Operator's Manual
Table Of Contents
- 1. Introduction
- 1.1. Introduction
- 1.2. Safety Information
- 1.3. Device Description
- 1.4. Intended Purpose
- 1.5. BIS™ Advance Monitor System Indications and Contraindications
- 1.6. Patient Target Groups
- 1.7. Intended Users
- 1.8. Essential Performance
- 1.9. Adverse Events (Residual Risks)
- 1.10. The BIS™ Advance Parameters
- 1.11. Symbols
- 2. The BIS™ Advance Monitor — Equipment and Supplies
- 2.1. The BIS™ Advance System
- 2.2. Parts of the System
- 3. Installation and Preparation for Use
- 3.1. Operating Environment
- 3.2. Power Requirements and Battery Use
- 3.3. Battery Operation
- 3.4. Mounting the Docking Station
- 3.5. Preparing the Docking Station
- 3.6. Preparing the Monitor
- 3.7. Home Screen
- 3.8. Four-Channel Monitoring
- 3.9. Home Screen Trend Graphs
- 3.10. Home Screen Numeric Section
- 3.11. Home Screen Menus
- 3.12. Home Screen Options
- 3.13. Secondary Trend Selection
- 3.14. Home Screen Audio Alarm Settings
- 3.15. Settings and Maintenance
- 3.16. Info Options
- 3.17. Quick Reference Checklist
- 4. Operating the BIS™ Advance Monitoring System
- 4.1. Preparing for Operation
- 4.2. Cases
- 4.3. Alarms and Messages
- 4.4. Chart Data
- 4.5. Menu Map
- 4.6. Institutional Settings
- 5. Data Storage, Transfer, and Export
- 5.1. Cybersecurity and Data Integrity
- 5.2. Monitor Data Memory
- 5.3. BISx Data Memory
- 5.4. Types of Exported Data
- 5.5. Live Case Export
- 5.6. Saved Cases Export
- 5.7. Recording a Snapshot Event
- 5.8. BIS™ Saved Data Files
- 5.9. Logs Export
- 5.10. Viewing and Printing Saved Data in PDF Format
- 6. Service and Maintenance
- 6.1. Introduction
- 6.2. Servicing the BIS™ Advance Monitor
- 6.3. Battery Handling
- 6.4. Cleaning the BIS™ Advance Monitor
- 6.5. Instrument Identification
- 7. Diagnostics and Troubleshooting
- 7.1. Diagnostics
- 7.2. Troubleshooting
- 7.3. Administrator Mode
- 7.4. Demo Mode
- 7.5. Glossary
- 7.6. Specifications
- 7.6.1. General Specifications
- 7.6.2. Operating Environments
- 7.6.3. Power Supply
- 7.6.4. Battery Specifications
- 7.6.5. Controls and Connectors
- 7.6.6. Alarms
- 7.6.7. Display
- 7.6.8. Sound Pressure Data
- 7.6.9. BIS Specifications
- 7.6.10. EEG Specifications
- 7.6.11. BISx Module Specifications
- 7.6.12. Software/GUI Specifications
- 7.7. Electromagnetic Compatibility Specifications
- 7.8. Product Compliance
- 7.9. BIS™ Advance Components, Accessories, and Documentation
- 7.10. Warranty
- 7.11. Software License Agreement
Four-Channel Monitoring
92
BIS™ Advance Monitor
Label Function Description
using an Extend
sensor or monitoring
with four-channel
monitoring)
3.8. Four-Channel Monitoring
The monitor provides the option of monitoring both hemispheres of the brain, using
a Bilateral sensor. This is known as four-channel or bilateral monitoring. The option
may provide useful information to the clinician.
The bilateral system consists of the BIS™ Advance monitor, the BISx4 module, the PIC-
4 (which is an integral part of the BISx4 module) and a BIS™ Bilateral Sensor. This
section describes the additional features and options available when performing
four-channel monitoring.
During four-channel monitoring, the BIS™ Advance monitor acquires four channels of
EEG data, calculates BIS numbers and other variables for the left and right sides of the
brain, and reports them to the monitor for display. The user selects which side of the
brain is shown most prominently on the screen.
The designation ‘L’ (left) or ‘R’ (right) denotes which side of the brain is displayed. In
addition, data from the left side of the brain display in pink, while data from the right
side display in blue. BIS is calculated the same way as for the two-channel sensors
(e.g. Quatro), using two EEG channels from the left side of the brain for BIS L and two
EEG channels from the right side for BIS R.
If a Bilateral sensor and a BISx4 module are connected to the monitor, the monitor
will detect the sensor and automatically move to four-channel monitoring mode. The
four-channel (bilateral) screen (reference Figure 30. Sample 4-channel BIS™ Screen on
page 94) will provide information on both hemispheres of the brain, as follows:
A L/R button ( ) enabling the selection of the hemisphere which will be
displayed more prominently will appear on the upper left side of the screen under
the menu button. Some data will appear for both hemispheres no matter which
hemisphere is selected with this button, while other information will appear only for
the selected hemisphere. By default, the left hemisphere is selected for more
prominent display.