Clinic 6.0.9 - Electro-Diagnostic Imaging, Inc.
Contents
1. Click Select on the VERIS menu PEJ Parameters Calit Select Test Analysis File bar and choose Select Select Test Analysis Analysis Settings J Test Analysis A new file Add nalysis x Arrange files Alphabetically in Filename Recently used files navigator window opens sb SE i a Sow Arnais Sting providing access to all test analysis Normals File E O SS vo 92 inch Monochrome Monitor protocols on your system EE v Conventional Tests b J Pattern VEP Select a test analysis file that you M have used before from the Recently used files drop down JB EOG demo menu or click the small triangle next to the folder eo E o corresponding to the stimulator hardware you are using to S Info show the test analysis protocols available for that stimulator Modification Date 7 10 07 1 03 54 PM 0 e This is an Analysis Settings file Veris Clinic can see this file VYeris Basic c this fil From these protocols select an analysis file for the specific There is tabs test you want to run then click OK Manual CLIS C VERIS 6 0 Clinic Guide Upon opening the analysis file a series of colored tabs will appear to the right of the Patient Subject tab in the VERIS window Each tab contains one or more plots These plots may reflect the same test or different tests If there are no previous records from this patient all plots will be empty If test data from the patient exist the plots for the2. VERIS 6 0 7 and later identifies the device being calibrated through the recording settings associated with the test selected by the user Earlier versions of VERIS 6 0 require the user to select the device to be calibrated from the Calibration drop down menu Preparing for Calibration E M L J O 4 Wed 4 46PM Q Detect Displays 1 Turn on the stimulator that you want to calibrate 10 9n Mors For pattern stimulators like CRT FMS or EMS 640x480 Millions devices run Detect Displays from the OS X 1280x960 Milions Displays menu Verify that the correct display nen setting is chosen e g 1280 x 1024 75 Hz for 1280 x 1024 60 Hz Millions FMS EMS stimulators and the display is 3380x1024 82H Milions operating normally Number of Recent Items p Displays Preferences 1 Open VERIS 6 0 7 or later ES at 1 Select VERIS Preferences from the VERIS drop down menu at the upper left and enter your password to view the VERIS Preferences window 1 Verify that the Spot Calibrator checkbox is checked if you are using a Spot Calibrator or that it is unchecked 1f you are using the older Auto Calibrator Then close the preference window If you changed the setting you should now close and restart the VERIS application 1 From the Select drop down menu click on Replace Test Analysis and choose a Test Analysis file that uses the stimulator you want to calibrate 1 Click on select any plot that uses the devic
3. 1 Ifyou know the patient s ID simply enter it into the ID field of the Subject Page and press the tab or return key on your keyboard ene 1 If you do not know the patient s ID but do know the patient s 7 first or last name begin typing it in the appropriate Name field of the Subject Page A Choices drop down menu will Subject appear containing all records that match what you have typed 7 000123456 Alfred Zirius Just click on the correct entry in that list to open the patient s 001234567 Wiliam Zimpt 012345678 David Zipperhead folder ror reves 1 You also can simply find the folder in the File Viewer panel at the right Just double click on the folder icon to open the folder and load the subject information This works best if you have only a small number of patient folders in the File Viewer 1 Loading data files for analysis Open the patient s data folder using any of the methods above You can widen the File Viewer panel so that the entire file names are visible by click dragging it s inner boundary to the left To view the most recently recorded data from the patient whose folder is open 1 Click on Select gt Select Test Analysis on the VERIS menu bar to open a Finder window 1 Click on the Recently used files bar 1 Select an analysis settings file appropriate for the test data you want to view and click OK The analysis file will open and the most recently recorded data for
4. button eee his i eae 1 Enter age ranges taking care to ensure that you select ranges som te years which each contain a sufficient number of subjects from whom n Ti to calculate meaningful averages and standard deviation values from to years Selected age ranges must not overlap or an error message will gem 4 m result rom z Years from to years 1 Close the Edit Ages box by clicking on the OK button 1 Your data files will be re sorted and new calculations will be made according to the age ranges you have selected Py EEE 1 When the calculations are complete you may close the Ganco 0k Combinations File editing window and the file will be saved from to years 1 Comparing Recorded Data to Normals EDI provides analysis settings files that compare most recordings to a Normals file that the user selects With VERIS Science or Pro you can customize these files or create new ones to your own specifications 1 Open a recording file 1 Open an Analysis Settings file appropriate for that recording that refers to normals in its file name e g mfERG 103h 7m 200cd with normals m21 1 From the VERIS menu bar choose Select gt Select Normals File 1 Choose the Normals file you want to compare to from the list of files in the Normals folder of your VERIS application directory Then select any tab VERIS will automatically apply any artifact rejection spatial averaging and
5. have been recorded The Record Next Segment button now becomes Accept Recording After the recording has been accepted the data automatically appear in the plot and all other plots that correspond to this test If previously recorded data for the test had been represented in the plot they are now replaced by the results from the new test For tabs containing plots with one or multiple retests you may enable the recording of the test by clicking on any one of the plots Analysis Settings MFERG 103 9min default md First Order Traces Right Eye When the new record is accepted its most recent Most Recent data appear in the plot for the most r Cnelabnaceboncsn Fiela vi recent record and all previous records are again shown in time sequential order Kernel Slice 10 A Test Number uniquely identifies Seo em the recording settings for each of the available stimulators When a plot im E Vert 50 000 pixels g Manual CLIS C VERIS 6 0 Clinic Guide is selected and you click on the Show Info button next to the Record button the plotting parameters and the Test Number for the record in the plot appear in the left boarder of the window Double clicking on the code brings up the settings of all the corresponding recording parameters Manual CLIS C VERIS 6 0 Clinic Guide 10 Analyzing Patient Data 1 Locating patient data folders Locate a patient folder any of the following ways
6. or opening a previously tested patient s folder 1 Specifying a test 1 Recording and saving the data Identifying the patient Creating a data folder for a new patient After entering the patient s ID number you will be prompted to Fill in required fields All fields with asterisks must be filled in Then you will be prompted to Create new folder for this patient s data Click on Create new folder and the new folder will be opened with an empty field displayed in the File Viewer panel to the right Opening the data folder for a previously tested patient AOO If you know the patient s ID number enter it into the ID rr PRE field and press the keyboard return key The patient s subject information will appear and the File Viewer panel to the right will list the data files recorded from that suect A D patient A s ee 000123456 Alfred Zirius If you do not know the patient s ID number you can enter a 000123456 Alfred Zirius portion or all of the patient s first or last name in the 7 001234567 William Zimple appropriate field and VERIS will identify matching records in a drop down menu Click on the drop down menu to select and open the appropriate patient s folder Specifying a test There is a set of Test Analysis Files provided for every EDI stimulator Each Test Analysis file consisting of plots with associated analysis parameters for one or more electrophysiological tests
7. Defining Subject Preference You can select what the subjects of your recordings will be called i e Patient as in a clinic environment or Subject as more appropriate in a research laboratory e To define your preferred terminology for subject type in the text you wish to substitute under Terminology defaults at the bottom of the Preferences window File Locking and Authorization for Data Security You can lock your data files so they can be viewed within the VERIS application but cannot be changed in any way without supplying the Administrator password You can also require password authorization in order to modify the program preferences e To Keep files locked or Require Authorization check the appropriate box at the bottom of the Preferences window Specifying Calibrator Type e Place a check in the Using Spot Calibrator checkbox if using the new spot calibrator Leave the checkbox empty only if using the older auto calibrator Specifying Power Line Frequency e Select either 60 or 50 Hz from the Power Filter cycles drop down menu to identify the line frequency of AC power at your location This automatically sets the digital notch filter frequency in the Edit Filters window for all data analyses Manual CLIS C VERIS 6 0 Clinic Guide 2 Basic Operation of VERIS 6 0 9 The fundamental steps for performing any test are as follows 1 2 3 1 Identifying the patient by creating the patient s folder
8. Inverting Polarity of Recorded Data 1 Highlight the data file to be corrected by clicking on its icon or file name in the VERIS File Viewer panel at the right Red Scree fundus jpg JE metO3Zh7m21 m 19 2006 Right J met03h7m21 m 19 2006 Left Veris File Edit Select Parameters Calibration E Tests Window ey AOO Convert old Data Folder Change polarity of Data File s Subject es Traces Topographic RRE Show Recording Settings i Topography K1 Attach Analysis Settings ne Show info C Hide Overlay 1 1 Select the data file you wish to change and click OK Polarity of the selected file will be inverted Manual CLIS C VERIS 6 0 Clinic Guide 16 3 Specifying and Using Baseline Files Overview Sometimes it is useful to compare the results of all subsequent tests from an individual subject to the same single baseline recording In VERIS 6 0 8 and later you may select any file from the File Viewer at the right of an analysis window and designate it a baseline file All other records of the same type and eye can easily be compared to the baseline recording In addition to its normally assigned sequence number a baseline file always has a sequence number of 0 zero Specifying a Baseline File 1 Open the folder of a patient previously tested 1 Select the file you wish to designate as a baseline file in the File Viewer at the right by clicking o
9. have been multiple replications of the same test for a single patient the data files are assigned sequence numbers according to their recording dates starting with 1 for the most recent date of recording 2 for the next most recent date etc If only one eye is tested on a particular date only that eye s data file receives that date s sequence number When two or more files are recorded applying the same test to the same eye on the same date only the last file recorded that day from each eye is assigned that date s sequence number In tabs containing plots for multiple replications of the same test the data are automatically presented in according to the sequence numbers assigned to the plots Plots for tests or eyes not previously recorded on a particular testing date are empty and labeled with the test number for the type of test data that fits into the plot Manual CLIS C VERIS 6 0 Clinic Guide 12 1 Averaging data replicated on the same day If you repeat a test of the same eye on the same day a new data file containing the average of two or more of the individual recordings can be created Select a plot appropriate for the files to be averaged Then simply select the files to be combined by clicking on them in the VERIS File Viewer while depressing the lt command apple gt key of the keyboard Finally drag the selected files together into the file name displayed in the selected plot A new data file will be created with the w
10. Folder R e Average Edit Ages Remove Caloulated 0 A ged raw dat Saved Calculated Data es 3 pE rrveregermrremeemerereegmgeeeeemereeeeereeegaereeeemeeeesegereeemeeeeeges gt BSabBRBRBRBRBERBRBRhBRDRRaBRBRaSRRaLAagRRLRRBRERRaLRLARAaBRBRLDbRSEaRERSR ERE SE 2 vwevvwevwevwvvwwte Bw wv www v wwev vw we wowvwvwvwevevwe ew vi we wevwvwvwwe owes wow Os rs e Select one or more normal data folders from the File Viewer and drag them into the Folders panel at the upper left Wait while the data files from those folders are sorted and averages are calculated You may then continue to add more normal data folders until all have been entered into the Folders area Now you may either close the window or if you have a sufficient number of normal data files you can select appropriate age ranges for additional sorting by age Manual CLIS C VERIS 6 0 Clinic Guide 18 1 Sorting Normals by Age Often it 1s appropriate to compare clinical data to recordings obtained Edit Ages from normal subjects of similar age VERIS 6 will do this automatically if you select appropriate age ranges in your Normals _ Age Ranges combination file oer an wa am oe 1 From the VERIS menu bar select File gt Open Select Show gong te years only Combination Files then navigate to the Normals folder z E in your VERIS application directory and open the file you wish from to years to change from to years 1 Click on the Edit Ages
11. VERIS 6 0 Clinic Guide 4 The Application Preferences window will open WARNING Choosing your preferences must be done with great care Subject Titles in particular gt will be used for finding and sorting files by subject fields If you change Titles we Strongly encourage consistency By default the program creates a title v tsstname for each recorded data file using the entire field Last Name and first letter of the field First Name EDI suggest that for the present you proceed with the default settings but choose your own preferences in the very near future after you have acquired some experience with the software Data file folder default Current path Subject Titles y indicates required field Terminology defaults Subject text e g Sub jec Patient subject Miscellaneous i Keep files locked Show Help User Preferences a ge Reset to Documents Veris Data Macintosh HD Users mikefendickodphd Documents Veris YY Select new location Veris Custom Middle Name Date of birth Street No amp Name Telephone Number Note SSN Diagnosis Patient Group Experiment Stimulus Monitor Reference Doctor Hospital Add Title Powerline Filter cycles 60 B i Require Authorization m Using Spot Calibrator mr Cancel OK Adding Removing and Creating Patient Information Fields Under Subject Titles are three
12. VERIS Clinic 609 EDI Electro Diagnostic imaging ine EDI veris edi com l http www veris edi com Visual Evoked Response Imaging System Short User Manual Electro Diagnostic Imaging Inc 200F Twin Dolphin Drive Redwood City CA 94065 1402 Manual CLIS C VERIS 6 0 Clinic Guide Table of Contents Chapter 1 Getting Started with VERIS 6 0 9 3 Setting your VERIS Preferences 3 Chapter 2 Basic Operation of VERIS 6 0 9 6 Identifying the Patient Subject 6 Specifying a Test 6 Recording and Saving the Data 7 Analyzing Patient Data 10 Locating Patient Data Folders 10 Loading Data Files for Analysis 10 Viewing the Displayed Data 1 Averaging Test Data Replicated on the Same Day 12 Adding Concatenating Test Analysis Protocols 12 Modifying Analysis Settings 12 Adjusting Vertical Scaling 12 Changing a Plot s Digital Filter Settings 13 Correction of Operator Errors 13 Editing Patient Information or eye tested 13 Inverting Polarity of Recorded Data 15 Chapter 3 Specifying and Using Baseline Files 16 Chapter 4 Creating and Using Normals Files 17 Creating a New Normals File 17 Sorting Normals by Age 18 Comparing Recorded Data to Normals 18 Appendix 1 Calibration Instructions for VERIS 6 0 7 and Later 19 Manual CLIS C VERIS 6 0 Clinic Guide 1 Getting Started With VERIS 6 0 Welcome to VERIS 6 0 9 This newly enhanced version simplifies program use for the technician while maintaining the versatility an
13. columns containing titles for subject information The left column contains the titles that you want VERIS to use in your application The center column contains additional VERIS titles you can add to your application The right column contains your own Custom titles e To add titles to the VERIS application select them from the center or right column and drag them into the left hand column e Toremove titles simply drag them back to their column of origin To create a Custom title click the Add Title button enter a name and select the data type to be associated with this custom title Manual CLIS C Custom Title Settings Enter Custom Title Select data type to be M Characters associated with custom Numbers title n Dates Only er RD VERIS 6 0 Clinic Guide Specifying Required Information Fields Titles in the left column having a check mark are required information that must be filled for a new patient prior to continuing e To define required titles place a check mark by clicking to the left of any titles you may have placed in the left column Assigning the Default Data Folder Location By default all data are saved in the Veris Data folder located within the Users Documents folder Data can be stored on any storage device or remote server e To assign a different location for your Data folder click the Select new location button located at the top of the Preferences window
14. d flexibility of previous versions With this new version all electrophysiological tests have been integrated with improved data handling and control All patient or subject data is automatically placed in that patient s folder with privacy protection features Comparison of multiple re tests is now easily accomplished Recording and analysis protocols provided by EDI now have revision controls All VERIS systems include pre programmed Recording and Analysis protocols In VERIS Science you can also design your own Recording and Analysis protocols The first step in working with VERIS 6 is to customize your application preferences defining the default storage location for your VERIS data the information to be entered and saved for each new patient the type of calibrator used with your system and other environmental and security parameters Customizing Your VERIS Application Preferences 1 Click on the VERIS icon located in the dock at the bottom of your screen to start the program Veris Science 2 From the VERIS pull down menu select Preferences CTS File Edit Select Parameters Calibration About Veris Science Preferences Services Hide Veris Hide Others Quit Veris 3 VERIS will ask you for the administrator Password Enter the Password Authenticate Veris requires that you type your password Name VERIS Client Password gt Details Manual CLIS C
15. e you want to calibrate Manual CLIS C VERIS 6 0 Clinic Guide Veris File Edit Select Parameters Calibration Utilities Window 800 0 Auto Calibration Measuring the Calibrator Dark Current 1 Select Calibration from the VERIS menu bar and Calibrator Calibration from the sub menu First Order T Right Eye 2 Block the opening to the Spot Calibrator so no light reaches the detector then click the Read button to measure the detector s dark current The button label will change to Stop When the reading stabilizes press the Stop button to stop reading Then click the OK button to tener cae save the reading The reading should be between 300 and 400 for spot cate we ti calibrators If it is outside this range contact EDI Support E 363 3 Click on OK at the bottom left of the window to save the dark current calibration Most Recent Id Yi Tme 1 03h md 7SERightC 151 Calibrating Your Stimulators e Mount the calibrator on your stimulator as follows a Rotate the Ganzfeld so that it is face up Center the calibration card on the opening of the Ganzfeld and insert the Spot Calibrator into the hole in the center of the calibration card b Securely mount the Spot Calibrator with ECCA hood attached to the front of your FMS EMS or Refractor Eye Camera lens as shown If you are using a 21 inch CRT display without a Refractor Eye Camera suspend the calibrator center
16. ed front of the display with its lens 40 cm from the CRT using the provided Suspension rod c If you are calibrating a VERIS 2000 Ganzfeld the calibrator is internal No Spot Calibrator or Auto Calibrator is needed meters Calibration Utilities Window e From the Calibration drop down menu select Auto Calibration AC VERIS will automatically provide the correct calibration procedure __ Calibrator Calibration fis setingar for the device used for the selected plot in the Test Analysis ELE window Turn off the room lights then click on the Start button in the calibration window e Wait for the calibration to complete All of the calibration curves should be continuous looking much like the examples shown Cat Caltrain e Click the OK button at the lower right of the calibration window to save the results Then restart VERIS to use the saved calibrations CRT AutoCalibration CRT AutoCalibration install and connect calibrator Install and connect calibrator Press Start Press Start ee ee s eae ae E E E C Start Cancel GSu Ca Start Manual CLIS C VERIS 6 0 Clinic Guide
17. ement it Overlay 2 Source 1 Overlay 2 Source 2 3 Filter all overlays the same Note that you must first check the Zier temo filters you wish to add in order to Kemel Sice and Epoch modify their individual control values These are the same filters available in VERIS 5 They are described in detail in your VERIS 5 Reference Guide Since in VERIS 6 digital filtering is applied per plot it is possible to present the same data set filtered in different ways in separate plots in the same window or tab Correcting Operator Errors 1 Correcting Errors in Patient Information or Eye Tested 1 Select a plot containing the data for a file to be edited 1 Double click on the blue colored file name at the top of the plot If you checked Require Authorization in your VERIS Preferences a dialog box will appear with the message Do you want to edit the file This will require authorization Edit Data Filters __ Spatial Averaging 0 LOOO First order Resp If you answer Yes and then supply the Administrator Password you will access a window for editing the patient information and the recording parameters stored in the record Manual CLIS C VERIS 6 0 Clinic Guide 14 A Data File Editing Window we g 5 k iHa Er Tampos Subject i meim Par ag Pi k part iaca ET Terr ein rat PR Tri Tere ote Bee 19 SOD 15 Pr hun Reco
18. filtering specified for the plots in that tab and will display the recorded data with comparison to the chosen normal data 1 IMPORTANT Plots that compare subject data to averages of normal data in units of standard deviation from the mean are re calculated whenever there is a change to filter settings or other parameters such as artifact rejection or spatial filtering If you save the new parameter settings for future use you also should select the standard deviation plot and save the new calculations in the current Normals combination file by selecting from the VERIS menu bar File gt Save STD data By doing this you can avoid having to re calculate the means and standard deviations of the normal data every time you view a new recording Manual CLIS C VERIS 6 0 Clinic Guide 19 Appendix 1 Calibration Instructions for VERIS version 6 0 7 and Later Spot Calibrator in Eye Camera Calibrator General Setup and Overview The Spot Calibrator and Eye Camera Calibrator Adapter ECCA are used together with the version 6 VERIS software for calibration of all EDI CRT or FMS stimulators To calibrate the Ganzfeld 2 full field stimulator the Spot calibrator is removed from the Eye Camera Calibrator Adaptor by loosening the set screw on the side of the Eye Camera Calibrator Adapter The other end of the Spot Calibrator cable plugs into the middle DB25 connector labeled Auto Calibrator on the switchbox at the back of the computer
19. g a data file with an appropriate analysis settings file a number of tabbed pages are added to the Subject tab each of the new tabs displaying one or more plots Each plot in every tab is prepared for a specific test that is identified by the plot s test number Plots for the same or different tests can be displayed on the same page When a plot is empty it is labeled with the test number sequence number and channel number in the case of multi channel recording for the data that fit into the plot QOO k mdm Analysis Settings mIERG 103 hex 7 minm21 Red Screen amp l8 F sel 3 y EE TE H fEl TE tf Most Recent Right Eye Left Eye Sagegeae Previous Field View All of the patient s data files are listed in the File Viewer on the right side of the window and are color coded e All data files whose data is plotted in the current tab are shown in bold green e Additional data that would fit into a selected plot are shown in bold black e Data files that are not plotted in the current tab are listed in grey You may drag any one of the bold black colored data file names into the blue file name displayed in a Selected plot Two processes happen automatically e The data of the plot into which the file is dropped are replaced by the data of the new file e The files in all the plots of that tab for the corresponding test are rearranged in time sequential order When there
20. mplifier For complete control over the recording analysis and display of electrophysiological data contact EDI to upgrade to VERIS Science or VERIS Pro 1 Adjusting Vertical Scaling of a Plot 1 Select a plot 1 Click on the Vertical Scaling button at the upper left 1 A dialog window will open the allows you to change the vertical scaling value 1 Enter a new vertical scaling value and click OK 000 Vertical Scaling Analysis Traces Topographic Topography K1 Topography K1 P1 La 50 pixels pV Vertical Scaling Show info Fe h Fir Right Eye 2 3 Cancel OK Most Recent Field View me103h m21 mdm 9 19 2006 Right Viw fiv Yim f y y ee a Yim Vim We vr M y v Je E aT vw A a A A Manual CLIS C VERIS 6 0 Clinic Guide 13 1 Changing a Plot s Digital Filter Settings During Data Processing 1 Select a plot 1 The data in each plot can be filtered separately and in different ways Additionally each overlay source can be uniquely filtered a Select the button labeled Edit Filters to open Choose Source e which plot overlay source you want to filter Overlay 1 Source 1 the parameter settings for that plot Peas a Select the Overlay Source s you want to filter and click OK Usually one wants to Filter all overlays the same but VERIS also allows independent digital filtering of overlays a Edit the filtering as needed and click OK to impl
21. n its file name 1 From the VERIS menu bar select Select gt Select File as Baseline 1 A B will be appended to the file name to designate its status as a baseline file and it will be assigned a sequence number of zero in addition to its normally assigned sequence number Removing a Baseline Designation from a Data File Select a file that is already designated as a Baseline file and perform the baseline file specification procedure above You will receive a prompt stating that the file already is a Baseline file and asking whether or not you want to remove that designation If you select Yes the B will be removed from the file name and the file will no longer be a Baseline file Changing the Baseline File If you select a file to designate as a Baseline file but there already is a baseline file specified for that test type and eye you will receive a prompt listing the current Baseline file and the new one that you have just specified and will be asked if you want to change the Baseline designation to the new file If you select Yes the B will be moved from the previous Baseline file to the newly specified one Comparing Baseline Files to Other Data Files For however long a file is designated as a Baseline file it is assigned a sequence number of 0 in addition to its normally assigned sequence number To specify the baseline file as a plot source you need only select O for the plot number Thus display a baseline file in a
22. ny plot either by itself or as an overlay in the same plot as another data file of the same type from the same eye You also can perform simple arithmetic operations between the Baseline file and any other plot source Manual CLIS C VERIS 6 0 Clinic Guide 17 4 Creating and Using Normals Files A VERIS normals file is a combination file comprised of averaged data recorded from any number of normal subjects The result can be plotted together with results from a single subject or one can plot the differences of the subjects data and the normal data in units of standard deviations from the normal means The data also can be arranged automatically into pre defined age groups If this option is employed then newly recorded data will be compared automatically to the correct age group of normal subjects It is most convenient but not essential to group your normal subjects folders within a separate folder in your default VERIS data folder using the OS X Finder 1 Creating a New Normals File 1 1 1 1 From the VERIS menu bar select File gt New Combination Enter the system password if prompted Enter a file name for your new normals file and save it in the Normals folder in your VERIS application directory A combination file window will open with a file viewer pane at the right and four different panels to the left AOO h New Normals File nd Se Rea Screen S ot laaj ED N re m gt 0 Add Folder R F Open
23. ord Average in it and the plot will be updated to display the averaged data Note that all files to be averaged this way must be for the same eye and test number and have the same recording date 1 Adding concatenating analysis protocols A window with all its tabs and plots constitutes a test analysis protocol In this protocol you may assemble all the tests and corresponding plots normally performed and save the file with the new test sequence for future use with VERIS Science or Pro If you are viewing one test analysis protocol and feel that another one should be added use the Add Test Analysis command from the Select drop down menu The tabs of the added test analysis protocol are then automatically appended to the string of tabs in the window To save this combined view as a new test analysis protocol use the Save As Save Test Analysis As command from the File drop down menu Similarly you can replace one protocol with another using the Replace Test Analysis command or delete a protocol s tabs with the Remove Test Analysis command Modifying Analysis Settings VERIS Clinic allows a restricted set of modifications to analysis settings that are necessary for clinical use These include changes to vertical scaling of data plots artifact rejection spatial averaging and digital filtering of recorded data and the correction of certain recording errors such as waveform inversion due to the incorrect electrode connections to the a
24. rd Few wrid Pthaht Ey Right eye oe Petree tha p Fal Shine Carel 8 winga Ay S0 30 Cee Auta oromet ry Shiner ire Heep 105 Banrigh Par eae IIt TES peel Tire dierent LI ra eft Son bhai ETT mais Colors T5 A Edit Data File m lOsh fm 1 rmdm 9 19 2006 Rigiht hes Aig E f an eee 1 dare Fihn car Jie 15 3 fate dete ET de P Canca E OK 1 To correct patient information that was incorrectly entered just edit the items as needed in this window and click OK Before saving the file you also should correct any errors in the file name Ifyou save the data with a new file name do not forget to delete the incorrect file 1 To correct the eye tested e g if the right eye was selected for recording but you accidentally recorded from the left eye instead click on the icon labeled Misc at the upper left A window like the one pictured below will open Select the correct eye from the drop down eye menu then click OK at the lower right corner of this window and again in the Edit Data File window When prompted to save the file correct the eye designation in the file name before saving it Then remember to delete the incorrect file from the VERIS file viewer by dragging it to the trash Test me103h7m21 Eye Tested RightiEye Refraction 0 Pupil Size mm 8 Visual Acuity 20 20 Comment None Subject Misc w oK 4 Cancel Manual CLIS C VERIS 6 0 Clinic Guide 15 1
25. se tests are automatically filled showing you the most recent data 4 Click on any tab that contains plots for the test you want to run In some cases e g full field ERG protocols each tab in a file represents a different test while in others e g multifocal ERG protocols each tab provides a 90 S different representation of data from the NNN E same test ee 5 For some tests there are separate plots Come el for each i e right or left eye If this is so click in the plot area of a plot for the eye and test you require A small red recording button will appear above under the tabs and the eye that was selected will Field View be shown Tme103h2md7S5ERightC1S1 Tme103h2m First Order Traces Binocular Recording Some tests e g full field ERGs can be recorded binocularly To record binocularly after selecting a plot for the specific test you want to run click on the recording button while holding down the keyboard lt option gt key You will be instructed to connect the electrodes for the right eye to Channel and from the left eye to Channel 2 Then proceed normally to the recording window 3 Recording and saving the data 1 Click the red button and wait A window will appear that allows you to enter optional additional information and comments for the eye s being recorded Click Yes to continue 2 If VERIS detects that a remote controlled amplifier is connected the amplification and filter set
26. that test will be displayed automatically To view any data file 1 Click on the data file s icon while holding down the keyboard lt control gt key A context menu will appear with two choices Either 1 Open the File replacing any analysis tabs already open in your window or Add the File appending the new file s analysis tabs to any that already are available in your window When you choose either of these options a list of all analysis files on your computer that are appropriate to the chosen data file will be listed The most recently used preferred analysis settings for the chosen data file will be marked with a dark diamond symbol Just click on the analysis file you want to use to load it with the selected data file or 1 Double click on the desired file s icon to open the file with its preferred analysis settings if a preferred analysis file is assigned WARNING When you open a file by double clicking on its icon in the File Viewer the sequence number of the plots displaying its data changes to that of the file being viewed If you save the analysis file these plots will be saved with the changed sequence numbers Important Note Double clicking on a folder or data file icon while holding the keyboard lt option gt key down will open it in a new window with the same analysis file that is currently open Manual CLIS C VERIS 6 0 Clinic Guide 11 1 Viewing the displayed data After openin
27. tings are automatically loaded from the recording settings file when entering recording If a remote controlled amplifier is not found VERIS reminds you when entering recording to manually check that the amplifier settings are correct A small spinning colored wheel will appear while the recording environment is established and a data file is created then the recording window will appear Above figure shows recording window for full field ERG Subject shown undilated without electrodes Manual CLIS C VERIS 6 0 Clinic Guide 3 Prepare and position the patient for recording 4 5 1 8 9 Clicking anywhere within the video image window or on the Calibrate Camera button opens a window with brightness contrast and other settings for the eye camera and FMS only fundus camera The Edit Amplifier button provides access to the current amplifier settings and electrode impedance measurement 6 For full field flash tests the Auto Repeat function can be turned on or off by adding or removing a checkmark in the Auto Repeat checkbox a Click the Flash button to present a single flash or to initiate the pre defined auto repeat sequence of flash stimuli For multifocal ERG or most other tests click on the Record Next Segment button to begin recording A Segment Progress bar below the buttons shows the progress in the recording of the segment Repeat step 3 until all segments
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