EGI Operator Manual

Electrical Geodesics, Inc.
EGI Operators Manual
EGI Operators
Manual

1600 Millrace Drive, Suite 307
Eugene, OR 97403
USA
info@egi.com
www.egi.com
EGI Operators
Manual
8100040-50
December 15, 2010
Electrical Geodesics, Inc. makes no warranty or representation, either express or implied,

with respect to this manual, its quality, accuracy, merchantability, or fitness for a particular
purpose. In no event will Electrical Geodesics be liable for direct, indirect, special,
incidental, or consequential damages resulting from any defect or inaccuracy in this manual,
even if advised of the possibility of such damage.
Copyright 2010 by Electrical Geodesics, Inc.
All rights reserved.
CONTENTS
Preface . . . vii
GES Components . . . vii
About This Manual . . . viii
Support, Repair, and Documentation . . . ix
Chapter 1
Safety and Maintenance 11

Use Requirements . . . 12
System Safety . . . 16
Operational Safety . . . 20
Maintenance . . . 31
Chapter 2
Long-term Monitoring (LTM) 33

LTM EEG Materials and Workflow . . . 33
Acquiring LTM EEG . . . 36
Stage 1 Session Setup . . . 36
Stage 2 Patient Preparation . . . 38
Stage 3 EEG Acquisition . . . 44
Stage 4 Cleanup . . . 47
Chapter 3
Routine EEG Monitoring 53

Routine EEG Materials and Workflow . . . 53
Acquiring Routine EEG . . . 56
Stage 1 Session Setup . . . 56
Stage 2 Patient Preparation . . . 58
Stage 3 EEG Acquisition . . . 65
Stage 4 Cleanup . . . 66
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Contents
Chapter 4
Wiring and Connectivities 71

Components . . . 72
Power Connections . . . 73
Data Connections . . . 74
Chapter 5
EMC Declarations 75
Electromagnetic Emissions . . . 76
Electromagnetic Immunity . . . 77
Electromagnetic Immunity for Non-life-supporting Equipment . . . 78
Recommended Separate Distances Between Radio-frequency (RF)
Communications Equipment . . . 79
Appendix A
vi
Net Sizing 81
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PREFACE
W
elcome to the EGI Operators Manual. This manual describes the core
functionalities of the Geodesic EEG System (GES) 300, which is the EGI system.
Each customer is assigned a dedicated EGI support engineer. Your EGI support
engineer will install and configure your EGI system, including all connections
required for its operation. At the time of initial installation, your EGI support engineer
will also train relevant staff in its operation. At any time you have additional
questions or wish retraining, contact your EGI support engineer.
EGI protects its software from unauthorized use by encoding the licensing data in a HASP key
(i.e., a dongle, which looks similar to a USB flash drive). All authorized Net Station users have a
HASP key that plugs into their computers USB port. If you purchased only the Net Station
software, the key is included in the software installation package. If you purchased a complete
EGI Geodesic EEG System (GES), the HASP key is attached to the carts handle.
For instructions for updating the licensing contained in your HASP, contact your EGI support
engineer.
GES Components
All GESs are based on geodesic technology. Depending upon your purchase, some or
all of the following components are included in your GES:
HydroCel Geodesic Sensor Net (HCGSN)

Net Amps 300 EEG amplifier
Net Station EEG acquisition software
data acquisition computer (DAC)
ancillary equipment for GESs (i.e., power supplies, cables, monitors, carts,
cases, or brackets)
optional hardware and software for magnetic resonance (MR) acquisition,
experiment control, or measuring peripheral nervous system (PNS) activity
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vii
Preface
About This Manual

Synonyms, Acronyms, and Typographic Conventions
The following synonyms are used in this manual:
Geodesic Sensor Net, GSN, HCGSN, and Net are synonyms and refer generically
to both the GSN 200 and the HydroCel GSN (HCGSN), unless noted otherwise.
Patient is used to refer to both clinical patients and research subjects.
Long-term monitoring (LTM) and extended monitoring are synonyms for EEG
recordings that are generally longer than 12 hours (depending upon your
facilitys protocols).
Acquisition and recording (also acquired and recorded) are synonyms for
obtaining or obtained EEG data.
The following acronyms are used in this manual:
DAC (data acquisition computer)
EEG (electroencephalography)
HCGSN (HydroCel Geodesic Sensor

Net, a model of GSN)
EGI (Electrical Geodesics, Inc.)
MR (magnetic resonance)
ERP (event-related potential)
MRI (magnetic resonance imaging)
FICS (Field Isolation Containment

System)
NA (Net Amps amplifier)
GES (Geodesic EEG System)
PIB (Polygraph Input Box)
GSN (Geodesic Sensor Net)
PNS (peripheral nervous system)
NTP (Network Time Protocol)
The following typographic conventions are used in this manual:

italics for definitions or newly introduced terms;
boldface italics for important concepts; and
boldface for command paths (such as File > Save).
viii
8100040-50 December 15, 2010
Preface
Notes, Cautions, and Warnings

The following are used to convey important information:
Note: Notes indicate information that is helpful in understanding proper GES operation.
CAUTION: Cautions denote important information that, if unheeded, could hinder
the use of the GES or result in injury or equipment damage.
WARNING: Warnings denote important information that, if unheeded, could result
in serious injury or death.
Support, Repairs, and Documentation

For additional support, repairs, and documentation, do the following:
For common issues, refer to the FAQs on the Support page of the EGI website
(www.egi.com/support).
For uncommon issues, do the following:
Isolate the problem. Try to repeat and define the problem.
Document the problem. Carefully record the sequential details of the problem.
Report the defined problem.
Contact EGIs support staff by
web, email, phone, fax, or
postal mail via:
8100040-50 December 15, 2010
EGIs Support webpage

EGIs Support email
EGIs Sales email
Telephone
Fax
Address
www.egi.com/suppport
supportteam@egi.com
info@egi.com
+1.541.687.7962
+1.541.687.7963
Eugene, OR 97403
USA
ix
Preface
8100040-50 December 15, 2010
Chapter 1
CHAPTER
SAFETY AND
MAINTENANCE
T
his chapter provides safety, maintenance, and general information about the
GES 300. Before operating your GES, it is important to understand its intended
use, required location, environmental conditions, regulatory compliance, and all
safety cautions and warnings related to all GES components. Do not use your GES
unless you understand the information provided in this chapter.
WARNING: All system components must be installed and configured by an EGI
support engineer. Deviating from the supported configuration or running the system
with non-EGI components attached can cause unexpected performance or hazards.
Note that the information in this manual is subject to change, without notice. If they are not used
in compliance with official documentation, the manufacturer declines responsibility for the
safety, reliability, and performance of GES components. It is important to only use your GES
according to the manufacturers instructions.
Included in this chapter:

Use Requirements 12
Intended Use 12
Locating the GES 12
Environmental Conditions 12
Regulatory Compliance 13
System Safety 16
General Safety 16
Patient Isolation 17
Operational Safety 20
Power, Connectivities, and Cables 20
Data Acquisition Computer (DAC) 21
Data Stream and File Management 22
Articulated Arms and Mounting Brackets 23
Reviewing and Analyzing EEG Data 23
HydroCel Geodesic Sensor Nets (HCGSNs) 24
Geodesic Photogrammetry System (GPS) 28
Maintenance 31
Cords, Connectors, and Cables 18
Cleaning GES Components 31
Disassembly 18
Cable and Connector Integrity Checks 32
Lightning 19
Isolation Transformer 32
Other Devices, System Accessories, and

Peripherals 19
Component Recycling and Disposal 32
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11
Chapter 1: Safety and Maintenance
Use Requirements
This section provides general information abut how, where, and under what
conditions to use your GES 300.
Intended Use
The GES is intended to measure and record the electrical activity of the brain. It is
designed to be used with adults, children, and infants.
Locating the GES

The GES should be located near its power source, near the patient area, and where
exposure to sources of electromagnetic noise will be minimized.
Note: For details about electromagnetic noise, see Chapter 5, "EMC Declarations.
For help determining the appropriate operating location in your facility for your GES,
contact EGI Technical Support (see page ix).
CAUTION: If you wish to relocate your GES, we strongly recommend that you
contact EGI Technical Support (page ix) before making any changes.
Environmental Conditions
The GES 300 has been designed for use under the conditions given in Table 1-1.
Table 1-1. GES 300 overall operating environment
12
Storage temperature
0 to 47C (32 to 116F)
Operating temperature
10 to 35C (50 to 95F)
Relative humidity
5 to 95% noncondensing
Maximum altitude
3,000 meters (9,842 feet)
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Regulatory Compliance
European Union (EU) Authorized Representative
Contact
Gerhard Frmel
Address MPS
Medical Product Service GmbH

Borngasse 20
35619 Braunfels
Germany
Telephone 011 49 6442 962073

Fax 011 49 6442 962074
Email
106425.3235@compuserve.com
Models
The GES is available in two configurations: EEG-only and MRI/EEG. The GES 300 is
the EEG-only configuration and the GES 300 MR is the MRI/EEG configuration. This
manual addresses the GES 300. For all safety and use instructions related to the
GES 300 MR, contact EGI Technical Support (see page ix).
For details about earlier models of the GES (i.e., 120, 140, 200, and 250), contact EGI
Technical Support (see page ix).
Certifications and Classifications

Certification: This medical equipment is certified to the following:
CAN/CSA C22.2 No 601.1-M90 (Medical Electrical Equipment, Part I:
General Requirements for Safety)
CSA 601.1 Supplement 1:1994 (Requirements for Safety)
CSA 601.1 Amendment 2:1998
CAN/CSA C22.2 No 60601-2-26:04 (Medical Electrical Equipment, Part 2-26:
Particular Requirements for the Safety of Electroencephalographs)
UL Standard No 60601-1 (Medical Electrical Equipment, Part I: General
Requirements for Safety)
IEC 60601-2-26:2002 (Medical Electrical Equipment, Part 2-26: Particular
Requirements for the Safety of Electroencephalographs)
The GES 300 carries the U.S. FDA Pre-market 510k Clearance, European CE
Certification, Japanese Yakuji Approval, and Canadian Medical Device
License (Homologation dun instrument medical).
Applied part: Type BF
System: MDD Class IIa Equipment, Electrical Class I Equipment
Articulated arms for the GES 300: Electrical Class I Equipment
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13
Rating
Input: 100-240VAC, 50/60 Hz, 1.0 A
Output: 12 VDC, 3.3 A
Interference
It is your responsibility to ensure that the GES and its components are safe and
operate properly before using them.
All GESs have been tested and found to comply with the electromagnetic compliance
limits for the Medical Device Directive 93/42/EEC (EN 60601-1-2:2007 Class A and JIS T
0601-1-2:2002). See Chapter 5, "EMC Declarations, for EMC guidelines.
These limits are designed to provide reasonable protection against harmful
interference in a typical medical installation. The equipment generates radiofrequency energy and, if not installed and used in accordance with the instructions,
may cause interference to other devices in the vicinity. If this equipment does interfere
with other devices, which can be determined by turning the equipment off and on, try
to correct the interference by one or more of the following measures:
Reorient or relocate the receiving device.
Increase the separation between the equipment.
Connect the equipment to an outlet on a different circuit than the one used by
the other devices.
Consult EGI Technical Support (page ix).
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Symbols
Table 1-2 describes the symbols used on the GES 300.
Table 1-2. GES 300 symbols
Symbol
Description
Symbol
Description
Patient-connected part
(Type BF)
Protective earth ground point
Certified to CSA 601-2-26 and

UL 2601 and IEC 60601-2-6
See accompanying documents
Tipping hazard
Electrical hazard
Keep dry
Fragile
This side up
Temperature limits
Humidity limits
Mark indicating that the

product is CE compliant. The
number 0366 is the EC
reference number of the VDE
Testing and Certification
Institute, the notified body for
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15
System Safety
This section provides warnings related to the systems components and configuration.
General Safety
WARNING: The following warnings apply to the general use of the GES.
Do not omit the isolation transformer from the GES configuration. Modifying the GES in
this fashion increases the risk of injury to the patient. Always use the isolation
transformer.
Ensure that the environment is safe. The room where the GES is used must comply with
safety requirements.
Use only approved equipment. Do not connect the GES to unauthorized equipment, as
injury or damage may result. The user is responsible for ensuring that a
reconfigured GES meets applicable local and national regulations for safety and
performance. See IEC 60601-1.
Connect only approved peripherals. Do not connect any product that is not IEC 606011approved to any port of the GES.
Avoid collisions and risks of combustion. Avoid collisions and vibrations to the GES and
pay attention to the danger of combustion when using the equipment in the presence
of flammable anesthetics.
Do not expose the GES to liquids. If liquids are spilled on the GESs electronic
components, immediately disconnect the system from all power sources. Do not use a
GES that has suffered exposure to liquids until EGI or other qualified personnel
certify that the liquid or liquid residue did not affect patient safety or device
operation.
Do not remove any parts, while the GES is powered. The GES uses potentially
dangerous line voltages, which are present within some subsystem devices. Limited
servicing may be performed by the customer, but consult EGI or other qualified
personnel for guidance.
Maintain a safe patient area. Place the isolation transformer and the data acquisition
computer, along with their attendant devices, out of patient reach (at least
1.5 meters [4.9 ft.] away). The patient area should contain only the patient, HCGSN
sensor array, and devices such as the photic stimulator.
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Note that high electromagnetic interferences may affect EEG acquisition. Ensure that the
EEG acquisition equipment is in a room (4 or 5 meters [13 or 16 ft.] wide) free of
noise-contributing items (such as air conditioners, neon lights, televisions, mobile
phones, appliances, and medical therapy devices). If noise is still an issue, you can
use a notch filter, which attenuates signals at 50 or 60 Hz (the frequencies at which
power lines generally operate). If noise continues to be an issue, consult Chapter 5,
"EMC Declarations, or contact EGI Technical Support (page ix).
Patient Isolation
Medical equipment standards require that, even if a patient is directly attached to a
220 V source (such as by placing a moistened finger in a high voltage socket), no
current will pass through the patient to ground as a result of a device being attached.
The primary variable for determining the severity of electric shock is the electric
current that passes through the body. This current depends on the voltage and the
resistance of the path it follows through the body. Table 1-1 provides a general
framework for shock effects (Source: Nave & Nave, Physics for the Health Sciences,
3rd Ed. W.B. Saunders, 1985; also at http://hyperphysics.phy-astr.gsu.edu/hbase/
hframe.html).
Table 1-1. General framework for shock effects
Electric current
(1-second contact)
Voltage required to produce the current

with assumed body resistance:
Physiological effect
100,000 Ohms
1,000 Ohms
1 mA
Threshold of feeling, tingling sensation
100 V
1V
5 mA
Accepted as maximum harmless current
500 V
5V
1,000 V
10 V
10,000 V
100 V
600,000 V
6,000 V
1020 mA
100300 mA
6A
Beginning of sustained muscular

contraction (cant let go current)
Ventricular fibrillation, fatal if continued.
Respiratory function continues
Sustained ventricular contraction
followed by normal heart rhythm
(defibrillation). Temporary respiratory
paralysis and possibly burns
WARNING: The following warnings apply to the isolation of patients from the GES.
Maintain patient isolation. Never touch the patient and the components outside the
patient area at the same time.
Do not bypass isolation. Do not allow patients to come into contact with an earth
ground. Touching ground bypasses isolation.
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17
Connect the GES only to the power mains cord supplied with the protective ground
terminal. The presence of ground protection preserves the patients safety, as well as
your own. Check that your local electrical plant can guarantee an efficient
grounding. The grounding reliability of a GES can be ensured only when used with a
hospital-grade plug.
Connect all components of the GES (monitors, plotters, modems, etc.) to the isolation
transformer outlets. Never connect the computer or other system components directly
to a wall power socket, because the leakage currents in the computer can present an
electrical hazard to you and the patient.
Ensure electrode isolation. Prevent contact between the conductive part of the
electrodes and other conductive parts, including the ground.
Ensure patient isolation when using the Polygraph Input Box (PIB). Even though the
HCGSN 210 MR Net can be used outside of the MR environment for EEG-only
acquisition with the FICS-Compatible Net Amps 300 amplifier, DO NOT use the
HCGSN 210 MR Net when using the Polygraph Input Box (PIB) outside of the MR
environment. For details, contact EGI Technical Support (page ix).
Cords, Connectors, and Cables

WARNING: The following warnings apply to the GESs cords, connectors, and cables.
Use only approved power cords. Do not use any power cord with the GES that is not
approved by EGI. For the appropriate cord, plug, and instructions for your area,
contact EGI Technical Support (page ix).
Inspect your connectors and cables. To reduce the risk of electrical shock, discontinue
the use of worn or damaged electrical connectors and cables.
Disassembly
WARNING: The following warnings apply to the disassemblage of the GES.
Only authorized personnel can service the equipment. Only personnel qualified for
servicing and properly authorized by the manufacturer can open the GES, access its
internal parts, or perform calibrations, changes, or repairs.
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8100040-50 December 15, 2010
Do not open or disassemble the amplifier. The interior of the amplifier unit, whether
enclosed in the GES cart or not, contains no user-serviceable parts. In the event that
the amplifier requires servicing, contact EGI Technical Support (page ix) for
instructions on how to safely pack and return it to EGI for evaluation and servicing.
Do not touch the power supply. Touching any internal portion of the power supply,
while the GES is powered, could result in electrical shock or injury.
Lightning
WARNING: System isolation is designed to protect the patient even if a highvoltage source is accidentally applied to either the patient or the GES. However,
because of the large, unpredictable electrical charges involved in a lightning strike,
disconnect the patient and discontinue the data acquisition session during a
thunderstorm.
Other Devices, System Accessories, and Peripherals

WARNING: The following warnings apply to the use of other devices with the GES.
Evaluate leakage risk. If the GES is used in conjunction with electric stimulation devices,
ask qualified personnel to evaluate any possible risk resulting from the sum of the
leakage currents or connections within the GES, in compliance with IEC 60601-1.
GESs are not protected from defibrillation potentials. Do not use GES components
simultaneously with a defibrillator. If you must use a defibrillator, disconnect the
HCGSN from the amplifier (or articulated arm, if used) and move the amplifier (and
articulated arm, if used) away from the patient.
Certify all accessory equipment according to the relevant IEC standards. Accessory
equipment connected to the digital and analog ports of the amplifier must be
certified according to the respective IEC standards (e.g., IEC 950 for data
processing equipment and IEC 601-1 for medical equipment). Furthermore, all
configurations shall comply with the system standard IEC-601-1-1. Any person who
connects additional equipment to the signal input part or signal output part
configures a medical system, and is therefore responsible for ensuring that the
system complies with the requirements of the system standard IEC-601-1-1. If in
doubt, consult your EGI support engineer at supportteam@egi.com or your local
sales representative.
8100040-50 December 15, 2010
19
Use only accessories, cables, and replacement parts sold by EGI. The use of accessories
and cables other than those that ship with the GESs, with the exception of those sold
by EGI as replacement parts for internal components, may result in increased
emissions or decreased immunity of the GES.
Avoid stacking or adjoining GES equipment with other equipment. GES equipment
should not be used adjacent to or stacked with other equipment. If adjacent or
stacked use is necessary, the GES should be observed to verify normal operation in
the configuration in which it will be used.
Operational Safety
This section provides additional precautions for using GES components and features.
Power, Connectivities, and Cables

WARNING: Adhere to the following warnings when using the GES.
Do not confuse common with earth ground. Regarding the shared common between
the HCGSN and amplifier, do not confuse the zero potential point of common with
that of earth ground. In the GES 300, common is isolated from earth ground. For
details about the distinction between reference and common, contact EGI Technical
Support (page ix).
Certify all accessory equipment according to the relevant IEC standards. Accessory
equipment connected to the digital and analog ports must be certified according to
the respective IEC standards (e.g., IEC 950 for data processing equipment and
IEC 601-1 for medical equipment). Furthermore, all configurations shall comply with
the system standard IEC-60601-1-1. Any person who connects additional equipment
to the signal input part or signal output part configures a medical system, and is
therefore responsible for ensuring that the system complies with the requirements of
the system standard IEC-60601-1-1. If in doubt, consult your EGI support engineer
at supportteam@egi.com or your local sales representative.
CAUTION: Adhere to the following cautions when using the GES.
Leave the carts power switch on for daily operation. When your system includes an
optional EGI cart, turn the system power switch off only if you plan to move the cart
to another location. For daily operating, the power switch should be left on.
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8100040-50 December 15, 2010
Only the HCGSN and GSNIC can be hot swapped. Remember that only the HCGSN
and GSNIC can be connected or disconnected during data acquisition. All other
cable connections, including FireWire connections, need to remain as is (connected or
disconnected) during acquisition. Otherwise, you will interrupt the data stream and
need to restart the acquisition session.
Turn the computer off before connecting the photic stimulator. Connect the photic
stimulator only when the computer is off.
Attach nothing to the amplifiers inputs when measuring gains. When measuring gains,
verify that nothing (HCGSN or articulated arm) is attached to the amplifiers inputs;
otherwise, you may receive an error message. If it is inconvenient to unplug the
HCGSN or arm before every EEG recording session, you may want to measure gains
only once a month.
Do not interrupt ECI connections during acquisition. Do not interrupt an experiment control
interface (ECI) connection (for example, by pulling out a cable), while the Workbench is
on or an acquisition session is open; otherwise, a system failure may occur.
Data Acquisition Computer (DAC)

CAUTION: Adhere to the following cautions when using the DAC.
Turn sleep mode off. Verify that the sleep mode for the hard drive is off. Otherwise,
software may freeze when the hard drive powers down (i.e., goes to sleep).
Confirm compatibility before upgrading. Before upgrading your purchased system
(computer, operating system, or Net Station), first confirm compatibility with
supportteam@egi.com.
Only authorized personnel can service the equipment. System upgrades that entail
replacement of the DAC or connection of additional peripherals, cards, or memory to
the DAC should be implemented by EGI support engineers only.
Restrict DAC usage to EEG acquisition. As a key component of a dedicated EEG data
acquisition system, the DAC should not be used for computer games or other
unrelated applications.
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21
Data Stream and File Management

CAUTION: Adhere to the following cautions regarding data stream and file
management.
Do not move, rename, or delete the Net Station folder. Do not move, rename, or delete
the Net Station folder or its contents. Changing any of the folders, except the Extras
folder, may result in data loss or corruption.
Do not move, rename, or delete Distribution files or folders. Files and folders that are
part of the Net Station Distribution (i.e., the files and folders that are installed on the
DAC) should not be moved, renamed, or deleted. Doing so could adversely affect the
operation of Net Station. For the same reason, the directory structure of the
Distribution should not be altered, except where indicated by EGI Technical Support
(page ix).
Do not move, rename, or delete User Data files or folders. Do not move, rename, or
delete the Net Station User Data folder or its subfolders. The one exception is the
Resource Database, which you must move out of the Net Station folder if you reinstall
the application but wish to keep your montages, event sets, etc.
Create proper Net Station files. When creating a Net Station file(1) Assign a
patient. An empty patient field can cause problems later during the Combine Files or
Statistic Extraction processes. (2) Create file names that vary within the first 22
characters. When exporting data to text files, Net Station truncates file names
longer than 22 characters; if truncated file names are identical, they may overwrite
each other.
Do not permanently IIR filter your data. Connecting an active Digital Filter ahead of and
in series with the Waveform Recorder device results in filtration of the data being
recorded. IIR filters are not appropriate for this purpose. Do not connect a Digital
Filter device in such a way that the data are acted upon by the filter before they are
recorded. If a permanent highpass filter is needed during recording, use the First
Order Highpass Filter device instead.
Send simultaneous events only when on different tracks. Do not send simultaneous
experiment control interface (ECI) events (that is, ECI events with the same time
stamps) to Net Station. Although Net Station can record simultaneous ECI events,
users cannot access them properly, because the events are on the same track.
Simultaneous events on different tracks (for example, DIN events), however, can be
accessed properly.
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Articulated Arms and Mounting Brackets

WARNING: Adhere to the following warnings for the articulated arms and mounting
brackets.
Ensure proper installation of any equipment support brackets. To prevent injury and
equipment damage when mounting wall or desktop brackets for the articulated arms or
amplifier: use a qualified service technician; adhere to all local codes; and ensure that the
wall/desk structure is solid and capable of supporting the weight of the bracket and all
attached components. Because wall/desk construction varies widely, if necessary, reinforce
the wall/desk.
Ensure that articulated arms are used safely, as follows:
Do not adjust the tension of a circular joint while a patient is present, because of
the risk of injury.
Always support the articulated arm before loosening any joints.
Do not connect the articulated arm to unauthorized equipment. Damage or injury
could result.
Fold the articulated arms before moving the cart to avoid personal injury or
equipment damage.
Reviewing and Analyzing EEG Data

WARNING: Adhere to the following warnings when reviewing or analyzing EEG
data.
Do not open a file that is in use. If a file is being used by Net Station Waveform Tools
or Net Station Acquisition, wait until that process has completed before trying to
open the file. Opening a file that is still in use may damage the file.
Do not leave patient fields empty. Before processes such as averaging, combining files,
or extracting statistics, make sure that you have assigned a patient to the file to
ensure that the patient information remains available for subsequent Waveform
Tools operations. Assigning a patient after averaging is not recommended. For
details, contact EGI Technical Support (page ix).
Vary file names within the first 22 characters. When exporting data to text files, Net
Station truncates file names longer than 22 characters. If truncated file names are
identical, they may overwrite each other.
Use caution when using the Markup from File tool. Because the Markup from File tool
modifies the file it is run on, run the tool only on the file associated with those specific
markup events or on a copy of the file.
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23
When to manually mark eye channels as bad .... If you leave the Flatten Eye Channels
checkbox unselected for infant Nets, then you should manually mark the lower and
horizontal eye channels as bad to ensure that they are excluded from future
operations.
HydroCel Geodesic Sensor Nets (HCGSNs)

Applying HCGSNs
WARNING: Adhere to the following warnings when applying HCGSNs.
Adhere to maximum wear times for adults, pediatrics, and infants. EGI recommends that
you base the maximum recording time upon an individual patients age, condition,
skin maturity, careful patient observation, and your facilitys policies and procedures,
as follows.
For longer recording sessions with adults and large pediatrics wearing a 256channel HCGSN 120:

remove the Net every 24 hours,

check the skin for breakdown, and
if no breakdown is found, wash and dry the patients head and reapply the Net.
If a head wrapping was used, also apply a clean wrapping of the same type
over the Net.
For longer recording sessions with adults and large pediatrics wearing a 32-, 64-,
or 128-channel HCGSN 120:

remove the Net every 12 hours,

check the skin for breakdown, and
if no breakdown is found, wash and dry the patients head and reapply the Net.
If a head wrapping was used, also apply a clean wrapping of the same type
over the Net.
For all recording sessions with small pediatrics and most infants wearing any
channel count of HCGSN 120:
limit recordings to 2 hours (infant skin is more sensitive to the irritation of
extended wear);
constantly monitor the infant to prevent choking or strangulation; and
check the infant every 15 minutes for redness, pressure points, and overturned
sensors.
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8100040-50 December 15, 2010
For all recording sessions with newborns and premature infants wearing any
channel count of HCGSN 120:
limit recordings to 1 hour (newborn and premature infant skin is even more
sensitive to the irritation of extended wear);

constantly monitor the infant to prevent choking or strangulation; and
check the infant every 15 minutes for redness, pressure points, and overturned
sensors.
Consult the patients attending physician. Consult each patients attending physician for
nonstandard precautions that may be needed for individual patients, especially for
pediatric patients.
Make sure you are using the correct HCGSN for each patient and monitoring session.
HCGSNs are clearly marked on their connectors with their sizing and model, but
contact supportteam@egi.com if you have any questions. Routine monitoring
HCGSNs have sponges around the electrodes in the pedestal of each sensor, are used
with a saline-based electrolyte solution, and are for routine (shorter) monitoring
sessions. Long-term monitoring (LTM) HCGSNs do not have sponges in each sensor, are
used with paste-based electrolyte, and are for extended (longer) monitoring sessions.
Monitor patients for skin irritation and comfort. Regularly monitor patients for skin
irritation and comfort for the duration the HCGSN is on the head (from application until
removal). After the HCGSN is made comfortable for the patient, check patients as follows:
check awake patients every 2 hours

check sleeping pediatric patients every 4 hours
check sleeping adult patients every 8 hours
check all patients more frequently, if directed by their attending physician or condition
Apply only properly prepared HCGSNs. Never apply an HCGSN that has not been
properly cleaned, disinfected, and rinsed.
Have patients remove all head accessories before applying the HCGSN. Ask the patient
to remove earrings, glasses, barrettes, and hair ties. These can be uncomfortable,
interfere with HCGSN application, and reduce data quality. Glasses can be
replaced after HCGSN application, if desired.
Have patients keep eyes closed when working near the eyes. Ask patients to close their
eyes while applying the HCGSN, removing the HCGSN, or adjusting sensors near the
eyes. Failure to follow this procedure can result in serious injury.
Connect the HCGSN only as directed (to the amplifier or EGI articulated arm). Do not
connect the HCGSN to any device or electrical source other than that specifically
authorized by the manufacturer and never use the HCGSN without trained supervision.
Accidental connection to a power source could result in serious injury or death.
8100040-50 December 15, 2010
25
Keep the HCGSNs connector dry. The HCGSNs connector is an electrical connector. To
prevent personal injury or equipment damage, keep the connector dry at all times.
Do so by keeping it above the level of the HCGSN during application so that liquid
does not run down the cables and into the connector.
Use separate clean, dry towels for each patient and each HCGSN. To prevent crosscontamination, use separate clean, dry towels for each patient and each HCGSN.
Also, do not use the same towel for both a patient and the GSN being used on that
patient.
Never use electrolyte in the disinfectant bucket or disinfectant in the electrolyte bucket.
To avoid cross-contamination, dedicate the use of the electrolyte and disinfectant
buckets for their chemical solutions only.
Use saline-based electrolyte solutions only once. Do not reuse saline-based electrolyte
solutions between patients or sessions. Dispose of them according to your institutions
guidelines.
Wrapping HCGSNs
CAUTION: Adhere to the following cautions when wrapping the patients head
and HCGSN.
Determine if wrapping the head is appropriate for individual patients. While wrapping
the head is appropriate for most adults, it is not appropriate for all patients. Consult
each patients medical professional for determination.
Determine the appropriate head wrapping for individual patients. While all head
wraps improve data quality and lengthen recording duration, stretch gauze is more
effective at doing so. However, stretch gauze is to be used only if approved by the
patients medical professional. Some patients cannot tolerate it. The alternative head
caps are looser and softer, and therefore gentler and more comfortable for patients
with sensitive skin. If using stretch gauze, wrap it gently. This minimizes the pressure
that can increase skin breakdown during longer recording sessions.
Regularly monitor patients for skin irritation and comfort. Check the patient frequently
to ensure the skins safety during longer recording sessions.
Adhere to maximum wear times. For longer recording sessions, refer to the maximum
wear times listed under Applying HCGSNs on page 24.
26
8100040-50 December 15, 2010
Removing HCGSNs
CAUTION: Adhere to the following cautions when removing HCGSNs.
Always pull the HCGSN off from the skin and hair before removing it. Before removing
the HCGSN with a peeling motion (working front to back), always gently pull the
HCGSN off from the patients skin and hair to reduce skin irritation and prevent skin
damage.
Only pat, never rub, skin after the HCGSN is removed. After gently splashing the skin or
rinsing the hair, always gently pat (never rub) the patients skin or hair with a clean,
dry towel to reduce skin irritation and prevent skin damage.
Cleaning HCGSNs
WARNING: Adhere to the following warnings when cleaning HCGSNs.
Handle full strength disinfectant with great care. Keep the disinfectant out of the reach
of children. At full strength, it is corrosive and can cause severe eye and skin
damage. Do not get it in your eyes or on your skin or clothing. Wear goggles (or a
face shield) and rubber gloves when handling. Harmful if swallowed. Avoid
contamination of food. Remove and wash contaminated clothing.
Avoid skin contact or ingestion of diluted disinfectant. Per the manufacturers instructions,
the disinfectant is neither a skin irritant nor a sensitization agent at the recommended
dilution. Regardless, EGI recommends avoiding skin contact or ingestion. DO NOT
SUBMERGE YOUR HANDS IN THE DISINFECTANT. See the manufacturers instructions
for the detailed precautions for handling the concentrated formula.
Do not use isopropyl alcohol, strong solvents, or an autoclave with HCGSNs. Isopropyl
alcohol or other solvents will disintegrate the sponges. An autoclaves steam
sterilization will disintegrate most epoxies and cable insulations. Any such damage is
not covered by the products warranty.
Never use electrolyte in the disinfectant bucket or disinfectant in the electrolyte bucket.
To avoid cross-contamination, dedicate the use of the electrolyte and disinfectant
buckets for their chemical solutions only.
Do not pinch or damage HCGSN wires. Be careful not to grasp the HCGSN in such a
way that you pinch or damage the HCGSNs wires.
Keep the HCGSNs connector and split wire sleeve dry. The HCGSNs connector is an
electrical connector. To prevent personal injury or equipment damage, keep the connector
dry at all times. (It is understood that a few splashed drops will be unavoidable.) To
8100040-50 December 15, 2010
27
prevent water damage to the connector and split wire sleeve, keep the connector high
above the HCGSN throughout the entire cleaning process. And, until the HCGSN is hung
to dry, we recommend keeping the connector enclosed in a plastic bag.
Ensure that you properly disinfect the HCGSN. Gently, but vigorously, agitate the
HCGSN back and forth in the disinfectant for prescribed period to successfully
remove any residual electrolyte (saline- or paste-based).
Do not leave the HCGSN in the disinfectant for longer than is prescribed. Be aware that
prolonged submersion in the disinfectant may damage an HCGSN and such damage
is not covered by the products warranty.
Geodesic Photogrammetry System (GPS)

General
WARNING: Adhere to the following general warnings for the GPS.
Use two people to assemble the GPS. Due to its size and weight (77 kg [170 lb.]), the
GPS requires two people to assemble it.
Use the GPS only according to manufacturers instructions. Due to its size and weight
(77 kg [170 lb.]), use the GPS only according to the manufacturers instructions.
Keep all clothing, hair, and body parts away from the GPSs moving parts. Moving parts
are a pinch-and-crush hazard. Use caution when operating to prevent injury.
Keep all objects away from the GPS while you are adjusting it. Objects can get caught
in or tip the system, causing injury or equipment damage.
Do not immerse or splash any component of the GPS in liquid. The GPS is electrical
equipment and getting it wet can cause injury or equipment damage. If liquids are
spilled on the GPSs electronic components, immediately disconnect it from any
power source. Do not use a GPS that has suffered exposure to liquids until EGI or
other qualified personnel certify that the liquid or liquid residue has not affected
patient safety or device operation.
Do not use the GPS in flammable gas environments.
28
8100040-50 December 15, 2010
Moving GPSs
WARNING: Adhere to the following warnings when moving GPSs.
Use caution when moving the GPS. Due to its size and weight (77 kg [170 lb.]), use
caution when moving the GPS to prevent injury or equipment damage.
Do not tip the GPS more than 10 degrees in any direction. Due to its size and weight
(77 kg [170 lb.]), the GPS is a crush hazard.
Disconnect power before moving or disassembling the GPS. To prevent injury or
equipment damage, disconnect power from the GPS before moving or disassembling it.
Grounding GPSs
WARNING: Adhere to the following warnings when grounding GPSs.
Do not open the GPS. The interior of the GPSs gantry contains no user serviceable
parts. Furthermore, accessing the interior of the GPS can result in electrical shock or
electrocution due to the hazardous mains voltage inside. In the event that the GPS
requires servicing, contact EGI Technical Support (page ix).
Ensure grounding reliability. Only connect the GPS to an equivalent receptacle
marked Hospital Only or Hospital Grade.
Connecting GPSs
WARNING: Adhere to the following warnings when connecting GPSs.
Use only approved power cords. Do not use any power cord with the GES that is not
approved by EGI. For the appropriate cord, plug, and instructions for your area,
contact EGI Technical Support (page ix).
Inspect your connectors and cables. To reduce the risk of electrical shock, discontinue
the use of worn or damaged electrical connectors and cables.
8100040-50 December 15, 2010
29
Disassembling GPSs
WARNING: Adhere to the following warnings when disassembling GPSs.
Do not open the GPS. The interior of the GPSs gantry contains no user serviceable
parts. Furthermore, accessing the interior of the GPS can result in electrical shock or
electrocution due to the hazardous mains voltage inside. In the event that the GPS
requires servicing, contact EGI Technical Support (page ix).
EMC Emissions and Immunity

WARNING: Adhere to the following electromagnetic compliance (EMC) warnings for
the GPS.
Use only accessories, cables, and replacement parts sold by EGI. The use of accessories
and cables other than those that ship with the GPS, with the exception of those sold
by EGI as replacement parts for internal components, may result in increased
emissions or decreased immunity of the GPS.
Avoid stacking or adjoining GPS equipment with other equipment. GPS equipment
should not be used adjacent to or stacked with other equipment. If adjacent or
stacked use is necessary, the GPS should be observed to verify normal operation in
the configuration in which it will be used.
Managing GPS Files

CAUTION: Adhere to the following cautions when managing GPS files.
Do not move, rename, or delete any item in the Net Station Application Program
Package. If you inadvertently open the Net Station Application Program Package, do
not move, rename, or delete any item in it. Changing any of the items may result in
data loss or corruption.
Select the correct HCGSN model when requested. After the photos are acquired and
the patient dismissed, the Photogrammetry software provides no means for changing
the HCGSN model, and the correct model is required to ensure accurate calculations.
Do not interrupt the calibration process. Interrupting the calibration process can
corrupt the calibration file. Wait for a success or error message to appear.
Mark only the points requested (i.e., cardinal or noncardinal). Marking the opposite
sensors will invalidate the sensor modeling process.
30
8100040-50 December 15, 2010
Maintenance
This section discusses maintenance and service issues that will help you enhance the
performance and life of your GES. You can improve the long-term quality of your GES
by paying regular attention to its appearance and operation. The equipment must be
kept clean to ensure that the components function efficiently. A quick examination of
the GES before each use will decrease the likelihood of serious problems occurring later.
WARNING: Do not perform repairs not discussed in this manual. For service and
maintenance issues not mentioned, contact EGI Technical Support (page ix).
WARNING: The following warnings apply to the cleaning of any component of the GES.
Turn off and unplug. Before cleaning any part of the equipment, always turn off and
unplug the equipment.
No liquids, oils, or harsh cleaners. Use only a cloth dampened with mild soapy water or
isopropyl alcohol to clean the exterior of equipment housings. For HCGSN cleaning
instructions, refer to page 49 for LTM Nets and page 67 for routine Nets.
Keep dry. Make sure that no liquid enters any part of the equipment and that all
components are completely dry before reconnecting the GES to power and
restarting the equipment.
Cleaning GES Components

To clean the components of the GES (other than the HCGSNs), do the following:
WARNING: Adhere to all warnings under Maintenance above.
Turn off and unplug the GES (including the GPS, if present) before cleaning.
Prevent any liquid from entering any GES component.
Do not use abrasive products.
Clean the different surfaces, as follows:
Gently clean near connectors and cracks using a soft brush.
Gently clean camera lenses and monitor screens using a lint-free brush or
cloth (such as an antiscratch microfiber eyeglass cleaning cloth).
Clean external surfaces (except camera lenses and monitors) with a cloth
dampened with mild soapy water or isopropyl alcohol, taking care not to
wet any electrical contacts.
Dry with a clean, dry, lint-free cloth.
8100040-50 December 15, 2010
31
Cable and Connector Integrity Checks

Cables and connectors can become worn over time, making them unsafe to use.
WARNING: Adhere to all warnings under Maintenance on page 31. In addition:
Use approved cords. Do not use any power cord with the GES that is not approved in
the country where the GES is being used. In the United States and Canada, a
hospital-grade plug-cord set must be used.
Inspect cords and cables. To reduce the risk of electrical shock, discontinue the use of
worn or damaged electrical cables and connectors, and regularly check cables and
connectors for wear or damage.
To check cables and connectors, do the following:
Periodically inspect all cables and connectors for wear or damage.
Discontinue the use of cables and connectors that fail inspection.
Obtain appropriate replacements from EGI.
Isolation Transformer
Isolation transformers sometimes need their fuses replaced. No other maintenance
instructions apply to isolation transformers other than fuse replacement. For fuse
replacement instructions, refer to the transformer manufacturers operating
instructions.
Component Recycling and Disposal

WARNING: Hazardous Material Disposal
Replace the FICS internal LiPo battery pack only with an exactly matching battery
pack, which is available from EGI. For replacement battery packs and disposal
instructions, contact EGI Technical Support (page ix).
CAUTION: Please comply with local regulations with regard to recycling or
disposing of GES components, consumables, and accessories.
You may return components to EGI for recycling or disposal, if desired. Contact
supportteam@egi.com to arrange for this service.
32
8100040-50 December 15, 2010
Chapter 2
CHAPTER
LONG-TERM MONITORING
(LTM) EEG
D
ifferent materials and workflow are required for acquiring long-term monitoring
(LTM) EEG recordings than for routine (short-term) EEG recordings. Follow the
guidelines in this section when conducting LTM recordings.
LTM EEG Materials and Workflow

Table 2-1 provides a list of the necessary LTM EEG acquisition materials. Table 2-2
provides a typical LTM EEEG acquisition workflow.
LTM EEG Materials

Table 2-1. Materials necessary for LTM EEG acquisition
GES 300 Components
HCGSN 120 LTM Net
(spongeless)
Net Amps 300 amplifier
Data acquisition computer
(DAC)
Net Station software
Articulated arm and/or
GSN interface cable (GSNIC)
Isolation transformer
(attached to all system components,
regardless of system configuration)
Patient event button (optional)
8100040-50 December 15, 2010
Net Components
Elefix EEG paste (or equivalent)
Note: One 180 gram tube fills one
256-channel Net.
Clean sink area

Control III disinfectant
(concentrated or premixed)
12 cc capacity curved-tip syringe

Control III test strips
applicators (trimmed and preloaded)
Timer
Note: Each applicator fills 45 to 50 sensors.
Rinse bucket
Tape measure
Disinfectant bucket
China marker (i.e., wax or grease pencil)
Clean, dry towels
MT Spandage tubular head wrap
Drying rack
Scissors
EGIs application instructions
One roll gauze (e.g., Kendall Conform
Your facilitys written protocol
Stretch Bandage)
33
Chapter 2: Long-Term Monitoring (LTM) EEG
LTM EEG Workflow

Table 2-2. Workflow for LTM acquisition
Stages
Steps
Schedule patient(s)
Session Setup
Turn on EGI system

Launch Net Station
Start new acquisition session
Measure patients head
Choose correct Net and Spandage (if using) sizes
Locate and mark vertex
Patient Preparation
Apply Net
Load sensors with paste
Plug in Net
Inspect waveforms and measure sensor impedances
Position and prepare the patient
Start recording
Acquisition
Add events, as necessary

Stop recording
Close session
Remove Net
Cleanup
Rinse patients skin and wash patients hair

Release patient
Rinse, disinfect, and dry Net
34
8100040-50 December 15, 2010
Core Components and Connections

WARNING: For all equipment
warnings and cautions, see
Chapter 1, Safety and
Maintenance, of this manual.
Net Amps 300

amplifier
front panel
rear panel
Digital
Analog
FireWire
Net connects directly or indirectly

to the amplifier
(indirectly via the optional
or optional EGI articulated arm)
T-junction
operating
supply
(TOS)
HydroCel GSN
sensor array
(bidirectional cable)
Hypertronics connector
For digital
I/O port
connections,
refer to your
EGI support
engineer.
For analog
input port
connections,
refer to your
EGI support
engineer.
To power supply
FireWire
Net Station EEG software

on data acquisition computer (DAC)
All EEG System

Components
Isolated Power
System
Power Switch
Isolation
Transformer
System
Power Plug
(with or without
optional EGI cart)
Mains Power
Data displayed in Net Station

(EEG, ERP, and physiological,
depending upon system options)
Figure 2-1. Core components and connections of an EGI Geodesic EEG System (GES) 300
8100040-50 December 15, 2010
35
Acquiring LTM EEG

Before the patient arrives, allow enough time to gather and prepare the materials
listed in Table 2-1.
WARNING: The system should be used as configured at installation by your EGI
support engineer. For detailed safety precautions, refer to Chapter 1, "Safety and
Maintenance.
Stage 1 Session Setup

Ensure that all EEG equipment is operating correctly and prepared for this recording
session. Also confirm that you have enough disk space for the acquisition data.
Set up the LTM EEG acquisition session, as follows:
1
Turn on the GES (the EGI system).

a) Turn on the DAC (i.e., the Apple computer).
Note: Remember that the EGI carts power switch should remain on, unless moving
the cart. The GES is turned on and off by turning on and off the DAC.
b) Log in to the EGI user account using the password provided by your EGI
support engineer.
2
Launch Net Station.

a) Move the cursor to the bottom (or side) of the monitor screen to display
the Dock.
b) Click the Net Station icon to launch the software. (The bouncing icon
indicates that the software is starting up.)

3
Start a new acquisition session.

From the Net Station startup screen,
click the Acquire button.
Figure 2-2. Net Station splash screen
36
8100040-50 December 15, 2010
Select an existing patient or create a new patient in the Patient Database.

For returning patients, simply click a patients name in the Select Patient list.
If this is the patients first visit, click the New Patient button to enter the
patients details into the Patient Database, and then click OK.
Figure 2-3. Acquisition Session window and New Patient dialog
Enter the patients information.

a) Fill in the Patient Information fields.
b) If the information is not available at this point, it can be added later during
the EEG recording session by clicking the Session Info button at the top
right of the EEG acquisition screen.
Figure 2-4. Patient Information pane of the Acquisition Session window (left) and EEG acquisition screen (right)
8100040-50 December 15, 2010
37
Begin the session.

From the Acquisition Session window,
click the Begin Session button.
Figure 2-5. Begin Session button
on the Acquisition Session window
Stage 2 Patient Preparation

For LTM EEG acquisition, you will be using the HCGSN 120 LTM spongeless Net and
Elefix EEG paste.
Prepare the patient, as follows:
1 Gather the needed materials.
See Table 2-1 on page 33.
Figure 2-6. Materials for an LTM session
Make sure that the patients head is clean and dry.
Measure the patients head circumference to

determine the appropriate Net and Spandage
(if using) sizes.
a) Carefully measure the circumference of the
patients head at the glabella (brow ridge)

and occipital protuberance (bump on the back
of the skull).
Figure 2-7. Measuring the heads

circumference
Note: Repeat, as necessary, to ensure accuracy.

b) Use the circumference measurement to select the appropriate Net and
Spandage (if using) sizes.

For Net size, refer to the chart in Appendix A. The Net should fit snugly.
38
8100040-50 December 15, 2010
For Spandage size, refer to the following:

Table 2-3. Spandage sizing
Spandage Size
Fits Head Circumference
Size 6
51 54 cm
Size 7
54 58 cm
Size 8
above 58 cm
Measure and mark the vertex (i.e., top-center of

the head).
a) Measure the nasion-inion distance and gently
draw a short perpendicular line on the scalp

at the midpoint of that distance.
b) Measure the distance between the two
preauricular points and gently draw a short

perpendicular line on the scalp at the midpoint
of that distance.
Figure 2-8. Measuring and marking

the vertex
c) Make sure that the intersection of the two short lines forms an X at the top-
center of the patients head. This marks the vertex.

5
Following your EGI training, apply the Net.

Note: The following highlight only the major steps,
so refer to your EGI training for complete details.
a) Inform the patient what to expect and have
obtained the patients informed consent.

Figure 2-9. Applying the Net
b) Ask the patient to close his or her eyes.

c) Orient the Net in your hands, as follows, before applying it:
Identify the front and back of the Net. The front has the adjustment straps
and beads, and the back has a series of wire bundles and the spacer
sensor marked S/N.
Count two sensors away from the red nasion sensor and hook your
thumbs under the double lines of elastomer.
Rest the tension straps over your wrists.
Position your little fingers in the bottom of the back row of the Net.
Use your thumbs and little fingers to expand the Net only enough to fit it
over the patients head. Do not overstretch the Net.
8100040-50 December 15, 2010
39
d) While standing directly in front of the patient, apply the Net by:
pulling it straight down over the patients head with the reference
(REF/CZ) sensor on the vertex;
keeping fingers, sensors, and straps away from the patients eyes;
placing the forehead row of sensors just above the brow ridge; and
making sure that the back of the Net is snug against the patients neck and
not curled up.
e) Make sure that the reference (REF/CZ) sensor is generally aligned over the
vertex and that the nasion sensor is generally aligned over the nasion. If they
are more than 1 cm off their marks, then reapply the Net.
f) Tighten and adjust the tension straps (including the chin, eye sensor, and
back straps with the blue, red, and white beads, respectively). A snug fitting
Net maintains sensor positioning and improves data quality.
6
Adjust the Net.

Check and adjust (if necessary) the placement
of the Nets sensors.
Note: Given the variation in head and face shapes,
exact placement of some sensors (e.g., nasion and
infraorbital) is not always possible, but get as close
as instructed.
Figure 2-10. Adjusting the Net
While adjusting the Nets sensors, gently shift sensors and make sure that:
You grasp groups of sensors, not individual sensors.
You never pinch or damage the wires.
You often check and, if needed, adjust the chinstrap.
The Net is positioned symmetrically on the head and that the midline
is straight.
The reference (REF/CZ) sensor is positioned on the vertex.
The ears are sitting correctly in the ear holes.
The mastoid sensors are positioned on the mastoids.
The nasion sensor is positioned on the nasion.
The infraorbital sensors are positioned directly below the pupils.
The facial sensors are evenly spaced.
40
8100040-50 December 15, 2010
Ensure the patients comfort.

a) Ask the patient whether the Net is comfortable.
Adjust it, if necessary.

b) Make sure that the chinstrap adjustment beads
are not positioned on the jawbone.

Figure 2-11. Ensuring comfort
c) Place a pad of gauze between the chin and the
chinstrap.
d) Place a pad of gauze (or a latex-free bandage) between the nasion and the
nasion tube.
8
Preheat the Elefix EEG paste to the consistency of toothpaste.

If using a hurricane heater per your facilitys protocol, the 15 minute setting
is sufficient for warming the paste to the proper consistency.
If using another heating method per your facilitys protocol, heating it
between 80 and 110F (27 and 43C) is sufficient for warming the paste.
Prefill the applicators with preheated paste.

a) Trim 0.25 inch (0.635 cm) off the tip of the curved-tip syringe applicator(s).
Note: Remember that each applicator (if using more than one) fills 45 to 50 sensors.
b) Fill the applicator(s) with paste.
10 Fill the sensor pedestals with paste.
a) Start with the reference (REF/CZ) and
common (COM) sensors, then proceed in

numerical order.
b) Move each sensor side to side in a scrubbing
motion to part the hair so that the sensor makes

direct contact with the scalp.
Figure 2-12. Filling pedestals
Note: For long hair, it may be necessary to push

away the hair gently with the tip of the applicator.
c) While keeping a sensor anchored on the scalp, tilt it, insert the tip of the
applicator into the pedestal, and fill it with paste to just above the rim.
d) Turn the sensor upright and press gently to make sure that it is directly
seated on the scalp.
8100040-50 December 15, 2010
41
11 Plug in the Net.

a) Plug the Nets Hypertronics connector into the
articulated arm or the Net Amps 300 amplifier.

b) Twist the Nets connector lever 180 clockwise to
lock the connection.

Note: The connector is detached by twisting the lever
counterclockwise.
Figure 2-13. Plugging in the Net
12 Check and correct (if necessary) data quality and sensor impedances.
a) Within Net Station, check the data quality and impedance values of all the
Nets sensors by:

Check data quality by scrolling through the EEG waveforms.
Check the impedance values by clicking Panels > Impedance > Measure
Impedance and setting the impedance threshold to 100 k (unless
advised otherwise).
Make sure that most impedances are below the threshold and that they
do not vary greatly between sensors.
Note: Remember that hair length, thickness, and cleanliness, as well as skin
texture and whiskers, can affect impedance.
Figure 2-14. Check impedance values of the Nets sensors
42
8100040-50 December 15, 2010
b) Fix any sensors that are displaying poor data quality or unacceptable
impedance values by:

improving scalp contact and/or
adding more paste.
Note: Remember that using too much paste increases bridging between sensors.
c) For any sensors that cannot be fixed, mark them with the badc (bad channel)
event marker (see Figure 2-18 on page 46) and note your log book. (For
details, refer to your EGI training and/or support engineer.)
d) Click the Save & Close button to save the impedance values in the Net
Station session file.

13 If needed to hold the Net in place throughout
the recording session to improve data quality,

carefully apply the provided Spandage head
wrap over the Net.
a) Select the size of Spandage that is
appropriate for the patients head. Refer to

the step 3 and Table 2-3 on page 39.
b) From the box of unstretched Spandage,
measure and cut a length of

approximately 33 cm (13 in.).
c) Tie a knot near one end of the cut tube.
(This will sit on top of the head.)
Figure 2-15. Spandage applied
d) Cut a face hole in the tube, as follows:
Lay the knotted tube flat.

Use a ruler to place two marks on the tube at 17.8 cm (7 in.) and 5.1 cm
(2 in.) up from the unknotted end.
Cut a crescent between the two marks that is no wider than 1 cm (0.4 in.).
e) Place your hands inside the Spandage and stretch it just enough to fit it over
the patients head and the Net.

f) Carefully pull the Spandage straight down over the head and Net without
disturbing the sensors.

g) Arrange the crescent opening around the face and the Spandage around
the head.
8100040-50 December 15, 2010
43
h) Gently unhook any caught sensors and right any sensors that are tipped.
Note: Usually only one or two sensors may be tipped by applying the Spandage.
If more than a few are tipped, then recheck the impedance values (see page 42).
i) Gently pull the sides and back down for complete coverage of the head and Net.
14 Prepare the patient for recording.
a) Describe the recording procedure to the patient.
b) Ensure that the patient is sitting/lying in an appropriate position for the
recording.
Stage 3 EEG Acquisition

EGI recommends that you base the maximum recording time and patient care upon
an individual patients age, condition, skin maturity, careful patient observation, the
attending physicians recommendations, and your facilitys protocols.
Adhere to the following recommendations in Table 2-4 for LTM EEG acquisition.
Table 2-4. EGI recommendations for LTM EEG acquisition
Maximum
recording time
For recording sessions with adults that are longer than 24 hours:
- remove the Net every 24 hours;
- check the skin for breakdown; and
- if no breakdown is found, wash and dry the patients head, then reapply the Net.
For recording sessions with pediatrics that are longer than 12 hours:
- remove the Net every 12 hours;
- check the skin for breakdown; and
- if no breakdown is found, wash and dry the patients head, then reapply the Net.
Maintenance
schedule
Unless the patients attending physician advises otherwise, or in your judgment it seems
necessary to check more frequently, adhere to the following schedule of maintenance
during LTM sessions.
Daytime checking schedule (pediatrics and adults):
- Every two (2) hours during wakefulness
- Before falling asleep
- Every morning after awakening
Nighttime checking schedule:
- For pediatrics: every four (4) hours
- For adults: every eight (8) hours
Note: To avoid startling patients during nighttime checks, you might want to advise
them that you will be checking them while they sleep.
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8100040-50 December 15, 2010
Table 2-4. EGI recommendations for LTM EEG acquisition

What to check
(see examples in
Figure 2-16)
Locate sensitive areas. After the Net is applied, ask the patient if there are any
areas of pain or discomfort. Mild discomfort can be sensations such as numbness,
warmth, or itching.
Check for irritation. Tilt sample pedestals and examine the skin underneath. Check
the following areas for redness, rash, irritation, blistering, breakdown, or damage:
sensitive areas located earlier; under the nasion sensor; under the face strap nasion
tube; under cheek, forehead, and under-eye sensors; under any tipped pedestals
(reseating those pedestals); and under a minimum of five (5) locations during every
maintenance check. You may use a pen flashlight for nighttime checks.
Assess safety. When the HCGSN is worn for longer than is recommended, it is
important to check for the following signs of skin damage: increasing redness,
whitening (water logging), or cracking.
Protect the skin. If skin checks reveal localized or widespread skin irritations, do the
following:
- For widespread irritations:
Discontinue the study, remove the Net, and follow your facilitys protocols for
patient care.
- For localized skin irritation:
Very gently wipe the area dry with non-alcohol sterile gauze; pad the area
under the sensor with a square of dry gauze (one to four layers, depending
upon the protection needed); and, if the skin needs a complete rest, leave the
gauze dry (otherwise, thoroughly paste the gauze between the sensor and skin
to continue recording the channel).
Figure 2-16. Examples of possible LTM skin irritation (left three images) and padding localized irritation (far right)
To acquire LTM EEG data, do the following:

1 Start recording data.
From the Waveform Recorder Controls

window, click the Record button. The
recorder controls will turn color from
yellow to pink to indicate that recording
has begun.
Figure 2-17. Waveform Recorder Controls
window in yellow nonrecord mode
8100040-50 December 15, 2010
45
Monitor the patient regularly during the recording, according to the

recommendations listed in Table 2-4.
Mark events in the EEG data (as necessary).

If marking events in the
EEG data, use the event
comment buttons that you
created with your EGI
support engineer to enter
events and comments
where and when necessary.
Figure 2-18. Sample event comment buttons
Check the data quality and impedance values periodically.

You can do this when you check the patients condition or as per your
facilitys protocol.
Nets sensors by:

Impedance.
texture and whiskers, can affect impedance

adding more paste.
Note: Remember that using too much
paste increases bridging between
sensors.
Figure 2-19. Adding paste through the
Spandage head wrap
event marker (see Figure 2-18) and note your log book.
46
8100040-50 December 15, 2010

5
Stop recording.
window, click the Stop button. The
pink to yellow to indicate that
recording has stopped.
window in pink record mode
End the EEG acquisition session.

From the Acquisition status panel, click the Close
Session button.
Figure 2-21. Close Session
button on the Acquisition
status panel
Stage 4 Cleanup
As much care is needed for the patient and Net after an acquisition session as was
needed prior to it to ensure the patients continued care and the Nets condition.
Removing the Net

Be aware that a patients skin will be susceptible to irritation and injury immediately
following an LTM recording session due to the duration that moisture has been held
against the skin.
1 If used, remove the Spandage head wrap.
Slowly remove the head wrap, working bottom to top with a peeling motion.
8100040-50 December 15, 2010
47
Remove the Net.

a) Loosen the Nets chinstrap.
b) Gently remove the gauze padding
from under the chinstrap.

c) Ask the patient to close his or her
eyes.
d) Starting with the lower facial
sensors, very gently pull the Net

from the skin and hair, working
from front to back with a peeling
motion.
e) Safely set the Net aside such that
the connector is raised above the

Net and cannot get wet. (After
you have released the patient, you
will immediately rinse and
disinfect the Net.)
Figure 2-22. Removing the Net
Rinse the skin.

a) Gently splash water from a sink or
run water from a shower to

remove any residual paste on the
facial skin.
b) Gently pat (do not rub) the skin
dry with a clean, dry towel.

4
Wash the hair.

a) Gently shampoo the hair (with
minimal rubbing) to remove

residual paste.
b) Gently pat (do not rub) the hair
dry with a clean, dry towel.

Figure 2-23. Rinsing the skin and washing the hair
48
8100040-50 December 15, 2010
Debriefing the Patient

Follow your facilitys protocols for debriefing the patient.
Rinsing and Disinfecting the Net

Follow these instructions to prevent skin irritation, skin infection, or Net damage.
In general, remember to:
Clean Nets immediately after use. If the paste dries, your Nets will take longer
to clean.
To prevent water damage to the connector and split wire sleeve, keep the
connector high above the Net throughout this entire process. And, until the
Net is hung to dry, we recommend keeping the connector enclosed in a plastic
bag. (A few splashed drops will be unavoidable.)
If your facility has no other policy or procedure in place for disposing of or
cleaning such LTM application items as the syringe applicators, then use this
procedure to disinfect those as well.
To rinse and disinfect the Net, do the following:
1 Rinse the paste out of the Net.
While keeping the connector high above the Net to protect the connector and
split wire sleeve from getting wet:
a) Carefully turn the Net inside out.
b) Run or spray clean, warm (not hot) tap water directly into each pedestal until
all visible paste surrounding each electrode pellet has been removed.
c) Inspect the Net, especially the crevices surrounding the electrode pellets, to
confirm that all paste has been removed.

d) If any paste remains, continue rinsing it away with clean, warm running tap
water.
e) Fill the rinse bucket with clean, warm (not hot) tap water.
f) Immerse the sensor end of the Net in the water.
g) Gently, but vigorously, agitate the Net back and forth for 10 to 20 seconds to
remove any residual paste. Be careful not to grasp the Net in such a way that
you pinch or damage the wires.
8100040-50 December 15, 2010
49
h) Raise the Net out of the bucket and drain the rinse bucket.
i) Repeat steps e through h (above) until you have rinsed the Net a total of
four times.
j) After thoroughly rinsing the paste out of the Net, gently pat the excess water
out of the Net with a clean, dry towel.

2
Disinfect the Net.

a) Prepare 2 liters of Control III disinfectant in the disinfection bucket per the
manufacturers instructions.
Note: Be aware that the instructions are different for the concentrated and
premixed formulas.
b) Before each use, use the Control III test strips to verify the efficacy of the
disinfectant per the manufacturers instructions.

Note: Be aware that the amount of usage, as well as time, can affect the
disinfectants efficacy.
c) Immerse the sensor end of the Net in the disinfectant.
d) Set the timer for 10 minutes.
e) For the first 2 to 3 minutes, and without submerging your hands in the
disinfectant, gently and repeatedly plunge the Net up and down to ensure a
thorough disinfection.
f) Leave the Net soaking in the disinfectant for the remainder of the
10 minutes.
CAUTION: Be aware that prolonged submersion may damage a Net and
such damage is not covered by warranty.
g) Keep the timer with you so that you do not leave the Net in the disinfectant
for more than 10 minutes.

h) At 10 minutes, remove the Net from the disinfectant.
50
8100040-50 December 15, 2010
Rinse the disinfectant out of the Net.

a) Rinse the disinfectant out of the Net according to steps e through i under
step 1 (Rinse the paste out of the Net).

If your facility has hard water, we suggest that you use distilled water for the
final rinse after disinfection.
b) Gently pat the excess water out of the Net with a clean, dry towel.
c) Hang the Net by its connector to dry.
4
Store the Net.

After the Net is dry, safely store it until the next recording session.
8100040-50 December 15, 2010
51
52
8100040-50 December 15, 2010
Chapter 3
CHAPTER
ROUTINE EEG
MONITORING
D
ifferent materials and workflow are required for acquiring routine (short-term)
EEG recordings than for long-term monitoring (LTM) EEG recordings. Follow the
guidelines in this section when conducting routine recordings.
Routine EEG Materials and Workflow

Table 1 provides a list of the necessary routine EEG acquisition materials. Table 2
provides a typical routine EEG acquisition workflow.
Routine EEG Materials

Table 3-1. Materials necessary for routine EEG acquisition
GES 300 Components
HCGSN 120 Net
(with sponges)
Net Amps 300 amplifier
Data acquisition computer
(DAC)
Net Station software
Articulated arm and/or
Isolation transformer
(attached to all system components,
regardless of system configuration)
Patient event button (optional)
8100040-50 December 15, 2010
Net Components
Electrolyte bucket
Potassium chloride and provided
measuring spoon
Baby shampoo and provided
measuring spoon
Distilled water (recommended as substitute
for hard water)
Pipette
Tape measure
China marker (i.e., wax or grease pencil)
Clean sink area
Control III test strips
MT Spandage tubular head

wrap (optional)
Control III disinfectant
(concentrated or premixed)
Timer
Rinse bucket
Disinfectant bucket
Clean, dry towels
Drying rack
EGIs application instructions
Your facilitys written protocol
53
Chapter 3: Routine EEG Monitoring
Routine EEG Workflow

Table 3-2. Workflow for routine EEG acquisition
Stages
Steps
Schedule patient(s)
Session Setup
Turn on EGI system

Launch Net Station
Start new acquisition session
Prepare electrolyte
Measure patients head
Choose correct Net and Spandage (if using) sizes
Prepare Net with electrolyte
Patient Preparation
Locate and mark vertex

Apply Net
Seat sensors
Plug in Net
Inspect waveforms and measure sensor impedances
Position and prepare the patient
Start recording
Acquisition
Add events, as necessary

Stop recording
Close session
Remove Net
Cleanup
For patients with sensitive skin, rinse skin and hair

Release patient
Rinse, disinfect, and dry Net
54
8100040-50 December 15, 2010
Core Components and Connections

WARNING: For all equipment
warnings and cautions, see
Chapter 1, Safety and
Maintenance, of this manual.
Net Amps 300

amplifier
front panel
rear panel
Digital
Analog
FireWire
Net connects directly or indirectly

to the amplifier
(indirectly via the optional
or optional EGI articulated arm)
T-junction
operating
supply
(TOS)
HydroCel GSN
sensor array
Hypertronics connector
For digital
I/O port
connections,
refer to your
EGI support
engineer.
For analog
input port
connections,
refer to your
EGI support
engineer.
To power supply
FireWire
Net Station EEG software

on data acquisition computer (DAC)
All EEG System

Components
Isolated Power
System
Power Switch
Isolation
Transformer
System
Power Plug
(with or without
optional EGI cart)
Mains Power
Data displayed in Net Station

(EEG, ERP, and physiological,
depending upon system options)
Figure 3-1. Core components and connections of an EGI Geodesic EEG System (GES) 300
8100040-50 December 15, 2010
55
Acquiring Routine EEG

Before the patient arrives, allow enough time to gather and prepare the materials
listed in Table 3-1.
WARNING: The system should be used as configured at installation by your EGI
support engineer. For detailed safety precautions, refer to Chapter 1, "Safety and
Maintenance.
Stage 1 Session Setup

Ensure that all EEG equipment is operating correctly and prepared for this recording
session. Also confirm that you have enough disk space for the acquisition data.
Set up the routine EEG acquisition session, as follows:
1
Turn on the GES (the EGI system).

a) Turn on the DAC (i.e., the Apple computer).
Note: Remember that the EGI carts power switch should remain on, unless moving
the cart. The GES is turned on and off by turning on and off the DAC.
b) Log in to the EGI user account using the password provided by your EGI
support engineer.
2
Launch Net Station.

a) Move the cursor to the bottom (or side) of the monitor screen to display
the Dock.
b) Click the Net Station icon to launch the software. (The bouncing icon
indicates that the software is starting up.)

3
Start a new acquisition session.

From the Net Station startup screen,
click the Acquire button.
Figure 3-2. Net Station splash screen
56
8100040-50 December 15, 2010
Select an existing patient or create a new patient in the Patient Database.

For returning patients, simply click a patients name in the Select Patient list.
If this is the patients first visit, click the New Patient button to enter the
patients details into the Patient Database, and then click OK.
Figure 3-3. Acquisition Session window and New Patient dialog
Enter the patients information.

a) Fill in the Patient Information fields.
b) If the information is not available at this point, it can be added later during
the EEG recording session by clicking the Session Info button at the top
right of the EEG acquisition screen.
Figure 3-4. Patient Information pane of the Acquisition Session window (left) and EEG acquisition screen (right)
8100040-50 December 15, 2010
57
Begin the session.

From the Acquisition Session window,
click the Begin Session button.
Figure 3-5. Begin Session button
on the Acquisition Session window
Stage 2 Patient Preparation

For routine EEG acquisition, you will be using the HCGSN 120 sponged Net and
electrolyte.
Prepare the patient, as follows:
1 Gather the needed materials.
See Table 3-1 on page 53.
Figure 3-6. Materials for a routine EEG session
Make sure that the patients head is clean and dry.
Prepare the electrolyte.

To prepare, mix the following ingredients in the electrolyte bucket until they
are thoroughly dissolved:
11 g (approximately 10 cc) of potassium chloride crystals
(one spoonful of the provided spoon)
1 liter warm water
Note: If your facility has hard water, EGI recommends using distilled water.
5 ml baby shampoo (one spoonful of the provided spoon)
58
8100040-50 December 15, 2010
Measure the patients head circumference to

determine the appropriate Net size.
a) Carefully measure the circumference of the
patients head at the glabella (brow ridge)

and occipital protuberance (bump on the back
of the skull).
Note: Repeat, as necessary, to ensure accuracy.
Figure 3-7. Measuring the heads

circumference
b) Use the circumference measurement to select the appropriate Net and
Spandage (if using) sizes.

For Net size, refer to the chart in Appendix A. The Net should fit snugly.
Most patients will not require it, but for those that do to hold the Net in
place or to improve data quality, also select the appropriate Spandage size.
Table 3-3. Spandage sizing
Spandage Size
Fits Head Circumference
Size 6
51 54 cm
Size 7
54 58 cm
Size 8
above 58 cm
Prepare the Net.

a) While protecting the connector from getting wet, immerse the sensor end of
the Net in the electrolyte.

b) Soak the Net for 5 minutes.
While the Net is soaking, you can go ahead to the next step and measure
and mark the vertex.
6
Measure and mark the vertex (i.e., top-center of

the head).
a) Measure the nasion-inion distance and gently
draw a short perpendicular line on the scalp

at the midpoint of that distance.
b) Measure the distance between the two
preauricular points and gently draw a short

perpendicular line on the scalp at the midpoint
of that distance.
Figure 3-8. Measuring and marking

the vertex
c) Make sure that the intersection of the two short lines forms an X at the top-
center of the patients head. This marks the vertex.
8100040-50 December 15, 2010
59
Following your EGI training, apply the Net.

Note: The following highlight only the major steps,
so refer to your EGI training for complete details.
a) Inform the patient what to expect and have
obtained the patients informed consent.

Figure 3-9. Applying the Net
b) Hand a towel to the patient for catching drips.

c) Shake the excess electrolyte from the Net. It should not be wet enough to
drip on the patient.

d) Wrap a towel around the connector of the Net to keep it dry.
e) Hand the connector to the patient or an assistant to hold up during
application to make sure that:

There is a drip loop in the cable (i.e., wire bundle) down from the
connector to keep electrolyte from flowing back up to the connector.
The Net is not plugged into the amplifier until after the Net is properly
applied and ready.
f) Ask the patient to close his or her eyes.
g) Orient the Net in your hands, as follows, before applying it:
Identify the front and back of the Net. The front has the adjustment straps
and beads, and the back has a series of wire bundles and the spacer
sensor marked S/N.
Count two sensors away from the red nasion sensor and hook your
thumbs under the double lines of elastomer.
Rest the tension straps over your wrists.
Position your little fingers in the bottom of the back row of the Net.
Use your thumbs and little fingers to expand the Net only enough to fit it
over the patients head. Do not overstretch the Net.
h) While standing directly in front of the patient, apply the Net by:
pulling it straight down over the patients head with the reference
(REF/CZ) sensor on the vertex;
keeping fingers, sensors, and straps away from the patients eyes;
placing the forehead row of sensors just above the brow ridge; and
making sure that the back of the Net is snug against the patients neck and
not curled up.
60
8100040-50 December 15, 2010
i) Make sure that the reference (REF/CZ) sensor is generally aligned over the
vertex and that the nasion sensor is generally aligned over the nasion. If they
are more than 1 cm off their marks, then reapply the Net.
j) Tighten and adjust the tension straps (including the chin, eye sensor, and
back straps with the blue, red, and white beads, respectively). A snug fitting
Net maintains sensor positioning and improves data quality.
8
Adjust the Net.

Check and adjust (if necessary) the placement
of the Nets sensors.
Note: Given the variation in head and face shapes,
exact placement of some sensors (e.g., nasion and
infraorbital) is not always possible, but get as close
as instructed.
Figure 3-10. Adjusting the Net
While adjusting the Nets sensors, gently shift sensors and make sure that:
You grasp groups of sensors, not individual sensors.
You never pinch or damage the wires.
You often check and, if needed, adjust the chinstrap.
The Net is positioned symmetrically on the head and that the midline
is straight.
The reference (REF/CZ) sensor is positioned on the vertex.
The ears are sitting correctly in the ear holes.
The mastoid sensors are positioned on the mastoids.
The nasion sensor is positioned on the nasion.
The infraorbital sensors are positioned directly below the pupils.
The facial sensors are evenly spaced.
9
Ensure the patients comfort.

a) Ask the patient whether the Net is comfortable.
Adjust it, if necessary.

b) Make sure that the chinstrap adjustment beads
are not positioned on the jawbone.

Figure 3-11. Ensuring comfort
c) Most patients will not require it, but for sensitive patients:
place a pad of gauze between the chin and the chinstrap, and
8100040-50 December 15, 2010
61
place a pad of gauze (or a latex-free bandage) between the nasion and the
nasion tube.
10 Seat the sensors.
Firmly grasp the pedestal of each sensor, in turn, starting with the reference
(REF/CZ) and common (COM) sensors, and move it side to side in a scrubbing
motion to part the hair so that it makes direct contact with the scalp.
Note: For long hair, it may be necessary to push away the hair gently with the tip of
the pipette.
11 Plug in the Net.
a) Plug the Nets Hypertronics connector into the
articulated arm or the Net Amps 300 amplifier.

b) Twist the Nets connector lever 180 clockwise to
lock the connection.

Note: The connector is detached by twisting the lever
counterclockwise.
Figure 3-12. Plugging in the Net
12 Check and correct (if necessary) data quality and sensor impedances.
Nets sensors by:

Impedance and setting the impedance threshold to 100 k (unless
advised otherwise).
62
8100040-50 December 15, 2010
texture and whiskers, can affect impedance.
Figure 3-13. Check impedance values of the Nets sensors

adding more electrolyte.
Note: Remember that using too much electrolyte increases bridging between sensors.
event marker (see Figure 3-16 on page 65) and note your log book. (For
details, refer to your EGI training and/or support engineer.)
8100040-50 December 15, 2010
63
13 Most patients will not require it, but if
needed to hold the Net in place or to improve

data quality, carefully apply the optional
Spandage head wrap over the Net.
a) Select the size of Spandage that is appropriate
for the patients head. Refer to the step 4 and

Table 3-3 on page 59.
b) From the box of unstretched Spandage,
measure and cut a length of

approximately 33 cm (13 in.).
c) Tie a knot near one end of the cut tube.
(This will sit on top of the head.)
Figure 3-14. Spandage applied
d) Cut a face hole in the tube, as follows:
Lay the knotted tube flat.

Use a ruler to place two marks on the tube at 17.8 cm (7 in.) and 5.1 cm
(2 in.) up from the unknotted end.
Cut a crescent between the two marks that is no wider than 1 cm (0.4 in.).
e) Place your hands inside the Spandage and stretch it just enough to fit it over
the patients head and the Net.

f) Carefully pull the Spandage straight down over the head and Net without
disturbing the sensors.

g) Arrange the crescent opening around the face and the Spandage around
the head.
h) Gently unhook any caught sensors and right any sensors that are tipped.
Note: Usually only one or two sensors may be tipped by applying the Spandage.
If more than a few are tipped, then recheck the impedance values (see page 63).
i) Gently pull the sides and back down for complete coverage of the head and Net.
14 Prepare the patient for recording.
a) Describe the recording procedure to the patient.
b) Ensure that the patient is sitting/lying in an appropriate position for the
recording.
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8100040-50 December 15, 2010
Stage 3 EEG Acquisition

EGI recommends that you base patient care upon an individual patients age,
condition, skin maturity, careful patient observation, the attending physicians
recommendations, and your facilitys protocols.
To acquire routine EEG data, do the following:
1 Start recording data.

window, click the Record button. The
yellow to pink to indicate that recording
has begun.
window in yellow nonrecord mode
Monitor the patient regularly during the recording and mark in the EEG data
(as necessary).
If marking events in the
EEG data, use the event
comment buttons that you
created with your EGI
support engineer to enter
events and comments
where and when necessary.
Figure 3-16. Sample event comment buttons
Stop recording.
window, click the Stop button. The
pink to yellow to indicate that
recording has stopped.
window in pink record mode
8100040-50 December 15, 2010
65
End the EEG acquisition session.

From the Acquisition status panel, click the Close
Session button.
Figure 3-18. Close Session
button on the Acquisition
status panel
Stage 4 Cleanup
As much care is needed for the patient and Net after an acquisition session as was
needed prior to it to ensure the patients continued care and the Nets condition.
Removing the Net

1 Remove the Net.
a) If used, lowly remove the Spandage
head wrap, working bottom to top

with a peeling motion
b) Loosen the Nets chinstrap.
c) If used, gently remove the gauze
padding from under the chinstrap.

d) Ask the patient to close his or her eyes.
e) Starting with the lower facial sensors,
very gently pull the Net from the skin

and hair, working from front to back
with a peeling motion.
f) Safely set the Net aside such that the
connector is raised above the Net and

cannot get wet. (After you have released
the patient, you will immediately rinse
and disinfect the Net.)
Figure 3-19. Removing the Net
66
8100040-50 December 15, 2010
Most patients will not require it, but for patients with especially sensitive
skin, rinse the skin and hair.
a) Gently rinse the face and hair by
splashing water from a sink or

running water from a shower to
remove any residual electrolyte
from the facial skin and scalp.
b) Gently pat (do not rub) the skin and
hair dry with a clean, dry towel.

Figure 3-20. Rinsing the skin and hair of
especially sensitive patients
Debriefing the Patient

Follow your facilitys protocols for debriefing the patient.
Rinsing and Disinfecting the Net

Follow these instructions to prevent skin irritation, skin infection, or Net damage.
In general, remember to:
Clean Nets immediately after use.
To prevent water damage to the connector and split wire sleeve, keep the
connector high above the Net throughout this entire process. And, until the
Net is hung to dry, we recommend keeping the connector enclosed in a plastic
bag. (A few splashed drops will be unavoidable.)
If your facility has no other policy or procedure in place for disposing of or
cleaning such application items as the pipettes, then use this procedure to
disinfect those as well.
To rinse and disinfect the Net, do the following:
1 Rinse the electrolyte out of the Net.
a) Carefully turn the Net inside out.
8100040-50 December 15, 2010
67
b) Fill the rinse bucket with clean, warm (not hot) tap water.
c) Immerse the sensor end of the Net in the water.
d) Gently, but vigorously, agitate the Net back and forth for 10 to 20 seconds
while:
pausing to press the sponge tips with your palm to push water through
the sponges,
keeping water moving through the Net and sponges for the entire 10 to 20
seconds, and
being careful not to grasp the Net in such a way that you pinch or damage
the wires.
e) Raise the Net out of the bucket and drain the rinse bucket.
f) Repeat steps b through e (above) until you have rinsed the Net a total of
four times.
g) After thoroughly rinsing the electrolyte out of the Net, gently pat the excess
water out of the Net with a clean, dry towel.

2
Disinfect the Net.

a) Prepare 2 liters of Control III disinfectant in the disinfection bucket per the
manufacturers instructions.
Note: Be aware that the instructions are different for the concentrated and
premixed formulas.
b) Before each use, use the Control III test strips to verify the efficacy of the
disinfectant per the manufacturers instructions.

Note: Be aware that the amount of usage, as well as time, can affect the
disinfectants efficacy.
c) Immerse the sensor end of the Net in the disinfectant.
d) Set the timer for 10 minutes.
e) For the first 2 to 3 minutes, and without submerging your hands in the
disinfectant, gently and repeatedly plunge the Net up and down to ensure a
thorough disinfection.
68
8100040-50 December 15, 2010
f) Leave the Net soaking in the disinfectant for the remainder of the
10 minutes.
CAUTION: Be aware that prolonged submersion may damage a Net and
such damage is not covered by warranty.
g) Keep the timer with you so that you do not leave the Net in the disinfectant
for more than 10 minutes.

h) At 10 minutes, remove the Net from the disinfectant.
3
Rinse the disinfectant out of the Net.

a) Rinse the disinfectant out of the Net according to steps b through f under
step 1 (Rinse the electrolyte out of the Net).

If your facility has hard water, we suggest that you use distilled water for the
final rinse after disinfection.
b) Gently pat the excess water out of the Net with a clean, dry towel.
c) Hang the Net inside out by its connector to dry.
4
Store the Net.

After the Net is dry, safely store it until the next recording session.
8100040-50 December 15, 2010
69
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8100040-50 December 15, 2010
Chapter 4
CHAPTER
WIRING AND
CONNECTIVITIES
T
he following diagrams show the components and their power and data connections
for a typical GES 300 configuration that includes video.
See Figure 4-1 on page 72 for components.
See Figure 4-2 on page 73 for power connections.
See Figure 4-3 on page 74 for data connections.
8100040-50 December 15, 2010
71
72
Data Acquisition
Computer (DAC)
Net Station HASP
NetAmps
Power Supply
DAC Keyboard, Mouse

and Monitor (models vary)
Articulated Arm
Core Devices
NetAmps 300
Monitor Power
Supply (optional)
DB9-Hypergrip Adapter
Patient Event Button
Uninterruptible
Power Supply (UPS)
This diagram gives an overview of the

components involved in this setup.
No wiring is shown in this diagram.
Legend
Optional Devices
Photic Stimulator
Lacie FW Hard Drive
Chapter 4: Wiring and Connectivities
Components
Figure 4-1. Components of a typical GES 300 with video
8100040-50 December 15, 2010
8100040-50 December 15, 2010
Data Acquisition
Computer (DAC)
NetAmps
Power Supply
Input voltage and fuses

must be set to match
voltage of Mains Power
Note on FireWire Connectivity:

The amplifier must be on a
separate FireWire bus than
other FireWire devices
DAC Monitor (models vary)
Mains Power
Core Devices
Output voltage
Set to 115V
Cart Power Switch
Uninterruptible
Power Supply (UPS)
NetAmps 300
Monitor Power
Supply (optional)
Other
FireWire
IEC
Legend
Optional Devices
Lacie FW Hard Drive
Power Connections
Figure 4-2. Power connections of a typical GES 300 with video
73
74
Data Acquisition
Computer (DAC)
NetAmps
Power Supply
Net Station HASP
DAC Keyboard, Mouse

and Monitor (models vary)
Core Devices
NetAmps 300
DB9-Hypergrip Adapter
Patient Event Button
Note on FireWire Connectivity:

The amplifier must be on a
separate FireWire bus than
other FireWire devices
Articulated Arm
Photic Stimulator
Other
Fire Wire
Legend
Optional Devices
Lacie FW Hard Drive
Data Connections
Figure 4-3. Data connections of a typical GES 300 with video
8100040-50 December 15, 2010
Chapter 5
CHAPTER
EMC DECLARATIONS
T
he GES 300 needs special precautions regarding electromagnetic compliance

(EMC) and must be installed and put into service according to the EMC
information provided in this chapter.
The EMC information for the GES 300 is encapsulated in the following tables:
Electromagnetic emissions: Table 5-1 on page 76
Electromagnetic immunity: Table 5-2 on page 77
Electromagnetic immunity for non-life-supporting equipment (such as the
GES 300): Table 5-3 on page 78
Recommended separation distances between radio-frequency (RF)
communications equipment and the GES 300: Table 5-4 on page 79
Note: Portable and mobile RF communications equipment can affect EGIs Geodesic EEG
Systems (GESs).
WARNING: The use of accessories and cables other than those that ship with
Geodesic EEG Systems (GESs), with the exception of those sold by EGI as
replacement parts for internal components, may result in increased emissions or
decreased immunity of the GES.
WARNING: No Geodesic EEG System (GES) should be used adjacent to or stacked
with other equipment. If adjacent or stacked use is necessary, the GES should be
observed to verify normal operation in the configuration in which it will be used.
8100040-50 December 15, 2010
75
Chapter 5: EMC Declarations
Electromagnetic Emissions
Table 5-1. Electromagnetic compatibility (EMC) emissions guidelines and declarations for the GES 300
The GES 300 is intended for use in the electromagnetic environment specified below. The customer or the user
of the GES 300 should ensure that it is used in such an environment.
Emissions test
76
Compliance
Electromagnetic environmentguidance
RF emissions
CISPR 11
Group 1
The GES 300 uses RF energy only for its internal functions.
Therefore, its RF emissions are very low and are not likely to
cause any interference in nearby electronic equipment.
RF emissions
CISPR 11
Class A
Harmonic emissions IEC

61000-3-2
Class A
Voltage fluctuations/
flicker emissions
IEC 61000-3-3
Complies
The GES 300 is suitable for use in all establishments other

than domestic and those directly connected to the public
low-voltage power-supply network that supplies buildings
used for domestic purposes.
8100040-50 December 15, 2010
Electromagnetic Immunity
Table 5-2. Electromagnetic compatibility (EMC) immunity guidelines and declarations for the GES 300
Electromagnetic environment
Immunity test
IEC 60601 test level
Compliance level
guidance
Electrostatic
discharge (ESD)
IEC 61000-4-2
6 kV contact
8 kV air
6 kV contact
8 kV air
Floors should be wood, concrete,

or ceramic tile. if floors are
covered with synthetic material,
the relative humidity should be
at least 30%.
Electrical fast
transient/burst IEC
61000-4-4
2 kV for power-supply
lines
2 kV for power-supply
lines
1 kV for input/output
lines
1 kV for input/output
lines
Mains power quality should be

that of a typical commercial or
hospital environment.
Surge
IEC 61000-4-5
1 kV differential mode
1 kV differential mode
2 kV common mode
2 kV common mode
Voltage dips, short

interruptions, and
voltage variations
on power-supply
input lines
IEC 61000-4-11
<5% UT (>95% dip in

UT) for 0.5 cycle
<5% UT (>95% dip in

UT) for 0.5 cycle
40% UT (60% dip in UT)

for 5 cycles

for 5 cycles

for 25 cycles

for 25 cycles
<5% UT (>95% dip in

UT) for 5 sec.
<5% UT (>95% dip in

UT) for 5 sec.
3 A/m
3 A/m
Power frequency
(50/60 Hz)
magnetic field IEC
61000-4-8

hospital environment.
hospital environment. If the user
of the GES 300 requires
continued operation during
power mains interruptions, it is
recommended that the GES 300
be powered from an
uninterruptible power supply or
a battery.
Power frequency magnetic fields
should be at levels characteristic
of a typical location in a typical
commercial or hospital
environment.
Note: UT is the a.c. mains voltage before application of the test level.
8100040-50 December 15, 2010
77
C h a p te r 5 : E M C D e c la r a tio n s
Electromagnetic Immunity for Non-lifesupporting Equipment

Table 5-3. Electromagnetic compatibility (EMC) immunity guidelines and declarations for non-life-supporting
equipment (such as the GES 300)
Immunity test
IEC 60601 test level
Compliance
level
Electromagnetic environmentguidance
Portable and mobile RF communications

equipment should be used no closer to any part
of the GES 300, including cables, than the
recommended separation distance calculated
from the equation applicable to the frequency of
the transmitter.
Recommended separation distance:
Conducted RF
IEC 61000-4-6
3 V rms
Radiated RF
IEC 61000-4-3
3 V/m
3 V rms
d = 1.2 P
3 V/m
d = 1.2 P 80 MHz to 800 MHz

d = 2.3 P 800 MHz to 2.5 GHz
150 kHz to 80 MHz
80 MHz to 2.5 GHz
where P is the maximum output power rating of

the transmitter in watts (W) according to the
transmitter manufacturer, and d is the
recommended separation distance in meters (m).
Field strengths from fixed RF transmitters, as
determined by an electromagnetic site survey,a
should be less than the compliance level in each
frequency range.b
Interference may occur in the
vicinity of equipment marked
with the following symbol:
Note 1: At 80 MHz and 800 MHz, the higher frequency range applies.
Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection
from structures, objects, and people.
a Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios,
amateur radio, AM and FM radio broadcast, and TV broadcast cannot be predicted theoretically with accuracy. To assess the
electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured
field strength in the location in which the GES 300 is used exceeds the applicable RF compliance level above, the GES 300
should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary,
such as reorienting or relocating the GES 300.
b Over the frequency range 150 KHz to 80 MHz, field strengths should be less than 3 V/m.
78
8100040-50 December 15, 2010
Recommended Separate Distances Between

Radio-frequency (RF) Communications Equipment
Table 5-4. Recommended separation distances between RF communications equipment (portable and mobile)
and the GES 300
The GES 300 is intended for use in an electromagnetic environment in which radiated RF disturbances are
controlled. The customer or the user of the GES 300 can help prevent electromagnetic interference by maintaining
a minimum distance between portable and mobile RF communications equipment (transmitters) and the GES 300
as recommended below, according to the maximum output power of the communications equipment.
Separation distance according to frequency of transmitter
Rated maximum output power
of transmitter
(in meters)
150 kHz to 80 MHz
80 MHz to 800 MHz
800 MHz to 2.5 GHz
d = 1.2 P
d = 1.2 P
d = 2.3 P
0.01
0.12 m
0.12 m
0.23m
0.1
0.38 m
0.38 m
0.73 m
1.2 m
1.2 m
2.3 m
10
3.8 m
3.8 m
7.3 m
100
12 m
12 m
23 m
(in watts)
For transmitters rated at a maximum output power not listed above, the recommended separation distance d in meters (m) can
be estimated using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating
of the transmitter in watts (W) according to the transmitter manufacturer.
Note 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection
from structures, objects, and people.
8100040-50 December 15, 2010
79
80
8100040-50 December 15, 2010
Appendix A
APPENDIX
NET SIZING
All HydroCel Geodesic Sensor Nets (HCGSNs) are available in a wide range of sizes
to fit the head circumferences of small newborns to large adults. Always base your
Net size selection on the circumference of your patients head, not your patients age.
See Table A-1 for appropriate sizing.
Table A-1. Sizing chart for all HCGSNs (with sponges [routine Nets] and without sponges [LTM Nets])
General Age* or Head Size
Head
Developmental
Circumference and
Stage
Net Size
Infant
Pediatric
Adult
Males
Females
Channel Counts
Monitoring Type
34 36 cm
Neonate
Neonate
32, 64, and 128
Routine
36 37 cm
Birth 2 weeks
Birth 1 month
32, 64, and 128
Routine
37 38 cm
2 weeks 1 month
1 2 months
32, 64, and 128
Routine
38 40 cm
1 2 months
2 3 months
32, 64, and 128
Routine
40 42 cm
2 3 months
3 6 months
32, 64, and 128
Routine
42 43 cm
3 5 months
6 7 months
32, 64, and 128
Routine
43 44 cm
5 7 months
7 9 months
32, 64, and 128
Routine
44 47 cm
7 15 months
9 21 months
32, 64, and 128
Routine
47 51 cm
Pediatric Small
Pediatric Small
32, 64, and 128
Routine
51 54 cm
Pediatric Large
Pediatric Large
32, 64, 128, and 256
Routine and LTM
54 56 cm
Adult Small
Adult Small
32, 64, 128, and 256
Routine and LTM
56 58 cm
Adult Medium
Adult Medium
32, 64, 128, and 256
Routine and LTM
58 61 cm
Adult Large
Adult Large
32, 64, 128, and 256
Routine and LTM
*Because childrens head sizes vary greatly, circumference (rather than age) should be the guiding factor when choosing a
Net size for children. The age range is only a general guideline. If the customer is unsure of the range of head circumferences
he or she will be testing, EGI recommends selecting at least one Net size above and one Net size below the expected range.
The approximate age range for U.S. infants is taken from the 50th percentile on the CDC Growth Charts published in May
2000. (50th percentile means that half of the infants of this age will have a larger head circumference and half will have a
smaller head circumference.) The charts are available at http://www.cdc.gov/growthcharts/.
EGI recommends that customers consult infant growth charts for their own country as growth statistics may vary.
8100040-50 December 15, 2010
81
Appendix A: Net Sizing
82
8100040-50 December 15, 2010

Eugene, OR 97403
USA
+1.541.687.7962 (tel) +1.541.687.7963 (fax) www.egi.com

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Electrical Geodesics, Inc.

EGI Operators Manual

Electrical Geodesics, Inc.

Electrical Geodesics, Inc. makes no warranty or representation, either express or implied,

Safety and Maintenance 11

Long-term Monitoring (LTM) 33

Routine EEG Monitoring 53

EGI Operators Manual

8100040-50 December 15, 2010

Wiring and Connectivities 71

EGI Operators Manual

8100040-50 December 15, 2010

HydroCel Geodesic Sensor Net (HCGSN)

EGI Operators Manual

8100040-50 December 15, 2010

About This Manual

HCGSN (HydroCel Geodesic Sensor

EGI (Electrical Geodesics, Inc.)

ERP (event-related potential)

MRI (magnetic resonance imaging)

FICS (Field Isolation Containment

NA (Net Amps amplifier)

GES (Geodesic EEG System)

PIB (Polygraph Input Box)

GSN (Geodesic Sensor Net)

PNS (peripheral nervous system)

NTP (Network Time Protocol)

The following typographic conventions are used in this manual:

EGI Operators Manual

8100040-50 December 15, 2010

Notes, Cautions, and Warnings

Support, Repairs, and Documentation

EGI Operators Manual

8100040-50 December 15, 2010

EGIs Support webpage

EGI Operators Manual

8100040-50 December 15, 2010

Included in this chapter:

EGI Operators Manual

Cords, Connectors, and Cables 18

Cleaning GES Components 31

Cable and Connector Integrity Checks 32

Other Devices, System Accessories, and

Component Recycling and Disposal 32

8100040-50 December 15, 2010

Chapter 1: Safety and Maintenance

Locating the GES

0 to 47C (32 to 116F)

10 to 35C (50 to 95F)

3,000 meters (9,842 feet)

EGI Operators Manual

8100040-50 December 15, 2010

Chapter 1: Safety and Maintenance

Medical Product Service GmbH

Telephone 011 49 6442 962073

Certifications and Classifications

EGI Operators Manual

8100040-50 December 15, 2010

Chapter 1: Safety and Maintenance

EGI Operators Manual

8100040-50 December 15, 2010

Chapter 1: Safety and Maintenance

EGI Operators Manual

Protective earth ground point