option, a reference graphic Otometrics - ICS Impulse USB...
  • Page 29 Head Position Feedback Synchronized Room When collecting data, you can monitor head movement using the display or Video . You can also choose to not use either.(The default display is set in Test Options Otometrics - ICS Impulse USB...
  • Page 30 Orange: When the variability is high, there is less probability that the value is reliable. Note SPV values displayed in orange should be considered less reliable but not inaccurate. • Note www.icsimpulse.com You can find more information in the ICS Impulse training video or at • Otometrics - ICS Impulse USB...
  • Page 31 • To return to the normal viewing mode, click the two overlapping boxes in the enlarged window. For more information about switching between viewing modes (normal mode or enlarged mode), refer to the Reference Manual. Otometrics - ICS Impulse USB...
  • Page 32 For more information, refer to the Reference Manual appendix that describes how the SPV peak is determined. Reanalysis ► 34 If the algorithm did not pick a peak, manually set the peak for that trace. Refer to Otometrics - ICS Impulse USB...
  • Page 33 Remarks regarding the test can be entered before, during, and after testing. To add or modify remarks, click the window tab. For information about the editing tools, refer to the Reference Manual. Note Text previously added in the Test window appears in the Remarks window. • Otometrics - ICS Impulse USB...
  • Page 34 The eye position traces and the eye video can be played back synchronously with the head position feedback or the room video recorded during testing. Video Playback buttons and selections Play Plays the video Pause Pauses the video Otometrics - ICS Impulse USB...
  • Page 35 0.5 Hz with amplitude of 10° in the horizontal plane or in the vertical plane. The patient should continue to follow the laser dot for the duration of the test. This test may be performed in a darkened room. Otometrics - ICS Impulse USB...
  • Page 36 Real Time Traces Trace recordings display in the window. This display includes the eye and head velocities. Note You can find more information in the ICS Impulse training video or at www.icsimpulse.com • Otometrics - ICS Impulse USB...
  • Page 37 • To return to the normal viewing mode, click the two overlapping boxes in the enlarged window. For more information about switching between viewing modes (normal mode or enlarged mode), refer to the Reference Manual. Otometrics - ICS Impulse USB...
  • Page 38 Remarks regarding the test can be entered before, during, and after testing. To add or modify remarks, click the window tab. For information about the editing tools, refer to the Reference Manual. Note Test Remarks Text previously added in the window appears in the window. • Otometrics - ICS Impulse USB...
  • Page 39 1. The will be displayed. The is not viewable for the ation test because the head is stationary. 2. Instruct the patient. (For example, tell them to keep the eyes open and stare straight ahead.) Otometrics - ICS Impulse USB...
  • Page 40 With each click, the icon for eye covered, , or the icon for eye uncovered, , is inserted below the trace. Note www.icsimpulse.com • You can find more information in the ICS Impulse training video or at Otometrics - ICS Impulse USB...
  • Page 41 • To return to the normal viewing mode, click the two overlapping boxes in the enlarged window. For more information about switching between viewing modes (normal mode or enlarged mode), refer to the Reference Manual. Otometrics - ICS Impulse USB...
  • Page 42 • – duration of the test Avg Eye Position Shift (deg) • – the average eye position deviation (for the horizontal and vertical traces) when the condition changes between the eye being covered and uncovered. Otometrics - ICS Impulse USB...
  • Page 43 - eye video recorded at 60 frames per second can be played back at normal or slow speed. • Slower - eye video recorded at > 60 frames per second can be played back at normal, slow, or slower speed. Otometrics - ICS Impulse USB...

  • Page 44: Head Impulse

    . By selecting this check box for a patient who has spontaneous nys- tagmus or gaze-evoked nystagmus, it prevents good impulses from being rejected inappropriately. 3. Position the patient at least one meter in front of the wall. (Refer to Test environment ► 44 for information.) Otometrics - ICS Impulse USB...
  • Page 45 7. Ask the patient to stare at the fixation dot. Assess pupil tracking by observing the cross-hair. If the cross-hair fails to track the pupil (jumps around and does not stay centered on the pupil), use the + or – button of the threshold slider to adjust. Otometrics - ICS Impulse USB...
  • Page 46 . For information about changing settings, Options please refer to in the Reference Manual. Center 3. Ensure that the patient's head is not moving and that it is perfectly centered. Click or press the left button on the presentation remote. Otometrics - ICS Impulse USB...
  • Page 47 If you exit out of the patient’s file and reopen, calibration will need to be performed again. Optimizing collection ► 52 8. If a Lateral test was performed prior to starting this test, continue to ( Otometrics - ICS Impulse USB...
  • Page 48 (not cooperating). 4. If the cross-hair fails to track the pupil (jumps around and does not stay centered on the pupil), use the + or – button of the threshold slider to adjust. Otometrics - ICS Impulse USB...
  • Page 49 Calibration check 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. Otometrics - ICS Impulse USB...
  • Page 50 Poor calibration - Eye velocity is too low Poor calibration - Eye velocity is too high 3. If the eye and head velocities do not match, you need to recalibrate or review the patient’s history. Otometrics - ICS Impulse USB...
  • Page 51 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 52 For RALP, turn the patient’s head 35-45 degrees to the left. Have the patient stare at the fixation dot. The pupil of the right eye will be close to right side of their head. The tester places one hand under the patient’s chin and one on the top Otometrics - ICS Impulse USB...
  • Page 53 The high-speed camera captures the image of the eye. The OTOsuite Vestibular software processes the head velocity data and velocity data for eye movement (the response). Simultaneous displays of the data for head movement and for eye movement allow the clinician to determine if the response is within normal limits or not. Otometrics - ICS Impulse USB...
  • Page 54 Twenty (20) is the recommended minimum number of head impulses for both leftward and rightward impulses. Note Impulse settings can be any number up to 999. For information about setting the default numbers, refer to • the Reference Manual. Otometrics - ICS Impulse USB...
  • Page 55 3. Standing behind the patient, place your hands on the patient’s head well away from the goggles and the goggles strap. Note www.icsimpulse.com You can find more information in the ICS Impulse training video or at • Otometrics - ICS Impulse USB...
  • Page 56 • (Data is saved if at least one good impulse has been collected.) To stop the test early, without saving data, click Cancel The data is automatically analyzed and displayed in the 2D Analysis window. Otometrics - ICS Impulse USB...
  • Page 57 Note By default, operator feedback displays during collection. If you prefer to not display operator feedback, refer to • the test option settings described in the Reference Manual. Otometrics - ICS Impulse USB...
  • Page 58 Comparing the actual head traces (in this example shown in blue) against the training curves helps ensure that the tester performs quality head impulses and that only good data is included in the analysis. Note www.icsimpulse.com You can find more information in the ICS Impulse training video or at • Otometrics - ICS Impulse USB...
  • Page 59 1.2 if there are individual gains between 1.2 and 3. In the gain graph, the right and left means are indicated by Xs. At the top of the graph a legend identifies the colors used for left and right values. Otometrics - ICS Impulse USB...
  • Page 60 ECG for the eyes . Stroke.2013;STROKEAHA.111.000033. (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 61 Right check box. To view both left and right gains, select both check boxes. (1) Manzari et al. Rapid fluctuations in dynamic semicircular canal function in early Meniere’s disease. Eur Arch Otorhinolaryngol 14 Dec 2010. Otometrics - ICS Impulse USB...
  • Page 62 Click in the trace window. Use the arrow keys or the scroll wheel on the mouse to select an individual trace. Press the Delete key. Reanalysis Restore Deleted Data To restore all deleted head impulses, click the window tab. Click Otometrics - ICS Impulse USB...
  • Page 63 Eye Velocity check boxes to select/deselect what dis- plays: both velocities, head velocity only, or eye velocity only. 9.8.5 Reanalysis For an explanation of the settings provided in the Reanalysis window, refer to the Reference Manual. Otometrics - ICS Impulse USB...
  • Page 64 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 65 (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 66 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 67 The outer hexagon represents a mean gain of 1.0. The inner hexagon represents a mean gain of 0.5. Options The gain bars are colored according to normative cutoff settings made in the Head Impulse window. Refer to the Reference Manual. Otometrics - ICS Impulse USB...
  • Page 68 (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 69 . Refer to the Reference Manual. The data can be viewed from 360 degrees. To see the data from different views, hold down left-mouse button and rotate as desired. To return the data to the original view, click Reset (A). Otometrics - ICS Impulse USB...
  • Page 70 (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 71 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 72 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 73 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 74 The default layout places the right graph (right head and eye velocity data) on the right and the left graph (left head and Head Impulse Options eye velocity data) on the left. To switch the layout, click the window tab in the window and select Display Left Graph on Right Side . Refer to the Reference Manual. Otometrics - ICS Impulse USB...

  • Page 75: Positional

    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 76 Head Right Repeat Vision Denied 4. If using the vision-denied solution, select the check box Test environment ► 44 5. Position the patient at least one meter in front of the wall. (Refer to for information.) Otometrics - ICS Impulse USB...
  • Page 77 Pupil Location , make additional adjustments to remove any white areas outside • the white circular image of the pupil. 10. Select to accept the ROI position. Calibration ► 48 11. Continue to Otometrics - ICS Impulse USB...
  • Page 78 (not cooperating). 4. If the cross-hair fails to track the pupil (jumps around and does not stay centered on the pupil), use the + or – button of the threshold slider to adjust. Otometrics - ICS Impulse USB...
  • Page 79 Calibration check 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. Otometrics - ICS Impulse USB...
  • Page 80 Poor calibration - Eye velocity is too low Poor calibration - Eye velocity is too high 3. If the eye and head velocities do not match, you need to recalibrate or review the patient’s history. Otometrics - ICS Impulse USB...
  • Page 81 To display the eye video on the computer monitor as well as on an external monitor, click . The external mon- itor displays the real time SPV value for SPV tests. Note The external monitor is supported for head impulse testing. • Otometrics - ICS Impulse USB...
  • Page 82 According to the ANSI standard, the eyes should be recorded for a minimum of 20 seconds in this position. It is best to continue recording the eye movement until the nystagmus subsides. The patient is brought back up to the sit- ting position and eye movement should again be recorded until nystagmus subsides. Otometrics - ICS Impulse USB...
  • Page 83 , you may need to adjust the camera position to ensure the entire head of the patient is seen in the video during data collection. 2. Instruct the patient. (For example, tell them to keep their eyes open.) Otometrics - ICS Impulse USB...
  • Page 84 The tester will know when the nystagmus has subsided and the patient can be moved into the next position. Note www.icsimpulse.com You can find more information in the ICS Impulse training video or at • Otometrics - ICS Impulse USB...
  • Page 85 • To return to the normal viewing mode, click the two overlapping boxes in the enlarged window. For more information about switching between viewing modes (normal mode or enlarged mode), refer to the Reference Manual. Otometrics - ICS Impulse USB...
  • Page 86 For more information, refer to the Reference Manual appendix that describes how the SPV peak is determined. Reanalysis ► 88 If the algorithm did not pick a peak, manually set the peak for that trace. Refer to Otometrics - ICS Impulse USB...
  • Page 87 Remarks regarding the test can be entered before, during, and after testing. To add or modify remarks, click the window tab. For information about the editing tools, refer to the Reference Manual. Note Test Remarks Text previously added in the window appears in the window. • Otometrics - ICS Impulse USB...
  • Page 88 The eye position traces and the eye video can be played back synchronously with the head position feedback or the room video recorded during testing. Video Playback buttons and selections Play Plays the video Pause Pauses the video Otometrics - ICS Impulse USB...
  • Page 89 Turn the head 90° in the opposite direction. Continue in the same direction and turn the head an additional 90°. Otometrics - ICS Impulse USB...
  • Page 90 , you may need to adjust the camera position to ensure the entire head of the patient is seen in the video during data collection. 2. Instruct the patient. (For example, tell them to keep their eyes open.) Otometrics - ICS Impulse USB...
  • Page 91 The tester will know when the nystagmus has subsided and the patient can be moved into the next position. Note www.icsimpulse.com You can find more information in the ICS Impulse training video or at • Otometrics - ICS Impulse USB...
  • Page 92 • To return to the normal viewing mode, click the two overlapping boxes in the enlarged window. For more information about switching between viewing modes (normal mode or enlarged mode), refer to the Reference Manual. Otometrics - ICS Impulse USB...
  • Page 93 For more information, refer to the Reference Manual appendix that describes how the SPV peak is determined. Reanalysis ► 95 If the algorithm did not pick a peak, manually set the peak for that trace. Refer to Otometrics - ICS Impulse USB...
  • Page 94 Remarks regarding the test can be entered before, during, and after testing. To add or modify remarks, click the window tab. For information about the editing tools, refer to the Reference Manual. Note Test Remarks Text previously added in the window appears in the window. • Otometrics - ICS Impulse USB...
  • Page 95 The eye position traces and the eye video can be played back synchronously with the head position feedback or the room video recorded during testing. Video Playback buttons and selections Play Plays the video Pause Pauses the video Otometrics - ICS Impulse USB...
  • Page 96 - eye video recorded at 60 frames per second can be played back at normal or slow speed. • Slower - eye video recorded at > 60 frames per second can be played back at normal, slow, or slower speed. Otometrics - ICS Impulse USB...

  • Page 97: Video Record/Playback

    11 Video Record/Playback Video Record/Playback Record Full Image Region of Interest (ROI) When recording an eye video, there are 2 image size options: Full Image Otometrics - ICS Impulse USB...
  • Page 98 Start video recording Stop Stop video recording Note There is no limit to the length of the video recording; however, the • longer the video recording is the larger the file will be on the hard drive. Otometrics - ICS Impulse USB...
  • Page 99 If the video is recorded at 60 or 120 frames per second it can be • played back in slow motion or at normal speed. At normal speed some frames will be skipped. The eye video can also be compressed. Otometrics - ICS Impulse USB...
  • Page 100 Eye Video Eye Video Room Video Combined Video Time to Export Com- Size Size File Size bined Video (minutes) 120 MB 270 MB 1.51 GB 15-20 Full Image 585 MB 270 MB 1.93 GB 15-20 Otometrics - ICS Impulse USB...
  • Page 101 Speed at which the video was recorded • The time at which the current frame was recorded Note To conserve disk storage space, it is important to delete all videos that are not important. • Otometrics - ICS Impulse USB...
  • Page 102 - eye video recorded at 120 frames per second can be played back at normal, slow, or slower speed. Synchronized Room Video Choose to play the eye video with the synchronized room video. The room video is synchronized with the eye video at all speeds. Otometrics - ICS Impulse USB...

  • Page 103: Reports

    Report Options ► 106 Note Changes can be made that apply to all reports (such as which patient data and facility data are included) or • that apply only to the current report. Refer to the Reference Manual. Otometrics - ICS Impulse USB...
  • Page 104 Findings Note If you prefer not to insert a macro, add overall findings by typing text in the text field. For information about • using the editing tools, refer to the Reference Manual. Otometrics - ICS Impulse USB...
  • Page 105 Insert Note Some macros have text longer than what can be displayed in the list window. To see the entire text, roll the • cursor over the macro name. Otometrics - ICS Impulse USB...
  • Page 106 Select All • to include all options in the report • the check box for each report option to be included, or Deselect All • to not include any of the options in the report. Otometrics - ICS Impulse USB...
  • Page 107 (e.g., left Lateral) Hex Plot include eye (saccade and VOR) and head traces and hex plot displayed in the Hex Plot window Progress Data gain graphs displayed in the Progress Data window Otometrics - ICS Impulse USB...
  • Page 108 To change the magnification level of the page • move the slider towards the zoom out (-) or zoom in (+) magnifying glass icon, or • click the zoom out (-) or zoom in (+) magnifying glass icon. Otometrics - ICS Impulse USB...

  • Page 109: System Settings

    Important • Set up at least one user with administrator privileges. 1. Click 2. Enter data. Entries that cannot be left blank are marked with an asterisk (*). Note The password is case sensitive. • Otometrics - ICS Impulse USB...
  • Page 110 Delete user 1. Select the user from the list. Delete 2. Click 3. Click Additional system settings: • Workstation Settings • OTOsuite Vestibular Database • GDT Interface Refer to the Reference Manual. Otometrics - ICS Impulse USB...

  • Page 111: Installation And Setup

    One USB 2.0 (for the goggles) and up to three additional USB 2.0 or USB 3.0 (for the syn- chronized room video, presentation remote, and external monitor) Optional VGA port to connect an external monitor DVD Drive DVD R/W Monitor 1600 x 900 Screen resolution Components Mouse, keyboard Otometrics - ICS Impulse USB...
  • Page 112 If an application(s) is missing, a dialog box lists the missing application(s). Install - Click . When the application(s) has been installed, the computer will restart. - Log in to computer. The installation continues automatically. Otometrics - ICS Impulse USB...
  • Page 113 Network installation - Client Hosts OTOsuite Vestibular application Client installation ► 114 Continue at Network installation - Both (Client/Server) • Hosts SQL database and OTOsuite Vestibular application. Can support additional clients. Continue to Server/Both installation ► 114 Otometrics - ICS Impulse USB...
  • Page 114 Windows key is located next to the Alt key . It can be identified by the Windows logo on the key. In • Ctrl+Esc case the keyboard lacks this key, pressing performs the same function. Otometrics - ICS Impulse USB...
  • Page 115 A new driver is installed each time new goggles are connected to the USB port or if the goggles are moved to a new USB port. Installing the synchronized room video ► 116 3. Continue to Otometrics - ICS Impulse USB...
  • Page 116 Please reboot your PC and restart the software installation. 5. When the synchronized room video installation is finished, click (OTOsuiteV icon found on the desktop) to open the application. Otometrics - ICS Impulse USB...
  • Page 117 For standalone installations, enter facility specific information at each workstation where the software is installed. For net- work installations, facility-specific information entered at one client station will change the information at all client sta- tions. Otometrics - ICS Impulse USB...
  • Page 118 When OTOsuite Vestibular is installed as a networked installation, default storage locations for video and report files are set up on the server computer to be shared by all client stations. Default locations for export and import files are set up on each individual client station. Otometrics - ICS Impulse USB...
  • Page 119 • ation has been changed for video files, new video recordings will be stored at the new location. For each new location, existing files should be moved from the previous location to the new location. Otometrics - ICS Impulse USB...

  • Page 120: Upgrading

    I accept the terms in the license and click Next Next 7. The Anonymous Usage Statistics screen displays. Click Next 8. Continue to click until the Ready to Install screen appears. Install 9. Click Finish 10. Click Otometrics - ICS Impulse USB...

  • Page 121: Accessories

    Fixation dot 1-26-44000 (2 sheets/pkg) Vision Denied Solution (200 sets/pkg) 8-62-50700 Remote Control Clip 8-36-00600 Synchronized Room Video Microsoft Life Cam USB Camera 2-25-08805 Cables Cable clip 8-35-36900 Case/Mount Carrying case 8-35-36700 Wall mount 8-62-45600 Otometrics - ICS Impulse USB...

  • Page 122: Other References

    Reference Manual in the OTOsuite Vestibular application, • the ICS Impulse training video, • or go to www.icsimpulse.com Standards ICS Impulse is type 1085 from GN Otometrics A/S Interface USB 2.0 to PC Power Supply Device is powered through USB (5 V DC, 500 mA) Performance Characteristics Inputs...
  • Page 123 500 hPa to 1060 hPa Standards Safety: Complies with UL 60601-1, 1.ed., IEC 60601-1, 2.ed.: + A1 + A2, 3.ed. + A1, CAN/CSA-22.2 No. 60601-1 (2008), IEC 62471, 1.ed., IEC 60825-1, 2.ed. EMC: IEC 60601-1-2, 3.ed. Otometrics - ICS Impulse USB...

  • Page 124: Manufacturer

    Local government rules and regulations, if applicable, should also be followed at all times. GN Otometrics ICS products are not designed to be used in conjunction with any devices not approved by GN Otometrics. Summation of combined unapproved parts could result in increased electrical leakage. All parts of the ICS Impulse system are suitable for use within the patient environment.
  • Page 125 18. A small cooling fan is inside the goggles housing. In the unlikely event of the cooling fan vent being blocked, the tem- perature of the goggles surface in contact with the patient may rise to 42.2° C. Otometrics - ICS Impulse USB...

  • Page 126: Definition Of Symbols

    Follow instructions for use. Complies with Type B requirements of EN60601-1. MEDICAL - General Medical Equipment as to electrical shock, fire and mech- anical hazards only in accordance with UL 60601-1, first edition, 2003 CAN/CSA- 22.2 No. 601.1-M90. Otometrics - ICS Impulse USB...
  • Page 127 European Union. Do not dispose of these products as unsorted municipal waste. You can return your device and accessories to Otometrics, or to any Oto- metrics supplier. You can also contact your local authorities for advice on dis- posal.

  • Page 128: Notes On Emc (Electromagnetic Compatibility)

    Guidance and 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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