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THE NEUROSIGN
V4
®
INTRAOPERATIVE NERVE MONITOR
PRESERVING NERVE INTEGRITY
Reference Guide
2797
NOP19-EN-04
January 2021

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Summary of Contents for MAGSTIM NEUROSIGN V4

  • Page 1 THE NEUROSIGN ® INTRAOPERATIVE NERVE MONITOR PRESERVING NERVE INTEGRITY Reference Guide 2797 NOP19-EN-04 January 2021...
  • Page 2 This reference guide should consist of 6 double sided sheets. Indications, contraindications, warnings, precautions and other safety information are contained in the Neurosign V4 User Manual NOP08. ® Consult the Neurosign V4 User Manual before use. ® Discover more at; neurosignsurgical.com The Magstim Company Ltd. ©...
  • Page 3: Pre-Use Checks

    Important: Before use, make sure you have read and understood the Neurosign V4 Intraoperative Nerve Monitor User Manual (NOP08). ® Copies can be obtained from you local Neurosign representative. PRE-USE CHECKS • Before use, the equipment and accessories should be checked for any damage or tampering.
  • Page 4 FRONT UI VIEW Master USB Export Volume Dial / Import Touch Screen DCU Stimulator Stimulator (STIM 1) Dial (STIM 2) Dial REAR UI VIEW Pre-Amplifier Display Connection Connection Trigger Mute Sensor Socket Output Screen Tilt Adjust Trigger Input...
  • Page 5 PRE-AMPLIFIER Mounting Clip Electrode Channels 1 - 4 Reference Electrode Channel Electrode Channels 5 - 8 Stimulator Pod Socket Pre-Amplifier Connection Lead...
  • Page 6: Stimulator Pod

    MUTE SENSOR • If using, attach mute sensor to the active lead of electrocautery/diathermy device • Plug the mute sensor cable into the socket on the rear of the touch screen DCU (right). • Do not connect mute sensor to the nerve monitor without attaching the clamp to the electrocautery cable or spurious muting of the nerve...
  • Page 7 QUICK START SESSION (DEFAULT) On the Home screen, select • • Select Default and press • Select a surgery procedure and press • Press to check the electrode impedance. All indicators should show green . If not, check/reposition the electrodes (refer to “impedance check” in the user manual for more information).
  • Page 8 IN-SURGERY MENU For more information refer to the user manual (NOP08). Home System Settings Procedure Settings Screen Capture (Not available in default mode) Show/Hide Latency Cursors Procedure Report (Not available in default mode) Waveform Settings Impedance Check Start STOP Stop...
  • Page 9: Active Monitoring Screen

    ACTIVE MONITORING SCREEN Trigger Mode Filter Settings Squelch Settings Session Time & Details Date Channel Windows Monitoring Menu Master Stimulator Volume Indicator CHANNEL WINDOW Channel Volume Channel Number & Label Peak Amplitude Amplitude Bargraph Y Axis Waveform (Amplitude) X Axis (Timebase) Timebase Waveform...
  • Page 10: Volume Controls

    STIMULATOR ADJUST • The stimulator current is displayed at the bottom of the ‘active monitoring screen’. Set the stimulator current using the left stimulator dial. • When the Stimulator Probe is used, the stimulator indicator should change to green (as below): •...
  • Page 11: Major Fault

    ALARMS • In the event of an alarm (below) follow the on-screen instructions. ALARM • More information can be found in the “Troubleshooting” section of the user manual. MAJOR FAULT • In the event of a major fault (below) discontinue use and refer to the user manual.
  • Page 12: Advanced Features

    ADVANCED FEATURES Custom surgeon profiles To save patient reports and store your settings, you must create a password protected surgeon profile by pressing Refer to “Profile Management” in the user manual. Custom procedures You can save customised procedure settings for future use. Press to duplicate a default procedure and then press to edit it.

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