CardioPro Infiniti Manual - Thought Technology, Ltd.
Contents
1. Export IBI Statistics Cancel a Export Header Check this box if you want to include a section at the top of the file with information such as data description client name session date and time and column descriptions 6 lines Dev CardioPro Infiniti HRV Analysis Module User Manual 27 b NN Intervals This is where you can specify what time period you want the module to use for the NN and pNN calculations c Band Power In this section you can specify whether you want the band power values to be expressed in absolute or relative power percentage of total power and if you prefer to see HF and LF as power spectrum or normalized units n u d Statistics Options The HRV module is able to present non periodic data statistics on a per epoch basis or averaged across the session or the step for a script session Define which option you prefer in this section and specify the desired Epoch duration in the drop down list 9 Click Export IBI Statistics to browse for a folder location and export the data 10 Click Close to exit the editor and return to the Main Screen Dev CardioPro Infiniti HRV Analysis Module User Manval 28 Reference Contacting Thought Technology Returning Equipment Be sure to call for an authorization number RA before returning any equipment Send the unit s postage prepaid and insured with proof of purchase to one of the addresses below If you are shipping from outside Canada2. Header Check this box if you want to include a section at the top of the file with information such as data description client name session date and time and column descriptions 6 lines Start Time Column Check this box if you want the file to include two columns one for the IBI start time and one for the IBI value Integer IBI Value Check this option if your data processing software requires IBI to be expressed in integer no decimal numbers One file per epoch Omit to check this box if you want all IBI values to be included in one single file e Export IBI statistics Exports the table of HRV metrics to a comma separated value text file When you select this option the only choices are to define the file format and to include exclude the header e Export Standard Statistics Exports the table of non periodic data statistics to a comma separated value text file When you select this option the only choices are to define the file format and to include exclude the header e Export Session Averaged Statistics Exports the table of session averaged computations to a comma separated value text file When you select this option the only choices are to define the file format and to include exclude the header Select the desired Export Type define the appropriate options and click OK to export the data The Save Export File As dialog box opens where you can browse to the location where you want to create the new files
3. 00 17 27 125 Tachogram Marker Time 00 00 00 000 Signal Marker Time 00 00 00 000 Dev CardioPro Infiniti HRV Analysis Module User Manual Main Screen Analyzing Sessions The Main Screen allows you to perform all the tasks involved in reviewing and analyzing session for HRV as well as rejecting artifacts from non periodic physiologic data generating statistics and exporting data The overall sequence of tasks is e Normalize inter beat interval and if necessary inter breath interval data using the Periodic data editor e Remove any artifact segments from non periodic data skin conductance temperature and EMG using the Non Periodic data editor e Review the statistics and session graphs using the Statistics and Epoch Viewer features e Generate reports via MS Word or Excel or export processed data to text files for further analysis using third party software packages User Interface The Main Screen is composed of a number of controls and graphs that are designed to facilitate the process of editing sessions by breaking it down into distinct steps Editing generating the statistical analysis and reviewing results A detailed description of the user interface components follows Menu Items e File Close exits the editor and returns to the Main Screen e Options O HRV Configuration This dialog box appears when loading a session that contains more than one EKG BVP or respiration sensor to let you select the physical chann
4. 015 841 796997 00 00 09 856 852 539001 00 00 10 709 855 956970 i 00 00 11 565 850 098022 00 00 00 00 05 00 00 10 00 00 15 00 00 00 12 415 848 632996 00 00 13 264 848 145020 00 00 14 112 837 890991 00 00 14 950 836 426025 i i i i 00 00 15 786 829 590027 00 00 00 00 05 00 00 10 00 00 15 00 00 00 16 616 837 401978 i ee Br sats Time Range By default the time scale is set to the whole file duration If this makes it difficult to see individual IBI values in the Tachogram you can enter a different time period in seconds in the Time Range text box at the top of the screen and click the Apply Time Range Setting button The only method for normalizing third party IBI data is manual editing Use the Add Split and Average operations to remove abnormally high or abnormally low IBI values as described in a previous section of this manual Once finished you can re export the normalized IBI data to a text file of the same format by clicking Export IBI Data You can also click the IBI Statistics button to export a table of computed HRV metrics The IBI Statistics Export Settings dialog box opens IBI Statistic Export Settings Export Header NN Intervals 50 Time Period ms Band Power Absolute Power C Percentage of Total Power HF and LF units Power spectrum units ms2 Hz Normalized units n u Statistic Options Epoch Tin Statistics per epoch Average of epoch statistics
5. American Society of Pacing and Electrophysiology and entitled Heart Rate Variability Standards of measurement physiological interpretation and clinical use 4 Provide a simple method for performing artifact rejection and generating standard statistics on accessory non periodic data temperature skin conductance and EMG RMS 5 Offer means of exporting normalized IBI data and statistical data to third party applications including Microsoft Excel for further processing and reporting In addition to being able to analyze BioGraph session files directly the module provides a simplified IBI editor for IBI data files that were exported from third party software programs The editor is able to re export normalized IBI data and HRV statistics Running the HRV module To launch the program select the CardioPro Infiniti HRV Analysis program icon under Hd N Start gt Programs gt Thought Technology gt Infiniti or double click the CardioPro Infiniti L HRV Analysis desktop icon Analysis Module First Time Run Entering the Key Code If this is the first time you run the HRV module you will be asked to type in a Key Code to associate the module with your Infiniti encoder device Your Key code was given to you when you received your system Once the Key Code is entered you are not prompted for a Key Code again unless you start using a different encoder box A temporary Key Code can be used to allow the program to run on a trial
6. ON EE EN NE AE N ER EE EE 2 Loading a Session for HRV AnallySiS cccssssccsosssscnsssssecccussscuenseseneoussectenssseneusssessoususeneussscneoussessensnss 3 HRV Configuration Identifying Primary SignalS ss sees sees se see ee ee ee RR ee ee ee ee ee RR ee ee Ee ee 3 Main Screen Analyzing SESSIONS ae 4 en EE EE EE TER EE EE N EE N 4 MERITO EE EE N OE LE RE N EE 4 TEN 4 Periodic Editor Normalizing IB Or Data Luse ie bose ee ei GED De ie eg de ee N Ge 5 Procedure ENN 4 7 MN 9 edda ASLE 0 EE EE EE Ge Ee 12 Completing tie TASK od eed ee oe doe Ged oie Ge des ee Da ed ee dee 13 Automatic Norma zatO sasies Eis sb ie de se pe de EE es RD EA eb 13 Non Periodic Editor Placing Artifact Rejection Segments esse ee ee ee ee Re ee ee ee Ee ee 14 WEE ee er ORAAL OE SE EE ET EIN 15 edda ASLE 5 ee ee SE Ee T Ge Ee 16 Statistics A Global PerspectiVe esse see ee ee RR ee ee ee RR ee ee ee ee ee ee ee ee RE ee ee ee 16 CUSTOMAIZING SS US LIES eiseres eie sesde ei ee eb oe oe GE GE Ge ee n DOE Go ae EE Ee 17 Select Export Type Exporting Dr 18 Epoch Viewer Standard HRV Graph sissies de ses esse de ss ie ee n ee ee oe de de ee Ge ek ee De wed 20 Report Options Generating Standard ReportS sees sees see ee ee ee ee ee ee ee RE ee RE ee 21 Excel Report Editor Configuring Specialized Report sesse sees see ee ee ee ee ee ee Ee ee 22 soge dade NS EE EA ER EE EO EE N 23 Creating an Excel Report ConfiguratiON esse sees see ee
7. allows you to select the span for the time scale on all the line graphs Options are 1 5 15 30 and 60 seconds as well as 3 5 15 and 30 minutes Options for Size to Activity and Size to Session are available when appropriate e Epoch Time The Epoch Time drop down list allows you to specify what standard time window you want to use for HRV analysis The most standard epoch duration is 5 minutes Options for 1 3 and 10 minutes are also provided as they have been used in some published articles e Non Periodic Data Signal Buttons The next four buttons allow you to select the signal type to display in the editing graph on the non periodic data editor screen This is described further in this document The HRV analysis module can be used to edit and calculate statistics on such signal types as skin conductance temperature and EMG If the button is disabled there is no recorded data for a given sensor type e Auto Edit This button runs the automatic editing function for the selected periodic data Auto editing is explained further down in this document e Report Click this button to generate a session report using Microsoft Word or Excel The report options are explained further in this document e Export This buttons opens the data exporting dialog box where you can define how to export data from the HRV module to other software programs Below the tool bar four buttons allow you to switch between viewing windows Each vie
8. import them Using this feature you can associate any Excel report document to any script or to an open display session for one click reporting Before you can use this function you need to have an Excel document already configured to import data files saved in the VHRVReports folder in the Infiniti root folder The following explanation assumes that the Excel document is ready and saved in the proper folder location From the HRV Analysis Module s Main Screen click the Excel Report Editor menu and select the Start Editor item This opens the editor s main screen Excel Report Editor LS Description File Name Type Script Channel Set Category Date Modified 4 Activity HRV Assessment Script PI 4 Activity Assessment xml Script HRV EKG amp BVP 4 activity assessme Script Reports 02 07 2009 10 36 23 AM Open Display Excel Report PI Basic HRV Analysis xml Open PI Physiology EKG amp BVP chs Basic HRV Analysis 02 07 2009 9 23 48 AM I Add Excel Report Edit Excel Report Delete Excel Report Show Report Summary Close Dev CardioPro Infiniti HRV Analysis Module User Manval 22 Screen Buttons The main screen lists all the existing pre configured Excel Report settings and shows five buttons at the bottom of the dialog box e Add Excel Report Start the process of creating a new Excel Report configuration e Edit Excel Report Open an existing Excel Report configuration report
9. modifications click Cancel Changes e After clicking Save Changes it is still possible to remove an editing operation by right clicking over the grey segment you want to remove and selecting Delete Segment e If you have performed a number of operations on the IBI data and then decide to remove all your editing work you can select the Delete All Segments right click option e Since BioGraph always saves the rawest form of data if you have performed a number of operations on more than one signal type ex BVP and EKG and then decide to remove your editing work on all signals you can select the Restore All Signals to Original Data item in the Options menu to take out all editing from the session file and return the signals to their original state Use with care Completing the Task Double click on the next spike a bit further to the right The corresponding IBI is 302 2 ms and the one following is 505 3 ms Make sure the reason for this is an error in detecting R spikes and not a real change in IBI Then since they are two low values you can select both and click Add Finally double click on the last spike The corresponding IBI is 914 0 ms and the one after that is 576 6 ms one is a bit high the other is a bit low Make sure the reason for this is an error in detecting R spikes then select both and click Average Click on the Right arrow at the top to review the next epochs and verify that they do not show any artifact Because
10. sure it is highlighted and that the raw signal marker jumps to the correct position 2 On the raw signal graph place the mouse cursor over the marker vertical blue line then click and hold the left mouse button while moving the mouse towards the right Stop when you are over the actual R spike Notice that the marker turns pink 00 00 30 00 00 31 00 00 3 Click the green Split button below the table The HRV module pops up a text box showing you the value of Interval 1 set to around 545 6 ms for you to confirm that this is what you want Click Yes to accept the split When splitting an abnormally long IBI value it is sometimes not easy to see where the actual beat is because it is completely lost in the noise In this case you can either drag the raw signal graph marker to an approximate location where you guess the R spike might be or just highlight the IBI in the table and click Split to divide the IBI value in two equal values 4 A green highlight segment appears over the area covering both new IBI values to show that an operation was performed At the same time the 1334 4 ms value is replaced by 545 6 ms and 788 8 MS Dev CardioPro Infiniti HRV Analysis Module User Manual 11 FEE FN 00 00 30 00 00 31 00 00 32 5 Click on the 545 6 ms value in the table press and hold the Control key on your keyboard and then click on the 274 9 ms value just above 6 With those two values selected in the table click the
11. to make changes e Delete Excel Report Permanently removes a previously defined report configuration from the list e Show Report Summary Generates a Word document listing the main configuration item for a selected report e Close Closes the editor dialog box and returns to the HRV module s main screen Creating an Excel Report Configuration 1 To create a new Excel Report Configuration click the Add Excel Report button This opens the Welcome pop up where you can specify the type of BioGraph session you want this report to work with Open Display or Script Welcome to the HRV Excel Report Editor Select Session Type and dick OK The HRY Excel Report Editor will display a series of screens that allow you to define channel set script specific settings for the HRV excel report Session Type Open Display session Script session 2 Select the desired session type and click OK The Channel Set Database dialog opens where you can select an encoder communication protocol from the drop down list and a channel set If you selected Script session you have to select a specific script from the list Channel Set Database mn Please select an Encoder Communication Protocol ProComp Infiniti Channel Set Description Couples Therapy Couples Therapy EMG EDR BV Group Synergy 6 GSR channels Group Synergy 6 GSR channels PI EEG Suite 1 EEG PI EEG Suite 1 EEG amp Phys BVP PI EEG Sui
12. yellow Add button below the table 7 After the Add operation a new value of 820 6 ms appears in the table and a yellow highlight appears over the raw signal graph to indicate where the operation took place 00 00 30 00 00 31 00 00 32 8 To save your work click Save Changes Notice that the yellow green and blue highlights turn blue grey You can see on the Tachogram graph that the artifact spike disappeared and was replaced by a more normal looking curve You can verify that the marker now jumps to the actual R spikes along the raw signal by double clicking over consecutive IBI values in the table 00 00 30 00 01 00 00 01 30 00 02 00 00 02 30 00 03 00 00 03 30 00 04 00 00 04 30 00 05 00 A quicker method of doing the above operation with a bit less precision would be to select the two abnormal values in the table 274 9 ms and 1334 4 ms and click the blue Average button This method is acceptable because although the end result isn t as precise the final IBI values would still be within a more normal range than the artifact values Correcting Mistakes e As long as you haven t clicked Save Changes you can click Undo to remove the effect of a single operation at a time Clicking Undo repeatedly unravels the process one operation at a time until you reach the point where you started editing Dev CardioPro Infiniti HRV Analysis Module User Manual 12 e As long as you haven t clicked Save Changes if you want to undo all your
13. you haven t clicked Save Changes after your last edit the HRV module asks you if you want to Save your Changes now Click Yes and use the Right arrow to review the next two epochs Since the session includes blood volume pulse data click on the BVP signal button on the left of the Tool Bar and proceed to verify if the IBI data also needs to be normalized The third type of artifact that is observed in heartbeat data is called ectopic beat or premature contraction Ectopic beats are characterized by an abnormally long IBI value either preceded or followed by one that is abnormally short These artifacts are not caused by noisy or distorted signal but by a physiological process that makes the heart beat irregularly Although they are real physiological data these abnormal beats can cause distortions in the frequency domain calculations of HRV and skew the power values This is why they are often normalized using the average operation Automatic Normalization The BioGraph Infiniti HRV module includes an automatic function to normalize periodic data Automatic normalization is never as good as manual normalization but it is much faster especially on very long sessions with a lot of artifacts To run the Auto Edit function click the Auto Edit button in the Tool Bar or select the Auto Edit function in the Options menu A pop up dialog box opens Dev CardioPro Infiniti HRV Analysis Module User Manual 13 Auto edit saving Auto editi
14. you want to see the IBI points Show Points or not Hide Points This works best for small epoch duration settings Each individual graph allows you to toggle the scale setting between manual and automatic by checking the Auto Scale right click menu option If the Auto Scale option is disabled the Scale Settings option becomes enabled allowing you to enter the settings manually The 3D Viewer button opens a window showing a 3D spectrum graph with its own Epoch Number selector You can adjust the graph orientation size and position using the Keyboard and mouse e Press the Control key click and hold the left mouse button and move the mouse cursor left and right to rotate the graph forward and backward e Press the Control key click and hold the left mouse button and move the mouse cursor up and down to rotate the graph sideways e Press the Shift key click and hold the left mouse button and move the mouse cursor up down and left right to slide pan the graph inside the 3D space e Press the Alt key click and hold the left mouse button and move the mouse cursor left and right to zoom the graph in and out The Restore 3D settings button allows you to restore the graph to its original size angle and position The Close button allows you to exit the 3D Viewer dialog box Report Options Generating Standard Reports You can generate two sorts of reports from the BioGraph Infiniti HRV Analysis module Text Report MS Word
15. 4 activity EEG baseline assessment 1 monitor PI 3 user bands training 10 trials PI 2 EMG relaxation training 10 trials PI 2 EMG relaxation training 10 trials PI 1 EMG relaxation training 10 trials PI 1 EMG relaxation training 10 trials PI I EEG baseline pre training PI 1 EEG baseline post training HAV test script Long short amp cycled steps HRY Test script 4 activity assessment File Name FI Physiology BYP 7 act Stress Assess 2 mo PI Physiology EKG 7 act Stress Assess 2 mo FI Physiology BYP 7 act Stress Assess 1 mo PI Physiology EKG 7 act Stress Assess 1 mo PI 4 activity EEG baseline assessment 2 mon PI 4 activity EEG baseline assessment I mon PI Training 3 user bands 10 trials pr PI Physiology BYP 2 EMG training 10 trials prt PI Physiology EKG 2 EMG training 10 trials prt PI Physiology BYP 1 EMG training 10 trials prt PI Physiology EKG 1 EMG training 10 trials prt PI 1 activity EEG baseline pre training prt PI 1 activity EEG baseline post training prt PI HRV test script prt HRY EKG amp BYP 4 activity assessment prt Duration Activities Channel Set Description 00 14 03 000 7 PI Physiology Suite BYP 00 14 03 000 7 PI Physiology Suite EKG 00 14 03 000 7 PI Physiology Suite BYP 00 14 03 000 7 PI Physiology Suite EKG 00 08 45 000 4 PI EEG Suite I EEG 00 08 45 000 4 PI EEG Suite I EEG 00 10 00 000 1 PI EEG Suite I EEG 00 10 00 000 1
16. 7550M T7555M T9800 17535 ProComp Infiniti FlexComp Infiniti MyoTrac Infiniti ProComp 5 Infiniti ProComp 2 SA7500 SA7550 SA9800 SA7525 SA7400 EMERGO EUROPE Molenstraat 15 2513 BH The Hague The Netherlands Tel 31 70 345 8570 Fax 31 70 346 7299 Tar CardioPro Infiniti HRV Analysis Module User Manval CLASSIFICATION N CAUTION WARNING ATTENTION Type BF Equipment Internally powered equipment Continuous operation Read Instruction Manual Refer to applicable hardware manuals for additional information US Federal Law restricts this device to sale by or on order of a physician or any other practitioner licensed by the law of the state in which he or she practices to use or order the use of this device Do not operate Active Sensors within 10 feet of an operating cellular phone similar radio transmitting device other powerful radio interference producing sources such as arc welders radio thermal treatment equipment x ray machines or any other equipment that produces electrical sparks All encoders are totally isolated from line 110 or 220VAC power due to battery operation and fiber optic connections to computers However many hospitals and the FDA require that computers printers and any other equipment used with medical devices be electrically isolated from line voltage to UL or CSA medical safety standards The PC used with device must be placed outside the patient client environment more t
17. CardioPro Infiniti HRV Analysis Module for BioGraph Infiniti Y CardioPro Infiniti HRV Analysis Module Application Excel Report Editor Help Clients E Only sessions with EKG BYP are listed Double click on selected session opens Editor Full Name ID Num Clinic ID Date and Time Script Channel Set Type Duration Description State Ballance Tara 2 3 8 2007 3 29 43 PM PI Physiology Suite BVP Open 00 03 00 Physiology BYP Dorimond Florian 3 8 2007 3 35 21 PM PI Physiology Suite EKG Open 00 03 00 Physiology EKG Florimond Dorian 10 1 2007 10 15 41 AM PI Physiology Suite EK Open 00 03 01 Physiology EKG amp BVP MI Sessions Continence ProCompInf Biofeedback RT Final Sessions Edit Third Party IBI File HRY Analysis CardioPro INFINITI Av Thought Technology Ltd 8205 Montreal Toronto Blvd Suite 223 Montreal West QC H4X 1N1 Canada Tel 800 361 3651 514 489 8251 Fax 514 489 8255 E mail mail thoughttechnology com Webpage http www thoughttechnology com The Manufacturer Product Name Product No Device Name Device No Thought Technology Ltd 8205 Montreal Toronto Blvd Suite 223 Montreal West Quebec Canada H4X 1N1 1 514 489 8251 mail thoughttechnology com ProComp Infiniti System ProComp5 Infiniti System FlexComp Infiniti System MyoTrac Infiniti System ProComp2 System T7110M T7120M T7150M T7160M T7170M T7500M T7520M T
18. Dev CardioPro Infiniti HRV Analysis Module User Manual 19 Save Export File As Save in HRVReports Te Name Date taken ay _ Averaged Statistics Dd Recent Places BI Data001 txt 7 _ IBI Data002 txt IBI Data003 bt Desktop IBI Data All bt IBI Statistics bt __ Standard Statistics txt Didier N Computer MR Network 1 File name IBI Data Al bt j Save as type Exporting the data may take some time depending on the type of data exported and the session s duration Epoch Viewer Standard HRV Graph Click the Epoch Viewer button to toggle the viewing window to a screen showing the IBI data in a number of ways 1 Tool Bar and Viewing Window buttons as described 2 Poincar plot This graph plots each IBI value against the previous one to give a qualitative view of the IBI distribution 3 2D Power Spectrum Displays the power distribution of the HRV spectrum and identifies VLF LF and HF bands in blue green and pink 4 Tachogram The Tachogram graph is useful to see regularities and tendencies in the distribution of IBI values over time You can use the Epoch Number selector in the upper left corner to select which epoch you want to see Dev CardioPro Infiniti HRV Analysis Module User Manval 20 You can right click over the 2D spectrum graph to select the graphing method Show Bars or Show Lines You can right click over the Tachogram to select whether
19. PI Physiology Suite BYP 00 10 00 000 1 PI Physiology Suite EKG 00 10 00 000 1 PI Physiology Suite BYP 00 10 00 000 1 PI Physiology Suite EKG 00 02 10 000 1 PI EEG Suite I EEG 00 02 10 000 1 PI EEG Suite I EEG 00 18 25 000 4 PI Physiology Suite E 00 21 20 000 4 PI Physiology Suite E Category Physiology BYP Assessment Physiology EKG Assessment Physiology BYP Assessment Physiology EKG Assessment EEG Assessment EEG Assessment EEG Training Physiology BYP Training Physiology EKG Training Physiology BYP Training Physiology EKG Training EEG Assessment EEG Assessment Test Stuff Test scripts am 03 02 2005 Date Modifi 19 12 2006 19 12 2006 19 12 2006 19 12 2006 02 01 42007 02 01 2007 31201 2007 19 12 2006 19 12 2006 19 12 2006 19 12 2008 02 01 2007 02 01 2007 03 02 2008 Cancel 3 Select a channel set or a script and click OK The HRV Excel Report Settings dialog box opens HRV Excel Report Settings V Export Header Excel Export Options IBI Export Options V IBI Export Signal Type EKG BVP Integer IBI IBI data text export file name IBI Data All txt IBI statistics text export file name IBI Statistics txt Standard statistics text export file name Standard Statistics txt Epoch Indude Start Time Column first Value V One file per epoch Session averaged statistics text export file nam
20. Restore All Signals to Original Data item from the Options menu Non Periodic Editor Placing Artifact Rejection Segments If the recorded session includes other physiological signals such as skin conductance temperature or EMG and you want to generate statistics on these signals you will need to use the Non Periodic data editor to remove any artifact Click on the Non Periodic button to toggle the viewing window Dev CardioPro Infiniti HRV Analysis Module User Manval 14 1 Tool Bar and Viewing Window buttons as described 2 Review Signal Graphs Three review graphs show you the recorded signals Skin conductance temperature and EMG RMS These graphs are for reviewing only No editing can be done on them 3 Editing Signal Graph The bottom graph is the editing graph You can place rejection segments over artifacts to tell the module to skip over them when processing signals for statistics 4 Scroll Bar The scroll bar applies to all 4 graphs The time scale is also global and set in the Tool Bar Note Ifthe session includes EMG data that was recorded with a MyoScan sensor the HRV module processes it into an RMS signal prior to showing it on the screen This is done whether there is an RMS channel in the channel set or not Each individual graph allows you to toggle the scale setting between manual and automatic by checking the Auto Scale right click menu option If the Auto Scale option is disabled the Scale Settings optio
21. V metrics include SDNN NN50 pNN50 RMSSD VLF LF amp HF power LF HF ratio and total power Note The time period used for the NN and pNN calculations is user specified Dev CardioPro Infiniti HRV Analysis Module User Manual 16 3 Table of Non Periodic Data Statistics The third table shows a list of basic statistics for non periodic data including minimum maximum average standard deviation coefficient of variability mode and area under the curve when appropriate 4 Table of Session Averaged Statistics This table shows the SDANN value for each Primary signal EKG and or BVP Customizing Statistics Some of the computed metrics have settings that can be user defined You can access those settings by clicking the Session Settings item in the Options menu Session Settings IBI from EKG Basic Advanced Respiration Period Fast Slow NN Intervals 50 Time Period ms Band Power Absolute Power Percentage of Total Power HF and LF units Power spectrum units ms2 Hz Normalized units n u Statistic Options 9 Statistics per epoch Average of epoch statistics Auto Editing 20 Variation from IBI s mode value Cancel e IBI from EKG BioGraph Infiniti offers two beat detector algorithms for the EKG signal The basic algorithm is fast and more suited to real time feedback computations as long as the EKG signal is fairly artifact free The advanced algorithm is better at d
22. also have to enter the text file name that the Excel report expects to see ii The other three export files only require you to type in a text file name If you leave a text box blank the file will not be exported c Excel Report File Name Click on the button to open a drop down list of all the Excel Report Documents that are in the HRVReports folder and pick the appropriate Excel document d Epoch Pick the appropriate epoch time for the selected HRV report e NN Intervals Enter the appropriate time period for the NN Interval calculations By default this is set to 50 ms f Band Power Here is where you set if the report expects to see band power computations expressed in absolute power or relative power and if the type of units to use for HF and LF power g Statistics Options Specifies if you want the standard statistics to be one per epoch or averaged across the session step h Export Text File Format Select the desired encoding format as previously described in the Exporting Data section 4 Click OK to continue The Save Excel Report dialog box opens where you can enter a description define select a category and type in a file name for this Excel Report Configuration file You cannot specify a folder location for these files because it is important to store the Excel document and exported text files to the HRVReports folder for the automatic Excel Report option to work properly Save Excel Report Descript
23. and Excel Report Click the Report button in the Tool Bar A drop down list opens where you can select the desired option ESE W Generate Text Report M Generate Excel Report N f The Generate Excel Report option is enabled only if there is at least one Excel Report defined in your system This is explained in the next section Selecting Generate Text Report brings up the Report Options dialog box Dev CardioPro Infiniti HRV Analysis Module User Manval 21 Report Options Signal Type EKG BVP V Indude Graphs ee Terre ere er er dr re eer Generate Report Cancel In the dialog box you can select EKG or BVP to specify the desired primary signal for the HRV metrics You can also check what information content you want in the report e Include Graphs Select whether you want to include the three graphs shown in the Epoch Viewer window Poincar 2D Power Spectrum and Tachogram e Include Statistics Select whether you want to include the three tables of statistics shown in the Statistics viewing window IBI Statistics Standard Statistics and Session Averaged Statistics Click Generate Report to create the document You can print or save the report by using the Print and Save functions of MS Word Excel Report Editor Configuring Specialized Reports The Excel Report Editor provides a method for automating the process of exporting data to text files and opening a pre defined Excel report designed to
24. basis for 45 days Dev CardioPro Infiniti HRV Analysis Module User Manval 1 Main Database Screen Loading Session Files When launched the program starts by displaying the Main Database Screen where you can see a list of client names in the table of the left and recorded sessions in the table on the right Click on a client name to see all the sessions that were recorded for this client and which can be analyzed for HRV It is important to note that the module only shows sessions that were recorded with EKG electrocardiograph and or BVP blood volume pulse sensor data as at least one of these signals is required for calculating the inter beat interval data IBI used for HRV analysis Recorded sessions that do not include EKG or BVP signal types are not shown in this list User Interface Menu Items e Application Click Exit to close the application e Excel Report Editor The Excel Report editor allows you to associate a specialized Excel report to a particular session type This can be an Open Display or Script session The editor is described further down in this document e Help Click the Open PDF Manual item to open the on line help document Click About to see information about the product version Screen Buttons e Edit Third Party IBI File Click this button to edit IBI data that was exported from a third party software system to an ASCII csv text file e HRV Analysis Click this button to open a
25. changes or Cancel to exit the dialog box without making a change Select Export Type Exporting Data Once the various HRV metrics and other statistics are configured properly you can export some or all of these values to Excel or another data analysis software program by clicking on the Export button in the Tool Bar last button to the right Clicking this button opens the following dialog box Select Export Type BoortIBiDaa Ct Export IBI Statistics Export Standard Statistics Export Session Averaged Statistics Signal Type EKG BVP Export Text File Format 5 ANSI Unicode Unicode Encoding Export Header Indude Start Time Column first Z Integer IBI Value One file per epoch Cancel Select which set of data you want to export by clicking on the list at the top The options are e Export IBI Data Exports normalized inter beat interval calculated from EKG or from BVP to a coma separated value text file o Signal Type Select EKG or BVP Dev CardioPro Infiniti HRV Analysis Module User Manual 18 o Export Text File Format Specify if you want the text file to be exported with ANSI standard Windows or Unicode encoding You can select a specific Unicode encoding method by clicking on the Unicode Encoding button The default setting is UTF 8 Unicode Encoding Unicode Encoding Options UTF 8 16 Little Endian 16 Big Endian o Exporting options include
26. cut 1KB Shortcut Computer 2 Windows Explorer Data 1KB Shortcut fa Programs and Features Short 1KB Shortcut Ji EZ AIR PLUS o File Folder y q Mm Network File name Third Party IBI Data bt v Files of type Tex Files od v 2 Select the desired file and click Open The Third Party IBI File Settings dialog box opens r Third Party IBI File settings Number of columns IBI column position 1 2 First Second Column Separator Comma a 3 Before you can set these settings you may need to open the text file in Notepad or another text file editor to confirm how it is configured a The Number of Columns can be 1 or 2 depending if the file includes a time column b The time column may be the first or the second one Click the appropriate option c The file may have comma or tab separated values Click the appropriate option 4 Click OK to open the file The Editor appears Dev CardioPro Infiniti HRV Analysis Module User Manual 26 Third Party IBI Editor cual Time Range in seconds 1044 84 Apply Time Range setting Start Time Period IBI III al 00 00 00 000 755 370972 00 00 00 755 769 043030 00 00 01 524 806 151978 00 00 02 331 831 054993 00 00 03 162 840 331970 00 00 04 002 849 609009 00 00 04 852 852 539001 00 00 05 704 847 168030 00 00 06 551 831 054993 00 00 07 382 812 500000 00 00 08 195 819 823975 00 00 09
27. ding IBI event usually at the bottom Dev CardioPro Infiniti HRV Analysis Module User Manval r Start Time Period IBI III s 00 00 12 533 850 097656 A 00 00 13 383 848 632813 00 00 14 231 848 144531 00 00 15 080 837 890625 00 00 15 917 836 425781 00 00 16 754 829 589844 00 00 17 583 837 402344 00 00 18 421 845 214844 00 00 19 266 844 726563 00 00 20 111 865 722656 00 00 20 977 862 792969 00 00 21 839 858 398438 00 00 22 698 844 726563 00 00 23 542 833 984375 00 00 24 376 806 152344 00 00 25 183 792 460469 00 00 25 975 797 851563 00 00 26 773 788 574219 00 00 27 562 807 128906 00 00 Aas ou Click on the highlighted IBI value and using the table s scroll bar scroll down a few IBI values to see the values that immediately follow it The sequence in the example is as follows 00 00 29 171 818 3 00 00 29 990 274 9 00 00 30 265 1334 4 00 00 31 599 711 8 The first column is time and the second column is inter beat interval period of the beat that is happening at that moment As you go down the list the time of the next beat is equal to the actual beat s time its duration In the list the 274 9 milliseconds ms and 1334 4 ms values appear to be particularly out of range To see if these are real IBI values or distorted values caused by artifact do the following you can press the Down arrow on your keyboard to move the highlight down the list of IBI values As you
28. do this watch the marker on the raw signal graph O NEE ese N kie 2 HE POE Aa NVA a DA JA HJ JA JA Kol ES HE SEE ESE oe N siene MEE N ESELS EO oe Og GEE PE ib Q ENE NR ene 1 Gana a ane Gare 00 00 29 990 274 9 i LA if TA A ere 7 n ak pr LE EE Oe EE N EG EKEN EE 6 00 GES 00 00 30 pod eds Dev CardioPro Infiniti HRV Analysis Module User Manval 10 00 00 30 265 1334 4 Eg j LA Vi Vi GP F PAT et W Ny La V 0 5 Ee OE Er IR AGE BSE E DE EAA A OEE E D DI et PR Ee ON SE EE DEE E Gr Ee De EE EEN EN OE EE oe 00 00 31 00 00 32 4 05 ack Said Oe Ak O s ey DONS RAD EN aD ON EE EE Mek ec ay ORs EE KR NE RD Ee EK ER OE N te tals EE EG EE OE 0 5 PS E SEAS E AA tt ut EA E E TETA EA EN ETAS A E EE R DES DIE ole EE LT AG TAE E VOETE ET GR Kea ee 00 00 31 00 00 32 From the sequence you can see that 818 3 ms is a valid IBI value because the raw signal marker jumps from one valid R spike to the next one The 274 9 ms isn t because the marker jumps to a spike in the signal that is obviously an artifact The 1334 4 ms is also not valid because the marker skips a valid R spike and jumps to the next valid one after that To normalize this sequence of IBIs you would have to do two operations Split the 1334 4 ms value into two chunks and then add one of the split values to the 274 9 ms 1 Double click on the 1334 4 ms IBI value in the table to make
29. ds the raw EKG signal it uses a specialized algorithm to look for the recognizable pattern created by a heartbeat and locate the R spike within the waveform indicated as R in the illustration Each time a new R spike is detected the program calculates the time between the previous beat and this one and saves a new IBI value The time between the first data point at the very beginning of the recording and the first R spike is not considered a valid IBI The module actually waits for a first beat to be detected before it starts saving IBI values R 1 R2 R3 IBI 2 IBI 1 If the recorded signal is less than optimal it may contain noise or the R spike may be distorted in a way that confuses the beat detection algorithm Errors in beat detection are called artifacts Two types of artifacts are most common e Missed beats can happen when the pulse is distorted or becomes too small to be recognized by the algorithm e Extra beats occur when a sharp distortion in the signal is detected as an actual beat like EMG picked up from a nearby muscle contraction Dev CardioPro Infiniti HRV Analysis Module User Manual Extrd beat Raw EKG Beat by beat IBI Missed beat Raw EKG AN Abnormally long IBl li Beat by beat IBI Heart rate variability HRV analysis is particularly sensitive to artifacts and requires that the collected information be
30. e Averaged Statistics txt Excel report file name Open Session Report xlsx v NN Intervals Epoch Time T Time Period ms Band Power Absolute Power Percentage of Total Power Statistic Options Export Text File Format ANSI Unicode HF and LF units Power spectrum units ms2 Hz Normalized units n u Average of epoch statistics a Export Header Check this option if the Excel document expects a header on all exported files It is important to be consistent about including a header or not as this will either add a few lines of info with data from the very first line rmation text at the top of the exported files or start Picking the wrong option will offset the cell location for specific values in Excel and cause the document to stop working properly b Excel Export Options The Excel report may require any or all of the Export Data files that the module is able to export IBI Data IBI Statistics Standard Statistics and Session Averaged Statistics You can define what file is required by selecting these options i IBI Export Options If the report is going to process IBI data to create a Tachogram graph for example check IBI Export and select EKG or BVP You also have to specify other export settings such as Include Start Time Column Dev CardioPro Infiniti HRV Analysis Module User Manual 24 Integer IBI Values and One file per epoch or not You
31. ection segment by pressing the Shift key but then you have to select the Set Rejected Segment option in the pop up menu Correcting Mistakes e If you make a mistake and need to remove a segment right click over the segment and select the Undo Rejection Segment option e If you want to remove all rejection segments and start again right click over any segment and select the Undo All Rejection Segments option e As previously described you can also select the Restore All Signals to Original Data item in the Options menu to restore all signals periodic and non periodic to their original state Statistics A Global Perspective After normalizing the periodic data and rejecting artifacts on non periodic data you are ready to view the session statistics Click on the Statistics button to toggle the viewing window to the statistical tables All the calculations shown on these tables are refreshed whenever you toggle between an editor view and the Statistics view 1 Tool Bar and Viewing Window buttons as described 2 Table of Periodic Data Statistics The table of periodic data statistics shows the standard HRV metrics as specified by the guidelines published in 1996 in the European Heart Journal by the Task Force of The European Society of Cardiology and The North American Society of Pacing and Electrophysiology and entitled Heart Rate Variability Standards of measurement physiological interpretation and clinical use The HR
32. ee ee ee ee ee ee ee Re ee ee RR ee ee ee 23 Edinge Third Party BP 26 RT 29 Dev CardioPro Infiniti HRV Analysis Module User Manval iii Contacting Thought Technology rrrrurrrnnnnnrrnnrnnrrrnnnnnernnnnnernnnnnnrrnnnnnernnnnnsennrnnssnnnnunennnnnnesnnnnunenennnnesene RELUMING EduUIDMED Ee Ge RE ee RD Ee heed ee ea ee oi ee Se Dee ee ee DE TECHNICA SUD oe NE SR GE Ge O GE Ee Ferner ev CardioPro Infiniti HRV Analysis Module User Manval HRV Analysis Module User Manual Introduction The CardioPro Infiniti HRV Analysis Module is a specialized off line analysis add on program for BioGraph Infiniti BGI designed for the purpose of providing advanced heart rate variability HRV signal processing and data analysis tools to BioGraph users The module requires that BioGraph Infiniti is installed on the computer system and accesses the BioGraph client database directly It is able to process Open Display and Script sessions Its main functions are to 1 Process electrocardiography EKG or blood volume pulse BVP waveforms to precisely detect beats and generate tables of inter beat interval data IBI 2 Provide tools for editing artifacts within periodic data tables inter beat interval amp inter breath interval using recommended normalization methods 3 Compute standard HRV metrics as recommended by the guidelines published in 1996 in the European Heart Journal by the Task Force of The European Society of Cardiology and The North
33. els that should be used as a primary signal for generating the analysis You can modify your selection by accessing the dialog box through this option Session Settings Use this option to define how you want key HRV metrics to be calculated The dialog box is explained in detail below Signal Type Resolutions Use these settings to adjust how the mode computation is performed explained below Restore All Signals to Original Data This option allows you to discard all editing changes that were done and return to the original session data Auto Edit This option runs through the whole session and automatically normalizes the IBI data Automatic normalization is not as effective as manual normalization but is much faster Screen Buttons The tool bar is situated just below the menu bar and includes the following buttons Dev CardioPro Infiniti HRV Analysis Module User Manual e Close The close button is the first one on the left Clicking this button closes the main screen and returns you to the Main Database screen e Periodic Data Signal Buttons The next three buttons allow you to toggle between any of three primary signals for periodic data analysis EKG BVP or Respiration You can see the description for that channel as it is defined in the channel set by placing the mouse cursor over one of these buttons If the button is disabled there is no recorded data for a given sensor type e Time Frame The Time frame drop down list
34. etecting beats but may be a bit slow for biofeedback Because the HRV module is off line the default setting is Advanced You can select the algorithm you prefer by clicking Basic or Advanced in this section e Respiration Period Just as in BioGraph the Fast Slow setting allows you to tell the program what range of breathing cycle period to expect using this setting The default setting is Slow e NN Intervals This is where you can specify what time period you want the module to use for the NN and pNN calculations Some published articles suggest that using different values e g 20 ms or 30 ms can be useful for discriminating between various health conditions Dev CardioPro Infiniti HRV Analysis Module User Manual 17 e Band Power In this section you can specify whether you want the band power values to be expressed in absolute or relative power percentage of total power and if you prefer to see HF and LF as power spectrum or normalized units n u e Statistics Options The HRV module is able to present non periodic data statistics on a per epoch basis or averaged across the session or the step for a script session Define which option you prefer in this section e Auto Editing You can enter the desired percentage of variation to use for the Auto Editing function in this section Percentage values can be between 10 and 100 where 10 is very strict and 100 is very loose Make any change you desire and click OK to accept your
35. han 3 meters or 10 feet or the PC must comply with EN 60601 1 1 system safety After use the Disposable Electrodes may be a biohazard Handle and when applicable dispose of these materials in accordance with accepted medical practice and any applicable local state and federal laws and regulations Reusable electrodes present a potential risk of cross infection especially when used on abraded skin unless they are restricted to a single patient or sterilized between patients If sterilizing electrodes employ only gas sterilization Radiated radio frequency electromagnetic fields can cause performance degradation in the MyoScan Pro EMG sensor In the worst case an RF field strength of 22mV M can cause an increase of 1uV in the signal reading from a MyoScan Pro sensor Be sure to keep in mind that a very relaxed muscle should provide an EMG reading of approximately 1 3uV Due to the slight risk of inducing photosensitive epileptic seizures proceed with caution when using repetitive EP ERP visual stimuli protocols with BioGraph Infiniti 5 0 Protocol Generator algorithm Evoked Potential screen instrument and the AV Sync sensor If a seizure appears to be starting stop the visual stimulus immediately Explosion Hazard Do not use in the presence of a flammable anesthetic mixture with air or with Oxygen or Nitrous Oxide Not to be immersed in water Take care in arranging patient and sensor cables to avoid risk of patient entanglement or strang
36. ion Open Display Excel Report Category Basic HRV Analysis v File Name xml PI Basic HRV Analysis xml ee 5 Once the file is saved you can see it listed in the table on the Excel Report Editor main screen When one or more Excel Reports configurations have been created the Generate Excel Report option becomes enabled when you click the Report button in the tool bar Dev CardioPro Infiniti HRV Analysis Module User Manval 25 GEE l W Generate Text Report 2 Generate Excel Report Editing Third Party IBI Data The BioGraph Infiniti HRV Analysis module provides a quick and easy way to normalize IBI data that was exported from other software programs to a standard text file format To normalize exported IBI data from a third party program 1 Onthe Main Screen click Edit Third Party IBI File This opens a dialog box where you can browse to the file you want to open OG Please select an IBI file to edit Look in HE Desktop v G 3 EF fy P Name Size Type SH Third Party Bi Daat 8 KB Text Document 02 Recent Places __ Averaged Statistics bt 1KB Text Document ia IBI data001 txt 6KB Text Document IBI data002 txt 7KB Text Document Desktop IBI data003 txt 6KB Text Document E TEST TEST bt 1KB Text Document dy EXPORTED SC DATA TEST bt 11 KB Text Document Didier IBI Test txt 12KB Text Document 8 TTL Dataserver srv sbs 2KB Shortcut dy SHORT TERM WORK Short
37. looking for upward or downward spikes which may indicate the presence of artifacts HRV Editor Open Display son Chent HRV Sample Slow breathing session Number of epochs 3 File Option ty a re pl Time Frame 5 sec p Epoch Time 5 min X iki rE A EEE mme er oven Period Editor Tachogram Time Frame Type Epoch Session s004 Mf Mi AO WAS GREG ENG 600 Y S 000030 0001 00 000130 000200 000230 000300 000330 000400 00 04 30 00 0600 A n n NJ V Fi P LA at ill EA At Pi 00 00 01 00 00 02 000003 000004 000005 Session Date 09 07 2008 3 10 33 PM Duration 00 17 27 125 Tachogram Marker Time 00 00 00 000 Signal Marker Time 00 00 00 000 There are three areas of possible artifacts in the first epoch Place the mouse cursor over one of those spikes and double click the left mouse button This places a vertical marker on the spike 00 00 30 00 01 00 00 01 30 00 02 00 00 02 30 00 03 00 00 03 30 00 04 00 00 04 30 00 05 00 As you do this a blue vertical marker also appears on the raw signal graph on the corresponding EKG beat at the exact point where the beat was detected If the beat was properly detected this is right at the tip of the R spike BVP at the maximum point of the pulse waveform 00 00 28 00 00 29 00 00 30 00 00 31 00 00 32 At the same time notice that the table of periodic values on the left of the screen jumps to and highlights the correspon
38. n becomes enabled allowing you to enter the settings manually Manual Rejection Select the Time Frame setting that is appropriate for the loaded session You can either define a scale that is less than the session s duration and scroll through the session using the scroll bar or set the Time Frame to Size to Session to see the complete session in one graph span Scan the session visually by looking at the three review screens If you notice an artifact that needs to be rejected make sure the editing graph shows the proper signal by clicking on the appropriate Non Periodic Data Signal button in the tool bar SC Temp EMG1 or EMG 2 Move the mouse cursor to the beginning of the artifact press the Control key on your keyboard then while clicking and holding the left mouse button drag the mouse cursor across the length of data you wish to reject As you do this the HRV module highlights the data in black When you let go of the mouse button and the Control key a grey segment is drawn across the area that you dragged over Dev CardioPro Infiniti HRV Analysis Module User Manual 15 a ar T Shot Se N E OE EE EE NER ED ES m a mu ORE rs wee Current 33 0 EE TT PR ED EE gt NE Editing N Signal TEMP 1 325 ER ETER EET ETER EK EE EK sa oy 32 0 00 00 00 00 02 00 00 04 00 00 06 00 00 08 00 00 10 00 00 12 00 00 14 00 00 16 00 00 18 00 00 20 00 It is also possible to place a rej
39. ng created or modified 3 segments Auto edit saving options IBI data only IBI data and segments Cancel Select one of the saving modes and click Save to run the function e IBI Data Only Saves only the changes done to the table of IBI values e IBI Data and Segments Saves the table of IBI values and places editing segments on the raw signal graph over the beats where modifications were done Clicking Cancel lets you close the dialog box without running the auto edit function We recommend using the IBI Data and Segments saving mode unless you are working on a very long session with many artifacts to normalize because too many segments will slow the program down significantly The Percentage of variation to use for the Auto Editing function is defined in the Session Settings dialog box which can be accessed from the Options menu Percentage values can be between 10 and 100 where 10 is very strict and 100 is very loose It is recommended to decrease this value if you are to run the auto edit function multiple times in order to avoid normalizing real data and creating too many editing segments Generally it is preferable to run the auto edit function only once You can run the function with different percentage of variation values by right clicking over one of the rejection segments and selecting Delete All Segments to restore the original data If there are no segments because the IBI Data Only option was selected use the
40. normalized if the analysis is to generate reliable calculations Normalizing IBI data is done by adding small IBI values together and splitting large ones into two or more IBIs It is important to understand that the beat time information i e the moment of each beat needs to be maintained for the HRV analysis to be valid In order to reject an artifact it is not possible to simply cut out a chunk of EKG and join the remaining sections together because this would cause shifts in the beat time continuity The HRV module allows you to normalize IBI data through three types of operations e Two or more short IBI values can be added together e Long IBI values can be split in two equal or unequal values e Pairs of IBI values where one is short and the other long can be averaged Normalization is best done manually but an auto editing function is provided for convenience Dev CardioPro Infiniti HRV Analysis Module User Manval 8 Manual Normalization After loading a session into the HRV module the Main Screen opens in the Periodic Editor viewing mode Click on one of the Periodic Data Signal Buttons top left to select the signal you want to work with EKG BVP or Respiration The example below will show EKG Select an Epoch Time of 5 minutes and a Time Frame of 5 seconds Check the Epoch option in the Tachogram Time Frame Type area Using the Left Right arrows above the Tachogram graph you can scroll through the session epoch by epoch
41. nt and be able to detect anomalies in the acquired signal that could interfere with treatment effectiveness Depending on the importance of signal integrity it may be advisable to continuously monitor the raw signals in time and or frequency domain while the device is being used for biofeedback or other purposes If anomalies are observed on acquired signals and if you suspect a problem with electromagnetic interference contact Thought Technology for a technical note on identification and remediation MAINTENANCE AND CALIBRATION STORAGE Wipe encoder with a clean cloth Factory testing and calibration ensure equipment accuracy and frequency response The user may invoke a self calibration function that will recalibrate certain device parameters see section in hardware manual Contact Thought Technology for factory recalibration if necessary Store in its original case at up to 90 humidity 30C TRANSPORTATION Transport in its original case Manual No SA7597 ver 1 0 O copyright Thought Technology Ltd 2010 ev CardioPro Infiniti HRV Analysis Module User Manval Table of Contents PVH OCT NOUN EE EEE EN OOK 1 Mose hr 1 First Time Run Entering the Key Code rrnnnnnnrnnnnnnrnnnnnnnrnnnnnernnnnnsrnnnnnnennnnnnevnnnnnssnnnnnnsvnnnunennnnnssnnnnnvsseennn 1 Main Database Screen Loading Session Files rrrrrrrnrnnrrrnnnnnrrrnnnnrrrnrnnnrrnnnnnernnnnnsrrnnnnnsnnnnnnennnnnnssenrnnessennnn 2 Tee TE EE EEE 2 Vee Hr 2 reen BUT
42. or the USA to Canada mark the package Goods to be repaired Made in Canada to avoid unnecessary customs charges All customs and duties charges will be billed to you if incurred by sending the unit to the wrong address Provide a detailed description of the problem you are experiencing and your telephone fax number and email see form on the next page of this manual e Inthe USA ship insured to Thought Technology Ltd Cimetra LLC 8396 State Route 9 West Chazy New York 12992 USA e In Canada and all other countries contact your dealer or ship insured to Thought Technology Ltd 8205 Montreal Toronto Blvd Suite 223 Montreal West Quebec Canada H4X 1N1 Broker Livingston International 133461 Technical Support For technical support please refer to the Thought Technology Ltd website at www thoughttechnology com for frequently asked questions If your support issue is not covered please e mail or telephone at the number below G 514 489 8251 techsupport thoughttechnology com Dev CardioPro Infiniti HRV Analysis Module User Manual 29 Repair Return Form Name Company Address Telephone Number Fax Number Date Purchased From Model Name Serial Number Problem Dev CardioPro Infiniti HRV Analysis Module User Manval 30
43. ptic cable not fully pushed into its receptacle may cause the unit not to operate make sure that both ends of the cable are fully inserted into their receptive jacks and the nut is tightened firmly Make sure to remove electrodes from sensor snaps immediately after use Do not plug third party sensors directly into instrument inputs Plug only Thought Technology Active Sensor cable connectors into instrument inputs All electrodes and third party sensors must be connected to active sensors either directly or through an adapter Remove batteries when the device is not being used for an extended period of time Please dispose of batteries following local regulations INTENDED PURPOSE Biofeedback Relaxation amp Muscle Re education purposes CONTRAINDICATIONS NOTE None No preventative inspections required maintenance must be performed by qualified personnel The supplier will make available upon request circuit diagrams component parts lists and description or other information required for the repair of product by qualified personnel If a fiber optic or patient cable is damaged or breaks please replace Due to the essential performance and intended use of the device testing for immunity to electromagnetic disturbances was not required and was not performed The device may be susceptible at levels below IEC60601 1 2 immunity test levels The operator must be familiar with typical characteristics of signals acquired by this equipme
44. s useful to see patterns in heart rate variability and identify artifacts caused by missed beats extra beats or ectopic beats You can double click anywhere on the graph to place a time marker vertical cursor and synchronize the IBI that is highlighted in the Periodic Editor Table with the marker on the Raw Signal Graph c The bottom graph is the Raw Signal Graph It shows the primary signal either EKG BVP or respiration as selected in the Tool Bar from which the periodic values are calculated Dev CardioPro Infiniti HRV Analysis Module User Manual 6 Each individual graph allows you to toggle the scale setting between manual and automatic by checking the Auto Scale right click menu option If the Auto Scale option is disabled the Scale Settings option becomes enabled allowing you to enter the settings manually Procedure Overview The main task of this editor is to allow you to easily and rapidly normalize the periodic data Inter beat interval IBI and inter inhalation interval III data is described as periodic because it consists of a series of discrete values that occur at irregular moments in time unlike the source signals they are calculated from EKG BVP or respiration which are a continuous series of data points occurring at a fixed sampling rate To simplify the explanation we will be describing how the module processes the EKG signal for HRV analysis The process for other signals is similar As the software recor
45. selected BioGraph session for HRV analysis e Exit This button closes the application Dev CardioPro Infiniti HRV Analysis Module User Manual 2 Loading a Session for HRV Analysis To load a session for HRV analysis 1 Select a client name from the list on the left 2 Click a session from the list on the right 3 Click the HRV Analysis button HRV Configuration Identifying Primary Signals If the session you are loading was recorded with more than one EKG or BVP sensor a dialog box opens to allow you to select the physical channel that should be used as the primary signal for calculating IBI values and the HRV metrics Similarly if more than one respiration signal is encountered you have to tell the module which one to use for calculating respiration based HRV metrics such as HR max min HRV Configuration Single Select Abdominal Respiration H Thor Resp 0 4 Select the desired primary signal s and click OK to continue The session is loaded and the Main Screen appears Tine Frame Sees Epoch Tie 1m0 ss eeste EN Geers Tachogram Time Frame Type Epoch Period 81 111 0 1200 1000 t av i 400 t 4 4 00 00 05 000010 000015 000020 000025 000030 000035 000040 000045 000050 000055 00 01 00 00 00 18 421 00 00 15 9 4257 23 599 37 4023 845 21 000002 000003 000004 00 00 06 F mm Session Date 08 07 2008 3 10 33 PM Duration
46. te 1 EEG amp Phys EKG PI EEG Suite 2 EEG amp Coherence PI Group Synergy 6 temperat PI JJ SBFB Demo no EEG PI Physiology Suite BYP PI Physiology Suite EKG PI Physiology Suite EKG amp BYP Spirit Communication 2 Temp Dev CardioPro Infiniti HRV Analysis Module User Manval File Name PI Kassel Interpersonal BF PI Interpersonal BF chs Group Synergy 6 GSR channe PI Group Synergy 6 GSR cha PI 1 EEG chs PI 1 EEG amp Physiology BVP chs PI 1 EEG amp Physiology EKG chs PI 2 EEG amp Coherence chs PI Group Synergy 6 temperat PI JJ SBFB Demo no EEG chs PI Physiology BYP chs PI Physiology EKG chs PI Physiology EKG amp BYP chs SCTP 2 Temp 256 High C Nor Date Modified 20 11 2008 4 52 08 PM 11 03 2009 10 27 32 PM 27 02 2009 10 57 57 AM 27 02 2009 10 57 57 AM 06 10 2008 2 46 03 PM 06 10 2008 2 50 42 PM 17 10 2008 1 26 51 PM 06 10 2008 2 49 26 PM 17 04 2009 1 33 38 PM 16 03 2009 6 29 06 AM 06 10 2008 2 46 16 PM 17 10 2008 1 27 53 PM 04 06 2009 8 50 50 AM 23 Script Database Script Categories E select an Encoder Communication Protocol ProComp Infiniti 4 Show all categories h 3 Description PI 7 activity stress assessment 2 monitors PI 7 activity stress assessment 2 monitors PI 7 activity stress assessment I monitor PI 7 activity stress assessment 1 monitor PI 4 activity EEG baseline assessment 2 monitors PI
47. ulation The operator is responsible for ensuring the safety of any devices controlled or triggered by Infiniti equipment or software or by any software or hardware receiving data from Infiniti equipment Infiniti equipment must not be configured or connected in such a way that failure in its data acquisition processing or control functions can trigger patient feedback stimulus that poses an unacceptable level of risk Use of any equipment in a biofeedback context should be immediately terminated upon any sign of treatment related distress or discomfort Not to be connected to a patient undergoing MRI Electro surgery or defibrillation Sensors damaged by static electricity are not covered under warranty To prevent static discharge from damaging the sensor and or encoders use anti static mats or sprays in your working area A humidifier may also be used to prevent static environments by conditioning hot dry air Do not apply any electrode gel or equivalent directly on the sensor snaps Always use electrodes as a medium between the sensor and the client Not for diagnostic purposes not defibrillator proof not for critical patient monitoring To prevent voiding warranty by breaking connector pins carefully align white guiding dot on sensor plug with slot on sensor input Sharp bends or winding the fiber optic cable in a loop smaller than 4 inches 10cm may destroy the cable Dev CardioPro Infiniti HRV Analysis Module User Manual A fiber o
48. vertical cursor in the tachogram and signal graphs The highlighted value corresponds to the marked point in the tachogram and the marked beat breath in the raw signal graph 3 Editing Function buttons Three main operations are used to edit periodic data Add Split and Average These operations are explained below After editing all the intervals of a selected epoch you can save your work by clicking Save Changes Clicking Undo allows you to restore the data and Cancel Changes ignores recent editing operations as long as they were not saved 4 Tachogram Time Frame Type These options allow you to select one of many ways of setting the graph s span The options vary depending on whether you are analyzing an open display or a Script session 5 Session Graphs a Thetop graph shows an overview of the session and gives a visual representation of the number of epochs that can be analyzed for the session based on the selected epoch length and the session activity duration When working on a script session the graph also shows activities in a different color to help you understand how the session is defined When you click on the Left Right arrow buttons above the graph and on the left you can scroll through the session epoch by epoch As you do this notice that a black vertical bar moves along the graph indicating the location of the selected epoch b The middle graph is the Tachogram It shows IBI II values over time The tachogram i
49. wing window is configured to help you achieve a specific task relating to performing HRV analysis e Periodic Editor The Periodic Editor is used when you need to review and edit inter beat interval IBI data Editing is required to ensure that the data is normalized e Non Periodic Editor If the recorded session includes physiological data such as skin conductance temperature or EMG this editor allows you to reject selected sections of noisy data e Statistics The Statistics viewing window gives you a quick table overview of the various HRV metrics and other calculations generated by the analysis e Epoch Viewer Access this view to see the HRV data in graphical format Periodic Editor Normalizing IBI or III Data Clicking on the Periodic Editor button switches to the periodic data editing viewing window The illustration shows you the main components of this screen Dev CardioPro Infiniti HRV Analysis Module User Manual 5 1 Tool Bar and Viewing Window buttons as described above 2 Periodic Editor Table This table shows the inter beat interval or inter inhalation interval values for the selected signal IBI from EKG or BVP III from respiration The table has two columns Start Time and Period Start Time is the time at which a heart beat or inhalation is detected while Period is the duration for that particular interval IBI or III You can double click on a specific value in the table to synchronize it with markers
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