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Natus Photic Stimulator
User & Service Manual
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.
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.
Natus Photic Stimulator User & Service Manual
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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
User & Service Manual Natus Photic Stimulator
26
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
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