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Natus Photic Stimulator User & Service Manual

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Page 1: User & Service Manual...User & Service Manual Natus Photic Stimulator 4 1. Intended Use The photic stimulator is used by trained medical staff in a medical environment to apply photic

Natus Photic Stimulator

User & Service Manual

Page 2: User & Service Manual...User & Service Manual Natus Photic Stimulator 4 1. Intended Use The photic stimulator is used by trained medical staff in a medical environment to apply photic
Page 3: User & Service Manual...User & Service Manual Natus Photic Stimulator 4 1. Intended Use The photic stimulator is used by trained medical staff in a medical environment to apply photic

Natus Photic Stimulator User & Service Manual

1

Publisher’s Notice

105706X Rev P

Natus Photic Stimulator User & Service Manual

Natus Medical Incorporated

DBA Excel-Tech Ltd. (XLTEK)

2568 Bristol Circle

Oakville, Ontario, L6H 5S1 Canada

Tel: 905-829-5300 or Fax: 905-829-5304

Toll Free (US & Canada): 800-303-0306

Technical Support Email: [email protected]

Website: natus.com

EUROPEAN AUTHORIZED REPRESENTATIVE / IMPORTER:

Natus Manufacturing Limited

IDA Business Park

Gort, Co. Galway, Ireland

Tel: +353 (0)91 647400

Fax: +353 (0)91 630050

Copyright © 2020 by Natus Medical Incorporated.

Issued in July 2020.

All rights reserved. This manual contains proprietary information, which is protected by copyright and may not be copied in whole or in part except with the prior written permission of Natus Medical Incorporated. The copyright and the foregoing restrictions on the copyright use extend to all media in which this information is preserved.

This copy of the User Manual shall be used only in accordance with the conditions of sale of Natus Medical Incorporated or its distributors. Natus Medical Incorporated makes no representations or warranties of any kind whatsoever with respect to this document. Natus Medical Incorporated disclaims all liabilities for loss or damage arising out of the possession, sale, or use of this document.

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Table of Contents 1. Intended Use .......................................................................................................................................... 4

1.1. System Components ..................................................................................................................... 4

1.2. Device Description ........................................................................................................................ 4

1.3. Intended Users and Target Patient Group .................................................................................... 5

1.4. Clinical Benefits ............................................................................................................................. 5

1.5. Using the Manual .......................................................................................................................... 5

1.5.1. Manual Conventions ............................................................................................................. 5

2. Description of Symbols .......................................................................................................................... 6

3. Warnings and Cautions........................................................................................................................ 11

Other warnings and cautions: .................................................................................................................. 11

4. ESD Procedures and Warnings ........................................................................................................... 14

4.1. Electrostatic Discharge (ESD) Handling ..................................................................................... 14

5. Specifications ....................................................................................................................................... 15

5.1. Environmental Conditions ........................................................................................................... 16

6. Unpacking ............................................................................................................................................ 17

7. Product Images .................................................................................................................................... 18

Photic Stimulator and Roll Stand ............................................................................................................. 18

Photic Arm ............................................................................................................................................... 18

Intensity Control, Test and Trigger In ...................................................................................................... 19

Cable Option List ..................................................................................................................................... 19

8. Installation and Operation .................................................................................................................... 20

9. Recommended User Performed Maintenance .................................................................................... 21

9.1. Cleaning the Device .................................................................................................................... 21

9.2. Recommendations ...................................................................................................................... 21

9.3. Disposal Instructions ................................................................................................................... 22

10. Safety & Standards Conformity ....................................................................................................... 23

10.1. Essential Performance ................................................................................................................ 23

10.2. Safety Standards ......................................................................................................................... 23

10.3. EMC Standards ........................................................................................................................... 23

10.4. Declaration of Compliance for IEC 60601-1-2:2014 (Ed. 4.0) .................................................... 24

Table 1 - Electromagnetic Emissions .................................................................................................. 24

Table 4 - Immunity Test Levels - Enclosure Port ................................................................................. 25

Table 5 – Immunity Test Levels – Input A.C. Power Port .................................................................... 25

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Table 8 – Immunity Test Levels - Signal Input / Output Parts Port ..................................................... 26

Table 9 - Test specifications for ENCLOSURE PORT IMMUNITY to RF wireless communications

equipment ............................................................................................................................................ 27

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1. Intended Use The photic stimulator is used by trained medical staff in a medical environment to apply photic flashes to

the patient during neurophysiology studies such as EEG, where it is used as an activation to test photo-

sensibility related to epilepsy. Trigger pulses applied to the input of the photic stimulator generate photic

flashes at specific frequencies, typically in the range of 0.5Hz to 60Hz. The photic stimulator is intended

for use on mobile or fixed systems, and with patients of all ages. The Photic Stimulator can also be used

along with Evoked Potential devices for stimulating Visual Evoked Potentials.

1.1. System Components

The components of the photic assembly itself consist of an arm-mounted light assembly, a light source,

an intensity control, a test button, and a Trigger-in receptacle for a cable from a headbox. The arm-mount

has three adjustment knobs along its length to give the unit flexibility and versatility.

1.2. Device Description

Connected to Natus Neurology hardware and driven by the Natus application software from laptop,

desktop, or All-In-One computers, the Natus Photic Stimulator supplies intense flashes of light. Its

components consist of an arm-mounted light assembly, a light source, an intensity control, a test button,

and a Trigger-in receptacle for a cable from a headbox. The arm-mount has three adjustment knobs

along its length to give the unit flexibility and versatility.

The device can be positioned on a floor stand or on a table clamp.

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1.3. Intended Users and Target Patient Group

The Photic Stimulator is used by trained medical staff such as EEG technicians for with patients of all

ages and in all regions.

1.4. Clinical Benefits

Photic stimulation is an activation technique used during EEG recording to elicit epileptiform abnormalities. It is considered to enhance the diagnostic sensitivity of the EEG while being safe for the patient and for the user.

1.5. Using the Manual

This manual describes the theory, features, set up, operation and maintenance of the Natus Photic

Stimulator. It also provides information on specifications, troubleshooting and getting help.

NOTE: Refer to the Natus website for an electronic copy of this document.

Please follow the instructions carefully.

1.5.1. Manual Conventions

Various symbols and typographical conventions are used throughout the manual. The following table

illustrates them and describes their meanings and functions.

Symbol /

Convention Description/Function

This symbol denotes a Warning which refers to a hazardous situation that could result in

death or serious injury if not avoided. Read all warnings and cautions carefully before

starting the system for the first time.

This symbol denotes a Caution which refers to a hazardous situation that could result in

minor or moderate injury or material damage if not avoided.

A note that contains important supplemental information.

Bold Names of control keys, function keys, options, and labels are shown in bold. Bold text is

also used to emphasize important names or ideas.

Italic Italic text is used for captions.

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2. Description of Symbols The following table lists and describes the symbols that may appear on various pieces of Natus

equipment.

Symbol Standard Reference Standard Title of

Symbol

Symbol Title as per Referenced

Standard Explanation

21 CFR Part 801.109(b)(1)

Labeling-Prescription devices.

Prescription only Indicates the product is authorized for sale by or on the order of a licensed healthcare practitioner.

-

- An indication of Medical device

This product is a medical device.

-

- Quantity Number of parts in a

package.

2012/19/EU Waste Electrical and Electronic Equipment (WEEE)

Disposal at end of operating life instructions

Indicates that electrical and electronic equipment waste should not be discarded together with unseparated waste but must be collected separately.

ISO 15223-1 Symbol 5.1.1

Medical devices — Symbols to be used with medical device labels, labelling and information to be supplied.

Manufacturer Indicates the medical device manufacturer.

ISO 15223-1 Symbol 5.1.2

Medical devices — Symbols to be used with medical device labels, labelling and information to be supplied.

Authorized representative in the European Community

Indicates the Authorized representative in the European Community.

ISO 15223-1 Symbol 5.1.3

Medical devices — Symbols to be used with medical device labels, labelling and information to be supplied.

Date of manufacture Indicates the date when the medical device was manufactured.

ISO 15223-1 Symbol 5.1.5

Medical devices — Symbols to be used with medical device labels, labelling and information to be supplied.

Batch or Lot code Indicates the manufacturer's batch code so that the batch or lot can be identified.

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Symbol Standard Reference Standard Title of

Symbol

Symbol Title as per Referenced

Standard Explanation

ISO 15223-1 Symbol 5.4.3

Medical devices — Symbols to be used with medical device labels, labelling and information to be supplied.

Consult instructions for use

Indicates the need for the user to consult the instructions for use.

ISO 60601-1 Table D.1 #11

Medical electrical equipment — Part 1: General requirements for basic safety and essential performance.

Operating instructions

ISO 60601-1 Table D.2 #10

Medical electrical equipment — Part 1: General requirements for basic safety and essential performance.

Follow instructions for use

Refer to instruction manual/ Booklet. NOTE on ME EQUIPMENT "Follow instructions for use”

ISO 15223-1 Symbol 5.4.4

Medical devices — Symbols to be used with medical device labels, labelling and information to be supplied.

Caution: Read all warnings and precautions in instructions for use

Indicates the need for the user to consult the instructions for use for important cautionary information such as warnings and precautions that cannot, for a variety of reasons, be presented on the medical device itself.

ISO 60601-1 Table D.1 #10

Medical electrical equipment — Part 1: General requirements for basic safety and essential performance.

ISO 60601-1

Table D.2 #2

Medical electrical equipment — Part 1: General requirements for basic safety and Essential performance.

General warning sign Indicates a hazard of potential personal injury to patient or operator.

ISO 15223-1

Symbol 5.2.8 Medical devices — Symbols to be used with medical device labels, labelling and information to be supplied.

Do not use if package is damaged

Indicates a medical device that should not be used if the package has been damaged or opened.

ISO-15223-1, Symbol 5.3.4

Medical devices — Symbols to be used with medical device labels, labelling and information to be supplied.

Keep dry Indicates a medical device that needs to be protected from moisture.

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Symbol Standard Reference Standard Title of

Symbol

Symbol Title as per Referenced

Standard Explanation

ISO 15223-1 Symbol 5.3.7

Medical devices — Symbols to be used with medical device labels, labelling and information to be supplied.

Temperature limit Indicates the (storage) temperature limits to which the medical device can be safely exposed.

ISO 15223-1 Symbol 5.3.8

Medical devices — Symbols to be used with medical device labels, labelling and information to be supplied.

Humidity limitation Indicates the range of (storage) humidity to which the medical device can be safely exposed.

IEC-60601-1, Table D.1 #9

Medical electrical equipment — Part 1: General requirements for basic safety and Essential performance.

Class II equipment To identify equipment meeting the safety requirements specified for Class II equipment.

IEC-60601-1, Table D.1 #1

Medical electrical equipment — Part 1: General requirements for basic safety and Essential performance.

Alternating current To indicate on the rating plate that the equipment is suitable for alternating current only; to identify relevant terminals.

IEC-60601-1, Table D.1 #4

Medical electrical equipment — Part 1: General requirements for basic safety and Essential performance.

Direct current To indicate on the rating plate that the equipment is suitable for direct current only; to identify relevant terminals.

IEC-60601-1, Table D.1 #12

Medical electrical equipment — Part 1: General requirements for basic safety and Essential performance.

“ON” (power) To indicate connection to the mains, at least for mains switches or their positions, and all those cases where safety is involved.

IEC-60601-1, Table D.1 #13

Medical electrical equipment — Part 1: General requirements for basic safety and Essential performance.

“OFF” (power) To indicate disconnection from the mains, at least for mains switches or their positions, and all those cases where safety is involved.

ISO-60601-1, Table D.1 #19

Medical electrical equipment — Part 1: General requirements for basic safety and Essential performance.

Type B Applied Part To identify a type B applied part complying with IEC 60601-1.

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Symbol Standard Reference Standard Title of

Symbol

Symbol Title as per Referenced

Standard Explanation

ISO-60601-1, Table D.1 #20

Medical electrical equipment — Part 1: General requirements for basic safety and Essential performance.

Type BF Applied Part To identify a type BF applied part complying with IEC 60601-1.

ISO-60601-1, Table D.1 #24

Medical electrical equipment — Part 1: General requirements for basic safety and Essential performance.

Dangerous voltage To indicate hazards arising from dangerous voltages.

ISO-7000 / IEC-60417

Symbol 5134

Graphical Symbols for use on equipment

Electrostatic sensitive devices

Indicates package containing electrostatic sensitive devices.

ISO-7000 / IEC-60417

Symbol 5140

Graphical Symbols for use on equipment

Non-ionizing electromagnetic radiation

Indicates generally elevated, potentially hazardous, levels of non-ionizing radiation.

ISO-7000/IEC-60417

Symbol 0621

Graphical Symbols for use on equipment

Fragile; handle with care

Indicates that the contents of the transport package are fragile, and the package shall be handled with care.

- - ETL Certifications Indicates that the product complies with Electrical Safety Standards.

ISO-7000/IEC-60417,

Symbol 5019

Graphical Symbols for use on equipment

Protective earth; protective ground

To identify any terminal which is intended for connection to an external conductor for protection against electric shock in case of a fault, or the terminal of a protective earth (ground) electrode.

IEC-60529 Degrees of protection provided by enclosures (IP Code)

Not protected from fluid ingress

Indicates that protection from fluid ingress is not provided.

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Symbol Standard Reference Standard Title of

Symbol

Symbol Title as per Referenced

Standard Explanation

IEC-60529 Degrees of protection provided by enclosures (IP Code)

Protected against dripping water

Indicates that the device is protected against the effects of vertically falling water.

- -

-

Keep the Photic Lamp 0.5 meters away from walls. The Photic Arm can rotate, which may potentially damage the Strobe Lamp.

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3. Warnings and Cautions

This equipment/system is intended for use by Healthcare professionals ONLY. Please

read this section before installing any of the hardware. Refer to this section when you

operate, transport, store, or re-install the system.

There are no known contraindications. The photic stimulator is used at the discretion of the medical

professional.

Natus Photic Stimulator shall NOT be used in the following conditions:

Check areas of use to avoid using the system in the presence of flammable gases.

Natus systems are not AP or APG rated. DO NOT USE a Natus system in the

presence of a flammable anesthetic mixture with air, oxygen, or nitrous oxide.

To ensure the validity of signals, do not operate the device near any sources of

electromagnetic interference.

Portable RF communications equipment (including peripherals such as antenna cables

and external antennas) should be used no closer than 30 cm (12 inches) to any part of

the Natus Photic Stimulator, including cables specified by the manufacturer. Otherwise,

degradation of the performance of this equipment could result.

Do NOT operate the system in case of damaged AC power cord or ungrounded metal

contacting damaged power cord.

Other warnings and cautions:

Natus strongly recommends that you do not open the Photic Device. It contains no

serviceable parts. If you must open the device, disconnect the power cord before you do

so.

Inspect the device prior to use. Do not use if damaged.

Make sure that any platform, table, cart, or other surface used during the operation,

transport, or temporary or permanent storage of the system and its components is

adequate, sturdy, and safe. NATUS is not responsible for any injury or damage that may

result from inadequate, poorly constructed, or unapproved transports, carts, or operating

surfaces.

Never use equipment that has parts missing or equipment that might contain loose parts

inside of it (that is, inside an enclosed portion of the equipment). If you suspect a piece

of equipment has missing or loose parts, contact Natus.

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Never place powered equipment (that is, equipment that operates with an electric power

source) on any flammable surface. Avoid this whether the equipment is active or not.

Reliable grounding requires hospital-grade receptacles and power cord. Do not use

power outlets without a protective ground.

Position the equipment so that the detachable mains cord is readily accessible for

disconnection.

Always perform a leakage current test and compare to allowable standards BEFORE

connecting the patient to monitoring equipment

Do not use portable multiple socket outlets that are not properly grounded.

When an isolation transformer is used, make sure that the Medical System is properly

grounded.

NEVER connect a portable multiple-socket outlet to the isolation transformer output

receptacles. Additional cord-connected equipment may increase leakage currents and

present a hazard

Electrostatic Discharge (ESD) Precaution: Be sure to take the

appropriate Electrostatic Discharge (ESD) precautions. Disconnect the

cables before moving, cabling, or performing any set up procedures.

Connectors marked with the ESD protection symbol should not be touched.

This equipment/system may cause radio interference or may disrupt the operation of

nearby equipment. It may be necessary to take mitigation measures, such as reorienting

or relocating the equipment or shielding the location.

Use of accessories, transducers or cables other than those specified or sold by the

manufacturer on the equipment could result in increased emissions or decreased

immunity of the equipment and may cause the system to be non-compliant with the

requirements of IEC 60601-1-2 (Ed. 4.0).

Verify the power supply and all portable multiple socket-outlets are off the floor and in a

dry location.

Natus recommends proper cable management and storage to ensure stability of the

device.

Do not use the equipment adjacent to or stacked with other equipment. If adjacent or

stacked use is necessary, observe the equipment to verify normal operation in the

configuration in which it will be used.

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Electrical Fast Transients (EFT) are defined as short bursts of energy that are

propagated through the power cord. The EFT source is usually located in nearby

equipment or machinery.

EFT precautions: In environments where parasitic electrical noise interferes with

intermittent photic stimulation (IPS) there is no risk of misinterpretation of EEG

waveforms. The visual stimulation is confirmed by the technologist performing the test.

In addition, the accompanying EEG (Electroencephalograph) amplifier’s signals will also

be contaminated past the point where any clinical signal interpretation is possible.

Trained electroencephalographic physicians and technologists are well equipped to

identify and disregard signals that are obscured by environmental noise.

Users should take into consideration the possibility for Intermittent Photic Stimulation to

trigger seizures with patients suffering from epilepsy.

NOTE: Natus designates no non-medical equipment for use with the Photic Stimulator

system. No supporting documentation for such devices is necessary.

NOTE: The Photic Stimulator needs special precautions regarding EMC and needs to

be installed and put into service according to the EMC information provided in this user

manual.

NOTE: Portable and mobile RF communications equipment can affect the functionality

of the Photic Stimulator.

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4. ESD Procedures and Warnings

4.1. Electrostatic Discharge (ESD) Handling

Before performing any setup or placement procedures, read the precautions outlined in this section.

WARNING: Be sure to take the appropriate Electrostatic Discharge (ESD) precautions.

Disconnect the cables before moving, cabling, or performing any set up procedures.

Some semiconductor (solid state) devices can be easily damaged by static electricity. Such

components are commonly called Electrostatically Sensitive Devices (ESD). Do not touch the

accessible conductive parts for the Connectors marked with the ESD symbol.

Follow these techniques to help reduce the incidence of component damage caused by static electricity:

• Immediately before handling any product components assemblies, drain the electrostatic charge from

your body by touching a known earth ground.

• Minimize body motions when handling unpackaged replacement ESDs. Motions such as brushing

clothes together or lifting your foot from a carpeted floor can generate enough static electricity to

damage the product components.

• Avoid carpets in cool, dry areas. If provided, leave the product components in their anti-static

packaging until ready to be installed.

• Take care when connecting or disconnecting cables. When disconnecting a cable, always pull on the

cable connector or strain-relief loop, not on the cable itself.

WARNING: A damaged cable can cause a short in the electrical circuit. Prevent

damage to the connectors by aligning connector pins before you connect the cable.

WARNING: Misaligned connector pins can cause damage to system components at

power-on.

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5. Specifications

Standard Specifications

Support arm 52 in. (1320.8 mm) total

Frequency of flash Maximum 60 Hz

Duration of flash 1ms

Light intensity

Adjustable via Intensity control (12-position control: 11 settings; 1

Off)

Intensity measured at 30cm distance, position 12:

• Minimum: 22000 lux

• Maximum: 75000 lux

Typically, an intensity of 39000 lux is observed in measurements on

Natus Photic Stimulator.

Input requirements TTL Positive Pulse; 100 µs @ 1 mA

Mains input 100-240VAC 50/60Hz, 1 A (1A-0.5A)

Protection against electric shock: Class I

Flammability UL 94V-0

Environmental Conditions for Use

Operating Environmental Limits

Temperature Range 10°C to 40°C

Humidity Range 30% to 75% RH

Transport and Storage Limits

Temperature Range -25°C to 60°C

Humidity Range 10% to 90%RH non-condensing

Condensation

Recovery Time after condensation

to operations specifications

24 hours

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5.1. Environmental Conditions

• Select a room with properly grounded power sources.

• Do not use or store the equipment in places where chemicals are stored or where there is a potential

for gas leakage.

• Avoid moisture or contact with water, extreme atmospheric pressure, excessive humidity and

temperature, poorly ventilated areas and dusty, saline or sulfuric air.

• Verify the selected site maintains a relative humidity between 30% and 75% (without condensation).

• Verify all conditions meet the requirements listed in the ‘Environmental Conditions for use’ section of

this manual.

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6. Unpacking When you unpack your Natus Photic Stimulator, make sure the following items are included:

• Photic Stimulator (p/n 10440)

• Interface cable for Photic Stimulator, 20ft (p/n 003771)

• Table clamp (p/n 585-PS2001C)

• User & Service Manual

NOTE: The Photic Stimulator should be used only with cables that are supplied or

approved by Natus.

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7. Product Images

Photic Stimulator and Roll Stand

Optional Roll Stand p/n 10441 (not included in all photic stimulator kits)

Photic Arm

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Intensity Control, Test and Trigger In

Cable Option List

Interface cables are available with the specific end connector for the following devices:

Natus PN Description

003771 Interface cable for Xltek

003632 Interface cable for Protektor

012788 Interface cable for Grass (Comet PLUS)

W6473H Interface cable for Trex

019174 Interface cable for Nicolet v-series amplifiers

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8. Installation and Operation

WARNING: Never place the photic device on the floor.

1. Secure the photic device on a platform, table, cart, or other raised surface. Place all equipment on an

even, level surface. Avoid the potential for mechanical shock or possible vibrations during setup,

system operation, or when relocating the equipment

2. Plug the photic device only into a power outlet marked and verified as Hospital Grade.

NOTE: Acceptable ‘Hospital Grade’ power outlets must be labeled as such.

3. Depending on the amplifier hardware, connect the mini-din 6-pin male end of the appropriate

interface cable to the photic stimulator:

• Use the cable with PN 003771 on NeuroWorks EEG systems with Brain Monitor, EEG32U,

EMU40EX, or Natus Quantum.

• Use the cable with PN 012788 on NeuroWorks EEG systems with Grass Comet-PLUS headbox.

Connect the 2.5 mm sub-mini phone connector to the “Trigger” output and the 3.5mm mini phone

connector to the “DC1” input on the back of the amplifier system.

• Use the cable with PN W6473H on NeuroWorks EEG systems with Xltek TrexHD headbox.

• Use the cable with PN 019174 on NeuroWorks EEG systems with Nicolet V-32 or V-44 headbox.

NOTE: Refer to the User & Service manual of the corresponding amplifier hardware for

more information about how to connect the interface cable.

NOTE: Refer to the User manual from the EEG software Platform for more information

about how to control the Natus photic stimulator.

NOTE: Use the Test button to troubleshoot the device.

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9. Recommended User Performed Maintenance To keep the Natus Photic Stimulator in good working condition, follow a regular schedule of user

performed maintenance. Regular maintenance performed by the user does not involve access to the

interior of the stimulator and components. For service problems that require corrective maintenance

and/or internal component service, call Natus Technical Support at 1-800-303-0306 or [email protected],

or contact your local Natus representative.

Periodically check cable connections for damage and wear. Inspect cables for bent pins. Replace frayed

or worn cables. Also, regularly inspect and clean all system components, including:

• Connectors and jack ports

• Accessories

The Natus Photic Stimulator and its components should not be immersed in water or any other fluid.

9.1. Cleaning the Device

• Clean with a commercial wipe such as CaviWipesTM or Sani-Cloth® to remove visible soil.

• Wipe the article using a lint-free cloth and air dry.

9.2. Recommendations

Disconnect the power cord and all cables from the unit before cleaning. Use a lint-free

cloth. Do not use cleaners on any system component.

Take care not to allow any fluid to seep into the internal electronic components of the

system.

Do NOT autoclave, pressure sterilize, or gas sterilize this unit.

Do NOT soak or immerse the unit in any liquid.

A cleaning solution of 70% isopropyl alcohol is recommended.

Use cleaning solution sparingly. Excessive solution can flow into the unit and cause

damage to internal components.

Do NOT use petroleum-based or acetone solutions, or other harsh solvents, to clean the

unit.

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9.3. Disposal Instructions

Natus is committed to meeting the requirements of the European Union WEEE (Waste Electrical and Electronic Equipment) Regulations 2014. These regulations state that electrical and electronic waste must be separately collected for the proper treatment and recovery to ensure that WEEE is reused or recycled safely. In line with that commitment Natus may pass along the obligation for take back and recycling to the end user, unless other arrangements have been made. Please contact us for details on the collection and recovery systems available to you in your region at www.natus.com Electrical and electronic equipment (EEE) contains materials, components and substances that may be hazardous and present a risk to human health and the environment when WEEE is not handled correctly. Therefore, end users also have a role to play in ensuring that WEEE is reused and recycled safely. Users of electrical and electronic equipment must not discard WEEE together with other wastes. Users must use the municipal collection schemes or the producer/importers take-back obligation or licensed waste carriers to reduce adverse environmental impacts in connection with disposal of waste electrical and electronic equipment and to increase opportunities for reuse, recycling and recovery of waste electrical and electronic equipment. Equipment marked with the below crossed-out wheeled bin is electrical and electronic equipment. The crossed-out wheeled bin symbol indicates that waste electrical and electronic equipment should not be discarded together with unseparated waste but must be collected separately.

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10. Safety & Standards Conformity

10.1. Essential Performance

In normal operational mode, essential performance is defined as the following:

Observe photic flash. Photic flash pattern can become random and/or irregular under immunity testing, as

long as it recovers after stimulus is removed.

10.2. Safety Standards

This device complies with the following electrical safety standards:

IEC 60601-1:Ed. 3.1 – General Requirements for Basic Safety and Essential Performance

IEC 60601-1-6:Ed. 3.1 – Collateral Standard: Usability

IEC 60601-2-40:Ed. 2.0 – Particular Requirements for the Safety of Electromyographs and Evoked

Response

ANSI Z80.36-2016 for Ophthalmics – Light Hazard Protection for Ophthalmic Instruments

10.3. EMC Standards

IEC 60601-1-2, Edition 4.0,

February 1, 2014

Medical electrical equipment – Part 1-2: General requirements for basic

safety and essential performance– collateral standard: electromagnetic

compatibility – requirements and tests

CISPR 11 ed 5.0 with A1:2010 Industrial, Scientific and Medical (ISM) Radio-Frequency Equipment -

Electromagnetic Disturbance Characteristics - Limits and Methods of

Measurement

IEC 61000-3-2:2014, ed 4.0 Electromagnetic Compatibility (EMC) Part 3-2: Limits - Limits for

Harmonic Current Emissions

IEC 61000-3-3:2013, ed 3.0 Electromagnetic Compatibility (EMC) Part 3-3: Limits - Limitation of

Voltage Changes, Voltage Fluctuations and Flicker in Public Low-

voltage Supply Systems

IEC 61000-4-2:2008, ed 2.0 Electromagnetic Compatibility (EMC) Part 4-2: Testing and

Measurement Techniques - Electrostatic Discharge Immunity Test

IEC 61000-4-3 ed 3.0 with

A1:2007+A2:2010

Electromagnetic Compatibility (EMC) Part 4-3: Testing and

Measurement Techniques - Radiated, Radio-frequency,

Electromagnetic Field Immunity Test

IEC 61000-4-4:2012, ed 3.0 Electromagnetic Compatibility (EMC) Part 4-4: Testing and

Measurement Techniques - Electrical Fast Transient/Burst Immunity

Test

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IEC 61000-4-5:2014, ed 3.0 Electromagnetic Compatibility (EMC) Part 4-5: Testing and

Measurement Techniques - Surge Immunity Test

IEC 61000-4-6 ed 2.0 with

A1:2004 + A2:2006

Electromagnetic Compatibility (EMC) Part 4-6: Testing and

Measurement Techniques - Immunity to Conducted Disturbances,

Induced by Radio-frequency Fields

IEC 61000-4-8:2009, ed 2.0 Electromagnetic Compatibility (EMC) Part 4-8: Testing and

Measurement Techniques - Power Frequency Magnetic Field Immunity

Test

IEC 61000-4-11:2004, ed 2.0 Electromagnetic Compatibility (EMC) Part 4-11: Testing and

Measurement Techniques - Voltage Dips, Short Interruptions and

Voltage Variations Immunity Tests

10.4. Declaration of Compliance for IEC 60601-1-2:2014 (Ed. 4.0)

Table 1 - Electromagnetic Emissions

Guidance and Manufacturer’s Declaration – Electromagnetic Emissions

The Natus Photic Stimulator is intended for use in the electromagnetic environment specified below. The

customer or the user of the equipment should assure that it is used in such an environment.

Emissions test Compliance Electromagnetic environment – guidance

RF emissions

CISPR 11 Group 1

The Natus Photic Stimulator uses RF energy only for its internal

function. Therefore, its RF emissions are very low and are not likely

to cause any interference in nearby electronic equipment.

RF emissions

CISPR 11

Class A The Natus Photic Stimulator is suitable for use in all establishments

other than domestic, and may be used in domestic establishments

and those directly connected to the public low-voltage power supply

network that supplies buildings used for domestic purposes,

provided the following warning is heeded: Warning: This

equipment/system is intended for use by healthcare professionals

only. This equipment/ system may cause radio interference or may

disrupt the operation of nearby equipment. It may be necessary to

take mitigation measures, such as re-orienting or relocating the

equipment or shielding the location.

Harmonic emissions

IEC 61000-3-2 Class A

Voltage fluctuations/

flicker emissions

IEC 61000-3-3

Complies

NOTE: The EMISSIONS characteristics of this equipment make it suitable for use in

industrial areas and hospitals (CISPR 11 class A). If it is used in a residential

environment (for which CISPR 11 class B is normally required) this equipment might not

offer adequate protection to radio-frequency communication services. The user might

need to take mitigation measures, such as relocating or re-orienting the equipment.

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Table 4 - Immunity Test Levels - Enclosure Port

Phenomenon Basic EMC Standard

or Test Method

Immunity Test Levels – Professional

Healthcare Facility Environment

Electrostatic Discharge IEC 61000-4-2 ± 8 kV contact

± 2 kV, ± 4 kV, ± 8 kV, ± 15 kV air

Radiated RF EM Fields IEC 61000-4-3 3 V/m

80 MHz – 2,7 GHz

80 % AM at 1 kHz

Proximity Fields from RF

Wireless Communications

Equipment

IEC 61000-4-3 See “Enclosure Port Immunity to RF

Wireless Communications Equipment”

Table below

Rated Power Frequency

Magnetic Fields

IEC 61000-4-8 30 A/m

50 Hz or 60 Hz

Table 5 – Immunity Test Levels – Input A.C. Power Port

Phenomenon Basic EMC Standard Immunity Test Levels – Professional

Healthcare Facility Environment

Electrical Fast Transients /

Bursts IEC 61000-4-4

± 2 kV

100 kHz repetition frequency

Surges

Line-to-line (Differential Mode) IEC 61000-4-5 ± 0,5 kV, ± 1 kV

Surges

Line-to-ground (Common Mode) IEC 61000-4-5 ± 0,5 kV, ± 1 kV, ± 2 kV

Conducted Disturbances Induced

by RF Fields IEC 61000-4-6

3 V

0,15 MHz – 80 MHz

6 V m) in ISM bands

between 0,15 MHz and 80 MHz

80 % AM at 1 kHz

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Phenomenon Basic EMC Standard Immunity Test Levels – Professional

Healthcare Facility Environment

Voltage Dips IEC 61000-4-11

100% dip; 0,5 cycle

At 0°, 45°, 90°, 135°, 180°, 225°, 270° and

315°

100% dip; 1 cycle

and

30% dip; 25 cycles (50Hz)

Single phase: at 0°

Voltage Interruptions IEC 61000-4-11 100% dip; 250 cycles (50Hz) /300 cycles

(60 Hz)

Table 8 – Immunity Test Levels - Signal Input / Output Parts Port

Phenomenon Basic EMC Standard Immunity Test Levels – Professional

Healthcare Facility Environment

Electrostatic Discharge IEC 61000-4-2 ± 8 kV contact

± 2 kV, ± 4 kV, ± 8 kV, ± 15 kV air

Electrical Fast Transients/Bursts IEC 61000-4-4 ± 1 kV

100 kHz repetition frequency

Surges Line-to-Ground

(Common Mode) IEC 61000-4-5

± 2 kV

Conducted Disturbances Induced

by RF Fields IEC 61000-4-6

3 V

0,15 MHz – 80 MHz

6 V m) in ISM bands

between 0,15 MHz and

80 MHz

80 % AM at 1 kHz

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Table 9 - Test specifications for ENCLOSURE PORT IMMUNITY to RF wireless

communications equipment

Test

frequency

(MHz)

Band

(MHz) Service Modulation

Maximum

Power

(W)

Distance

(m)

IMMUNITY

TEST LEVEL

(V/m)

385 380 –390 TETRA 400

Pulse

modulation

18 Hz

1,8 0,3 27

450 430 – 470 GMRS 460,

FRS 460

FM

± 5 kHz deviation

1 kHz sine

2 0,3 28

710

704 – 787 LTE Band 13,

17

Pulse

modulation

217 Hz

0,2 0,3 9 745

780

810

800 – 960

GSM 800/900,

TETRA 800,

iDEN 820,

CDMA 850,

LTE Band 5

Pulse

modulation

18 Hz

2 0,3 28 870

930

1,720

1,700 –

1,990

GSM 1800;

CDMA 1900;

GSM 1900;

DECT; LTE

Band 1, 3, 4,

25; UMTS

Pulse

modulation

217 Hz

2 0,3 28 1,845

1,970

2,450 2,400 –

2,570

Bluetooth,

WLAN, 802.11

b/g/n, RFID

2450, LTE

Band 7

Pulse

modulation

217 Hz

2 0,3 28

5,240 5,100 –

5,800

WLAN 802.11

a/n

Pulse

modulation

217 Hz

0,2 0,3 9 5,500

5,785

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A Total Service Solution

Standing behind every Natus product is Natus Medical Incorporated, an internationally respected

innovator of medical products and services.

Any serious incident that has occurred in relation to the device should be reported to Natus Medical

Incorporated DBA Excel-Tech Ltd. (Xltek) and the competent authority of the Member State in which the

user and/or patient is established.

Our Neurology systems are backed up by an in-house support team staffed with technical and clinical

experts, 24/7 support, remote support via WebEx or VPN, the largest clinical and technical field support

network in Neuro/Sleep and customized service contracts that include preventative maintenance visits

and computer upgrades.

Natus Medical Incorporated

DBA Excel-Tech Ltd. (XLTEK)

2568 Bristol Circle

Oakville, Ontario

L6H 5S1 Canada

T: +1 905.829.5300

F: +1 905.829.5304

www.natus.com P/N 105706X, Rev P 2020-07-28