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Neuropack X1 Neuropack X1 EP/EMG/NCV Measuring System MEB-2300 Desktop System For more than 60 years, healthcare providers Optional Software worldwide have relied on the quality and Packages: reliability of the Nihon Kohden line of • QP-219: Review Station Software • QP-258: Trending Software comprehensive and innovative neuro- • QP-259: Autonomic Nervous System Testing (Microneurogram, R-R Interval, diagnostic and -monitoring instrumentation Sympathetic Skin Response) to aid in the diagnosis, information and • QP-260: Event Related Potential (P300, MRCP, CNV) treatment of their patients. The MEB-2300 is the latest and most advanced EP/EMG system in the Nihon Mobile Control Low Noise Kohden product portfolio. Available with either a six or twelve channel amplifier and up to two electrical Panel Amplifier stimulators, the MEB is designed with numerous time-saving features to maximize the user’s workflow without compromising the integrity of data acquisition. Basic exam software including EMG, NCS, SEP, ABR and VEP protocols come standard with the MEB-2300. The new examination list creates a seamless integration of protocols, patients and reports, increasing Operation Panel PV-230 Six Channel JB-206 productivity and reducing test time. The mobile function keypad enables the user The MEB-2300 uses a low noise amplifier to complete an entire exam without the with active electrodes to provide clean use of a keyboard or mouse. This simple waveforms easily and quickly. An control panel contains the main operation integrated impedance check can be buttons seen in previous models, “monitor- activated with the touch of a button from stimulate-analysis-stop and store,” with added the amplifier to ensure properly placed key features such as function keys, a number and seated electrodes. pad and NeuroWorkbench® controls. NeuroNavi Flexible Software Innovation NeuroNavi™ shows Workflow Solutions examination information and NeuroWorkbench is the core integrator of the Nihon electrode and stimulation Kohden neurology product portfolio. This common positions for NCS and other interface allows for examination scheduling, exams. This guide can be protocol administration and data management that improve workflow. NeuroWorkbench provides referenced on the screen at HIPAA Compliant access to clinical data and any time. records with passwords and three levels of administrative rights, as well as audit trails. A NeuroWorkbench – Scheduler flexible NeuroWorkbench option includes an HL7 interface. The NeuroWorkbench SQL Database integrates all of the Nihon Kohden neurology NeuroReport devices to provide a complete database across all neuro- diagnostic and -monitoring modalities. A customized report can Menu Window for an MEB be generated with the click of Examination a button using our proprietary Open an MEB examination screen using the ™ NeuroReport software. examination protocol menu. Included in NeuroReport are several selectable NeuroWorkbench – Patient List layouts which can display your facility’s logo, test Menu Tabs results with highlighted abnormals, waveforms Up to eight category tabs with 10 programs per and a powerful auto-text summary. Saved within tab for a total of 80 preset examination programs. the database, the report can automatically be signed electronically and converted to a PDF, Data Manager Tab protecting the electronic record while keeping it • Database files universally viewable. • Copy, move and delete file • Patient database with search and query function Workbench Tab NeuroWorkbench – Protocol Tab • Scheduler • Remote access • Review patient files Standard Examination Programs Routine EMG Program Quick Display Trigger EMG Muscle Summary The routine EMG program utilizes auto You can easily switch between four A cascading waveform window displays Measurement results and saved waveforms can MUP detection and classification, and real measurement modes that you can define the waveforms which are triggered be displayed in the muscle summary window. time turns/amp analysis. A functional freely—for example for insertion activity, by either level trigger, window trigger The summary window is the best place to start and sophisticated findings screen meets motor unit detection or turn/amplitude or rise time trigger in chronological order. typing the EMG findings—next to the results various needs in clinical use by easy analysis or interference—by pressing a You can change the beginning and of the examination. The latest EMG findings and smooth operation. button at the bottom of the screen or on end point of the duration. Up to eight screen shows up to 26 traces of waveforms the control panel. new sequential MUP waveforms are with annotations in the Monitor Waves window Interference displayed on the MUP sweep window and up to 20 MUP waveforms in the MUP Turns/amp measurement is automatically MUP Analysis without scrolling. window on one screen for efficient and quick performed. The measurement result MUP waveforms are automatically detected EMG findings. is displayed at every one second on and classified into groups of similar the turns-interval histogram, turns/amp shaped MUPs. MUP measurement result histogram and turns/amp graph. (duration, amplitude, phase, turns and firing EMG Playback/EMG Player The turns/amp normative data of several rate) are shown next to the waveforms muscles are installed as default settings or in a dedicated summary screen. You can also easily review any acquired and its normative area is displayed in The averaged MUP of the same MUP groups waveform with sound after measurement by the turns/amp histogram. You can easily are calculated and displayed with the clicking the EMG player button. This tool lets recognize whether or not the measuring numeric data. you play back EMG files with sound on a waveforms are in the normative range. review station for presentations and lectures. • Display up to 600 sec of EMG with sound • Sweep speed, sensitivity, and filter settings can be changed afterwards; a great function for teaching purposes • Compressed/cascaded waveform display Single Fiber Jitter Quantitative Analysis EMG Perform jitter reanalysis at different trigger levels for all acquired waveforms. MCD, MSD, MIPI, firing rate and blocking can be automatically analyzed. Two single fiber modes are available: voluntary contraction and stimulated. Eight Channels Real time MUP analysis of Macro EMG With the template matching method, MUP are automatically classified into several patterns Simultaneous eight channel macro EMG and the amplitude, phase, turns, area, rise time recording is possible. Acquired waveforms can and firing rate are quantitatively analyzed in be reanalyzed. Triggered waveforms real time. There are two methods of analysis: and averaging result can be simultaneously triggered and continuous. The analysis results displayed. can be statistically processed. Real time interference pattern analysis Interference patterns can be analyzed in two ways: turns/amp analysis and power spectrum analysis with FFT. Nerve Conduction Study F-Wave With the dual sensitivity function, both M- and F-wave are displayed with a proper amplification. F-Wave latency is displayed in the F-Wave histogram window. The NCS program lets you perform MCS, SCS and F-Wave in one program. Any number and combination of examinations can be created in your own custom routine protocol by selecting H-Reflex nerve, side and exam. You can change the examination by just The intensity-amplitude graph clicking the item in the list box, or by clicking a button on the and superimposed waveforms are dedicated operation panel of the Neuropack. displayed on the same window. Motor NCS/Sensory Repetitive Stim • When measuring with the MEB there is • The amplitude of each sequence is no need to manually pick the stimulation displayed as a bar graph on the site before starting the recording. same screen. You can see the summary The software does this automatically of the repetitive stimulation study Blink-Reflex for you and, if necessary, it can be at a glance. The waveform of each The relation between the mark easily changed. sequence can be displayed by clicking position and the normative • Side comparisons and combined the corresponding bar graph. range is easy to see on the blink motor and sensory tests can be shown • Up to 12 sequences of stimulation measurement table window. in one waveform screen and also patterns can be set for one automatic have their own dedicated evaluation measurement (automatic sequence tables. function). • Normative data are shown on the • Stimulation can be done with either same screen. high or low frequency or combined • The superimposed waveform in real in the same protocol. time is shown at the same time, so you can easily compare the amplitudes of all stimulation sites and thus judge the quality of your stimulation. Evoked Potentials Standard SEP examination Simultaneous SSEP and SEP Standard VEP examination Standard AEP examination protocols are: measurement protocols are: protocols are: • SEP (somatosensory evoked potential) Upper and lower extremity measurements • Pattern-VEP • ABR (auditory brainstem response) • SSEP (short-latency SEP) can be conducted at the same time on • Goggle-VEP • MLR (middle latency response) • ECG-SSEP (ECG-triggered SSEP) the same screen. • Flash-VEP • SVR (slow vertex response) • ESCP (evoked spinal cord potential) • ERG (electroretinogram) • EcochG (electrocochleogram) Side comparison • EOG (electrooculogram) ECG artifact-free SSEP Split screen display allows for side Three types of auditory
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