MEE 1000A. Neuromaster MEE-1000A. Intra-Operative Monitoring System

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IOM Data Acquisition System Neuromaster MEE-000A MEE 000A epilepsy monitoring electroencephalography ambulatory recording ICU/or monitoring polysomnography out of center sleep testing electromyography NCV evoked potentials Intra-Operative Monitoring System F or more than 60 years, healthcare providers worldwide have relied on the quality and reliability of the Nihon Kohden line of comprehensive and innovative neuro-diagnostic and -monitoring instrumentation to aid in the diagnosis, information and treatment of their patients. The Neuromaster MEE-000A is the latest addition to a long legacy of Nihon Kohden intra-operative monitoring systems offering the most flexible and comprehensive recording system available today. Intra-operative Monitoring Solutions The Neuromaster MEE-000A IOM system monitors SSEP/ABR/VEP Evoke Potentials as well as EEG, EMG and TcMEPs. All measurements are displayed in a format to facilitate rapid interpretation. EP and TcMEP waveforms are displayed and stored continuously and the acquired waveforms are displayed in a waterfall/cascaded format. EEG waveforms are displayed and stored continuously and/or periodically and the waveforms can be displayed in a waterfall format in either CSA or DSA. EMG waveforms are displayed and stored continuously and/ or periodically. Measurement data can be displayed in the waterfall format or trend graph window. During all measurements, an event is time locked with every entry. Designed as a desktop PC with a cart for easy transport or a laptop PC for portability, the Neuromaster is intended for both hospital and portable monitoring use. Clinical EPs are standard with Neuromaster and Clinical EEG is a low cost option. Neuromaster utilizes the same EP software as our MEB product line, which eliminates the need for additional training and provides a seamless interface for current Nihon Kohden users. The Neuromaster ease-of-use, flexibility and multi-modality features make it the clear choice for all of your IOM needs. Serving the Best Minds in Neurology for Over Sixty Years.

Flexible Software Innovation Workflow Solutions NeuroWorkbench is the core integrator of the Nihon Kohden neurology product portfolio. This common interface allows for examination scheduling, protocol administration and data management that improve workflow. NeuroWorkbench provides HIPAA Compliant access to clinical data and records with passwords and three levels of administrative rights, as well as audit trails. A flexible NeuroWorkbench option includes an HL7 interface. Select the option of a 6-channel amplifier or the first FDA cleared 32-Channel amplifier configuration. The NeuroWorkbench SQL Database integrates all of the Nihon Kohden neurology devices to provide a complete database across all neuro-diagnostic and -monitoring modalities. PortaView will allow you to download an IOM case to a CD/DVD enabling review capabilities on any Windows XP computer. The Neuromaster utilizes small and compact breakout boxes for waveform acquisition and stimulation. These individual breakout pods can be placed either at the head or foot of the OR bed to help eliminate extensions or long electrode wires. The 6-channel amplifier can use either or 2 breakout boxes for a total of 32, 40 or 48 inputs. The 32-channel amplifier uses up to three breakout boxes for a total of 64 inputs. The JS-0B stimulator pod has 5 stimulation outputs (0mA-00mA). Four stimulation pods can be connected to provide up to 20 stimulators. The JS-02B stimulation pod is designed for low level stimulation (0mA-0mA in 0. steps). Up to 2 low level pods can be connected. The MS-20BK is a multiphasic constant current stimulator used to deliver high frequency trains either transcranially or directly to the cortex.

Menu Window for IOM Examination Open IOM examination screens using the examination protocol menu. Menu Tabs Up to 8 category tabs with 0 programs per tab for a total of 80 preset examination programs Data Manager Tab Database files Copy, move and delete file Patient database with search and query function Workbench Tab Scheduler Remote access Waterfall/Trendgraph Window Review patient files Displays: Baseline, current and previous EP and TcMEP waveforms Graph of measurement data EEG data in CSA or DSA graphs Current display or look-back mode Ability to hide unwanted waveforms Linear graph of measurement data (latency, amplitudes, frequency, etc.) Event page Numeric values of measurement data Ability to hide unwanted waveforms Event Window Displays time and comments 50 preprogrammed events Free text on the fly Capture patient image with inputting events Editing events is available

EP Window Up to 32 EP waveforms in 6 displays areas Baseline, current and previous waveforms Latency and amplitude measurements All channel or individual channel control Auto sequence: automatically start, stop, and restart Displays montage, time, avg/rej counts, intensity Step back feature allows removal of noisy average Live video display from microscope and slave monitor or camera Snap shot saves one frame of patient image as a JPEG file EEG Window Displays up to 32 channels of EEG Store continuously or periodically Span can be adjusted in window Layout in monitoring, stack or side by side for easy comparison Stimulation is available Turn on or off waveforms from window Free run (EMG) Window Displays up to 32 waveforms Turn on or off waveforms from window Store continuously or periodically Layout in monitoring, stack or side by side for easy comparison Stimulation is available Printouts Print hardcopy/screen copy Print event list, trendgraphs, EEG, EMG or waterfall waveforms and numeric Make a PDF file and save with the patient data file, which helps eliminate the need for paper

Remote Monitoring Using Nihon Kohden remote software, the remote viewer display is totally independent of the acquisition screen. The remote viewer can look at trendgraphs, waterfall waveforms or previous data/numerics without affecting the acquisition screen. Remote Monitoring Alternatives MEE 000A Remote viewing either within hospital and/or outside hospital One acquisition system can be reviewed by multiple users Remote viewer can look at multiple acquisition systems in the OR 2 3 2 3 Chat window is available either in Event window or separate window Alarm notification when a chat is delivered Multiple MEE 000A's Multiple Screen Remote monitoring is available in several ways: - Hospital network (access required) MEE 000A Citrix Server VPN or LAN Outside LAN Stations Outside s - Citrix Server - 3rd party software; ie. Windows Remote Desktop, LogMeIn

Comprehensive Customer Care and Services Clinical and Technical Training To maximize utilization and satisfaction with your new system, registered Clinical Support Specialists are available for customized product training programs at your facility. Technical Support With greater demand for product standardization, data integration and networking, Nihon Kohden employs highly qualified Applications and IT Specialists to work with you to design a customized solution and site plan around your workflow, data access specifications and data management requirements. The Nihon Kohden Direct Field Service Support are backed by a team of certified Technical and Clinical Support Specialists available to assist around the clock with hardware and applications support and can securely connect into your system using remote diagnostics tools if additional help is needed. Service Agreements To assist you in delivering maximum system uptime, we offer flexible service agreement options and extended warranties available at the time of purchase or at any time during the warranty period. Supplies and Accessories To supplement the superior performance offered by the MEE- 000A, we offer a full line of quality electrodes, needles and supplies. Our Commitment to You When performance counts, you can rely on Nihon Kohden to assist you in delivering the highest quality patient care as efficiently as possible. Nihon Kohden is committed to bringing trusted and innovative solutions to the changing demands of the neurodiagnostics field today and into the future. Amplifiers Number of channels: JB-6B: 6, JB-32B: 32 Maximum number of connectable breakout boxes. (Maximum total of input jacks) JB-6B: 2 (48), JB-32B: 3 (64) Input impedance: >00 MΩ (Differential mode), 000 MΩ (Common mode) Noise: 3 μ Vpp or less at Hz to 3 khz with input shorted Common mode rejection ratio: 06 db (Balanced mode), 2 db (isolation mode) Sensitivity EP/free-run waveform: 0.05, 0., 0.2, 0.5,, 2, 5, 0, 20, 50, 00, 200, 500 μv/div, 2, 5, 0, 20, 50 μv/div ±5% EEG waveform: 5, 7, 0, 5, 20, 30, 50, 70, 00, 50, 200, 300, 500, 750,,000,,500, 2,000, 3,000, 5,000, 0,000 μv/div ±5% High-cut Filter EP/free-run waveform: 0, 20, 50, 00, 200, 500 Hz,,.5, 2, 3, khz at 2 db/oct (±20%) EEG waveform: 5, 30 35, 60, 70, 20, 300 Hz at 2 db/oct (±20%) AC interference notch filter: 50 or 60 Hz (Rejection ratio: < /2-0) Amplitude calibration: div (within ±5%) Skin-electrode contact impedance check: 2, 5, 0, 20, 50, 00, 200, kω indication (within ±20%) Low-cut Filter EP/free-run waveform: 0.08, 0., 0.2, 0.5,, 2, 5, 0, 20, 30, 50, 00, 200, 500 Hz,, 2, 3 khz 6 db/oct (±20%) EEG waveform: 0.08, 0.6, 0.27, 0.53,.6, 5.3, 53, 59 Hz at 6 db/oct (±20%) Time Constant: 0.00, 0.003, 0.03, 0., 0.3, 0.6,, 2 s Dimensions and Weight Main unit, DC-0B: 340 (W) x 4 (H) x 355 (D) mm, 2.3 kg Amp unit JB-6B: 60 (W) x 20 (H) x 84 (D) mm, 2.0 kg JB-32B: 265 (W) x 20 (H) x 84 (D) mm, 2.7 kg Extension unit, MS-0B: 62.5 (W) x 94 (H) x 50 (D) mm,.0 kg Multiphasic Stimulator, MS-20BK, 62.5 (W) x 94 (H) x 50 (D) mm,.2 kg Break out box, JB-0B/JB-02B: 60 (W) x 56 (H) x 27 (D) mm, 0.58 kg Stimulation pod, JS-0B/JS02B; 60 (W) x 03 (H) x 27 (D) mm, 0.36 kg Power Requirements Line voltage: 00 to 240 V AC ±0% Line frequency: 50/60 Hz Power input: 75 VA (DC-0B) Environment Operating temperature: 0 to 35 C (50 to 95 F) Operating humidity: 20% to 80% Operating atmospheric pressure: 70 to 06 kpa Storage temperature: -20 to +65 C (-4 to 49 F) Storage humidity: 20 to 80% Storage atmospheric pressure: 70 to 06 kpa NeuroWorkbench is a registered trademark of Nihon Kohden Corporation Citrix is a registered trademark of Citrix Systems, Inc. LogMeIn is a registered trademark of LogMeIn, Inc. Windows is a registered trademark of Microsoft Corporation 5353 Barranca Parkway, Irvine, CA 9268 (800) 325-0283 (949) 580-555 Fax: (949) 580-550 www.nkusa.com 9022 Rev D