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Nicolet Endeavor and Endeavor CR Nicolet Endeavor and Nicolet Endeavor CR User Guide January, 2005 Part Number: 269-587904 5225 Verona Road, Bldg. 2 • Madison, Wisconsin 53711-4495 USA Tel: 608/273-5000 • Toll Free in U.S.: 1-800-356-0007• FAX: 608/273-5067 E-mail: info@nicoletbiomedical.com...
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Compliance The CE mark identifies 0344 compliance with the Medical Device Directive 93/42/EEC. EMI by its nature can be a possible source of distur- bance to electronic equipment. This device should be used in an environment free* of other equip- ment that could be affected by interference.
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Additional copies Additional copies of this manual or other VIASYS NeuroCare literature may be obtained from: VIASYS NeuroCare P.O. Box 44451 Madison, WI. USA 53744-4451 Trademarks Microsoft, MS, MS-DOS, Windows, and Windows NT are registered trademarks of Microsoft Corporation. Copyright 2005...
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The information in this document is subject to change without notice. VIASYS NeuroCare makes no warranty of any kind with regard to this material, including, but not limited to the implied warranties of merchantability and fitness for a particular purpose.
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Nicolet system warranty VIASYS NeuroCare warrants that each product we sell you shall conform to its product speci- fications as defined in the user documentation. If the product does not function as warranted during the warranty period, we will repair or replace it without charge.
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VIASYS NeuroCare will replace it without charge. This is your sole remedy for product malfunctions. In no event will VIASYS NeuroCare’s lia- bility exceed the price paid for the software, regardless of the form of the claim.
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$100,000 in fines and 10 years in prison. 1.Unless restricted by an agreement with VIASYS NeuroCare, you are permitted to: a.Use this software on only one computer and by one user at a time.
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Should repair or replacement of this product become necessary after the warranty period, the customer should seek advice from VIASYS NeuroCare prior to such repair or replacement. If this product is in need of repair it should not be used until all repairs have been made and the unit is functioning properly and ready for use.
Intended operator Nomenclature Pulse width Weight and dimensions Requirements Guides for operating the Nicolet Endeavor and Nicolet Endeavor CR Using this guide Standard conventions System Prompts and Messages System connections - Nicolet Endeavor CR Portable Repacking the Nicolet Endeavor CR components...
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Time Base and Sensitivity 2-23 General Annotations 2-23 Panel Group 2-24 Review Time Search 2-24 Connect Data Sources 2-25 Stimulator Context - Nicolet Endeavor CR only 2-26 Stimulator Context - Nicolet Endeavor only 2-27 Panel Controls 2-28 Annotations Editor 2-29 Marker Table 2-30...
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Table of Contents Getting Started Log on to the system Opening Nicolet Endeavor or Nicolet Endeavor CR Using the NicVue application Nicolet Endeavor CR Using the Nicolet Endeavor or icons Using a template icon Recording Data Signal processing while reviewing a recording...
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Nicolet Endeavor and Endeavor CR Start recording 4-17 Nicolet Endeavor and Nicolet Endeavor CR acquisition and CPU usage Performing a Somatosensory exam? Begin the recording To stop recording Placing annotations on the data 4-20 Placing markers on the data 4-21...
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Table of Contents Backing Up Files to a CD / Restoring Files from a CD Before writing to a CD, perform this procedure Turn off the windows XP auto insert notification Accept the CD Writer license Backing up the data Choose which backup procedure to use Back up the files Restoring files to the hard drive from a CD...
Introduction About this chapter This chapter contains general information about your system. It is recommended you read through this chapter thoroughly, paying particular attention to the Safety Summary. Revised 1/17/05...
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NOTE: This guide is for both the Nicolet Endeavor and Nicolet Endeavor CR systems. Unless otherwise noted, all descriptions in this guide refer to both systems. Also, the term system in this guide refers to both the Nicolet Endeavor and Nicolet Endeavor CR.
EP monitoring. Nomenclature The terms Nicolet Endeavor and Nicolet Endeavor CR in this guide applies to the Nicolet Endeavor (with or without the optional cart), Nicolet Endeavor Portable, Nicolet Endeavor CR (with or without the optional cart) and the Nicolet Endeavor CR Portable systems unless otherwise noted.
Dimensions Width: 20 in (50.80 cm) Depth: 9.5 in (24.13 cm) Height: 14 in (35.56 cm) The following applies to the Nicolet Endeavor CR portable: Weight: 21.5 lbs (9.75 kg) Dimensions Width: 19 in (48.26 cm) Depth: 8.5 in (21.59 cm) Height: 14 in (35.56 cm)
Nicolet Endeavor and Nicolet Endeavor CR Requirements The Nicolet Endeavor and Nicolet Endeavor CR packages require the Nicolet En- deavor and Nicolet Endeavor CR hardware platforms in order to operate. Input requirements - Nicolet Endeavor Desktop system (Isolation box) System Power: 1150VA...
There are three guides for operating your Nicolet Endeavor CR system The system documentation has been divided into three guides: 1. Creating new templates (use the Nicolet Endeavor and Nicolet Endeavor CR Creating Templates Reference guide). 2. Recording and reviewing data using previously created templates.
Exclamation points in triangles alert you to errors in system operation. The accompanying message describes the problem. Generally, you answer these messages by pressing Enter. You should contact VIASYS HealthCare Customer Support with these types of problems. Question marks in circles identify prompts that require you to verify a command, such as deleting a patient record.
Introduction System connections - Nicolet Endeavor CR The following figure summarizes the connections to the Nicolet Endeavor CR Portable system. Some options/ accessories may not have been ordered with your system. Revised 1/17/05...
Nicolet Endeavor and Nicolet Endeavor CR Repacking the components - Nicolet Endeavor CR Please replace the Nicolet Endeavor CR components as shown below. Stim Pods Amplifier Cable SP-2 SP-1 Mini Control Panel Amplifier HB-1 Head Boxes HB-2 Power cord 1-10...
Introduction System connections - Nicolet Endeavor Desktop with internal stimulator controls Figure 1: Connections to the Nicolet Endeavor system. Some options/accessories may not have been ordered with your system. Revised 1/17/05 1-11...
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Nicolet Endeavor and Nicolet Endeavor CR System connections - Nicolet Endeavor Portable with an IES-D9 control unit Figure 1: Connections to the Nicolet Endeavor Portable system with an IES-D9 control unit. 1-12 Revised 1/17/05...
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Introduction System connections - Nicolet Endeavor Portable with a 405-2 control unit Figure 1: Connections to the Endeavor Portable system with a 405-2 control unit. Revised 1/17/05 1-13...
Nicolet Endeavor and Nicolet Endeavor CR System connections - Nicolet Endeavor CR Desktop - Base LED Goggles Headphones Isolation Power Supply Blue Red (R) Blue (L) Not Used Not Used Base Ext. trigger in Ground lug Ext. trigger out 1 Ext.
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Introduction System connections - Nicolet Endeavor CR Desktop - Computer Monitor (style may vary) Computer Printer (style may vary) From Internal Speakers (Factory connected) Keyboard Isolation Power Supply USB Mouse Base Wall Outlet Connector styles shown may vary. Revised 1/17/05...
Screen Display Summaries About this chapter Main window Menus This chapter is intended to Main and Master Toolbars help familiarize you with New (Select Template Panel) and provide a quick review of the various system Open for review (Select Workspace Panel) panels, menus and Review Toolbar toolbars.
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Time Base and Sensitivity 2-23 General Annotations 2-23 Panel Group 2-24 Review Time Search 2-24 Connect Data Sources 2-25 Stimulator Context - Nicolet Endeavor CR only 2-26 Stimulator Context - Nicolet Endeavor only 2-27 Panel Controls 2-28 Annotations Editor 2-29 Marker Table 2-30...
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Summaries Summary - Main window Revised 1/17/05...
Getting Started About this chapter This chapter shows how to start the Nicolet Endeavor and Nicolet Endeavor CR applications after your system has been properly cabled. Revised 1/17/05...
Getting Started Apply power to the system 1. Press the system's power switch (located on the left side panel) to ON ( | ). 2. Press the laptop computer's power switch to ON. Log on to the system You have to log on each time power is applied to the system. 1.
Nicolet Endeavor and Nicolet Endeavor CR Opening Nicolet Endeavor or Nicolet Endeavor CR To use the your system, you must first open the Nicolet Endeavor or Nicolet En- deavor CR application. Methods for opening the Nicolet Endeavor CR application: •...
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Using the optional NicVue application Note:If you are not familiar with the Nicolet NicVue program, please refer to the NicVue Documentation that shipped with the Nicolet Endeavor or Nicolet Endeavor CR package or NicVue Help located in the Help menu on your system.
Nicolet Endeavor and Nicolet Endeavor CR Using the Nicolet Endeavor or Nicolet Endeavor CR icons You can open the system application using the Nicolet Endeavor or Nicolet Endeavor CR icons on the desktop. The Nicolet NicVue application is not required.
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Getting Started If you selected the ‘Review’ mode, the Open Data for Review dialog appears. a. Double-click on the desired patient record, or click on (highlight) the desired patient record and then click on OK. b. Go to Chapter 5 in this guide. Revised 1/17/05...
Nicolet Endeavor and Nicolet Endeavor CR Using a template icon You can open Nicolet Endeavor or Nicolet Endeavor CR directly from a Nicolet Endeavor or Nicolet Endeavor CR template either from the Windows XP Explorer or one that you dragged from the Windows XP Explorer window to the system's desktop.
Recording Data About this chapter This chapter describes how to record data from your patient using the Nicolet Endeavor or Nicolet Endeavor CR system. Revised 1/17/05...
Recording Data Signal processing while reviewing a recording For information about the functions available for processing recorded signals, please refer to Chapter 6 in the Acquisition/Review Reference guide. Do NOT use Stack Panel acquisition displays for diagnostic decisions, Stack Panel acquisition screen displays only update at completion. Scanning the data sources This procedure needs to be performed only once unless you have connected a new data source to the system (e.g., an HP Server).
1. Double-click on the template in Windows Explorer. Method 6 1. Right-click on the template and then click on Open or Acquire. Method 7 1. Click on Start, click on Programs, and then click on either Nicolet Endeavor or Nicolet Endeavor CR. Revised 1/17/05...
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Xxxxx Xxxxx Ctrl+X Yyyyyyyyy Nicolet Endeavor CR acquisition window - Devices > Connect Data Sources. Zzzz Aaaaaa Note:If any hardware (e.g., amplifier) is connected to the system’s input(s), the list (Figure 1) will contain only hardware, no simulators. Only the available simulators are listed if no hardware is connected.
Nicolet Endeavor and Nicolet Endeavor CR Opening a workspace Use this method to open a workspace for collecting data. Note:The method does not work if you opened the Nicolet Endeavor or Nicolet Endeavor CR program via NicVue. Appending to a file You can add (append) new data to an existing data file that has been closed and you now want to continue storing new data to that file.
Recording Data Fill in the patient information Use either of these methods to open the Patient Information window. Method 1 1. From the Menu bar, click on Edit > Patient Information. 2. Go to the next page. Method 2 1. Click on the Patient Information button 2.
Nicolet Endeavor and Nicolet Endeavor CR Test the electrode impedances This procedure tests the electrodes to help ensure they are good signal sources after being attached to the patient. Data is not stored while testing the impedances. Note:The impedance is measured between the Common on the Headbox and the checkmarked input(s) as well as between the checkmarked Reference and the checkmarked input(s).
Recording Data EZ disconnecting the electrodes from the system You can disconnect the electrode signals electrically from the system using either of the following methods. Method 1 1. Click on the Acquisition button (Figure 1). 2. Click on the EZ Disconnect button. 3.
Start collecting data This procedure assumes the electrodes have already been connected between the patient and either the Nicolet Endeavor or Nicolet Endeavor CR system. Note:You have the choice of using pulldown menus; floating toolbars; F-keys (if assigned functions - see the Creating Templates reference guide); and for some commands, hot-keys.
Recording Data Setting up the scheduler The Scheduler lets you set up the system to record, average, print, and/or export at user-defined intervals automatically. You can choose any combination of the four options. 1. From the Menu bar, click on Acquisition > Open Schedule Editor. 2.
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Nicolet Endeavor and Nicolet Endeavor CR Record panel 1. Select the Start Time (see the Note below). 2. Select the interval (Every) and duration (For) times. Average panel 1. Select the Start Time (see the Note below). 2. Select the interval (Every) and duration (For) times.
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Recording Data Exit the Schedule Editor panel 1. When finished scheduling all of the functions, click on the OK button. Starting the Scheduler If you checkmarked the Start Scheduler on Start Preview checkbox, the scheduler will begin automatically as soon as you begin previewing the EEG. If you did not checkmark Start Scheduler on Start Preview, you must manually start the scheduler: 1.
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Nicolet Endeavor and Nicolet Endeavor CR Preview the data IMPORTANT:Data is not recorded to a storage media while in the Preview mode. Xxxxx Xxxxx Ctrl+X Optional menu path for step 1: Acquisition > Start Preview. Yyyyyyyyy Zzzz Aaaaaa 1. Click on the Acquisition button (Figure 1).
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Recording Data To stop previewing 1. To stop previewing data, click on the Stop Preview button (Figure 1). Figure 1: Click on Acquisition and then on Stop Preview. Note:You must resume the Preview mode (see below) before you can proceed to the next page.
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Nicolet Endeavor and Nicolet Endeavor CR acquisition and CPU usage Nicolet Endeavor and Nicolet Endeavor CR monitor the CPU usage and if the usage continues to grow for certain period of time, they will begin shutting down some subsystems like graphics and screen display updates. If this does not...
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Recording Data Performing a Somatosensory exam? If you are performing a Somatosensory exam, you need to activate the probe in order to enable stimulation delivery to your patient via the probe. Note:The use of probes during intraoperative recordings is not recommended. 1.
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Nicolet Endeavor and Nicolet Endeavor CR Begin the recording 1. From the Acquisition toolbar, click on the Start Recording button (Figure 1). Note:Depending on the panel setup (View > Global Parameters), the user- selectable, panel background color may change to indicate Previous Data (No Recording) or Recording Data.
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Recording Data Placing annotations on the data While in the Record mode, Annotations can be placed in Standard panels, • • Stacked panels, and • Sweep Line panels. Annotations are displayed with the signals and stored with the recorded data when the data is saved.
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Nicolet Endeavor and Nicolet Endeavor CR Placing markers on the data Use markers to label events and display instant time and amplitude values of the marked event. Also shown are the time and amplitude differences between two adjacent markers depending on the selected options.
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Recording Data Placing a marker on the data 1. When you identify an event you want to mark, hold down the Shift key on the keyboard. 2. Position the mouse pointer over the event you want to mark. Note:In the example below, if you want to place a marker at peak (1), click inside the lighter area.
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Nicolet Endeavor and Nicolet Endeavor CR Choosing traces You can change various parameters, which determine how data is collected and displayed (e.g., amplitude, time base, etc.). In order to change a trace's parameters, you must first select which trace(s) you want to change.
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Recording Data Selecting all of the traces 1. From the Menu bar, click on On The Fly > Select All. - or - From the Master Toolbar, click on the Selection button and then on Select All (Figure 1). A: Select All B: Deselect All C: Fix/Unfix Layout Figure 1: Click on the Selection button and then on the desired option.
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Nicolet Endeavor and Nicolet Endeavor CR Controlling the screen display You can control the manner in which data is displayed on the screen. This includes adjusting the X-axis and Y-axis, turning the Baseline on or off, etc. See Chapter 2 in this guide for a summary of the Display Control toolbar control buttons.
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Reviewing Data About this chapter This chapter describes the features available for reviewing data. Revised 1/17/05...
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Reviewing Data Signal processing while reviewing a recording For information about the functions available for processing recorded signals, please refer to Chapter 6 in the Acquisition/Review Reference guide. See the Acquisition/Review Reference guide for information on using the Off-line Marker Table, exporting marker values to Excel and exporting marker values for a report.
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Nicolet Endeavor and Nicolet Endeavor CR You can open a file for review using any of the five methods described on the following pages. The first four methods let you review data using the same parameters that were used when the data was acquired. That is, if the data was acquired using an EP modality, then the data can only be reviewed using the EP modality.
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Reviewing Data Start reviewing here Important: When reviewing data, all time stamps will be adjusted to the time zone of the system on which the review is being performed. For example, if a test was started at 10:00 A.M. in LA and then sent to NY for review, the time stamps of the test being reviewed by the system in NY will start at 7:00 A.M.
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Method 3 - Fixed montage This method opens a file using the Open button from within the Nicolet Endeavor or Nicolet Endeavor CR program. The data is displayed for review using the acquisition parameter settings. 1. Click on the Open an existing document for review button 2.
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Method 5 - Fixed montage This method opens a file using the Review as Acquired option on the File pulldown menu from within the Nicolet Endeavor or Nicolet Endeavor CR program. The data is displayed for review using the original acquisition parameter settings.
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Nicolet Endeavor and Nicolet Endeavor CR Playing back the recording With the data and Review toolbar displayed on the screen, you can now begin previewing. Start previewing 1. On the Acquisition toolbar, click on the Start Preview button (Figure 1).
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Reviewing Data Using the cursors You can choose to display two cursors (+ and x) with or without bar cursors (| |) to measure amplitude and latency values on the recorded data. Xxxxx Xxxxx Ctrl+X Optional menu path for steps 1 and 2: View > Cursors. Yyyyyyyyy Zzzz Aaaaaa...
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Nicolet Endeavor and Nicolet Endeavor CR Moving a cursor to a different signal Use the following steps to move the (x and +) cursors from one signal to a another. Each signal has its own 'cursor zone' as shown in Figure 1. If you want to move a cursor to a specific signal, you must click the mouse button inside that signal's 'cursor zone.'...
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Reviewing Data Moving the x cursor to a different signal 1. Position the mouse pointer inside the signals 'cursor zone’ (Figure 1). 2. Hold down the Ctrl key on the keyboard and click the Right mouse button. The x cursor moves to the signal residing in that signal's cursor zone (Figure Moving the + cursor to a different signal 1.
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Nicolet Endeavor and Nicolet Endeavor CR Moving the cursors on a signal Use the following steps to move the (x and +) cursors on a signal. If the Bar cursors are displayed, they will move with the x and + cursors, too.
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Reviewing Data Figure 1: In this example, both signals are contained inside their respective 'cursor zones.' To move a cursor to any location on either signal, simply click on the signal's point of interest. Figure 2: In this example, signal 'B' has crossed over into the signal 'A' cursor zone.
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Nicolet Endeavor and Nicolet Endeavor CR Moving a cursor on the signal using the mouse 1. Position the mouse pointer over signal feature to which you want to move the x cursor. 2. To move the x cursor, hold down the Ctrl key on the keyboard and click the Right mouse button.
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Reviewing Data Reading the cursor values The cursors are used to decode the following values from the displayed data: • Amplitude (+ cursor) Amplitude (x cursor) • • Amplitude differential (x - +) • Latency (+ cursor) • Latency (x cursor) •...
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Nicolet Endeavor and Nicolet Endeavor CR Note:The Differential values are measured with respect to the position of the + cursor. For example, if the x cursor is to the left of the + cursor, then the Latency Differential will be a negative value (e.g., -542 ms); if it is to the right of the + cursor, the Latency Differential will be a positive value (e.g., +328 ms).
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Backing Up Files to a CD Restoring Files from a CD About this chapter This chapter describes how to back up files onto a CD. It is recommended that you immediately back up your files to guard against loss of data in case a computer hardware problem occurs. Backing up your files allows you to remove the backed up files from your hard drive thus freeing up memory space for new files.
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Generally, VIASYS NeuroCare Windows XP systems have an Administrator profile for loading software and a User profile of VIASYS NeuroCare for acquiring data. This procedure must be completed for each new User added to the Nicolet Endeavor or Nicolet Endeavor CR system.
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Nicolet Endeavor and Nicolet Endeavor CR Turn off the windows XP auto insert notification This procedure instructs Windows XP to take no action when a blank CDR disk is inserted into the CD ROM drive. 1. From the Windows XP desktop, insert a blank CDR disk into the CD Writer drive and close the CD ROM drive tray.
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Backing up and Restoring Data 11. If necessary, uncheckmark the Show the CD Ready Notification checkbox. 12. If necessary, uncheckmark the Show the Ejected CD Notification checkbox. 13. If necessary, uncheckmark the Show Icon In System Tray checkbox. 14. You can leave the CD-R Eject Options set to the default of Always Show Eject Options Dialog Box.
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Nicolet Endeavor and Nicolet Endeavor CR Backing up the data This procedure enables you to backup the Nicolet Endeavor or Nicolet Endeavor CR data on a CD. It is recommended that you create two backup CD's and store them in separate locations.
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View > Global Params > Storage Tab (Max Data File entry box). 1. Insert a recordable CD into the CD drive. 2. In the lower left corner of the Desktop or Nicolet Endeavor CR window, click on the Start button 3.
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Nicolet Endeavor and Nicolet Endeavor CR 5. Drag the highlighted files/folders down to the bottom (CD Layout) box by clicking on any of the highlighted files/folders (Figure 1). Hold down the mouse button while dragging the files/folders. Figure 1: Drag the highlighted files/folders down to the lower box.
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Backing up and Restoring Data 7. Click on the Create CD button - or - From the menu bar, click on File > Create CD. 8. On the General tab, click on the radio button that corresponds to the function you want to use;...
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Nicolet Endeavor and Nicolet Endeavor CR Restoring files to the hard drive from a CD Use this procedure to restore files from a CD to the system's hard drive. 1. Insert the CD into the CD drive. 2. Click on the Start button 3.
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Printing Screen Displays About this chapter This chapter describes how to set up the paper and printer specifications and then print a hardcopy of the selected (active) waveform panel or the entire screen display. Revised 1/17/05...
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All of the displayed panels (each on its own page) when multiple panels are displayed. • The entire Nicolet Endeavor CR window. Previewing a printout 1. If you have a multiple panel display, click on the title bar of the panel you want to preview.
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Nicolet Endeavor and Nicolet Endeavor CR Printer page setup You can select the paper size and paper source (dependent on which printer you have connected to the system). 1. Click on File > Page Setup. 2. Make your choices from the Page Setup panel.
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Printing Screen Displays Printer setup Use the procedure on this page to set up the printer parameters. It also allows you to set some of the same parameters for the paper on which you will printing. 1. From the Menu bar, click on File > Print Setup. 2.
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Nicolet Endeavor and Nicolet Endeavor CR Printing a hardcopy Once you have specified the paper, selected the printer you want to use, and which panel on the screen display you want printed, you can execute a print command. Note: Make sure the printer is connected to the computer, turned on and loaded with paper.
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