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natus Dantec Keypoint G4 User Manual

natus Dantec Keypoint G4
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Dantec
®
Keypoint
®
G4
User and Service Guide
Part Number: 9031M1506 Rev F 23/NOV/2022
System Model Number: 9031A0701
© 2016 - 2022 Natus Medical Incorporated or one of its subsidiaries. All rights reserved. Natus is a registered trademark of Natus Medical
Incorporated. All product names appearing on this document are trademarks or registered trademarks owned, licensed to, promoted or
distributed by Natus Medical Incorporated, its subsidiaries or affiliates. All other trademarks are the property of their respective owners.

Table of Contents

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natus Dantec Keypoint G4 Specifications

General IconGeneral
CategoryMedical Equipment
ManufacturerNatus Medical Incorporated
SoftwareKeypoint.NET
Stimulation IntensityUp to 100 mA
Report GenerationYes
ConnectivityUSB, Ethernet
Power Supply100-240 V AC, 50/60 Hz
Amplifier Channels4, 8, or 12
StimulatorBuilt-in
Stimulator TypeConstant current
StimulationElectrical
Stimulation Frequency0.1 Hz to 50 Hz
Stimulation Duration50 µs to 1 ms
Data ManagementSQL database
DisplayExternal monitor required
WeightVaries depending on configuration
DimensionsVaries depending on configuration

Summary

Contact Information Overview

Technical Support and Customer Service

Contact details for domestic and international technical assistance, including specific contacts for Germany and France.

Glossary of Symbols

Medical Device Symbols

Explanation of symbols like MD (Medical Device) and CE (European Conformity) found on medical devices.

Regional Conformity Symbols

Explanation of symbols indicating conformity with specific regions like UKCA and Swiss Authorized Representative.

Prescription and Identification Symbols

Symbols indicating prescription status (Rx only) and identification (SN, LOT) for device traceability.

General Information and System Usage

User Guide Purpose

Provides basic information for setting up, operating, and maintaining the Dantec Keypoint G4 system.

Intended Use of the System

System is an electrophysiological aid for assessing, diagnosing, and monitoring nervous system diseases.

System Overview and Capabilities

Describes the Keypoint G4 system's design for acquiring, displaying, and managing electrophysiological data.

Patient and System Safety Information

Patient Population and Target Group

Identifies the system's use for diagnosing neuromuscular diseases in pediatric and adult patients.

Residual Risks and Side Effects

States there are no known residual risks or side effects for procedures performed with the system.

General and Network Security Measures

Guidelines for securing the system, including policies, networked environments, and access controls.

Ancillary Accessories

Compatible Electrodes and Connectors

Details on surface and needle electrodes, including material, cleaning, and connector standards.

Safety, Warnings, and Precautions

Warning and Caution Label Definitions

Defines WARNING (risk of death/serious injury) and CAUTION (risk of injury/damage) labels.

General System Warnings

Lists critical warnings regarding device use, cardiac application, flammables, and electrical connections.

System Warnings and Cautions

Specific Device Operation Warnings

Warnings about equipment use, electrical hazards, RF interference, and cleaning agents.

Cautions for System Operation

Cautions regarding HF surgical equipment, IEC 60601-1 compliance, and data backup.

Safety Requirements and Classification

General Safety Guidelines and Restrictions

Requirements for mains plug, prohibition of extension cords, and disconnection before servicing.

Device Protection Against Electric Shock

Details Class I protection and safety checks like insulation and leakage current testing.

IEC 60601-1 Standard Compliance

Patient Environment Requirements

Conditions for placing equipment within the patient environment, including protective earth.

Source Voltage and Current Density

Technical specifications on source voltage and calculation of maximum current density for electrodes.

System Hardware Overview

Workstation Component Identification

Diagram and list identifying key components of the Keypoint G4 workstation.

Cable Connection Procedures

System Cable Connection Guide

Step-by-step instructions for connecting signal and power interface cables.

HS LINK Module Connection Notes

Information on connecting HS LINK modules and potential restrictions due to power limits.

Connection Panel and Isolation Transformer

Connection Panel Interface Descriptions

Details on various input/output connectors for stimulation, trigger, and headsets.

Isolation Transformer Functionality

Explains the purpose of the isolation transformer for improved electrical safety and reduced leakage current.

Isolation Transformer Specifications

Transformer Fuse and Auxiliary Outlet Details

Information on fuses, rating frequency, and specifications for the 6 auxiliary outlets.

Transformer Classification and Safety

Details on protection type, sterilization, patient vicinity, and suitability for flammable anesthetics.

Control Panel Operation

Control Panel Layout and Indicators

Identification of buttons, keys, and indicators on the Keypoint G4 control panel.

Software Navigation and Function Keys

Explanation of color-coded keys for navigating software tabs and controlling functions.

Stimulation and Sweep Controls

Sweep Speed and Sensitivity Adjustment

Using arrow keys to modify sweep speed and sensitivity levels.

Stimulus Intensity, Duration, and Rate Settings

Control knobs and arrow keys for adjusting stimulus intensity, duration, and repetition rate.

Stimulation and Ancillary Controls

Stimulus Intensity and Repetition Controls

Details on stimulus intensity control knob, duration, and repetition rate arrow keys.

Loudspeaker, Cursor, and Trace Controls

Functions for loudspeaker mute, volume, cursor mode, and trace/marker arrow keys.

Rear Panel HS Link Connector

Description of the HS Link Input Connector on the rear panel for internal connections.

Amplifier Module Features

Amplifier Module Indicators and Tests

Power ON indicator, isolated inputs, impedance test, and loudspeaker mute functions.

Amplifier Input Connector Types

Details on different amplifier input connectors, including DIN-type and touch-proof options.

EP Amplifier Module

EP Amplifier Module Indicators and Tests

Features like Power ON indicator, isolated inputs, and impedance test for the EP amplifier.

EP Amplifier Input Connector Arrays

Description of common array and head array input connectors for the EP amplifier.

Stimulator Hardware and Operation

Stimulator Overview and Handgrip

Introduction to stimulators and features of the Advanced Stimulation Handgrip.

Constant Current Stimulator Types

Details on Single CC and Multi CC stimulators, including their power indicators.

Stimulator Functionality and Controls

Advanced Stimulation Handgrip Button Functions

Describes the functions assigned to buttons 4, 5, 6, and 7 on the stimulation handgrip.

Constant Current Stimulator Operation

Details on operating Single and Multi CC stimulators, including power indicators.

Stimulator Outputs and Electrodes

Stimulator Output Ports and Connectors

Information on CC stimulator output ports, touch-proof connectors, and active electrode indication.

Recommended Stimulation Electrodes

List of recommended stimulation electrode part numbers and types for investigations.

Footswitch and System Startup

Footswitch Pedal Functions

Description of functions for pedals A, B, and C of the optional footswitch.

Power Up Test and Hardware Alerts

Procedure for power up test and handling of hardware/software related alerts.

Additional Keypoint G4 Accessories

Available Accessories and Part Numbers

List of additional accessories compatible with Keypoint G4, including their part numbers.

Software Options and Part Numbers

Catalog of available software options for the Keypoint G4 system with corresponding part numbers.

System Operation and Software Launch

Starting the Dantec Keypoint.NET Application

Instructions on how to launch the Keypoint.NET application from the Windows desktop.

Home Page Navigation and Options

Overview of the Home Page options for creating studies, accessing the study list, and system settings.

Study Management Workflow

New Study Patient Data Entry

Details on entering patient data, comments, and conclusions on the Patient Data page.

Study List Navigation and Access

How to access and navigate the study list to view or edit existing studies.

Study List Features

Understanding Status Icons

Explanation of icons used in the study list to indicate status like uploading or completion.

Study Interaction Methods

Describes how to interact with studies using double-clicking and right-clicking menus.

Test Menu and Site Selection

Test Menu Navigation Structure

Overview of the test menu tabs, tree view, and filter options for selecting tests.

Anatomy Box and Muscle/Nerve Sites

Details on the anatomy box displaying available muscle and nerve sites for testing.

Starting and Configuring a Test

Selecting Motor Test and Side

Steps for selecting the Motor test and choosing the Left or Right side.

Filter Root and Muscle/Nerve Selection

Procedure for choosing the filter root and muscle/nerve from dropdown boxes.

Motor Nerve Conduction Test

Motor Nerve Conduction Test Interface

Overview of the test screen layout, including numbered interface elements.

Selecting and Activating Test Sites

Instructions on how to select and activate new sites using mouse or control panel.

Motor Nerve Conduction Controls

Adjusting Sweep Speed and Sensitivity

Using control panel arrow keys to modify sweep speed and sensitivity levels.

Stimulation Settings Adjustment

Modifying stimulation parameters like duration and repetition rate using mouse or control panel.

Stimulator and Marker Functions

Stimulator Overload Causes and Actions

Explains causes of stimulator overload and actions to take, such as stopping stimulation.

Marker Insertion and Manipulation

Methods for inserting and moving markers on the trace using mouse or control panel.

Trace Adjustment and Impedance Test

Moving Traces for Vertical Offset

Procedure for adjusting the vertical offset of traces using the trace handle.

Performing and Interpreting Impedance Test

Steps for conducting the impedance test and interpreting the results indicated by LED colors.

Result Table Management

Understanding Motor Conduction Result Tables

Explanation of Site and Segment tables, including reference limits and color coding.

Optional Windows for Data Analysis

Accessing optional windows like Display, Design, Impedance, and Signal Processing.

Nerve Conduction Data and Trace Reassignment

Nerve Conduction Data Summary Page

Overview of the Nerve Conduction Data page displaying results from the current study.

Settings and Design for NCS Tests

Adjusting recording and stimulation parameters for specific NCS tests.

Reassigning Traces in Motor NCS

Procedures for reassigning traces to correct stimulation sites or sides.

EMG Test Acquire View

EMG Acquire View Interface Overview

Description of the EMG acquire view, including numbered interface elements and scopes.

EMG Stage and Scope Bar Functions

Explanation of EMG stage buttons and the scope bar displaying muscle and buffer status.

EMG Trigger Control Options

Methods for activating and controlling triggers using the mouse or control panel.

EMG Trigger Control Details

Adjusting Trigger Level and Slope

Using the control panel to adjust trigger level and select trigger slope.

Window Trigger and Split Screen View

Using window triggers and split screen view for enhanced signal analysis.

EMG Data Recording and Analysis

Digital Tape Recorder Functions

Operating the digital tape recorder for recording live tests and playing back recordings.

Findings Entry and Note Window

Using the Findings page for scoring and the Note Window for adding comments to tests.

EMG Trace Reassignment and Plotting

Reassigning Muscles and Sides in EMG

Correcting errors by reassigning traces to the wrong muscle or patient side.

Motor Unit Potential Plot Windows

Visualizing Motor Unit Potential (MUP) data using different plot windows.

Motor Unit Potential (MUP) Analysis

MUP Analysis Options and Actions

Describes actions when MUPs are found or not found during analysis.

MUP Data Page Details

Presentation of motor unit potential data in a table format on the MUP Data page.

MUPs Page and Zoom Functions

MUPs Page Layout and Indicators

Display of MUPs broken down into single units with a vertical dividing line.

Zooming and Editing MUPs

Functions available when cursor is over a MUP, including deletion and opening in MUP Edit view.

MUP Edit Page Details

Template Area Information and Editing

Details on template information like amplitude, duration, phases, and editing.

Template Averaging and Deletion

Procedures for averaging two templates and deleting a template.

MUP Review Page Functionality

Locating and Adding MUPs to Templates

How to locate MUPs and add them to templates using mouse and context menus.

Removing MUPs from Templates

Method for removing a selected MUP from a template box.

System Utilities and Features

Backup and Screen Print Functions

Recommendations for regular data backup and how to perform screen prints.

Demo Mode and Right-Click Usage

Enabling demo mode for simulated signals and using right-click for hidden functions.

Maintenance, Cleaning, and Disposal

Routine Maintenance and Safety Checks

Schedule for system maintenance, safety inspections, and checks for exterior damage.

Troubleshooting Noisy Data

Steps recommended to resolve issues with noisy or inappropriate acquired data.

Cleaning and Disposal Procedures

Cleaning Instructions for Equipment

Guidelines for cleaning the system with a damp cloth, ensuring no liquid ingress.

Disposal at End of Operating Life

Information on safe disposal of electrical equipment according to WEEE regulations.

Natus Technical Support Contact

Technical Support Contact Details

Contact information for Natus technical support in different regions.

Information for Support Communication

Details to have ready when contacting technical support for efficient problem resolution.

Electromagnetic Compatibility (EMC)

EMC Environment for Use

Specifies suitable environments for system use, excluding high electromagnetic disturbance areas.

Essential Performance Under EMC

Assessment of how EMC may affect essential performance and system functionality.

EMC Warnings and Notes

Important warnings and notes related to EMC, including suitability for residential environments.

EMC Emission and Immunity Standards

Electromagnetic Emission Guidance

Information on emission tests, compliance, and guidance for electromagnetic environments.

Electromagnetic Immunity Test Levels

Details on immunity test levels for various electromagnetic phenomena as per IEC standards.

EMC Immunity Test Details

ESD and RF Field Immunity Tests

Specific immunity test levels for electrostatic discharges and radiated RF fields.

Power Port and Signal Input Immunity

Immunity test levels for power ports and signal input/output parts.

RF Wireless Communication Immunity

Immunity Levels for RF Frequencies

Table detailing immunity levels for various RF frequencies and communication standards.

Keypoint G4 Technical Specifications

Amplifier and Averager Specifications

Technical details for amplifiers and averagers, including impedance, sensitivity, and sampling rate.

Acquisition and Display Specifications

Specifications for sweep speeds, delay line, resolution, and display parameters.

Stimulation and Weight Specifications

Technical data for the electrical stimulator, including max output and weight of the system.

Stimulator and Environmental Specifications

Stimulator Output and Safety Features

Details on stimulator output voltage, current, polarity, and safety features.

Visual Stimulator and Patient Safety

Specifications for the visual stimulator and patient safety regarding isolation.

Environmental Operating Limits

Operating and storage conditions, including temperature, humidity, altitude, and pressure.

Isolating Transformer and Data Sampling

Transformer Rating Frequency and Fuses

Specifications for the isolating transformer's rating frequency, fuses, and auxiliary outlets.

Data Sampling Resolution and Frequency

Details on data sampling resolution, digital filtering, and stored sampling frequencies.

Data Sampling Frequencies

Averager Calculations and Autostop

Information on averager calculations using bit floating point numbers and autostop settings.

Displayed Sampling Frequency

How the system ensures correct peak display using algorithms and sampling frequencies.

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