TruScan qEEG User Manual
Contents
1. 4 NS Add Remove re order montage 1 4 H Add a new Montage Create a new montage by clicking on the plus sign See the add new montage dialogue in the create new montage section of this user manual Delete montage Delete the currently selected montage Re order montage Move the selected montage up or down in the list Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback 45 Montage list gt transwers PSG c urce 198Avq Ret 2 lt Montage list shows two columns The first column named icon shows the name of the icon used to represent the montage on the main recording screen There are preset icons in the system that can be used but any bitmap can be used as an icon as long as it is the same size as the current bitmap icons The name column shows the name of the montage This name will be shown in the drop down list when choosing montages Global Settings global settings Fi Electrode sensitivity HP color wn m polarity background color polar normal wt E Global settings allow the user to quickly set all electrodes in a montage to the same value This applies to the reference channel sensitivity high pass low pass and polarity settings The user may also globally set the color of the traces or designate the traces as polygraph channels A polygraph channel is a channel that has fixed settings that do n2. TTL Input ica Stimulator The Stimulator setting is used in scenarios for research or P300 This is set with the help of a Deymed technician UDP output Purchased This is used by a Deymed technician in case of troubleshooting the USB adapter Users should not be concerned about this value VEP unknown Test unknown VEP on line Test external VEP stimulator external stimulator required This setting is only to be used with the help of a Deymed technitian Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback MODALITIES add ons Copyright 2013 DEYMED Diagnostic 51 TruScan Neurofeedback BRAINFEEDBACK Copyright 2013 DEYMED Diagnostic 52 TruScan Neurofeedback 53 mE _BrainFeedback Main Tab kr markers olen rout dura eset d ce i pes T r 3 ay 1f top Training Settings info screanispectnum MONITOR ONLY CC Windia 0 doa 4 3 3 34 9 40 Aon kc fire MONITOR ONLY g 4 4 EFB Screen Q Training Settings total rounds round duration 30 games round pause averaging auto next Demo show relax show graph For more information see the Training Settings section of this user manual
3. Oy Addresa Physciac EM Month Yom firth date BM Mem Weight E e Patien card Patient Surname Name Address street city i ZIP Code PF phone Month Tear Birth date a Height Weight Handedness 30 FEM F aikai details Cancel Insert patient Name and Identification number Only Name and patient ID is required to create new patient card The patient ID will be automatically populated by the system but the user may choose to edit this field with a different ID number An ID number cannot be duplicated in the system The ID number may not contain characters or spaces Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback 31 Patient details Info Insurance Dq Medication Physician Patient From Use this area to add patient s insurance number his her physician notes and type of medication The referring doctor or department may also be included e OK Cancel Cancel Click okay to save any changes or cancel to leave without saving changes Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback 32 Move Records screen ord Moved record Please choose the correct patient to whom this record belongs and click move record L
4. electrical device IEC 60601 equipment in which protection against electric shock does not rely on basic insulation only but includes a grounding pin on the power cord For ground reliability Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback 8 always plug the power cord into AC grounded outlet Type BF Equipment The TruScan Neurofeedback is a Type B piece of equipment with an F Type applied part A Type B piece of equipment is one that provides a particular degree of protection against electric shock particularly regarding allowable leakage current and reliability of the protective earth connection grounding F Type applied part is one that extends from the patient into the equipment and is isolated from all other parts of the equipment A EMI by its very nature can be a source of possible disturbance to electronic equipment This device should be used in an environment free of other equipment that could be affected by interference Environment free as described in 1000 2 3 Part 2 1992 First Edition Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback 9 About the System and Warnings About the System Indication for use Relaxation training and muscle reeducation Hardware The TruScan Neurofeedback system features a portable battery powered Amplifier and optically isolated USB adapter to connect to the users computer Software The TruScan Neurofeedback software is designed to be easy to use by impl
5. info screen spectrum Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback 54 2 Activate Left al For more information see the Info Spectrum section of this user manual eee DIEN Protocol Sound Band gt edit delete Beta Delta Beta Theta For more information see the BFB Protocols Sound Band or LCC Creator section of this user manual Main BFB Screen Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback 55 FEG REWARD 25 MONITOR ONLY 6 4 fe 4 3 Lo Alpha 3 amp 8 8 L EEG INHIBIT 28 m MONITOR ONLY 1 amp 4 5 4 ARTIFACT INHIBIT MONITOR ONLY 4 For more information see the Main BFB Screen section of this user manual Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback 56 BFB Main controls The BrainFeedback training screen is a unique single screen neurofeedback interface designed to make the use and control of neurofeedback sessions as easy as possible Reward Bard indore EEG Band Window Artfact Band Veindow eremi sme amglilude o Ec gt 7 Band Selector V MEE Al r Training type jg Reward Lip or Down ME 16 4
6. 3 PT 52 BrainFeedback tialis eaae ei tui neto o a oie 53 BFB CONOIS oa hess aa wae I 56 diues bote de cuente bete 60 Session Ends 62 BFB Protocols mc 64 SOUNA a E E AE H n 66 a C 68 ECC CIedIOP I cd at 70 Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback INTRODUCTION Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback 5 Warranty Warranty Deymed warrants that each product we sell you is free from defects in labor and materials and shall conform to its product specifications as defined in the user documentation If the product does not function as warranted during the warranty period we will repair or replace it without charge If in our judgment we are unable to do so you may return it to us and we will refund your money Warranty Period The warranty period is stated in the product user documentation If you install the product the warranty period begins on the date of invoice If we install the product the warranty period begins on the date of installation but will begin no later than 30 days from the date of invo
7. 3 Auto threshold Time Shows the actual time in the round If the round has not been started then this area will show the word Demo meaning that the system is active but not recording No of Rounds Score Rounds Shows the current round number Score Displays the score of the current round Auto threshold Auto or percent threshold activates the use of an automatic threshold calculation based on a percentage setting to determine the threshold for one of the training parameters either reward EEG inhibit or artifact reject parameter Spectrum Spectrum Displays the instantaneous amplitude spectrum from 0 to 50Hz The electrode montage as set for the left or right group of training parameters is used The user may choose the Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback 63 right or left set of training parameters as the input for this display by clicking on the drop down menu and choosing right or left Z score Activation Octivate In order to use Z score training this module must be purchased and activated Once a license is purchased the user can use the activate button to unlock this feature Further instructions are shown once this dialogue is open Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback 64 BFB Protocols Mew Edit Delete Oo A edit delete Protocol list EE New Edit Delete new edit delete create a new protoco
8. bottom of this window you will see the letters or characters as you re typing them To correct your typing you may use the Backspace Move Delete Records 5 delete rec p move rec Move Rec button Opens the Move Record dialogue box This dialog box allows you to move a recording to a new patient in the event that a recording was made on the wrong patient name Delete Rec button Opens the Delete Files dialogue box This dialog will allow you to delete recordings but only after a series of confirmations to be sure no file is accidentally deleted Recordings list Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback 29 duration date time file name 26 4 2000 10 00 47 Shows the recordings available in the system for the currently selected patient the columns include duration indicating the length of recording the date and time of the recording the file name of the recording and the type of record The type of record may be EEG or BFB depending on which modality tab is selected at the time of recording Notes Use this for general notes for each recording Notes typed here are specific to each recording the notes entered here will also be available in the interpretation editor in TruScan Explorer Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback Create Edit Patient s data fick wilh patient infa uL o MEE insuranco DINEM Palim cord MA
9. by Deymed The responsibility of Deymed Diagnostic for a non functioning product is limited by the warranty set forth in this guide Should repair or replacement of this product become necessary after the expiration of the warranty the customer should seek advice from Deymed prior to such repair or replacement If this product is in need of repair it should not be used until all repairs have been made and the unit is functioning properly and is ready for use The owner of this product has the Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback 6 sole responsibility for any malfunction resulting from improper use or maintenance or repair done by anyone other than a qualified Deymed Diagnostic representative and from any malfunction caused by any parts that have been damaged or modified by anyone other than a qualified Deymed Diagnostic representative Attention The information in this document is subject to change without notice Deymed Diagnostic s r o makes no warranty of any kind with regard to this material including but not limited to the implied warranties of merchantability and fitness for a particular purpose Deymed assumes responsibility for any errors that may appear in this document Deymed makes no commitment to update nor to keep current the information contained in this document No part of this document may be copied or reproduced in any form or by any means without prior written consent of Deymed Diagnostic 20
10. it takes to type the event or note Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback Kognitive Markers Block Markers Block Markers Block markers add Copyright 2013 DEYMED Diagnostic 37 Notes TruScan Neurofeedback RECORDING SYSTEM Copyright 2013 DEYMED Diagnostic 38 39 TruScan Neurofeedback Recording System Tab Custom recording system creator Custom recording system Recording systems System 10 20 EKG Poly number electrod Change recording date time Calibration Impedance check Headbox actmwator Data format 0 20 Recording systems system 1 System 10 Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback 40 The recording systems that are offered by default in the system are shown here The recording system dictates what channels are recorded and the label name for each channel The three standard recording systems are displayed with an additional drop down menu that shows some additional recording systems These recording systems are permanent and cannot be changed Custom recording system number electrod 18 The user may add and customize as many recording systems as they like in this area To save a new recording system the user can type a name in the top left hand area set the number of electrodes name the electrodes according to the channel number and then click the save button the wrench
11. the cap on the patient s head with the tag in the back e Make sure FZ CZ PZ are centered e Make sure that CZ lines up with the ears 4 If using ear electrodes place tin ear clip electrodes filled with gel onto the patient s ears 5 If using ear electrodes plug ear electrodes into ear sockets or if cap does not have ear connectors plug into A1 and A2 sockets on Headbox 6 If the recording cap is not a Deymed brand cap place a ground electrode filled with paste onto the patient s forehead in the center of FP1 and FP2 and plug the electrode into the green PG slot on the TruScan Headbox T Plug the cap into the Headbox via the 25 pin connector preferably using the included wear and tear extension cable to protect the Headbox connector from overuse 8 Put gel into every hole in the cap but be careful not to overfill If gel runs down from one electrode to the other they will short create a bridge between the two electrodes and the signal be the same at both locations 9 Check the impedances including the ground are below 10Kohm or show as Blue or Green on the impedance display lf any channel is not showing Blue or Green then the connection is most likely not low enough and precaution should be taken to further lower the impedance TIP take the end of the wooden Q tip and twist around in the corresponding hole on the cap for the problem electrode You can also add more gel if necessary being careful not to ove
12. 12 Deymed Diagnostic All rights reserved Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback 7 Trademarks and Regulatory Standards Trademarks Deymed Diagnostic has made every effort to supply trademark information about the products mentioned in this document The following list of trademarks was obtained from various sources TruScan Neurofeedback is a trademark of Deymed Diagnostic Microsoft is a registered trademark of the Microsoft Corporation Windows is a trademark of the Microsoft Corporation Regulatory Standards The Deymed TruScan Neurofeedback system meets the following standards set by domestic and international regulatory agencies for medical electronic equipment EC EN 60601 1 2006 General Requirements EC EN 60601 1 1 2001 Systems Requirements EC EN 60601 1 4 1996 EC EN 60601 2 26 2003 e EC EN 60601 1 2 2007 EC EN 60950 1 ed 2 2006 Compliance Deymed Diagnostic s r o is an ISO 13485 certified corporation TruScan Neurofeedback is a FDA Registered Biofeedback Device HCC The CE 1015 Mark identifies compliance with the Medical Device Directive MDD 93 42 EEC The TruScan Neurofeedback is classified as a Class device equipment according to the rules of the Medical Device Directive MDD 93 42 EEC and a Class Special Controls Biofeedback Device with the US FDA In regards to electrotechnical classification the TruScan Neurofeedback is classified as a Class
13. Aark8Ston Mark 10 Stopa4 SEL during recording F 11 F11 Marker F1 to F8 Markers F1 z F3 F4 FE F6 It is possible to pre define event markers for buttons F1 through F8 Click on the area next to the button you wish to set and type the event description i e eye blink During recording the user can click on the corresponding function key from the computer keyboard to insert marker or click on the function key in the software interface via the mouse to insert the marker Timed Duration Event Markers ST im im E Markastap So Markilostop_ imn 7 imn 7 MakSStope The time and duration event markers are used to insert start and stop markers for a defined time interval The marker names for the start and stop positions can be designated as well as the amount of time via the drop down menu A final marker may be also placed after a set duration occurring after the first stop marker This marker is sometimes referred to as the stop marker These timed events are displayed in the TruScan Explorer review by highlighting the signal in between these intervals Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback 36 F11 Marker The F11 Marker allows the user to insert any random text during the recording Once this button is pressed the user may type any text and and have that text inserted at the time that the button was first pressed regardless of how long
14. EA ARTIFAG Hi MC Thresholds contr Ref Ref Up to two reward bands can be set one for the left and right column By default a single reward parameter is active which 15 in the left column The reward columns are easily identifiable by their green color Each protocol settings window can use the same or different electrodes and the same or different Bands 2 EEG Inhibit Band Window Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback 57 0 0 ZH MONIT 4 0 inhibit band is colored orange and Is used to inhibit any EEG band that the user sets A second EEG inhibit band can be set by activating the additional EEG inhibit window to the right Each protocol settings window can use the same or different electrodes and the same or different Bands Artifact Inhibit Band Window EMGArtifac 50 ARTIFA Q Alpha IBIT 25 6 4 8 4 5 The artifact inhibit band is colored red and is used to inhibit any EEG artifact band that the user sets A second EEG Artifact inhibit band can be set by activating the additional EEG Artifact inhibit window to the right Each protocol settings window can use the same or different electrodes and the same or different Bands Electrode selector The electrode selector designates the electrode montage used from the drop down menus for the r
15. ED Diagnostic 67 TruScan Neurofeedback MIDI setup Instrument AcausticarandPiana Duration 40 Octave GH B String TO 40 0 Add ra Favorites b The MIDI setup window allows the user to choose from various instruments and octave settings to save as a MIDI sound for training The string parameter shows what settings have been selected The duration of the MIDI sound can also be set in milliseconds from this screen Once a MIDI sound has been created as a string you can save the string as a favorite sound by clicking on the add to favorites button To test the sound before saving click on the play button at the bottom right hand corner to hear the sound from your computer speakers Select sound Feward 1 126 40 C4 C 4 E4 Payar gt 176 C 4 Reward 1 shows the main reward sound for neurofeedback training It is possible to have two reward sounds set in the protocol setup in which case the second reward sound can be designated here as Reward 2 Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback 68 Band Sound mand LCC 1 NEW DELETE El c from to Band settings Bands list E Betas Gamma EMGA4rtifacti EMG artifact E0GArtifact NEW DELETE To create a new or custom band for use in neurofeedback training click on the new button The system will prompt you for a name for the ba
16. TruScan Neurofeedback User guide TruScan Neurofeedback 2 Table of Contents Fah tge to LU ot uv Me MIL 4 rence TN RN NT 5 Trademarks and Regulatory 5 1 4 5 7 About the System and 6 9 Connecting the Electrodes 2 12 Basic St ps Tor Recording See 13 Electrode placement according to 10 20 system 15 Main Interface 1 1 16 TruScan Acquisition overview siete MEME 17 Ee Pane D Dm 23 coerente 27 Create Edit Patient s oot boe EAE Inst OR EE RATED Gi uat OP M Ipaa 30 duisi f Ma teolgetzi ie1g l queer 32 EVeriE MaFKef 35 Cognitive 37 Recording TERT 38 Recording TaD 39 er ere 43 Montage Editor SCIeen cnc ee eee 44 create new montage windoOW 4 1 0000000 47 SETIINGS TAB EMI MEE 48 EEG Selnds TaDu nescio iat 49 eS ccr er ede mene Meu ee 51 Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback
17. USB Adapter which is used when generating unlock codes for various TruScan features Data frame This is used by a Deymed technician in case of troubleshooting the USB adapter Users should not be concerned with this value Number of DSPs This is used by a Deymed technician in case of troubleshooting the USB adapter Users should not be concerned with this value Headbox This is the name of the Headbox that is currently connected Record creating record creating record path 1 c C Records free 5716MB record Device R standat network store EEG dbf rm C RecorisiDen St used 0 M Automatic send Record Identifier Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback 50 set the letter that you want the record name to begin with EEG dbf Set the folder to which the patient database will be saved Record Path Set the folder to where the records will be saved Network Store When working with a network drive set a folder where the records will be saved To save any changes click the hammer plier button C onfiguration code W6U17F5TRQSACAQECTHD DBEK U Submit Type in a code to activate additional features such as Brainfeedback with 3D games UDP output for Neuroguide or other Deymed features Language selection English Cesky polski espanol slovensk Choose a language for the program Stimulator UDP external second
18. al of training should be to increase or decrease the activity in the reward band In Z score training this arrow should always be pointed down Scale 400 16 4 gt 0 The scale area for each protocol window seitings allows a user to adjust the threshold manually by dragging the control arrow up or down on the y axis indicating the desired microvolt threshold This can be set from 5 to 999 uV or from 0 to 100 in coherence training In the Z score training the Y axis is 0 to 3 indicating the maximum threshold for both the plus and minus Z score values on the same y axis The drop down menu at the top left of this screen allows the user to change the upper limit value for the protocol window Typically this value is set to roughly double the value of the current activity for its window thus allowing the user to have a better view of the data Thresholds control gt In each training window there is a threshold level control The threshold level is set by either dragging the indicator with your mouse or with the keyboard up down arrows The user will typically set the threshold below the average microvolt value for reward in Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback 59 the case of up training and and set the inhibit threshold slightly above the average micro vault value for inhibits Current Average amplitude 489 1 Each protocol window displays the instantaneous and average microvolt
19. and hammer button Custom recording system creator Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback 41 m 1 2 4 5 4 8 When creating custom recording system options you have the ability to the electrodes by selecting and editing the electrode names in this column Data format Data format 0 1 102H bandwidth 256H 7 data rate 0 1 460Hz bandwidth 1024Hz data rate The TruScan Neurofeedback system always records with a sample rate of 4096 Hz but the data saved to the hard disk is lowered to a more manageable size with the help of a DSP processor The data format or saved data rate can be set in this area Due to the DSP optimization a stored sample rate of 128 Hz will provide a bandwidth up to 52 Hz With a data sample store rate of 256 Hz the bandwidth goes up to 102 Hz with a sampling stored data rate of 1024 Hz the bandwidth goes up to 460 Hz This is the maximum stored bandwidth available By default the system uses the 128 Hz sample store rate Headbox activator Headbox 2 The TruScan Acquisition software can handle up to two had boxes simultaneously They Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback 42 can both be turned on at the same time or each one individually This allows for up to 64 channels using two 32 channel headboxes Calibration Impedance chec Calibration v Impedance check When this button is pressed a
20. ange or affect to the recorded data Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback 15 Electrode placement according to 10 20 system Nasien BF T Fe N zi N FT N 1 1 A MA ML i LJ Let Right S pl 1 TR k p Cola v M Inian Top of head Copyright 2013 DEYMED Diagnostic 28 S P3 _ i i OR 1 Nasion HH Orbit L2 a d N A i Al d Inborn 5 Ear lobe Lett side of head TruScan Neurofeedback MAIN INTERFACE CONTROLS Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback 17 TruScan Acquisition overview ispadartu Modalties End Jobn Smith EEL ee 8 Left panel Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback 18 Patient John Smith Record Playing 15 l sensitivity filter tong FATTI EEG system ree HDD space lt 115 In the left panel a user can control the recording and change recording settings The controls include the record pause and stop button Other control or settings buttons include the timebase se
21. astName FirstName patient iD _ Patient bct z 1 Mew tima 7 date New time date 0 08 47 t7 4 iari midi E bkepinuj gr Bl Copy Move Cancel Moved record moved record Pacient d lka datum cas soubor 0 20 08 2000 ri 1234567890 This area indicates what signal recording is being moved Patient list Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback 33 Please choose the correct patient to whom this record belongs and click move record a E smith d ENS New file time date 10 08 47 26 4 2000 The new file time and date dialog allows you to change the date and recording time of the recording in the event that the settings were wrong during acquisition Copy Move Cancel E kopiruj graf p move record The copy move or cancel dialog allow the user to copy or move the selected file If the user wishes to quit the operation without moving or copying the file he can choose Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback cancel Copyright 2013 DEYMED Diagnostic 34 TruScan Neurofeedback 35 Event Markers marke 0 Fe F1 to Markers F Mark iostart_ imn imn Gako MuMakiostop imn ime Timed Duration Event Markers dia LL NAR
22. d so this means that all 8 values 8 values per 5 second must be above the threshold to get the point These values need to be averaged due to the fact that EEG is highly erratic The lower the number the less averaging ie with a lower number setting it becomes more difficult to score because there is less averaging but the games are more reactive to the instantaneous movements of the EEG Typically a value of 3 to 5 is generally used The scale works as follows 1 is more reactive sharp and jerky more difficult to score 10 is less reactive slow and lethargic but easier to score 3D Games 2 shaw graph 3D Games selection List of 3D Games After selecting the game from the drop down menu it will show up on your monitor or on your second monitor if connected Show Relax When show relax is selected a relax message will be displayed on the game screen when the artifact inhibit amplitude is above its threshold indicating increased muscle or EOG activity depending on the band set which can interfere with the EEG measurements 2D games Used only for the 2 computer version of legacy 2D games Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback 62 Session Info Spectrum Time Na af Rounds Score 7 Actwation an 2 2 Activabe Left MTM ee E i i zu
23. ementing a dashboard style interface with important controls accessable directly on the main interface screen Additional features of the TruScan Neurofeedback system Fiber Optic isolation and battery operation for superior signal e High Sample rates of all channels at 4 096 Hz per channel e Small footprint and modular for portable use Installation Installation is performed via the TruScan Install file name TruScan Install exe that is found on the Install CD that came with the system or downloadable from the Deymed website at www deymed com support Start the install by clicking on the TruScan Install exe file and follow the on screen instructions Any computer may be used provided it meets the following minimum specifications at least 250 MB of free hard disc space Windows 7 prefered or Windows XP Intel Dual Core processor or better or AMD equivalent or better 2 GB Ram or more for the operating system Display native resolution must be at least 1280x900 be especially careful when purchasing a laptop to check its native resolution e game graphics NVIDIA or AMD ATI for Neurofeedback 3D games Note Intel embedded graphics cards may not work properly e Free USB Port connection NOTE Multi Parameter DVD Player for Neurofeedback only supported on Windows 7 Entering Commands to the system You enter commands text or values by clicking or typing a series keys in the program s interface You may also use a
24. ent for recording Copyright 2013 DEYMED Diagnostic 23 Montage selection TruScan Neurofeedback 24 Record Pause Stop Alt H Record From here the recording can be Started Paused and Stopped When using the pause button and then resuming the recording by hitting the Record button again the recording is still the same file If the user clicks on the Stop button this will end the recorded file The user may pause and continue the recording as many times as they wish Recording Progress Playing This area displays the recording status During recording the message Recording will be displayed If the recording has stopped the message Stopped will be displayed If the recording is paused the message Paused will be displayed Paper Speed E Legacy measurement of the speed at which the signal traverses the screen Speeds of 15 30 60 120mm sec are available 30mm 15 Default Sensitivity HP and LP filter 1Hz Sensitivity Sets the sensitivity of the signal displayed Sensitivity is adjustable from 20uV to 999uV A default of 70uV is used A setting of 70uV should be set to give a clear reading of each Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback 25 Montage selection of the recording channels being used Adjusting the sensitivity setting has no effect on the signal that is recorded to the hard disk Hi
25. ghpass Filter This sets the cut off for the highpass filter of the signal readout Frequencies under this setting will not be displayed This default setting is 0 5 Hz but no highpass setting will affect the recorded signal Lowpass Filter This sets the cutoff for the lowpass filter of the signal readout Frequencies above this setting will not be displayed This is normally set to 35 Hz but no lowpass setting will affect the recorded signal Montage selector Lon Pre set montages are selectable by icon or by this drop down menu If an icon has not been set for a montage the name of the montage will always be listed in this drop down menu ant Pre set montages are selectable by clicking on its icon or via the drop down menu Each montage may also be selected by clicking on the corresponding number displayed in the top right hand corner of the montage icon Montage editor Montages can be created or edited in this section Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback 26 Zoom Toggles the wide screen view of the signal display EEG system Hard Drive Free space Shows the amount of free space on the currently selected drive Battery Condition Shows the battery condition of the device The battery should last for up to at least 120 hours of continuous recording Even a low battery state will not affect the recording It is recommended to recharge the battery however any time the battery
26. ice The warranty period for products is 12 months from the date of installation or 13 months from the date of shipment whichever is less Misuse accident modification unsuitable physical or operating environment improper maintenance or damage caused by a product for which we are not responsible may void the warranty Certain components may have separate warranty periods as stated in the product user documentation Consumables are not covered under warranty THIS WARRANTY REPLACES ALL OTHER WARRANTIES EXPRESSED OR IMPLIED AND OR ANY OTHER OBLIGATIONS OR LIABILITIES ON THE PART OF DEYMED WHETHER IN CONTRACT WARRANTY NEGLIGENCE OR OTHERWISE DEYMED SHALL NOT BE LIABLE FOR AND DISCLAIMS ALL CONSEQUENTIAL INCIDENTAL AND CONTINGENT DAMAGES Items Not Covered by Warranty We do not warrant uninterrupted or error free operation of a product We provide certain non Deymed products on an as is basis Non Deymed manufacturers or suppliers may provide their own warranties to you Customer Responsibility This product and its components will perform reliably only when operated maintained and stored in accordance with the instructions contained in this manual accompanying labels and inserts A defective product should not be used Parts which may be broken or missing or those that are clearly worn distorted or contaminated should be replaced immediately with clean genuine replacement parts that have been manufactured supplied or approved
27. ight or left column protocol window settings Band Selector The band selector Is used to designate the training band for the reward parameter All bands that are created in the system are shown from this drop down menu raining tvpe The training type menu shows the various types of biofeedback training that can be used Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback 58 Amplitude Amplitude training is the most standard and basic training type where the protocol parameters are based on being above or below a set microvolt uV threshold Coherence Coherence training 15 a type of training that rewards the user for increasing or decreasing the coherence between two EEG or LCC electrodes between active and reference electrodes The values are shown in percentages with higher percentages being greater coherence and lower percentages being less coherent between the two electrode sites Z Amplitude Z Score amplitude training uses the neuroguide Z score DLL to calculate real time Z scores for the selected electrodes and bands the Z score training module is optional and must be purchased Thresholds can be set to a maximum Z score value between plus and minus three Only the reward band uses the instantaneous Z score values and the EEG inhibit and EEG artifact channels are still based on standard amplitude microvolt values Reward Up or Down The reward of up or down arrow can be toggled to indicate whether the go
28. is below 10 charge A full recharge the battery should not be more than four hours When the battery is charging it may take up to one or two hours before the LED light will start blinking again on the headbox which is normal Headbox icon The headbox icon shows a green checkbox next to the icon when the system can detect and communicate with the headbox If the green checkbox 15 not visible the system is not connected correctly and you will not be able to record You may double click on this icon to reboot the headbox Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback 27 Edit patient s card RN 7 ew Edi palia Records Aa F ecordings 21 New Edit patient patient Edit Patient s info New Patient button Opens the Work with Patient s Data dialogue box to enter a new patient Edit Patient s Card button Opens the Work with Patient s Data dialogue box for the currently selected patient Patient list Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback 28 Ctrl Del Shows the current patients in the system sorted alphabetically ascending by surname Searching the Patient database Search the patient database by clicking the column that you would like to search and Start typing The results will sort based on what you type allowing you to quickly find the patient you are looking for At the
29. l click the new button edit any protocol select that protocol from the list and click edit This will allow changes to be made to the protocol directly on the screen To delete a protocol select that protocol from the list and click on the delete button Protocol list Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback 65 Protocol list shows all protocols that have been created in the system To select a protocol for training simply click on the protocol name This will set the parameters for training to the parameters that were saved for this protocol If migrating custom user settings or protocols from one computer to another please contact Deymed support for help Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback 66 Main sound Sound EXE Chirp wav MIDI setup Instrument AcnusticarandPiana Duration Octave Gt B MIDI sound creator String TO 40 0 Add ra Favorites b Reward 1 126 40 C4 C 4 B4 elect sound z 126 40 4 4 Main Sound sound Chirp wav The main reward sound used for neurofeedback training can be set by choosing a wave file from this drop down menu If the user would like to use a midi sound instead of one of the preset wave files click on the midi name from this list and then set your midi settings from the midi setup screen below MIDI sound creator Copyright 2013 DEYM
30. montage channels number J 1 128 Number of channels channels number 1 128 select a number of channels to be included in your montage Montage name montage name montage Choose the name of your new montage by editing this area to the name of your choice Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback SETTINGS TAB Copyright 2013 DEYMED Diagnostic 48 TruScan Neurofeedback 49 EEG Settings Tab Edit patient s card recording system Vides FEG settings PC USB adapter dutaframe 4542370 number of 05Ps Info Area ERE Headbos Tru amp Scan 32 headbox record creating record path record ierti Device ID a S shore aid Records BF rat rset ye Automatic send GUT 7 FS 1RQISCXOECTHDQDERKG Language DE hardware MOL installed English stimulator comp tire 9 change time 10 Record creating Configuration code Language selection Stimulator UDe output Purchase e Info Area PC USBadapter S N AU 6 20080087 dataframe 45433 0 MITTIT TE ich 32 headbox The Info Area gives the following informaion PC USB adapter This is the Serial Number of the
31. mouse to perform these functions by pointing and clicking on any key or button listed on the display area Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback 10 User Safety In this manual two labels identify potentially dangerous or destructive conditions or procedures A tre WARNING label identifies conditions or practices that may present danger to the patient and or user Q The CAUTION label identifies conditions or practices that could damage the equipment or cause you to lose data A third label NOTES helps you identify areas of possible confusion and avoid potential problems during system operation A IMPORTANT Please read and follow all WARNINGS CAUTIONS and NOTES provided in this guide To avoid the possibility of injury damage to your TruScan or lost data observe these safety precautions during system operation and maintenance For your information the WARNINGS and CAUTIONS provided in this manual are listed on the following pages User and System Warnings Connect patient electrodes to fully electrically isolated physiological devices only Connection of patient electrodes to any other devices or external electrical outlets may result in personal injury Do not operate the device in close proximity i e less than 1 meter to a shortwave or microwave therapy device This practice may lead to electromagnetic interference into the electrode leads and can cause patient burns Using electrodes with current de
32. nd and then will allow the user to edit the frequency range of that band from the drop down menus from and to There are numerous preset bands in the system which are not editable Band settings from to When creating a new band set the band range by using the from and drop down menus Bands list Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback EMGArtifacti EMGArtifact EOGArtifacE The Bands list shows all bands currently in the system both preset and custom Copyright 2013 DEYMED Diagnostic 69 TruScan Neurofeedback 70 LCC creator The LCC Creator allows the user to configure a synthetic electrode for the purpose of combining channels into one training channel or electrode Electrodes list Electrode name Ii electrodes ADD Remove electrode fram the list C1 LCC Electrode name electrodes CC1 CC2 CC3 CCS The LCC electrode names are presets but can be edited to any name Electrodes list Select all available electrodes from this drop down list Click on the desired electrode and press the red button to add it to the currently selected LCC channel Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback ADD Remove electrode from the list Use the plus and minus buttons to add or delete individual electrodes from LCC group Copyright 2013 DEYMED Diagnostic 71
33. nsities greater than 2 mA r m s cm2 may require the special attention of the operator This device is not suitable for use in the presence of a flammable anesthetic mixture with air or in the presence of a flammable anesthetic mixture with oxygen or nitrous oxide D CAUTIONS Caution Proper use of this device depends on careful reading of all instructions and labels Caution Only Federal law restricts this device to sale by or on the order of a liscenced health professional Caution EU Only All non medical equipment connected to this device such as printers must comply with IEC900 and or all European Directives All non medical devices must be connected to a medical use certified Isolated Power Supply Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback 11 Preventive Maintenance Preventive maintenance for the Deymed TruScan Neurofeedback system consists of periodically cleaning and visually inspecting the exterior of the instrument Deymed Diagnostic recommends that the typical user follow the preventive maintenance schedule presented in TruScan Neurofeedback Service Manual Your own schedule may vary based on the type and amount of instrument use Additional Copies Additional copies of this user guide and or other Deymed Diagnostic literature may be obtained from Deymed Diagnostic USA 1720 N 7th Ave Payette ID 83661 Phone 1 208 642 9300 Fax 1 212 504 3290 Copyright 2013 DEYMED Diagnostic TruScan Ne
34. nsitivity filters and montage controls All of these recording settings however do not affect the actual recorded signal if changed during recording All signal is recorded to its full bandwidth according to the sample rate set on the Recording oystem page The number of channels recorded is also set on the Recording System Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback 19 tab Click here for more information on the Recording System settings For more in depth details on this panel go to panel section of this user manual Impedance Panel Gea ner 9 roto Sr 50 y 5 _e hr T3 The impedance panel is one of the most important and useful tools in the TruScan Acquisition program It shows the impedance status of all channels at all times before and during the recording The impedance for each site is indicated by a number and by the color changing for each individual location Numerical values representing the impedance are shown in kilo ohms The colors used for the various impedance ranges are shown below Blue 5 kOhms High Quality Connection very low impedance Green 5 kOhms to 10 Good Connection kOhms Yellow 11 kOhms to 30 Poor Connection kOhms Red 30 kOhms Unusable connection or electrode disconnected TIP Methods of Fixing Poor Impedance 1 Using a Q Tip remove bubbles in the gel inside the elect
35. ny signal above 50 kOhms is shown as straight yellow lines This is the default setting when this button is not pressed any signal or noise entering the amplifier inputs will be displayed regardless of the impedance The purpose of this feature is to help prevent the user from mistaking a badly connected electrode as giving good signal thus the yellow lines are displayed to show the user that the impedance is too high to give a good signal Calibration The calibration button when selected inputs an 8 Hz square wave into all input channels of the system This can be used to ensure that the amplifier is properly calibrated Change recording date time a o The change recording date and time settings can be used to change the date and time of the recorded data instead of using the date and time of the Windows operating system Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback MONTAGE EDITOR Copyright 2013 DEYMED Diagnostic 43 TruScan Neurofeedback 44 Montage Editor Screen Addi masia d channels mud channel chanel rz D Vine laze by k A Ad L2 Ari cdi Adi Ape An sil dl We al An i A c i Alea TIS Chea Qo Eheim LP
36. ot change when the user changes global properties such as sensitivity or filters during recording Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback 46 Add Remove Channel The user may click on the plus or minus sign to add or remove a channel from the current montage Channels Electrodes sensitivity HP LP polygr color b Fpi 70 1 4 Fp AWA 70 1 41 O Emm 1 2 70 1 41 O Emm AT A2 70 1 Fz 1 2 70 1 amm FA 1 2 70 1 O F8 1 2 70 1 ao T3 AT A2 70 1 EN C3 A1 A2 70 1 44 O mm Cz 1 2 70 1 4 O gt t C4 1 2 70 1 O NEN AWA 70 1 40 O NEN P3 1 2 70 1 40 O NEN Pz 1 2 70 1 NEN P4 1 2 70 1 O NEN T6 A1 A2 70 1 40 O 01 A1 A2 70 1 41 O 02 1 2 70 1 4 O NEN Foto Ref 300 1 100 The channels area shows each channels settings including the active channel the reference channel sensitivity high pass low pass polygraph and color settings Any setting can be quickly changed by double clicking in the cell and a drop down menu or additional screen will show the options for that cell To designate the channel to be a polygraph channel meaning a non EEG channel just check the checkbox in the polygraph column Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback 47 create new montage window Number af channels Montage name creale
37. rfill Setup of Patient for Training or Recording 1 From the Edit Patient s Card tab add a new patient Fill in the name fields Give the patient an ID number The number can not include Alpha characters or spaces or other non numeric characters 2 oet the montage to the preferred montage on the left side on the screen next to the record and stop buttons During patient preparation the REF montage is preferred due to the ability to see each active channel individualy to the Hardware reference channel Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback 14 3 oet the sensitivity to 7 to start if not set to that value You may reduce or increase this setting during recording or training to facilitate a better visualization of the brainwaves Note that this setting does not affect the actual stored data 4 Hit Record when the patient is ready with clean signal that is mostly free of large EMG or other signal artifacts 9 During the recording or training look for EMG or movement artifact the recording if necessary pause and coach the patient to remove this artifact 6 After desired amount of training or recording minutes hit the Stop button located below the Pause button 7 The Patient may now be disconnected and cleaned up You may now exit the TruScan software Montage selection is only for viewing purposes You can change the Montage at any time during or after the recording with no ch
38. rode by gently inserting the wooden end and twisting 2 Grab the electrode body between finger and thumb and massage in a circular motion to remove hair from under the electrode 3 Check the Ground and Reference electrodes as these affect the impedance for every electrode The Reference electrode is built into the cap at FPz but does not have it s own readout on the Impedance Meter 4 Add more gel to ensure a good connection Too much gel can short electrodes together reducing the signal from both sites Modalities Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback 20 qEEG vEP P300 RT BFB The modalities panel allows the user to select from a set of various functions or additional tests available in the TruScan Acquisition program You can find more details on each individual test or program here qEEG BFB Cognitive Markers Event Markers markers FS y DT a l mn a C L e IN i E Mee pum 7 imm Ma arkOStop ark 1OStop __during recording F11 For more details go to Event Markers Exit Minimize Exit Button Used to exit the program and shut down the Headbox Minimize Minimize the TruScan to a system taskbar Signal screen Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback 21 This is the main signal screen where the signal will appear The channel configuration is set by the
39. s values at the top right hand corner of the window The average 15 taken from the start of each round Active monitor only This button when turned on and is active enables the protocol window to active part of the protocol The protocol window will no longer be grayed out indicating the window 15 in use When the window 15 not active The activity will not be part of the protocol but the values will be stored for monitoring purposes Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback 60 Training settings Rounds Averaging 1 2 total rounds round duration round pause averaging 4 auto next 3 30 games shaw relax show graph 3 4 ID Games 20 games Rounds total rounds round duration round pause 4 3min be auto next Total rounds setting This setting determines how many rounds are in a session Round duration Define the duration of each round Auto next When selected there will be a ten second pause at the end of each round and then the new round will start automatically Averaging averaging Averaging is a method to fine tune the difficulty level of the training To understand this setting it is important to know that a patient is rewarded when their amplitude is above Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback 61 the reward threshold for at least one half second Their amplitude is calculated 16 times per secon
40. selected montage In TruScan Acquisition there will be yellow lines in place of signal if the impedances are not below 50 KOhm This helps prevent users from mistaking noise as real signal in the event that any electrodes lose contact during recording There is an option to turn off this impedance check with yellow lines in the recording system tab Edit patient s card recording system Video EEG settings For more details go to the following sections in this user manual Edit patient s card Hecording system EEG settings Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback 22 Patient patient Recordings list New patient Edit Patient s info r move rec delete rec duration datetime filename 0 20 08 26 4 2000 10 06 47 FEL TE delete patient John Smith the patient card area allows the user to input patients into the database or easily search the database for existing patients There is also a recordings list and notes section For more details go to Patient card Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback Left panel Patient AN Record Record Pause Stop Recording Progress Paper Speed Sensitivity HP and LP filter Montage selector long er Montage Zoom Montage editor EEG system free HDD space lt EEG system Selected patient Patient John Smith This area displays the currently selected pati
41. urofeedback 12 Connecting the Electrodes Connecting the Electrodes The following instructions explain how to connect the recording electrodes to the appropriate TruScan Neurofeedback system components Position the electrodes on your patient according to your own conventions Recording Electrodes ePosition the recording electrodes on the patient or place the FlexiCap recording cap on the patient elf using individual electrodes connect them to the amplifier as described in the Individual Electrodes Connection to TruScan Neurofeedback inputs chart below eWhen using 9mm disc electrodes with touch proof connectors plug the touch poof connectors into the corresponding openings with the pins on the front of the amplifier eWhen using the FlexiCap recording cap plug the cap 25 pin connector into the CAP connector Canon 25f connector on the TruScan Headbox Individual Electrodes Connection to TruScan Neurofeedback inputs Patient Ground Green PG pin jack Reference Channel Purple REF pin jack Active Channels Red Light Blue and Orange pin jacks Copyright 2013 DEYMED Diagnostic TruScan Neurofeedback 13 Basic Steps for Recording Patient Hookup with Recording Cap 1 Scrub the patient s ears and forehead with Nuprep and wipe off with an alcohol swab 2 Measure the circumference of the patient s head in order to choose the right recording Cap Green 47 51 cm Yellow 51 55 cm Red 54 58 cm Blue 59 63 cm 3 Put
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