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12/09/2001
INDEX
DESCRIPTION
Page #
Index
7-8
9
10 11
12 13
14 17
18 19
20
21
23
Electrodes
24-26
Technical Specifications
27-29
30
31-32
33-35
Troubleshooting
41
37
38
39
Heading Bar
Menus Bar
Parameters
Information
Bar
Active Waveform
Status Bar
Context Menu
Display Area
Heading Bar
Status Bar
Menus Bar
Menus
File
Record
Edit
View
Tools
SetUp
Help
File Menu
New
Open
Close
Close All
Save
Save All
Select Print Items
Print
Print Preview
Print Setup
Ultimos 8 estudios abiertos
recientemente
Exit
Ctrl + N
Ctrl + O
Ctrl + S
Ctrl + P
Ctrl + X
New
In this option you can start a new study. Select the File menu>new option>a window
will appear with the information that you must fill for the patient.
Surname, name, date of the study, clinical info.
Press OK.
Open
In this option you will open the file that you want to review.
The system automatically will open the folder where the files are saved, PUD.
You can select one or more waveforms to view on the screen, select all the waveform
that you wish to see in the same study and open all together.
You can select more than one waveform in the same time as you have the option in the
windows programs.
Select the File>Open> and select one waveform press the shift key and move the downup arrow or with a click of the mouse, the selectable waveform will appear on the
waveform display area.
Close
In this option you can close one by one the active waveform, select the one that you
want to close with the arrows, the waveform turns active when it changes the color to
red.
Select the file menu>close> the active waveform will disappear.
Close All
Same as the last option, but closes all the waveform presented in the waveform display
area.
Before to close, the system will ask you to save the study and automatically will open
the window save in the correct folder, if you dont want to save changes exit of this
window.
Save
Save the active waveform.
Save all
Save all the waveforms that presented in the waveform display area
Select Print Items
From this option you can select the information that you want to be printed.
You can select Waveforms, Parameters and Patient Information. If you have the three
options with the mark 4three options will be printed. If you want to print just one of
these three options tip out the option you dont want to print.
4 Waveform
Parameters
4 Patient Information
Print
Prints the study
Print Preview
This option allows you to have a view of the study previously to print it and set the
position, weight etc.
Print Setup
Allows you to set the configuration of the printer, paper size etc.
Exit
Exits of the application
Record Menu
Continue
Overwrite
Start Next
Study Type
Input Channel
Impedance Test
Continue
Using this option you start a new waveform and it will be the new active.
The extension name of this waveform will be increased automatically. For example, if
you begin a study called Peter and you start more than one waveform the new
waveforms you will begin with this option will be called Peter.000, Peter.001, Peter.002
etc.
Change Study Type
Using this option you can change the Study Type to use during the study.
Record Menu > Change Study Type > a box will appear with a displayed list including
all the study type the program have as default and all the study type you have made
before. Select the option OK and the study type will change automatically, you are
ready to begin a new collection.
Input Channel
From this option, it allows you to define channels for the signal input.
Impedance Test
You can see the impedance value of each electrode in Kohms.
If you are sure that the reference and ground electrodes have good contact to the patient
and the system gives you values out of accepted you must chek:
1. Using same material electrodes (NO mixed electrodes)
2. Low quality of materials or electrodes
3. You are using good quality conductive paste
Edit Menu
Patient Info
Patient Report
Report Template
Montage
Note
New Full Screen DIB
Open DIBs
Patient Info
Here it will appear a window to add the information of the patient.
-Surname and Name
-Date of study
-Study Number
-Clinical Info
Patient Report
Selecting this option the PNK software will open the Microsoft Word or WordPad
(what you have installed on your computer) and will generate a new word file called as
the study filename, for example Peter.rep.
The file will be saved on the PUD folder except you specify a new folder.
Microsoft is a registered trademark of Microsoft Company.
Report Templates
You have the possibility of using a template to write the report. Remember that you
have to have on view the study you will wite the epot of.
Once you select this option the open box will appea showing the DOT files.
You can change the template and save it wiht anothe name or with the same.
This is an useful tool to have the template achived with your clinic, institution and
addres. When you open it you only will fill it with the patient information and study
analysis. In thisd templates you have the possibility to add the BMP Graphic Screen.
Montage
Slecting this option will appear a box where you can type the montage name you used
for the collection. This information will appear in the Status Bar.
Edit Note
Each trace may have a different note. It is possible to write or change the note of the
active waveform.
You have two possibilities to edit or write a new note, one is using this menu and the
other one is using the contextual menu.
You must be sure you are inserted the Note to the active waveform and after you have
inserted the Note Save the active trace.
View Menu
Toolbar
Status bar
Select New Color
Change Trace Color
Toolbar
Keeping this option you have the possibility to have a quick acces to the tools we show
you in this menu.
New File
Open File
Print File
Save File
Waveform Superpoesition
Equal Spaced Waveforms
Moves the waveform UP in the waveform display area
You can also move the waveform UP by selecting the active waveform,
making a click over the number keeping the key mouse press and moving UP
to the point you want.
Moves the waveform DOWN in the waveform display area
You can also move the waveform DOWN by selecting the active waveform,
making a click over the number keeping the key mouse press and moving
DOWN to the point you want
Increase the amplitude of the active waveform
Decrease the amplitude of the active waveform
Inverts the wave of the active waveform
Continue the collection in the astarted register or in a new register
Overwrite the active waveform starting a new collection over the channel
Begin a new collection and add it automatically in the waveform display
area
Presents the marks previously setted in the active waveform
Edits the marks inserted before
Status Bar
Selecting this option you can see or not this information bar that is presented on the
bottom of the screen. Once selected this option it must have a mark for been visible 4
The color of the waveform are possible to be set from this menu.
Select New Color
Once the study has started you will see the trace on the screen in the color that you have
set the last time you have used the program.
From this option you can set the color of the new trace you will use and this will keep it
by default.
Change Trace Color
At the beginning of the study the trace will be shown in the color you have set before.
Selecting this option you can change the color in the same trace the times you want.
Tools Menu
Waveform Superposition
Equal Spaced Waveforms
Waveform UP
Waveform DN
Display x UP
Display x DN
Inversion
Show Marks
Show Marking Values
Edit Marks
Digital Filter
Fourier
All the available options of the Tools Menu can be open and used by clicking on
Context Menu Area with the right key of the m.
Waveform Superposition
In this option you can make a waveform superposition of all the waveform presented in
the waveform display area
Equal Spaced Waveforms
If you did a waveform superposition of all the presented waveform in the display area,
with this option you returned the waveforms to their position in the display area.
Waveform UP
This option moves the selected waveform UP in the waveform display area.
You have this option available in this menu, in the Tool Bar using the corresponding
button and make a click over the contextual menu area keep the button preseed and take
the wavveform up to the position you want.
Waveform DN
This option moves the selected waveform DN in the waveform display area.
You have this option available in this menu, in the Tool Bar using the corresponding
button and make a click over the contextual menu area keep the button preseed and take
the wavveform up to the position you want.
Waveform Display x UP
Selecting this option you will increase the amplitude of the selected waveform in the
display area.
You have this option available in this menu, in the Tool Bar using the corresponding
button and make a click over the contextual menu area keep the button preseed and take
the wavveform up to the position you want.
Waveform Display x DN
Selecting this option you will decrease the amplitude of the selected waveform in the
display area.
Inversion
This allows you to invert the waveform, this will invert the active waveform. If you
want to return to the before position, select this option again
Show Marks
Selecting this option the software will present on the waveform display area and over
the active waveform the marks. Marks could be set up in the Study Type option from
the SetUp menu.
Marks will appear automatically and by default the label of each one will be saw in
roman numbers.
Show Marking Values
Selecting this option you will see the latency values over each mark.
Edit Marks
If the mark insertion isnt correct or you want to change it, you can select this option
and a box will appear with this different option:
Fourier
-Previous to select Fourier Option you have to set the desired waveform to make the
analysis active. The selected waveform will be highlight with a red box.
-Select the Tools Menu
-Select the Fourier option
-The program will present you
-The horizontal Axis: Hz.
-The Vertical Axis: uV2
The Power Spectrum
To select another waveform and make the FOURIER analysis you have to open the
waveform from the corresponding file, once the waveform is opened select the Tools
Menu > FOURIER option.
The software allows you to have more than one waveform opened and from differents
files, so you can have them open and turn active the one you want to make the
FOURIER analysis.
Setup Menu
Notch Filter
Study Type
Warning (Save)
Technical
50Hz. 60 Hz.
Select Interface
Select Stimulator
Select Amplifiers
Calibrate Zero
Notch Filter
From this option you can select the Notch Filter between 50 or 60 Hz. According to the
country you are working in. The filter could be activated or not from the Information
Bar DATA.
Study Type
From this option the system allows you to edit or create a new study type and it is added
authomatically to the studies type list.
In this box appears:
Options:
To create a new study type once you have selected the NEW option or to change the
parameters of one study you have this option:
- Analysis Time
- Channel #
- Amplifiers parameters
- Register parameter
- Stimulus parameter: Visual, Auditory, and Somatosensory
- Marks From this box you can set the marks to insert them automatically in the
study by selecting the Show Marks option or using the Tools bar button.
Warning (Save)
Keeping this option active with a tick on its side, the system will display a box with the
following message:
SAVE ACTIVE WAVEFORM
Save Changes in: C:\AKODATA\filename.000
You can select SAVE: To save the trace which name is shown in the box.
Option CLOSE, with this option the program will ask you if you have saved the
changes.
Close All option: If you select this option this box will appear with any study you have
open.
The CLOSE ALL option will save all the opened studies without asking with each one.
CANCEL: This option will cancel the changes and will not save anything.
If the Warning (SAVE) option wasnt activated, no message will appear asking to save
the changes made to the study.
In this case you have to be careful to remember if the changes were saved or not.
Technical
This option is for being used by technicians.
Select Interface It will select the Interface that the equipment will work with
Select Stimulator It will select the Stimulator type that the system will work with.
Select the Amplifier Type It will select the Amplifier type that the system will work
with
Calibrate Zero
Help Menu
Help Topics
Manual
English
Spanish
Calendar
Calculator
Contact Akonic
About EP
Help Topics
You have in this option a complete help on line.
You are able to search in alphabetic order or item order.
Manual. Once you select this option, the program will open the Adobe Acrobat Reader.
If you dont have it installed on your PC it is easy to find on the internet in Adobe.com.
The manual is accessible in English or Spanish, just select the option you want for
reading or printing it.
Then you will find tools that will help you to calculate measurements know dates in the
calendar and take notes.
Start Collection
Once you have the Software installed, you add the electrodes to the patient:
Select the record menu > the Input channel option
It will appear a new window with a study types list, you must select one (The study type
must be defined before from the SetUP menu)
During the collection the Information Bar shows you the parameters that are being used
and are set according to the study type you have selected.
Those parameters are possible to be changed during the study. In this bar are shown 4
options:
DATA
Stimulus Frequency
Amplifiers
High Frequency Filter HZ
Low Frequency Filter HZ
Sensitivity
Average #
This is the number of average where the study stops automatically. You
can set this number in the Setup Menu.
Rejected #
This is the number of rejects that the collection had. The study dont
average them.
Display X
This is the information about the quantity of times that you increase the
amplitude of the selected waveform.
Cursor 1
Cursor 2
Diff
Amplitude
UV/Div
Latency 1 value
Latency 2 value
Value of the difference between cursor 1 and cursor 2
Amplitude between cursors 1 and 2
This is the information about the sensitivity of the selected waveform
per division
AUDIO
Stimulus Type:
Click Masking P300
Auditory stimulus parameters
Right
Left
VISUAL
Stimulus Type:
Photic - Pattern
Visual stimulus parameters
During the collection the Tools Bar change and the program shows you the quick
keys for changing the parameters:
F3: True/Average
F4: Notch
F5/F6: HFF
F7/F8: LFF
F9/F10: Gain
+ : DispxUP
- : DispxDN
DEL: Delete
R: Reject
I: Inv
RATE: P.Up/P.Dwn
Electrodes
General Specifications
SEcurity
System Capabilities
Power Conection
System Requirements
Use, transportation and storage
Components
Setting Up the System
Troubleshooting
Security
The Evoked Potential System and all their components have been designed to
meet the electrical security standards. (IEC 601-1)
System Capabilities
Channels # :
4 Channels
Impedance Input:
> 20Mohm
CMRR:
Noise Level:
0.7 uV.
Notch Filter:
50-60Hz
HFF:
10.000-5.000-3.000-2.000-800-300-100-300 Hz
LFF:
0.15-0.5-1.5-5-10-30-100-300 Hz
Sensitivity:
3-6-12-25-50-100-200-400-800-1600-3200-6400 uV
Stimulators
Auditory
Visual
Somatosensory
System Requirement
Pentium II o III, IBM
Windows 98 / Milenium
32 Mb RAM memory
Hard Disk 2 Gb
Drive 1.44 Mb
CD-ROM
1 slot ISA bus libre
Expanded keyboard of 101 keys alfa numeric and functions. Mouse
Color Monitor de 15 (1280 x 1024 pixels)
Akonic S.A. reserves the right to change any modifications without prior notice
ATTENTION!!!
Use always the functional ground connection not just to obtain a good
register and to avoid electrical risks to the technician/physician or the
patient in a bad equipment function.
System Components
All the system components are detailed in the Packing List.
Installing EP Software
1 - INSTALLATION
The akonic Software runs under Windows 98 and Millenium
We provide you a CD with the Software
To install:
Insert the CD in the CD driver, go to the desktop, select Start, Run and select from the
CD unit SETUP.exe
The installation software will show you the Disk and Directory:
C:\AKONIC
It will create a folder named AKONIC and inside this folder will create another folder
for each program.
To create a direct access to the program from the desktop you must:
- Go to the windows explorer
- Select the program you want to create a direct access
- With the right mouse button select from the context menu the option Send to >
desktop as direct access
- To change the Icon that will appear in the desktop
3
DEMO STUDIES
All the DEMO studies provided by akonic s.a. are copied in the corresponding
folder.
The corresponding folder for each program are:
C:\Akodata\ eeg
C:\Akodata\ ep
C:\Akodata\ emg
C:\Akodata\ eeg16
Etc.
For the correct function of the akonic system, this value 1000 must be written in the ako.ini
11. Close all
---------------------------------------------------------------------------ako.ini Edit,
The ako.ini file is inside the working path of the akonic programs, normally the akonic path
Using any Editor (Edit, et) edit the ako.ini
The ako.ini could have many paragraph of any modality, eeg, ep, emg, et.
1. Look for eeg, in this case,
In the line where says pcmcia :0000 (write the number that you found in the port after
the two pints, if the value is 240 you must write 0240, you must complete the four
digits
1.
2.
3.
4.
5.
INTERFACE INSTALLATION
In the second groove cover of the interface board you can see:
3 female connectors
1 male connector
1234-
Before you remove the computer cover, touch a grounded metal surface a dischange static
electrcity.
To install Stimulus card:
123456-
OPCIONAL
FICHA
ELECTROCAP
INPUT
Evoked Potential
INPUT
EEG
INPUT
EMG
INPUT
POLYSOMNOGRAPHY
INTERFACE
DB37H
4 Channel Headbox
AKONIC
1
4
Emg 1
AKONIC S.A.
Av Mosconi 2886 (1419) Buenos Aires
Fax : 541 573 2794
Model :
Tel : 541 572 2593
Serial :
Made in Argentina
: 541 574 2355
Emg 2
Side
To Headbox
To Headbox Stand
To stand
TROUBLESHOOTING
System
Trouble
Corrective Action
Photic Stimulator
Trouble
Corrective Action
Flash losed