OPERATION MANUAL

COMPANY CONFIDENTIAL

3 July 2020
Version 20
 NS-EEG-D-1
1 EEG System Operation Manual

NeuroStyle Pte Ltd

No. 63 Hillview Avenue # 08-08, Singapore 669569
Tel: 65-65632678 Fax: 65-65630169 Website: www.neurostyle.biz

Version History
Manual Software Release Date Remarks
Version Version
V13 1.0 30 May 2013 New release
V13a 1.1 21 Nov 2013 Added PSG recording function and fixed some
operation bugs
V14 1.2 4 July
uly 2014 Added impedance testing software function into main
interface
V15 1.3 2 Feb 2015 Upgraded driver to enable operation both in Windows 7
and Windows 8 (32-bit and 64-bit)
bit) OS environments
V15a 1.4 13 Nov 2015 Upgraded driver to enable operation in Windows 10
(32-bit and 64-bit) OS environments
V16 1.5 19 Feb 2016 Fixed report generation error in PSG module
V16a 1.6 13 May 2016 Fixed report generation error in EEG module
V17 1.7 31 May 2017 Updated software video function in conjunction to
application of new video camera into system
V17a 1.8 2 Aug 2017 Updated EEG report templates and fixed software bugs
V18 1.8d 12 Jan 2018 Updated company logo, headers and footers, EEG
troubleshooting entries and fixed software bugs
V19 1.8d 22 Apr 2019 Updated
d information on installation of drivers and
video camera
V20 1.9a 3 July 2020 Updated content on installation of hardware drivers,
events list in settings, deep breath, flash/photic
stimulation and sleep analysis, as well as updating some
troubleshooting response information.

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Tel: 65-65632678 Fax: 65-65630169 Website: www.neurostyle.biz

Table of Contents
Notice to Users ................................
................................................................................................................................
.................................. 5
Installation Requirements ................................
................................................................................................
......................................... 5
Precautionary Steps ..................................................................................................................
................................ .................. 6
Staff Requirements................................
....................................................................................................................
.................... 8
Intended Use ................................
.............................................................................................................................
............................. 8
Indications of Use................................
......................................................................................................................
...................... 8
Contraindications ................................
......................................................................................................................
...................... 8
Applicable Age Scope ................................................................................................................
................................ ................ 9
Applicability Statement ................................
................................................................................................
............................................. 9
User Interface ................................
............................................................................................................................
............................ 9
Specifications ................................
............................................................................................................................
............................ 9
Environmental Requirements for Product Use, Storage Storag and Transportation .......................... 10
Device Classification Information ............................................................................................
............................ 10
Device Symbols ................................
.......................................................................................................................
....................... 10
Disposal ................................
................................................................................................................................
................................... 11
Rights and Responsibilities ................................
................................................................................................
...................................... 11
Copyright Statement ................................
...............................................................................................................
............... 11
I. EEG System Hardware Overview .............................................................................................
............................. 13
A. EEG Amplifier ................................
..................................................................................................................
.................. 14
B. EEG Controller ................................
.................................................................................................................
................. 19
C. Photic/Flash Stimulation Module ...................................................................................
................... 20
D. Audio and Visual Stimulator ............................................................................................
............................ 21
E. Current Stimulator ................................
................................................................................................
.......................................... 21
F. EEG Hardware Configuration...........................................................................................
........................... 22
II. Installation and Configuration ................................................................................................
................................. 24
A. Software Installation Requirements ................................................................................
................ 24
B. Software Installation Procedure ......................................................................................
...................... 25
C. Hardware Driver Installation ...........................................................................................
........................... 29
Windows 8 or Windows 8.1 only: ...................................................................................
................... 29
Windows 10 only: ................................
................................................................................................
........................................... 31
Search for the Device and Hardware Driver ................................................................
................................... 33
D. Flash Stimulation
timulation Lamp Controller Driver Installation ........................................................................ 37
E. EEG Serial No. Registration..............................................................................................
.............................. 38
F. Leads Configuration ................................
................................................................................................
........................................ 40
G. Camera Connection................................
................................................................................................
......................................... 43
III. Main Interface ................................
.........................................................................................................................
......................... 46
Area 1: Toolbar ................................
........................................................................................................................
........................ 46
Area 2: Data Directory ................................
................................................................................................
............................................. 47
Area 3: Case Index ................................
...................................................................................................................
................... 47
Areas 4 and 5: Case List and Case Information Display ...........................................................
........................... 48

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Area 6: Report Templates ................................

................................................................................................
........................................ 50
Area 7: Settings ................................
.......................................................................................................................
....................... 50
Area 8: User Information................................
................................................................................................
......................................... 54
IV. EEG Data Acquisition ................................
...............................................................................................................
............... 55
A. Impedance Testing ................................
................................................................................................
.......................................... 55
B. Data Acquisition Interface ...............................................................................................
............................... 58
Main Control Bar ................................
................................................................................................
............................................ 59
Functional Menu Bar ................................
................................................................................................
...................................... 60
Stimulation Setup: Deep Breath ......................................................................................
...................... 63
Stimulation Setup: Flash
Flash/Photic Stimulation ................................................................
.................................. 64
V. Review and Analysis ................................................................................................................
................................ ................ 66
A. Review .............................................................................................................................
................................ ............................. 66
B. Brain Electrical Activity Mapping (BEAM) Analysis ......................................................... ......................... 72
C. Analyze ................................
............................................................................................................................
............................ 76
VI. EEG with ERP ................................
...........................................................................................................................
........................... 85
A. Acquisition................................
.......................................................................................................................
....................... 85
B. Review, Superposition and Analysis ................................................................................
................ 91
Appendix 1 Contact Information ................................
................................................................................................
..................................... 98

Appendix 2 Equipment Cleaning Instructions .................................................................................

................. 99

Appendix 3 Servicing and Maintenance ........................................................................................

........................ 100

Appendix 4 Troubleshooting ................................

................................................................................................
......................................... 102

Appendix 5 Battery Operation ................................

................................................................................................
...................................... 105

Appendix 6 Parameter Settings for EEG Modules ................................................................

......................................... 106

Appendix 7 Electromagnetic Compatibility ...................................................................................

................... 107

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Notice to Users
NS-EEG-D-1 1 Neurostyle EEG System is designed strictly for EEG examinations such as prognosis
evaluation,
ation, diagnosis, event related potential data acquisition and analysis for medical and
research institutions.
Please read this manual carefully before using this equipment. This manual consists of operation
steps that should be followed closely, in which not following these steps may lead to abnormal
operation results, damage to the equipment or even causing injuries or physical dangers.
Neurostyle does not hold any responsibility for any property damages, injuries or physical
dangers caused by the misuse of this equipment.

Installation Requirements
Environmental Requirements
 The location should have good ventilation to remove gases in the air which will either affect
the readings or cause danger to the users and patients;
 There should be temperature and hu
humidity
midity control device to ensure appropriate test
subjects skin temperature, room temperature maintained at 20°C ~ 24°C, and humidity kept
between 20% to 80%;
 The location should have controlled lighting, preferably incandescent;
 There should be a shading device
device in the location to help achieving better results for
flash-induced
induced EEG examinations and sleep analysis;
 The location should be soundproof to prevent external noise interference during AEP
examinations;
 The location should have special hand-washing
hand station
ation installed for the convenience of use.
All operating personnel and the patient should wash their hands before the examination to
release static electricity;
 If possible, the location should be close to nerve medicine and pediatrics for convenience of
access for patients;
 Make sure power switch is off when installing the device. The device should only be
switched on during examinations;
 The device should be placed away from electrical instruments, high-frequency
high frequency radiant point,
CT, MRI, etc. to avoid interference
erference during examination;
 The device should be kept away from moisture or water, extreme air pressure, excessive
humidity and temperature, poor ventilation and acid gas or alkaline dust during the
examination;
 The device should not be used in the prese
presence
nce of any flammable anesthetics to prevent

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voltaic arc, which may cause explosion;

 This device is not suitable for use in places with chemical storage or gas chambers such as a
medical hyperbaric oxygen chamber, as it may trigger an explosion or fire.

Ground
und cable connection requirements of equipment
 This equipment complies with IEC60601-1
IEC60601 requirements;
 The ground cable must be used with the supplied 33-pin
pin power plug. Otherwise, it may cause
electric shock to the patient and the operator;
 An effective connection
ection with the potential equalization terminal should be secured for safe
grounding;
 When several medical devices are used together, all devices should be grounded at the same
place to prevent any potential differences between the devices, which may cause electric
shock to the patient and operating personnel.

Precautionary Steps
1. Before Operation:
 Check to ensure that the equipment is cleaned and are in good operating conditions;
 Place the equipment in appropriate position;
 Make sure all the cable connections
connectio and lead connections are correct;
 When the device is used with other instruments, extra measures should be taken to avoid
diagnostic errors or other problems, such as making sure they share the same grounding;
 Examinees should be notified that:
 Food consumption
sumption before EEG examination may affect the examination results;
 They should wash their head and hair the night before the examination
 They should stop taking medicine that may influence the central nervous system 3 days
before the examination;
 They should
uld remain calm, as the examination is painless and has no side effects;
 Children who refuse to cooperate in the examination may need to be sedated with
chloral hydrate or its equivalent.

2. During Operation:
 Both the patient and the instruments should be giv
given
en sustained, careful attention;
 To ensure patient’s safety, switch off the power before removing the electrodes and/or
sensors, even just to switch the electrode positions;
 Patient should avoid touching the devices directly for safety reasons.

3. After Operation:
 Return all the devices back to initial position before switching them off;
 Gently remove the electrode cables;

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 Clean the device and accessories for future use.

Other Notes:
 Do not use this device for other uses than medical examinations;
 If the device
e is connected with multiple instruments on the same patient simultaneously,
superimposed leakage current of each instrument will cause security risk. Any such
combination should be checked by relevant security personnel before being put into use;
 Removable multi-jack
jack provided with the EEG system package is strictly for use with
instruments within the original system only;
 When the system power is powered by the removable multi
multi-jack
jack socket with isolation
transformer, Do not connect non-medical
non electrical equipment
uipment to the wall outlet directly;
 The equipment parts that are in physical contact with human body after equipment should
be confirmed to be working in stable condition;
 For instrument power supply, voltage and frequency of power supply used for this
instrument
strument must correspond to the specifications in the manual;
 EEG amplifier and electrodes for EEG system are medical electrical devices designed for use
in a clinical environment;
 Maximum allowable load for removable multi-jack
multi socket is 2500VA;
 Do not connect
nnect device electrodes to other conductive parts of the device or to the ground;
 Device and its attachments should be examined regularly;
 New silver electrodes and silver support electrodes should be dipped in normal saline for 2
hours when used for the first
irst time for better effectiveness; after the usage, please dip the
electrodes in normal saline.
 This device does not have anti-defibrillation
anti defibrillation function, so it cannot be used together with the
defibrillator or any high-frequency
frequency surgical equipment;
 When the device is used together with other equipment (such as a pacemaker or electrical
stimulation), safety of the combination should be confirmed by clinical engineers, so it will
not affect the equipment's diagnostic results or cause harm to the patient.

! Important Notes

 Warning: When used with a removable multi

multi-jack
jack socket, the socket should not be placed
on the ground.
 Warning: Switch on and run the EEG amplifier by battery when conducting EEG
examinations.. Do not run the EEG amplifier by AC during examinations,
examinations, because the AC
power adapter for EEG amplifier is only for recharging purpose, and any misuse may cause
electric shock hazard to the patients.

Requirements for Accessories:

All accessories used together with the device should be approved by Neurostyl
Neurostyle
e Pte. Ltd. or

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its authorized distributors. Unapproved device and accessories will affect the effectiveness of the
device as well as safety to the users and patients.

Staff Requirements
 Operators should be trained with EEG related skills and knowledge befo
before
re they are allowed
to operate the equipment;
 Operators should be familiar with electrical safety knowledge.

! Important Notes

 When the system power is supplied from an isolation transformer through moveable jack
socket outlets, non-medical
medical electrical equipment
equipment of the system is not available directly
connected to wall socket, non-system
non system consisting of electrical is not available to connect
with move multi-jack
jack socket.
 Warning: NS-EEG-D-1 1 is Class IIa equipment. To avoid the risk of electric shock, the
equipment
pment must only be connected to a power supply with earth protection.
 Warning: The SIP/SOP should be connected to IEC certified device. If not, there will be risk
of external voltage on this part.
 Warning: Appliance coupler is considered as disconnected de device;
vice; please do not place the
equipment in a difficult-to--operate position.
 Warning: Do not modify this equipment without authorization of the manufacturer.
 Warning: Computer, monitor and printer used with this equipment should meet national
safety standards,
ds, and the power supply to the medical equipment should be insulated
using an isolation transformer unit.

Intended Use
Neurostyle EEG System delivers high quality EEG signals through state
state-of-the-art
art hardware and
software design, built-in
in impedance test module
m and anti-interference
interference data transmission
technology.

Indications of Use
Neurostyle EEG System can be used for routine EEG, event-related
event related potential (ERP) data
acquisition and analysis, as well as professional sleep monitoring using polysomnography (PS
(PSG). It
also can be used by post-stroke
stroke patients for rehabilitation through Brain Exercise
Therapy Towards Enhanced Recovery (nBETTER).
NOTE: Please refer to nBETTER Operation Manual or nBETTER Training Manual for details on
rehabilitation application.

Contraindications
Those with the following medical conditions should be advised against undergoing the optional
ERP stimulation test module:

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 Patients with cardiac pacemakers or cardiac catheterization;

 Patients with skin diseases;
 Patients with bleeding tende
tendencies;
 Patients who are susceptible to recurrent and/or systemic infections.

Applicable Age Scope

 People of any age can use this device.

Applicability Statement
This manual is only applicable for EEG Systems stated below:
NS-EEG-D-11 24/36/48/60 channels EE EEG System

User Interface
 Mouse, keyboard
 Portable EEG Host
 Supported output devices
 Windows supported printer

Specifications
1. Dimensions: 300 x 230 x 60 (mm)
2. Weight: 1.65 kg (Amplifier only)
3. Power supply:
a. Internal rechargeable lithium battery (16.8v)
b. External
nal charger input: AC100～240V, output DC 19V
4. Input impedance ≥1000MΩ
5. Noise level <0.4μV (rms)
6. CMRR ≥110dB
7. Resistance
ce polarization voltage ± 300mV
8. Frequency characteristics: 0.5Hz ~ 100Hz. Error of +5% ~ -30%
9. Amplifier with a light display to indicate amplifier work status
10. Impedance Test: Includes scalp impedance test function, impedance threshold lights on top
of EEG amplifier can be set to indicate impedance status (red or yellow means high
impedance, green means impedance is acceptably low); threshold val
values
ues can be set at 5KΩ,
10 KΩ, 15 KΩ, 20 KΩ
11. EEG Channel Configuration:
tion: 24, 36, 48, 60 channel
channels
12. Sampling frequency: 128Hz, 256Hz, 512Hz
13. Interface technology: USB 2.0 / 3.0 interface
14. Fiber optic
tic modules: Work rate: ≤84Mb/s
15. Precision
sion sampling resolution: 24bit
24bi
16. Notch filter: 50 or 60 Hz

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17. Digital low-pass / high filter control: 5Hz, 10Hz, 15Hz, 20Hz, 30Hz, 40Hz, 60Hz, 120Hz
18. Digital high-pass
pass / low filter / time constant control: 0.01s (16Hz), 0.02s (8Hz),, 0.03s (5.3Hz),
0.1s (1.6Hz), 0.2s (0.8Hz),, 0.3s (0.53Hz), 1s (0.16Hz), 2s (0.08Hz), 3s (0.053Hz)
19. Digitall zoom (from 1 to 10000 times)

Environmental Requirements for Product Use, Storage and

Transportation
1. Temperature range for Storage and Transport: -40°C ~ 40°C
2. Temperature range for Use: 55°C ~ 40°C
3. Relative Humidity range: ≤90%
90%
4. Atmospheric pressure
ressure range: 960hPa ~ 1060hPa

Device Classification Information

According to IEC 60601-1:1988+A1:1991+A2:1995
1:1988+A1:1991+A2:1995, NS-EEG-D-1
1 EEG System is classified as:
Class II-A
A device and
1. Type of shock protection
USB-powered
powered

2. Level of shock protection BF-type

3. Inlet liquid protection grade IPX0

4. Protection from defibrillator electric discharge effect No

Safety grade under the condition of the mixture of

5. flammable anesthetic gas with air, oxygen or nitrous Device is not
ot AP nor APG type
oxide

6. Operation of work system Continuous operation

7. System power supply voltage AC 220V, 50HZ

Disinfection and sterilization methods recommended

8. Applicable
by manufacturer

Device Symbols

1. BF type equipment

2. ~ (AC)

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3. Not
Note (please refer to the files attached with device)

4. ︱ Power On

5. ○ Power Off

6. Equipment can’t be thrown away arbitrarily

7. Serial No.

This Product meets the main requirements of the European

8.
Directive

Disposal
 EEG amplifier should be disposed after its product shelf life (after removing the lithium
battery beforehand).
 When a Lithium battery is damaged or fails, it should be processed together with other
batteries according to local environmental regulations, and it should not be thr
thrown
own away.
 Application Parts like electrode wire, electrodes and other accessories should be processed
in accordance with the medical waste disposal, and it should not be thrown away.

Rights and Responsibilities

Information in text is subject to change, and
and the details of the changes will be embodied in the
updated version. Neurostyle does not assume responsibility for any use or reliability for the
software and device which is not provided by Neurostyle or its distributors.

Copyright Statement
Neurostyle Pte.
te. Ltd. reserves all rights to the copyright of this publication. This manual is only for
personal use of buyers, and any part of this manual cannot be reproduced or transmitted,
including photocopying and recording in any form or by any means (electronic or mechanical)
without the written permission of Neurostyle Pte. Ltd.

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I. EEG System Hardware Overview

Standard NS-EEG-D-1
1 hardware include EEG Controller, EEG Amplifier, Fiber optical cable,
USB-HDMI cable, 2 sets
ets of AC power adaptors and power cables, electrode cables, and EEG cap.
Optional hardware includes AV Stimulator, Current Stimulator, headphones, flash stimulation
lamp, saddle electrode, DB15 cables, and PSG electrodes cables.

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A. EEG Amplifier
NS-EEG-D-1-AMP
AMP EEG amplifier is the hardware to connect to EEG cap for EEG signal acquisition,
and then transmitting the dataa to the EEG Controller via optic fiber cable.

Fig 1
1-1 Front view of EEG Amplifier

Fig 1-2 Top view of EEG Amplifier with functional areas

The EEG Amplifier has a few functional areas, as indicated in Fig 1-2:
1
1. Area 1 is for connecting the required EEG channels to the EEG cap through touch proof pins.
1.1 The top right of Area 1 has an indicator LED to indicate operation status of the amplifier.
a) When device is in operation, the LED is bright green.
b) When the device battery is charging, the LED will flash in yellowish light.
1.2 Input lead cable should be connected to the corresponding positions on the amplifier.

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1.3 For the first 24 channels, the lead po

positions
sitions are fixed; for channel 25 onwards, the
positions can be determined based on the software lead configuration.
The left part of Area 1 is an optional port for EEG cap with All-in-one electrode cable connector.
connector

Fig 1-2A
A EEG Cap Fig 1-2B EEG Cap (worn)

Fig 1-2C
C EEG Cap electrode cables Fig 1-2D
D EEG Cap with electrode cables
(24 cables bunched together)

Fig 1-2EE EEG Cap with Electrodes Fig 1-2FF EEG Cap with Electrodes
Front view (worn). Side view (worn).

Fig 1-2G EEG Cap with Electrodes

ectrodes Fig 1-2H EEG Cap with All-in-one
one e
electrode
Back view (worn) cable connector

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Fig 1-3A USB-HDMI

HDMI cable Fig 1-3B
3B Fiber Optic cable

Fig 1-3C AC Adaptor for EEG Controller Fig 1-3D AC Adaptor for EEG Amplifier
Amplifi
(Yellow-tipped
tipped cable) (Large, 4-pinned
pinned tip cable)

The EEG system connection is shown below:

Fig 1-4
1 Connection for EEG Amplifier

Fig 1-3
3 indicates the cable connections of fiber optical cable (blue head) and power cable (black),
as well as the green power button at the ffrontal
rontal part of the device. Note that the green power
button is for DC power supply only, and when AC power is supplied to the amplifier, the amplifier
is always on.

1. Connect the optic fiber

iber between EEG Controller and EEG Amplifier. The indicator light besid
beside
the connector will light up when the connection is made correctly.
2. Connect the USB-HDMI cable
able to link the EEG Controller to the PC to view the EEG data read
by the EEG Amplifier through the PC.
PC
2. Area 2 is the impedance testing control area with 2 press bu
buttons:
ttons: “ON/OFF” and “Set”. 4

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indicator lights on the right to indicate impedance threshold values of the EEG channels at 5k,
10k, 15k, and 20k Ohms respectively. More details in Chapter IV.

Fig 1-4 EEG Amplifier in Impedance Testing Mode

3. Area 3 is for PSG related multi

multi-parameter functions that work with various connection cables
for the respective PSG channels.
a) EOG, EMG

Red: Active, White:: Reference

b) Airflow

Fig 1-55 PSG Module

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c) SpO2 d) Snoring

e) ECG f) Respiration, Body position

The following aree the recommended locations for Sleep Electrode placement:

Left side Right side

ECG electrodes EOG and EMG electrodes

Airflow and Snore electrodes RESP electrodes (Black) SpO2 electrode

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B. EEG Controller

NS-EEG-D-1-MB EEG Controller serves as the central interchange of the EEG system. It connects
to the EEG amplifier with the fiber optical cable, and connects to the PC via the USB
USB-HDMI
HDMI cable.
It is also the platform to connect to the optional stimulator hardware required fo
for ERP.

Fig 11-6A EEG controller (Front View)

Fig 1
1-6B EEG controller (Back View)

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C. Photic/Flash
Flash Stimulation Module

Fig 1--7 Flash Stimulation Lamp Module

Photic/Flash
Flash Stimulation module is an optional module for non
non-ERP
ERP users to conduct flash
stimulation on EEG subjects.

1. Hardware connection
a) The Photic/Flash
Flash Stimulation Lamp module comes with a Flash Stimulation Lamp,Lamp
Flash Stimulation Lamp Controller
Controller, USB cable (AA interface), and a Signal Control
Cable.
b) Connect the Flash Stimulation Lamp to the Flash Stimulation
Stimulation Lamp Controller with the
Signal Control Cable, and then use the USB cable to connect the controller to the
computer.
c) If the computer is switched on, it should detect the new hardware right away and
proceed to hardware driver installation.

Fig 1-8 Flash Stimulation Lamp module connected to a laptop computer

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2. Steps for flash stimulation lamp controller driver installation are covered in Chapter II
Section D (page 26).

D. Audio and Visual Stimulator

NS-STIM-AVAV Audio and Visual Stimulator (AV Stimulator)
Stimulator) is an optional hardware for audio and
visual stimulation in the ERP module.
The rectangular LED indicator at the middle is the power indicator of the A/V stimulator. The
channel ports from left to right are for connecting flash stimulation lamp, video display
d and
headphones. The indicator above the respective ports will be lit when activated, particularly
during the AEP, VEP and P300 examinations.
AV Stimulator is connected to the rest of the hardware system via a DB15 extension cable.

Fig 11-9A AV Stimulator Front View

Fig 1-9B
B AV Stimulator Back View Fig 1-9C
C Audio Stimulation Headphones

NOTE: While connecting multiple AV stimulators is possible, it is not advisable as the

configuration may confuse the program and crash the application system.

NOTE: For VEP, connect to a monitor instead for displaying various visual patterns.

E. Current Stimulator
NS-STIM-CURR
CURR Current Stimulator is an optional hardware for current stimulation in the ERP
module examinations.
The rectangular LED indicator at the middle is the power indicator of the current stimulator. The
channel port is for connecting to saddle electrode for current stimulation in ERP examinations.
Current Stimulator is connected to the rest of the hardware system via a DB15 extension cable.

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Fig 1-10A
A Current Stimulator Front View Fig 1-10B
B Current Stimulator Back View

Fig 1-10C
C Saddle electrode (Bar Type) Fig 1-10D
D Saddle electrode (Felt Type)

NOTE: While connecting multiple current stimulators is possible, it is not advisable as the
current stimulators cannot be differentiated by the program, and is hence unable to generate 2
current stimulation programs simultaneously.

F. EEG Hardware Configuration

The EEG system connection is shown below:

Fig 1-12 Standard EEG System Configuration (with Fla

Flash
sh Stimulation Lamp)

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Fig 1-13 Standard EEG System Configuration (with ERP Modules at left)

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II. Installation and Configuration

A. Software Installation Requirements

The following are the specifications to install and use the NS-EEG
NS system software.
software For any
equivalent
valent substitutes, it is advisable to check with the supplier beforehand.

Operating System 32-bit 64-bit

Memory (RAM) 1GB or Higher 2GB or Higher
Processor (CPU) 1 GHz (x86) Processor or faster 1 GHz (x64) Processor or faster
Hard Disk 128GB or more
Display Card Microsoft DirectX 9 graphics device with WDDM 1.0 or higher driver
Display Resolution 1024 x 600 or above
Software Microsoft Word (2003 or better)
Printer Color Inkjet printer Recommended

Operating System 32-bit 64-bit

Memory (RAM) 1GB or Higher 2GB or Higher
CPU 1 GHz or faster with support for PAE, NX and SSE2
Hard Disk 128GB or more
Display Card Microsoft DirectX 9 graphics device with WDDM driver or higher
Display Resolution 1024 x 600 or above
Software Microsoft Word (2003 or better)
Printer Color Inkjet printer Recommended

Operating System 32-bit 64-bit

Memory (RAM) 1GB or Higher 2GB or Higher
CPU 1 GHz or faster
Hard Disk 128GB or more
Display Card Microsoft DirectX 9 graphics device or later with WDDM driver
Display Resolution 1024 x 600 or above
Software Microsoft Word (2003 or better)
Printer Color Inkjet printer Recommended

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B. Software Installation Procedure

1. To begin, insert the installation CD that is available in the EEG System package into the
computer. If the CD cannot be found, please request for technical support from the supplier.
2. Double-click “NS-EEG
EEG Setup.exe” program in the installation CD, and a pop-up
up installation
interface will appear:

3. The installer will prompt you on License Agreement, User Information,

Information, Installation Folder,
and Shortcut Folder. Choose to accept the License Agreement and proceed with default
settings in C:\ drive when prompted,
prompted and the installation will be completed within minutes.
4. “NS-EEG” folder will be created in the designated installation folder (default folder “C:\”)
after installation is complete
complete.

License Agreement User Information

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Installation Folder Shortcut Folder

Ready to Install Installation Successful

NOTE: If a pop-up
up window appears after installation to ask if the software was installed
properly, please select “software
software was installed correctly
correctly”.. Otherwise the operating system
may mark the EEG software and hinder some of its functions.
5. When installing the EEG software in a new PC, a failure message may appear along with the
following command prompt window right before the completion of software installation.

DllRegisterServer Installation window.

Note the content in this window matters little
compared to the subsequent pop-up
up message. DllRegisterServer Failure Message

For PCs undergoing installation for the first time, this message is likely to indicate
DllRegisterServer failure message. When this happens, close the message above by clicking

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[OK] and finish the EEG software installation, and then go and open the BIN folder of the
EEG software with the Windows Explorer to look for msflxgrd.ocx file within the BIN folder,
and then copy it to this location: C:\temp06 (if this folder is not found, create one):
one)

Once the file is copied, go back to the EEG software BIN folder to find and Run
SetupOcxC.bat as Administrator:
Administrator

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Follow the steps closely, and the DllRegisterServer Success Message should appear as below,
and the issue should be resolved.

NOTE: If the above steps still leads to the faifailure message, copy msflxgrd.ocx file into
C:\Windows\system32\ folder, and then go back to the EEG software BIN folder and run
SetupOcxC.bat as Administrator again. If this still fails, contact your supplier.

NOTE: Please take priority to resolve this DllRegisterServer

DllRegisterServer installation issue when it
appears. Not resolving this issue will cause access error to the EEG software leads
configuration, resulting in inability to record EEG data in the software.

6. If the installation CD consists of “stdgain.cfg”, copy the file into CFG folder of the EEG
software and overwrite the file within the folder. This will automatically set the montage of
the EEG machine in the software.

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C. Hardware Driver Installation

NOTE: For Windows 8 (or

or Windows 8.1
8.1) and Windows 10 OS, begin from the respective
subsections; for Windows 7,, skip to “Search for the Device and Hardware Driver”.

Windows 8 or Windows 8.1 only:

1. Move the mouse to the bottom right corner of the screen in order to bring up the five icons
on the right side of the screen. Click on the lowest [Setup] icon, and when the computer
settings menu opens up, click [Change PC Settings] at the bottom right corn
corner
er to open the
PC settings menu.

 

2. At the left menu of the PC Settings, select [Update and Recovery] to open Upd
Update and
Recovery interface.
3. Select [Recovery] at the menu on the left side screen to bring up 3 sets of options. Click
[Restart now] under the ‘Advanced Startup’ section to restart the computer.

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4. In the startup options screen, click [Troubleshoot] to open the Troubleshooting interface,
and then select [Advanced Options]
Options].

5. From the Advanced Options menu, select [Startup Settings], and then click [Restart] to
open the startup settings interface
interface.
NOTE: The “Startup
Startup Settings”
Settings option may not appear in the
he first page. In that case, find and
click “See
See more recovery options
options” to reveal additional options.

6. In the Startup Settings, input "7" with the keyboard. The computer will be restarted with
driver signature enforcement disabled.

7) Disable driver signature

ignature enforcement

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Windows 10 only:

1. Method 1: Open the start menu and then press and hold ‘SHIFT’ (until system shutdown)
while clicking ‘Restart’ on the power options menu.

2. Method 2, If the method above did not lead you to the startup options screen as in the top
of this page, do the following steps instead:
a) Open the Control Panel or the Settings button in the Start Menu (a gear icon) to open
the Windows Settings.

b) Select “Update &security

security” in the Windows Settings menu.

c) Next, click on Recovery option on the left panel. You will see “Advanced
Advanced startup
startup”
section on the right hand side
side, as shown in the image below.

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Click “Restart now” button under it to restart the computer.

computer
3. In the startup options screen, click [Troubleshoot] to open the Troubleshooting interface,
and then select [Advanced Options]
Options].

4. From the Advanced Options menu, select [Startup Settings], and then click [Restart] to
open the startup settings interface
interface.
NOTE: The “Startup
Startup Settings”
Settings option may not appear in the first page. In that case, find and
a
click “See
See more recovery options
options” to reveal additional options.

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5. In the Startup Settings, input "7" with the keyboard. The computer will be restarted
restarted.

7) Disable driver signature enforcement

6. The rest of the installation steps should be similar to older OS. If the
he steps earlier are not
done, the driver installation will be intercepted by the OS.

Search for the Device and Hardware Driver

1. Open the Device Manager (one way is to right-click “Computer”/”This PC” and select
“Manage”, and then select “Device Manager” from the left menu).

Windows 8

Windows 7

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2. Connect the EEG controller to the computer via USB-HDMI cable, which should then appear
in the Device Manager as “Unknown
Unknown Device”. To resolve that, right-click on the “Unknown
“
Device” and choose “Update
te Driver” to open the driver installation wizard.

NOTE: If the installation wizard cannot open because the computer is trying to search
Windows Update for a driver
driver,, you can choose to skip it to make this process faster.
3. In the Driver Installation Wizard
Wizard, select "Browse my computer for driver software"
software", and
then click “Let
Let me pick from a list of device drivers on my computer
computer”.

a) A list of compatible hardware drivers may appear, but ignore them and click c “Next”
until you find the “Have
Have Disk
Disk” option at the lower right, then click on it:

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A sub-window
window as below should open to prompt for the file location. Click “Browse
Browse” to
select the file path.

b) Search the hardware driver file under "C:\NS-EEG\UsbDriver x86x64\" or wherever the
NS-EEG
EEG software is installe
installed. Find and select the file “cyusbfx1_fx2lp.inf” according to
the OS of the computer (e.g. 32-bit
32 Windows 7, 64-bit Windows 10, etc.).

c) A list of hardware drivers will be displayed as below. Choose “Neurostyle

Neurostyle Device
(x86x64)” and then click “Next” to install the hardware driver.

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d) The system will start to install driver automatically. If a dialog as shown below pops up,
click "Install
Install this driver software anyway
anyway”.

4. When hardware driver installation is complete, cclick “Finish” to close installation wizard.
The new hardware should be found under ““Universal Serial Bus Controllers’’ as ‘Neurostyle
‘
Device (x86x64)’.

NOTE: If there is a yellow “!” mark on the icon after driver installation,, uninstall the driver
along with the driver software, and then click “Scan
“Scan for hardware changes” to reinstall the
hardware driver (you can choose to skip checking from windows update to quicken the
process). Repeat this until the yellow mark no longer appears.
The problem may be caused by poor hardware connection sometimes, w which
hich can be solved
by disconnecting and then reconnecting
reconnect the device hardware cables.

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D. Flash Stimulation Lamp Controller Driver Installation

1. Connect the flash stimulation lamp controller to computer by USB cable (AA interface). The
computer will detect the new hardware and look for the corresponding driver automatically.
NOTE: If you install this driver right after the steps in the previous section (without
restarting your PC), thee PC should be able to install the Flash stimulation lamp controller
driver when you connect it to the PC. Otherwise,, you may need to redo the “disable driver
signature enforcement” from the previous section before continuing the installation.
2. If the auto-installation
installation fails, open the
Device Manager to find a new ‘‘Unknown
Device’. Right-click
click on it and click “Update
“
Driver”” to open the driver installation
wizard.

3. In the Driver Installation Wizard, select "Browse my computer for driver software"
software", and
then click “Browse” under “search for dri driver
ver software in this location” and set the path as
"C:\NS-EEG\UsbDriver
UsbDriver x86x64
x86x64\" or where NS-EEG software is installed. Then click "Next".
4. The system will start to install driver automatically. If a dialog as shown below pops up, click
"Install this driver software anyway
anyway”.

Click “Ok” to finish installation. The new hardware should be found under “Universal
“Universal Serial
Bus Controllers’ as ‘Neurostyle
Neurostyle Flash (x86x64)
(x86x64)’.
If there is a yellow mark on the icon, uninstall
the driver along with the driver software, and
a
then click “Scan for hardware changes” to
re-connect
connect the hardware and reinstall the
hardware driver (you can choose to skip
checking from windows update to quicken the
process). Repeat this until the yellow mark no
longer appears.
The problem may be cau caused by poor
hardware connection sometimes, which can
be solved by disconnecting and then
reconnecting the device hardware.

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E. EEG Serial No. Registration

After completing NS-EEG

EEG software installation, a desktop shortcut for NS-EEG
NS
software will be created, ass shown on the right. Double-click
Double the “NS-EEG” icon
to launch the NS-EEG software.
NOTE: The first time the EEG software opens, a system message about sampling rate may
appear. To handle it, click “Setup” and go to "Display and Sampling" tab,, change the ""Sampling
Frequency" and click “OK”. After this, the system message will not appear again as long as the
screen resolution stays the same.
same
Registering the EEG amplifier serial number into the software is important to make sure that EEG
amplifier is the only one recognized by the software, so the software will not confuse its input
with other EEG amplifiers or machines in the vicinity.
NOTE: If you have copied the “stdgain.cfg
stdgain.cfg” file as mentioned in Section B and your EEG machine
serial ID appears on the main interface, you may skip this section.

1 Double click icon "NS-EEG.exe"

EEG.exe" on the desktop to open the main interface of the software.

Fig 2-1 Main Interface

2 Click "Setup"" button at lower right to open the system setup interface (See Fig. 22-2), and
then click "Leads Edit"" button under [Leads and Template Settings] tab (third tab) to open
the leads edit interface (Fig 2-3).
2

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Fig 2-2 System Setup

NOTE: If the message “Unsupported operation is attempted” appears, close the NS

NS-EEG
application and open Windows EExplorer to where you installed the NS-EEG
EEG software
(…\NS-EEG\BIN)
BIN) and find “SetupOcxC.bat”, right
right-click
click it and choose “Run as Administrator”. A
message “DllRegisterServer in C:
C:\temp06\msflxgrd.ocx
msflxgrd.ocx succeeded” should pop up. Open the
application and try again,
n, and the problem should be resolved.
3 Click "Config" button at the top right corner, and a dialog asking for password will appear.
Input the password “Nation
Nation”, Single-click "OK" button to enter the Engineering
Configuration interface as shown in Fig 22-4.

Fig 2-3 Leads Edit

4 At the Engineering configuration interface, click on "Serial No." button to open a window of
EEG serial numbers, shown in Fig 22-5.

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Fig 22-4 Engineering Configuration

Fig 22-5 Serial Number addition

5 Input the EEG serial number based on the EEG Amplifier label (e.g. if serial no. label writes
“ED1-12345678”, input “12345678” here) and select a channel configuration according to
the hardware purchased. If PSG is included in the hardware, make sure the channel
configuration selected includes
ludes “Multi-parameter” option as well. Click "Add Serial No." to
complete the serial number registration.
6 If the serial number inputted is incorrect, the amplifier will not be recognized by the
software system. To correct it, click on the incorrect serial number and click on ""Delete
Serial No."" to remove the incorrect entry.
7 After registering the EEG serial number, exit the EEG list window and Engineering
Configuration interface to return to the Leads Edit interface.

F. Leads Configuration

1. EEG leads can be configured

nfigured from the Leads Edit/Montage Interface (See Fig. 22-3)
3) accessible
from the system setup. The configurations may differ slightly based on the EEG type selected

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and the inclusion of multi-parameters

parameters.
2. Click on "Hardware
Hardware Configuration
Configuration" button to enter interface
nterface of data source addition as
shown in Fig 2-6.

Fig 2-6 Hardware Configuration

3. Insert the name of hardware configuration plan in the textbox at the top left corner, and
choose whether to add multiple parameters (i.e. PSG parameters) in the plan by checking
the box beside the textbox.
4. Click on the electrode names in the leads diagram to add the leads into the list at the right.
This will be the basis of EEG leads configuration.
5. Click "Save" after setup of electrodes is finished, and the hardware configuration
configuration plan will
be saved; or click “Exit”” to discard the plan and close the window.
WARNING: Do not change any existing hardware configuration plans without guidance, or
the software may not work properly.
NOTE: We recommend configuring based on Intern
International 10-20
20 System for the first 20
EEG channels in any hardware configuration.
6. Back at the Leads Edit/Montage Interface, click on the drop-down
drop down list box of “Hardware
“
Configuration”” at the top left to select the EEG configuration to be used. The columns below
will display the existing EEG channel configurations. The newly added hardware
configuration plan should be available as well.

Hardware
Configuration
Drop-down List

7. Select a plan to be used for leads addition in Fig 22-7. Click “Add” to open the Leads
ads Addition
interface to determine how to connect the EEG channels.
NOTE: Leads Addition or Edit needs the EEG hardware to be switched on and connected to
work properly.

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Fig 2-7 Leads Addition

8. In the Leads Addition interface, click an electrode name at the schematic diagram at the left,
and the electrode name will be entered into the first or second column of the list on the
right in an alternate fashion. The first column consists of active electrodes, and the second
column consists of reference electrod
electrodes.
9. To change an existing electrode entry, click and select the particular entry, and then select a
different electrode to replace it.
10. When the electrode configuration is completed, click "Save" and exit the interface.
11. The new set of leads will be added into the Fig 2-3
3 interface under the selected hardware
configuration plan. Click on this lead mode to select it, and the lead mode can then be
modified in a similar fashion by clicking "Edit" button.

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Some commonly uused EEG Montages (24-channel configurations only)

G. Camera Connection

1. NS-EEG
EEG software only works with the digital LAN video camera provided by Neurostyle for
EEG acquisition with video (Video EEG).
2. Connect the video camera to the computer where EEG software is installed with the LAN
cable. Once connected, the system should be able to detect the video camera automatically.
3. Set up the Ethernet for the computer
a) To confirm connection, open Network and Sharing Center and look for a new Ethernet
network. This window can be reached in two ways:
i. Open Control
ntrol Panel from Start Menu, select Network and Internet, and then select
Network and Sharing Center.
ii. Select the network icon from the lower right of the desktop (usually is with the
date and time). If the option “Network and Sharing Center” is found, click
clic that to
open the window as below.

Network and Sharing Center

b) Click on the Ethernet in the Network and Sharing Center, and then follow these steps to
setup the network configuration for the video camera:

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Ethernet status Ethernet properties

Video.ini file:
Open Video.ini in the EEG software
CFG folder to make
ake sure the above
setup in
C:\NS-EEG\CFG\video.ini is correct.
TCP/IPv4
v4 properties: Note the IP for video camera is
Set the values as indicated in the red boxes. 192.168.1.108.

4. Test the video camera: After setting the configuration above, open NS
NS-EEG
EEG software and
click on [Add Case] to access to the EEG acquisition interface, and select “Video EEG”. EEG
hardware must be connected properly for this to work.
A video sub-window
window should be visible at top right of the EEG acquisition window. Video
display size can be adjusted manually.
NOTE: If the video fails to load with “Cannot find server” message, check the IP address
configurations; if the message is “Fail to login”, it means the vid video
eo camera may need to be
formatted first,, or the password in Video.ini is incorrect.
incorrect
If the above configuration fails, open web browser and go to this address ““192.168.1.108
192.168.1.108”
(address IP shown in Video.ini). This will open a site to format the camera to sett a new password.

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EEG Acquisition Interface with video display window at the top right

5. Adjust the physical direction of the video camera according to the furniture it was placed on,
and then adjust the focus of the digital camera to achieve optimal video quality.
6. After recording, you can access the recorded EEG data with video from the main interface
with the same steps mentioned in Chapter V Review and Analysis.

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III. Main Interface

Double-click the "NS-EEG.exe" desktop icon to open main interface of EEG program
ogram (see
below). This interface has eight areas:

Area 1: Toolbar
The toolbar is at the top left side of interface, as shown in Fig 3
3-1:

Fig 3-1 Toolbar

Functions of each button are as follows:

Copy case data from one case library to

t another case library.

Cut case data from case library to clipboard.

Use this button in conjunction to Copy and Cut above to allocate case into
case libraries of choice (Available after case data is copied or cut).

Delete case data from case library.

NOTE: Remember to backup important case data before deletion.

Review selected EEG case. If multiple cases are selected, only the first will be
played.

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Review selected
lected EEG
EEG-ERP
ERP case. Only the first of multiple cases selected will be
played. ERP-exclusive
exclusive features will not be accessible for normal EEG cases.

Select to record more EEG data for the selected case. If video data is included,
video da
data will also be added correspondingly.

Click to edit case information of patient, as shown in Fig 3

3-1A.

Print case results of selected case; output may differ depending on template
selected.

Fig 3-1A Case Info editing interface

Area 2: Data Directory

The data directory is below the toolbar at top left of the main interface. This displays the data
storage location in the computer. Data directory can be modified by clicking the “…” box as
shown in Fig 3-2, and then select a different folder location within the computer. The data
directory displayed will then be replaced with the new location.

Fig 3-2 Data Directory

Area 3: Case Index

The Case Index is right under data directory and above the Case List, which is fo
forr selecting the
data library.
1. Click on the arrow on the right side to open a dropdrop-down
down menu with a list of case types,
which can be edited in System Setup (See “System Setup” for details).
2. Select a case type and the Case List will display cases of that ccase type.

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3. All new cases, if not specified, will be recorded as “Untreated”. Any case can be moved
between the types with “Cut”, “Copy” and “Paste” options from the Toolbar.
NOTE: Appropriate case list should be selected after data directory is changed, su such
ch as when
reading data from a CD disk, "Current directory” should be set to the data location on the disk.

Fig 3-3 Case Index Menu

Areas 4 and 5: Case List and Case Information Display

1. Case List is just under the Case Index, and Case Information Display at the right will display
case data of a selected case in the Case List. To view case information of a particular case,
select a case in the Case List and the corresponding case information will be displayed on
the right, as shown in Fig 3-4.
4.
2. To search forr a case with unknown location, click “Find” above the Case List, fill in the search
criteria and click “Search” to find the results within the selected folder.

Fig 3-4 Case List (Left) and Case Information Display (Right)

Fig 3-4A Case Search

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3. Case management
A. Case Backup
Case information of patients should be backed up often in the following steps:
 Select the patient's examination number for backup in the case list.
 Right-click
click on the selected cases and select the directory to transfer the case data for
backup, as shown in Fig 33-4B.
 If backup disk is a rewritable CD-ROM,
CD ROM, floppy disks or other storage media, please
insert disk to appropriate drive.

Fig 3-4B Backup Case Data

B. Case Deletion and Restore

If a case data needs to be deleted, select the case exam numbers from the main
interface, and then click [Delete] button in the toolbar to proceed. Alternately, select
[Delete] command from the right-click
right menu will do the same.
NOTE: Case data cannot be restored once deleted without backup, so please backup
the case data first if it is still required for future reference.

C. Case Restore
To restore case data, right click on the case list and select [Import], and then select
a .NED file from destination path. Case data restored will be added into
into the case list.

4. The command buttons at the lower part of Case List are as shown below:

A. [New]:: Create a new case for EEG acquisition. Refer to Chapter IV Data Acquisition for
specific operation steps.
B. [Edit]:: Modify details of a case selected in the Cas
Case
e List, as per the Toolbar command.
C. [Print]:: Generate a report based on the selected case in the Case List. The report is in
Word format.
D. [Import Template]:: Import report template from selected folder for report generation.

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Area 6: Report Templates

This area
ea is for selecting report templates for case report generation. It is located at bottom left
of the Main Interface with the following commands:
 [Add]: Import a template for case report generation. Note that these templates should be
made based on the defaultult template.
 [Modify]: Changes the details of a selected template.
 [Delete]: Deletes the selected template from the software.

Fig 33-5 Report Templates Menu

Area 7: Settings
This area at the lower right of the Main Interface consists of EEG connection status
status indicator and
5 command buttons:

Fig 3-6 Settings

1. EEG Status:: This is an indicator of EEG hardware realreal-time

time connection status. The circle is
blue when EEG hardware is connected, and is white when there is no EEG connection.
2. Serial No.: The EEG hardwareware connected should display its serial no. here to be able to
record data. If it does not appear, register the serial no. as shown in Chapter II Section EE.
3. [Impedance]:: Opens the impedance testing window. Operation details will be covered in
Chapter IV.
4. [Setup]:: Opens the system setup interface, which has the following option tabs:

A. Case Information Settings (Fig 3-7):

Fig 3-7
3 Case Information Settings

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i. This section enables the editing of Case Library and Case Information.
ii. Case Library corresponds to the list of case folders in Area 3 of the Main Interface to
sort out case entries. These folders are located in the data directory stated in Area 2 of
the Main Interface.
iii. The first entry of the Case Library list will be the default case folder.
iv. Case Information has 7 tabs corresponding to case information entry items when
adding or editing a case: [Status],
[ ], [Physician Signature], [Clinical Diagnosis], [EEG
Diagnosis], [Map Diagnosis], [Exam Type], and [Drug Mode]. Options for these tabs can
be set arbitrarily.
v. To add a new entry to the case library or case information, select it and type in the
corresponding name into the “New Item” dialog box, and then click “Add”.
vi. To delete any entry, click on the target entry name to be deleted, and then click [Delete]
to remove
move it. For case library, all cases saved within the case library folder will also be
deleted, so make sure there are backup data for the cases before proceeding.

B. Display and Sampling

i. This section is to adjust sampling rate, measurement length and edit the e display for the
EEG acquisition and review interfaces. Fig. 3-8
3 8 shows the interface for the Display and
Sampling configuration menu.
ii. Unit Measure is used to ensure that EEG waveforms displayed on screen are consistent
with the actual EEG waveforms printed
printe by paper.
iii. Horizontal (Frequency) calibration: Measure blue line in horizontal direction with ruler,
and move the block to ensure line's length is 3cm as per pre
pre-set value.
iv. Vertical (Amplitude) calibration: Measure blue line in vertical direction with rul
ruler, and
move the block to ensure line's length is 3cm as per pre-set
pre value.
v. Display colors of the EEG interface (Background, Gridding, and Waveform) can be
modified according to user requirements.
vi. EEG Sampling Frequency can be set at 128Hz, 256Hz or 512Hz
512Hz.

Fig 3-8 Display and Sampling

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C. Leads and Template Settings

i. Leads Edit:: This section is where the leads and electrode points are set according to
user requirements. Refer to Chapter II Section E and F for details on use.

Fig 3
3-9 Leads and Template Settings

ii. Revise Review Print Template

Template:: Click to open the Word report templates for EEG Review
to change the report title and add company header and footnotes. Format of the
report content should not be changed to avoid irreversible print errors.
iii. Revise MAP Print
nt Template
Template:: Click to open the Word report templates for EEG Review to
change the report title and add company header and footnotes. Format of the report
content should not be changed to avoid irreversible print errors.
iv. Help: Opens the Help file of EEG sof
software.

D. Event Settings (Fig 3-10):

10):
i. This section is similar to Case Information Settings, except it is for configuring Instant
and Long Events.
ii. Method of adding and deleting entries are similar to that in Case Information Settings,
with an addition of event colour selection.
iii. To add an event, first enter the event name and select a colour, and finally decide on
adding the event as an Instant Event or as a Long Event. The new event will then be
added into the corresponding list.
NOTE: The events cannot have the th same name.
NOTE: No event can be on both Events Lists at the same time.
iv. Depending on your purpose of using the EEG system,
system, here are some functional events
that can be useful:
 Photic/Flash: “Flash” Long Event Event.. If you cannot see the event when you record
after
fter adding the event, add another Long Event.
NOTE: “Flash” event must be a Long Event to work during data acquisition. See
Chapter IV Section B.
B.-b)-11. on its operation.
 PSG only: “turnoff” and “turnon” Instant Events, Events, indicating the common practice
of switching
witching off the lights when going to sleep, and switching on the lights when

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waking up. Only one “turnoff” and “turnon” event can be placed, ed, and only PSG
data between these two event markers are used for Sleep Analysis.
 ERP only: Depending on your choice stimulation source, add
 “Elec1”” and ““Elec2” for electrical/current stimulation
 “Light1”” and ““Light2” for pattern reversal visual stimulation
 “Sound1”” and ““Sound2” for audio/acoustic stimulation
See Chapter VI on ERP operation for more information on stimu
stimulator
lator operation.
If you want to include functional events not included here, please check with your
supplier to assess the possibility.
v. Most events on the list can be deactivated simply by clearing the checkbox on the left
of the event name. To reuse the eevent, simply check the checkbox again.
vi. To delete an event, simply click on an event and then click “Delete”. The selected event
will then be deleted permanently.
NOTE: “Eyes Opened”, “Eyes Closed” and “Breathing” events cannot be deactivated
or deleted.

Fig 3-10 Event Settings

A. OK: Close the System Setup and return to the Main Interface, saving all changes made
in the process.
B. Cancel:: Closes the System Setup and return to the Main Interface, undoing any changes
made in the process (except in Leads Edit).
4. [Help]: Opens the Help file of the software.
5. [Version]:: Displays software version.
6. [Exit]: Closes the program.

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Area 8: User Information

Double-click
click this area at top right of the Main Interface, and a pop
pop-up
up dialog box will appear. Click
"Ok" after modification
cation to save the new user name.

Fig 33-11 Change of User Information

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IV. EEG Data Acquisition

A. Impedance Testing

Before proceeding to data acquisition, it is important to conduct impedance testing to ensure

quality of EEG signals that will be measured.
1. Important
rtant notes before using this function:
a) Make sure the EEG amplifier is connected to the PC, all EEG channels on the EEG cap are
connected to the amplifier, and the subject has worn the EEG cap properly.
b) Impedance testing and EEG data acquisition cannot be done at the same time.

Fig 4-1A EEG amplifier during Impedance testing mode

2. Click on [Impedance] at the Setting section of the Main Interface to open the Impedance
Testing window, and then click “Start” to begin impedance testing. Without any adjustments,
adjustment
the impedance values displayed for each channel should be more than 500kOhms.

3. If the channel values failed to display, press “On/Off” button at top of the EEG amplifier
once or twice to activate the impedance testing. If the values still did not disp
display
lay correctly,
reopen the impedance testing window.
NOTE: The EEG amplifier shines in green and/or red during impedance testing mode. If the

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light persists after you close the impedance testing window, press “On/Off” button to
switch it off.
4. Once the impedance
ance values are displayed, proceed to reduce the impedance level while
measuring the impedance level with this window.
a) Use a syringe with non-bevelled
bevelled needle and EEG gel to reduce the impedance. Make sure
the needle tip is clean and rust
rust-free.
b) Fill the syringe
ringe tube with EEG gel (you can draw it from the front, or pour it in from the
back). If you fill the syringe tube from the back, it is recommended to fill at 80% full, so the
gel does not leak from the needle tip.
c) Inject the EEG gel into each channel of the EEG cap through the small hole at the connector.
You can remove the EEG cable head before injecting the gel, although it will be messier
when you reconnect the cable.
NOTE: Always begin injecting the gel from the channel that is related to most channels,
channe
e.g. If you are using Referential EEG lead configuration (all channels use REF as reference),
begin with the REF and GRD channels, because they will affect readings of all channels.
NOTE: For A1 and A2 channels (located at the ears), use button electr
electrode
ode cables and pads
for impedance control instead.
d) Observe the impedance level decrease with the injecting of EEG gel. Make sure the
impedance change corresponds to the correct channel, or you need to switch the cable
connections of the EEG cap.
5. When impedance
dance of all channels reaches safe level (approximately below 50 or when
impedance light on amplifier becomes green, depending on user), the EEG hardware setup
is complete and is ready for data acquisition.
NOTE: After completing impedance testing, check the
the bottom row of the EEG amplifier
and make sure no light is on. Otherwise press the “On/Off” button to switch it off.
NOTE: Impedance test module (software method) can support up to 60 preset channels.
To customize different EEG channel configurations, please
please contact Neurostyle or its
authorized suppliers.

Fig 4-1B Applying EEG gel on the electrodes of EEG cap worn by a subject

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Fig 44-1C Impedance Testing Window

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B. Data Acquisition Interface

To open EEG Data Acquisition from the Main Interface:

1. Click "Add Case" button to open Add Case form, as shown below in Fig 4
4-2.

2. Select the EEG configuration, input EEG No., and then click ‘Routine EEG’ at the bottom right
of the form to open the EEG Acquisition interface;
interface alternately, click ‘Video EEG’ to open EEG
Acquisition interface with concurrent video recording with EEG acquisition
acquisition.

Fig 4-2 Add Case Form

Fig 44-3 EEG Acquisition Interface

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The top row of the EEG Data Acquisition interface (see Fig 44-3)
3) shows the patient info, recording
status and recording parameters.
arameters. There are 2 sets of toolbars, Main Control Bar at the bottom
and Functional Menu Bar on the left.
The video sub-window
window only opens if you select ‘Video EEG’ in the Add Case Form. The video
records concurrently when EEG data is acquired, as long as it is switched on.

Main Control Bar

The commands to initiate and end the data acquisition are in this control bar. It also shows the
local time and the recording time.
The command keys are listed below:
1. [Help]: Opens the help file.
2. [Version]: Displays software version information.
3. [Local System Time]: Displays the current system time.
4. [Recording Time]: Displays the current case recording time, i.e.
duration of the EEG recording done thus far.
5. [Scaler]: Generates 3Hz Hz square waves with 100uV peak
peak-to-peak amplitude in place of the
EEG measurements. This function is for gauging the EEG waveform size to be recorded.

Image above shows square waves generated under [Scaler] command. This shape is
observable when all signal filters are deactivated.
6. [Calibrate]: A multi-parameter
parameter command key that activates breath calibration for the RESP
parameter in the PSG module.
a. When activated, a message “Under Calibrating” will appear on top row of interface
with a counter up to 60 seconds.
b. When 60 seconds is reache
reached,
d, a message “Success to calibrate RESP” appears in place of
the counter.
c. Successful calibration results can be used to judge breath suspension during Review
and Analysis. If the waveform is not shown, then the connections for the devices of
respiratory tract
act or contact of RESP electrodes should be checked.
7. [Monitor]: Displays the current EEG waveform measurements without recording it. Useful
for checking the lead connections. The background color turns white in monitoring mode.

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8. [Record]: Records the EEG dadatata and displays the waveform measurements. The background
color follows the display settings (black for default).
9. [Stop]: Stops EEG data acquisition process.
10. [Exit]: Closes the EEG data acquisition interface. Recorded data will be saved into the Case
Library
ary according to case type, where the default case type is “Untreated”.
11. [Color]: Displays the events marked on the measured waveforms.

Functional Menu Bar

1. [Montage Mode]: Click to choose from different lead sets configured in the Leads Edit
section based on
n the channel configuration selected.
2. [Montage View]: Opens the Leads Graph that displays the current leads configuration
information and layout, with channel numbers shown in red with the respective leads.

Fig 4-4A Fig 4-4B Montage View

Functional Menu

3. [Page Setup]: Dependinging on the number of EEG channels (and multi

multi-parameters)
parameters) configured,
this section allows configuring the number of pages to display the channels and the number
of pages to display at every page. Up to 8 pages with up to 32 channels per page can be set.
4. [Page Index]: Allows viewing of channels by flipping to the pages as it is set in Page Setup.

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Fig 4-5A
5A Page Setup Fig 4-5B Page Index

5. [Channel No.]: EEG Channels displayed and waveform colors can be set here.
a. Uncheck and click “Ok” to hide display of O2-Ref Ref and its waveform
output.
b. Check “No Scale” to hide time scale display at the bottom of the waveform interface.
c. Check “By Point” will improve the display sample rate of the waveforms acquisition,
but waveform will not be very smooth, so this is usual
usually not recommended.
d. Choose “Wave Color” to change the color of waveforms. Wave color of a channel can
be changed by clicking on the channel name and then selecting a color. Color change
can also be done on all channels by clicking “Same Color”. Click “OK” afterwards to
save the color changes, or click “Cancel” to discard all color changes before exiting.

Fig 4-6A Waveform Fig 4-6B

6B Waveform Color Fig 4-7 Display Fig 4-8
4 EEG
Display Control Settings Speed Sensitivity

6. [Low Pass]: Blocks out high freq

frequency
uency external noise interference. Filter range: None, 5Hz,
10Hz, 15Hz, 20Hz, 30Hz, 40Hz, 45Hz, and 60Hz. Recommended default value is 30Hz. 30Hz
7. [High Pass]: Blocks out low frequency external noise interference. High pass filter range is:
None, 0.01s, 0.02s, 0.03s,
.03s, 0. 1s, 0.2s, 0.3s, 1s, 2s, and 3s. Default value is 0.3s (5.18Hz)
(5.18Hz).

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8. [EEG Notch]: Sets the EEG notch to block out power line interference. Please check the AC
power frequency at your country to determine the suitable filter frequency (50Hz or 60Hz).
9. [Sleep Parameter Setting]: This option opens the setup interface for PSG parameters. This is
only available for EEG configurations with multi-parameter.
multi

Fig 44-9 Sleep Parameter Setting

10. [Event]: Configure settings for events during the EEG data acquisition, as shown in Fig. 4
4-10.
a. The selection of events can be configured in the System Setup, under “Events Info”.
Info”
b. To mark an event, simply choose an event (with respective color code) and the
mouse-click
click on the waveform at the timings event occur.
c. “Breath Sound” option enables the software to generate sound to guide the patient in
deep breathing, to make events observations easier.
d. “Auto Add” option will help mark a selected event during the waveform recording.
NOTE: The long time events (Breathing and Flash) and event color can be stopped by
right clicking on the waveform area.

Fig 4-10A Event Settings

Fig 4-10B Deep Breathing

Options Fig 4-11 Stimulation Setup (Top: Breath; Bottom: Flash)

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11. [Stim. Set]: This is for setting the Deep Breath and Flash/Photic stimulation typetypes and
patterns for data acquisition. These settings must be set before recording begins. The setup
window is as follows:

The upper part of the Stimulation Setup window is on Deep Breath; the lowerower part is for
Flash/Photic stimulation settings.
tings. More of these in the next sub
sub-sections.

12. [Video]: Toggle video display on screen. TThis only works in Video EEG acquisition mode with
installation of digital video.
13. [Add Vol.]: This function is a test instrument used for calibration of EEG amplifier.
amplif This
should only be modified under guidance of qualified technical personnel from Neurostyle.
14. [Configure]: Engineering Configuration to set baseline and gain values for EEG channels
displayed. This should only be modified under guidance of qualified ttechnical
echnical personnel.
15. [Case Info]: View or edit current patient related case information.
16. [EEG Trend]: Toggles the display of EEG brain trend at the lower part of the interface. Refer
to Chapter V, Section C “Analyze
Analyze” for details.

Stimulation Setup: Deep Breath

Bre

1. “Deep Breath”: Set the breath frequency and duration for “Breath Sound” option in the
Event settings. Inhale percent refers to the time interval between the sounds of
inspiration (breathing in) and expiration (breathing out). This is also used for PSG data
acquisition.
i. Breath Freq:: Rate of breath to be expected in a minute ((1 – 60 times per minute
minute).
ii. Breath Duration:: Total duration of the breath exercise ((1 – 10 minutes).
).

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iii. Inhale Percent:: Percentage or ratio of breathing in for a breath cycle (0

( – 100%).
2. On the data acquisition win
window, open the Events List to find the “Breathing” event. Click
on that event to activate Deep Breath
Breath. The Deep Breath activity will run according to the
Breath Duration set at the Breath Freq and Inhale Percent set, which will be indicated by
audio prompters.
3. A countdown timer will also appear at the top row. When the timer reaches zero (0:00),
the Deep Breath event will end, and the audio prompters will stop.
4. To abort the Deep Breath timer and prompters, right click on the waveforms orms and display
area and click “Cancel Breathing
Breathing”.

Stimulation Setup: Flash

Flash/Photic Stimulation

1. “Photic/Flash
Flash Stimulation”: This requires the flash stimulation lamp connected to the
system to work. The flash stimulation can be programmed to run up to 10 cycles with wi 5
phases at varying frequency, duration and time intervals. Up to 10 stimulation programs
can be stored for future examinations.
The following are the steps to use the flash stimulation module:
i. Connect the Flash Stimulation Lamp module to the computer;
ii. Make sure the Flash Stimulation Lamp module driver is installed properly; if not,
go to Chapter II, Section D to install the module;
iii. Once the module is installed successfully, set the stimulation plan in this setup:

 Click on to choose the stimulation plan

n to use or edit;
 Save plan: Click this button to save the currently set plan; Up to 10 sets of
flash configuration plans can be set. However, only one plan can run at a time,
because stimulation settings cannot be changed during recording.
 Cycles: Click tto choose how many cycles will the stimulation last. This can be
set from 1 – 10 cycles.
E.g. if 6 cycles of stimulation is set, the flash stimulation phases will run for 6
times before stopping automatically.
 Phase: Displays detailed information of each stimulationstimulation phase. Up to 20
phases can be set for each plan with different stimulation frequencies,
stimulation times, and time intervals.
 Stim Freq: Set stimulation frequency of each phase from 1 – 30Hz.
 Stim Time: Set duration for each stimulation phase ffrom 5 – 60s. Stimulation
time of the first phase cannot be set at 0 second.
second
 Time interval: Set the time interval between two stimulation phases. This can
be set between 0 – 10 seconds.
 OK: Click this to save the changes and close the window.
 Default: Reset the parameters to system default values.
 Cancel: Click this to close window without saving the changes.
iv. Close the ‘Stimulation Setup’ and open [Events Settings]. Check “Auto Add” and
start recording the EEG.
v. As the EEG is recording, click on “Flash” event in the Events List. The flash
stimulation lamp will start flashing as planned in the Stimulation Setup.

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Left: Photic/Flash
Flash Stimulation Setup; Right: Flash event in the Events List

Above figure shows an EEG recording with “Flash” event marker as the beginning of the
photic stimulation. The red, circled part at the top shows the current photic stimulation
frequency and its designated duration.

vi. To abort the flash stimulation, right-click

right click on the waveform display area and click
“Stop Flash Stimulation”
Stimulation”.

vii. If not stopped, the flash stimulation will stop automatically after
fter running through
the in the number of cycles set in the stimulation plan.

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V. Review and Analysis

A. Review

At the Main Interface, select

elect the case to be reviewed in the case list, and then click "Play" on the
top left toolbar. This will open the Review Interface, as shown in Fig
F 5-1.

Fig 5-1 Review Interface

1. Information Bar
Located at the top of screen, this bar displays the patient name and various parameters of
the waveforms displayed on screen.
2. Waveform Display Area
This is where the waveforms measured and recorded are dis displayed.
3. Functional Button Area 1
Command buttons “Montage”,
“Montage” “Montage View”, “Page Setup”, “Page Index”, Index” “Channel
No.”, “Page Velocity”, “Sensitivity”
“Sensitivity”, “Low Pass”, “High Pass”, “EEG Notch”,, and "Sleep
Parameter" work just like the ones in the Acquisition Phase,
Phase, so only the ones not covered
will be elaborated in this section.
3.1 [Spike Analysis]
This function enables setting of parameters to identify spikes that are recorded in the EEG
data. The spikes can also be added or deleted manually.
NOTE: As this is a mechanical
echanical aautonomic analysis method, waveform output resulted by
interference can also be recognized as spike waves. Therefore the analysis report should

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only be used for reference, and the clinician should use his own judgment to determine
the patient’s condition.
3.2 [Breath Calibration]
This function does not analyze the breath if the breath acquisition has not been done in
acquisition and review. This will record 30s – 5mins of breath calibration data, and click
again to finish breath
reath calibration manually aand
nd generate a calibration value for breath
analysis. This function is essential for RESP analysis in PSG, but not useful for normal EEG.
3.3 [Analyze]
This opens a menu for parameter analysis like brain tendency and breath analysis. More
details to be covered in section 3.
3.4 [Predefined Event]

Fig 5-2 Predefined Event

Use this function to mark events as defined in [Event Info] at the System Setup. To mark an
event, select a predefined event in the list at right, click [Add] and then click on the EEG
waveform, and
nd the event will be marked at where you clicked on the EEG waveforms.
All marked events can be deleted by selecting the event at the left list and click [Delete].
3.5 [Self-Defined Event]

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Fig 5-3 Self-Defined Event

Self-defined
defined event function works just like
like predefined event, with the exception of choice
for customizing the event label.
In addition to the steps for marking a predefined event, every self
self-defined
defined event needs to
be named individually and can be edited on its own.
4. Playing Data Control Area
4.1. Shortcut Buttons

First Previous Next Last Next Previous

page page page page second second
4.2. Waveform Navigation Bar

Fig 55-4 Waveform Navigation Bar

 The Waveform Navigation Bar is located at the bottom of review interface. It is used for
navigating the waveform at appointed time.
 To browse the waveform, place mouse cursor onto the navigation bar, and a time value
will be displayed on the cursor. Click and the displayed time will be the time at the left
of waveform display area, with all the corresponding
correspo waveforms displayed.
 Colored marks on the waveform navigation bar indicate instant events and long events
marked in the EEG data. Events can be defined at Events List in the System Setup.
4.3. Waveform Playback
 Select a play speed from the pull down menu at lower left, and then click “Play” to run
the playback.
 Play speed is determined by the paper speed set. If the paper speed is set to 3cm/s, the
waveform will move 3cm in one second on “One Speed”. If “10 Speed” is selected
instead, the waveform will move
mo 30cm in one second.

5. Functional Button Area 2

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5.1. [Measure]
On selecting this function, a measur
measuring frame will replace the cursor

Fig 5-5 Measuring

ing frame (red)
( Fig 5-6 Measured Waveform

Use the measure frame and left-click

left on the waveform as per Fig 5-5,
5, and the selected
portion will be highlighted as shown in Fig 55-6.
Click on 2 points of the highlighted waveform, and the time, frequency and amplitude will
be measured. You can zoom out or zoom in the waveform as per needed.
parameter measurem
5.2. Multi-parameter measurement [Mul-Meas]
Click to open a new dialog box, and then select the corresponding parameter for
measurement and click "OK" (See Fig 5-7).
7). Note that only values of the selected parameter
will be measured, e.g. ECG Measure will not work on EEG waveforms.

Figg 55-7 Multi-Parameter Measurement Menu

Measurement method is as shown in Fig 5-8:

5

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Fig 5-8 Multi-Parameter

Parameter Measurement using the red and green measuring lines

A pair of red, horizontal lines and a pair of green, vertical lines will appear in the waveform
display area, which you can click and move the lines onto any waveform to measure it by
“boxing it in”,, and the corresponding values will show up at the top row.. The vertical lines
measure the time and frequency values,
value and the horizontal lines measure the
e amplitude.
To close the measurement function
functions, click "Undo" to remove the measurement
surement lines and
values.

5.3. [Ruler]
Click to open the interface below, which different rulers such as frequency ruler or
amplitude ruler can be selected for “Measure” function.

Fig 5-9 Ruler Configuration

NOTE: Please always use auto

auto-measure function for better accuracy.

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5.4. [Print 1]
Click "Print 1" to bring up the Report print window, as shown below in Fig 5
5-10.

Fig 55-10 Window for Report Printing

e. Template: Select a report template

template into the drop menu on top, and the report will be
generated based on the selected template.
 Add new templates:
 Click "Add" button to import template file.
 Select template file to be imported.
 Delete templates:
 Select a template name from the Templates list.
 Click "Delete" and a pop-up
pop confirmation dialog box will appear.
 Select "Yes" to confirm deletion of template, or “No” to cancel deletion.
 Modify templates:
 Enter comments in the dialog box after selecting a template file.
 Click “Apply” to save comme
comment into template file.
b. Template Info: Use this dialog box to fill in any comments and conclusion based on the EEG
data.
 Click “Save” to store the entry, or “Clear” to discard the text.
 Print: Generate the EEG analysis report with the EEG waveform curre
currently
ntly displayed (up
to 5 seconds).
 Print 2: Print only the EEG waveform currently displayed (up to 8 seconds).
 Exit: Close the Print 1 interface.
5.5. [Print 2]
Print 2 is similar to the “Print2” option in Fig 5-9
9 that only the waveform is printed, except
you can
an choose the parts of the data waveform to be printed.
 Click "Print 2" at the bottom row of the review interface.
interface
 Left-click
click on waveform display area arbitrarily to indicate start and end points of
waveform to be printed. Waveform between the two clicked points will be labeled in
red, as shown in Fig 5-11.
11.

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Fig 5-11
11 Highlighted waveform section for printing

 Click "Print 2" again, and the selected parts of the EEG data will be printed through the
default printer of the PC. However, there will be no report included.
 Printing speed for this procedure is 8.5 second/page
5.6. [Edit]
This function can be used to save selected parts of the EEG waveform in a separate data file
to focus only on the selected parts. Video data will be extracted as well.
 Select parts of EEG waveform similar to that of “Print 2”. Click “Edit” again after
completing the selection.
 Click “Exit” after editing the waveforms, and a dialog box will pop up to confirm the
data extraction. Click “Yes” to save the waveforms into a new file, or click
clic “No” to
cancel the data extraction procedure.
 Case Library in the Main Interface will have a new case file called “XXXnew”,
depending on case file name and how many extractions have been done. Refreshing
the case list may be required to see the new case file.
5.7. [Exit]
Click Exit to close Review Interface and return to Main Interface.

B. Brain Electrical Activity Mapping (BEAM) Analysis

To open the BEAM Analysis Interface, follow the steps below:

a) Click “Map” in the Review Interface.

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b) Select parts of EEG wave

waveform.
form. Make sure selected parts are highlighted in red.
c) Click “Map” button again, and BEAM Analysis will be conducted on the selected parts
of the waveform, and tthe analysis result will be shown in a new window (Fig 5
5-12):

Fig 55-12 BEAM Analysis Interface

BEAM Analysis Interface has following functional keys:

1. [PgDown] [PgUp]: For EEG with high number of channels, this is used to view waveform of
channels not displayed in the current view.
2. [Next Ch] [Up Ch]: Shift down the list of channels one at a time.
3. [Increase] [Decrease]: This is used to adjust sensitivity of EEG waveforms displayed at the
right side of interface.
4. [Back 1s] [Forward 1s]: Display EEG waveform and Mapping in the next or previous second.
5. [Filter]: Use this function to control lead interfer
interference in the following steps:
5.1 Click [Filter] to enter the filter setup. The color of all the EEG leads will be shown in red.
5.2 For leads that do not require filtering, click on them to change them to white. These white
leads will not be filtered.
5.3 Change the high pass frequency value and/or low pass frequency value, and then press [OK].
The resulting waveforms should have observable changes, which will in turn changes the
brain mapping results and hence the analysis results.

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Fig 5-13 Filter Setup

6. [Frequency]: Use this to set the frequency range of the system.

6.1 Click the button to enter the Freq setup interface, complete with corresponding threshold
values of waveforms from δ-wave
δ to β-wave.
6.2 To modify the frequency range of each wave segment, simply change the
the corresponding
threshold values and then click “OK”. So to change the frequency range from 8.0Hz —
11.0Hz to 9.0Hz — 11.5Hz, simply change the values of the wave shown in the white boxes,
and then click “OK”.

Fig 5
5-14 Frequency Threshold Settings

7. [Frequency Spectrum]: This function performs a variety of analyses onto the EEG waveform.
Click the button and it will enter the spectrum interface, which can display EEG mapping
analysis results using “Graph”
“Graph”, “Percentage Map”, “Histogram”, and “Digital Map” forms to
illustrate energy distribution for each channel, the respective percentage values, etc. You
can even choose to print these spectrum interfaces for future reference.

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Fig 5-15 Frequency Spectrum: Clock-wise

Clock from top-left
left are [Graph], [Percentag
[Percentage Map],
[Digital Map], and [Histogram] at bottom-left
bottom

8. [Left View] [Right View] [Top View]: Click on one of these to view the EEG Mapping display
from 3 different directions: left side right side and top side.
9. [Scale]: Click to switch between relative scale and absolute scale.. Choice of scale will affect
the printing results of the corresponding report.
10. [Print] [Print2]: Just like in the Review Interface, these will print the mapping analysis results
with or without the analysis report.

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C. Analyze
[Analyze] is a special command available in the Review Interface. To begin, click “Analyze” at the
left menu bar to bring up a pull-down
down menu as shown in Fig 5-16:
5

Fig 5-16 Analysis Menu

NOTE: For non-PSGPSG use, only [EEG Tendency Analysis] can generate useful results. Other
analysis functions apply for PSG users only.
NOTE: Manual-Sleep
Sleep Analysis, RESP analysis and other analysis reports can only be used after
“Auto-Sleep Analysis” is done.
IMPORTANT: Please place “turnoff” and “turnon” event markers for the parts of data that you
intend to conduct sleep analysis on.
Please also make sure Breath Calibration is done before
before sleep analysis, for the data is required
for RESP analysis.
1. [Auto-Sleep Analysis]
a) Click the “Automatic Sleep Analysis” button to open the following electrode selection
window (Fig. 5-17). DO NOT CHANGE THE CHANNEL SELECTION, SIMPLY PRESS “OK”.

Fig 5-17 Channel Electrode Selection for Automatic Sleep Analysis

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b) 2 EEG channels, 2 EOG channels and 1 EMG channel need to be selected form the
Automatic Sleep Analysis to work. After said channels are selected, click “OK” to begin
the analysis. A window shown in Fig. 5-18 will be shown.

Fig 55-18 Automatic Sleep Analysis

c) After checking the “Remove False event” option, click the “Auto Analysis” button
process the analysis. When the analysis is completed, click “Cover and save” to save
the analysis information,
on, and then “Exit” to close the analysis window.
d) If there is a need to redo the auto-sleep
auto sleep analysis, reopen this window and click on
“Parameter Settings” (See Fig 5-19)
19) to tweak the sleep analysis parameters for
different analysis results.

Fig 5-19 Aut

Automatic Sleeping Analysis Parameter Settings

2. [Manual Sleep Analysis]

This option enables manual editing of sleep analysis results and trend diagram after

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completing the automatic sleep analysis. Click on “Manual-Sleep Analysis” in the Analyze
menu to access this option (See Fig. 5-16).
5 16). This will open a trend diagram between the
waveform display interface and the data control area (See Fig 5
5-20).

Fig 5-20 Manual-Sleep

Sleep Analysis interface is opened below the waveform display

2.1. Browsing through the Manual-Sleep

Manual Analysis Trend Diagram
The keys on the left column in the Manual
Manual-Sleep
Sleep area (“W, REM, I, II, III, IV, Over”) are “Jump”
keys used to help browsing through the analysis data. By clicking on any of the “Jump”
buttons, the red vertical line in the trend diagram will automatically skip to the start position
of the selected phase type. For example: To check the phase III of sleep, click “III” button to
skip to where the next phase III is in the trend diagram, with the red line located to the start
position of that phase. Clicking “III” button again will make the trend diagram skip to the
next phase III occasion. “H, OSA, CSA, MSA” are RESP analysis phases that works similarly to
the Jump keys when clicked, but will bring the red line to the start position in the RESP
phase instead.
2.2. [Sleep Phase Editing]
The “W, REM, I, II, III, IV, End
End” buttons on the top of the trend diagram are used to modify
the sleep phases manually.
For example: Select a time in the waveform display area and then clicks on “I”. The selected
point in time will change the phase in the trend diagram to “I” until the next point of phase
change.
2.3. [Modify]: If this option is checked, then the phase change will be made in 20s blocks, then
the changes will be made in the way that the sel
selected
ected phase will replace the current phase
for 20s, followed by reverting to the current phase until the next point of phase change.
2.4. [Breath]: Used in the breath event by manually editing “Breath analysis”, click to list the
start and end position of "Hyperpnoea (H), Obstructed (OSA), Central (CSA), Mixed (MSA)"
on the phase editing interface to achieve changes.
2.5. [Trend View]: The bottom row controls are used for browsing through the trend diagram,
shown in Fig. 5-21.
Use “<<” and “>>” to change th
thee trend map scale, which in turn changes the total number
of pages of the trend diagram.

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Fig 5-21 Browsing the Manual

Manual-Sleep Analysis Trend Diagram

2.6. Save: Save the trend edit results of manual edit.

2.7. Exit: Exit the manual analyze interface.
3. [EEG Tendency Analysis]
Click “Analyze” in the Review interface toolbar, and then select “EEG Tendency Analysis”. An
electrode selection window will appear to choose the electrodes to be analyzed.

Fig 5-22A Fig 5

5-22C
Fig 5-22B Trend Diagram
Montage Setting Energy Values
3.1. Click on the trend diagram, and it will show the current energy level, peak energy frequency,
and (relative and absolute) energy values (See Fig 5-22C).
5
3.2 The buttons at the lower right side are adding/reducing one channel
trend,
d, toggle 2D/3D trend display, time interval setting (See Fig 5-22D),
5 22D), Frequency Gain
Parameter Setup, EEG Trends Setup, and minimize EEG trend analysis display.

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Fig 5-22D Time

Fig 5-22E 3D EEG Trend Display
Interval Setting

3.3 Every trend channel is decided by the type of energy trends and EEG channel selected. Each
channel can display a different trend, and you can decide which channel it is displaying for.
3.4 You can also apply different filters and scaling to every trend channel. Click on “Filter” at the
right side of the trend channel, and the frequency point and energy filter dialog box will
pop-up, as shown in Fig 5-24.
24.

Fig 5-23
23 Selection of EEG values for display in Fig 5-24
24 Frequency Point Energy Filte
Filter
EEG Trend Analysis

3.5 In the Frequency Point Energy Filter settings, you can select the analysis frequency point to
filter, then use button “>>”,, click “Ok” or “Apply”. The selected frequency points will not be
used in the analytical operation.
3.6 Click “Frequency Gain Parameter Setup” to bring up a dialog box to set the gain for each
frequency point. As shown in Fig 55-25.

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Fig 5-25
25 Frequency Gain Parameter Setup Fig 5-26
26 EEG Trend Analysis Parameter Setup

3.7 Click “EEG Trend Setup”, and the system will pop-up
pop thee frequency gain parameter dialog
box, which the frequency range and scope of each wave to be used in the analysis can be
shown (See Fig 5-26).
4. [RESP Analysis]
4.1 Click “RESP Analysis” option in the “Analyze” menu (Fig 5-27) to open the RESP Analysis
Parameter Setup (Fig 5-28).

Fig 5-27
27 Analysis Menu Fig 5-28
28 RESP Analysis Parameter Setup

4.2 Parameters of "Threshold of RESP" (default value is 5), ventilation threshold value and
low-pass
pass value of RESP can be set here, although it is more advisable to begin with the
values set by the software.
4.3 As RESP analysis begins, a blue progress bar will appear in the playing data control area in
the Review Interface, shown below:

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Fig 55-29 RESP Analysis in progress

4.4 The system will inform

nform about the identified respiratory events after the analysis is
completed. You can check the analysis result of the breath event through “Event View”, as
well as the “RESP/Sleep Analysis Report”, using “Manual-Sleep Analysis” to edit the
analysis results.
ts. The details on manual editing are elaborated in the “Manual-Sleep
Sleep Analysis”
section.
5. [SpO2 Analysis]
Click “SpO2 Analysis” in the “Analyze” menu, and the software will start analysis
automatically. It has the same progress bar with RESP Analysis. After
After analysis is complete,
you can read the table of oxygen data in "Sleep Report" or "RESP/Sleep Analysis Report",
as shown in Fig 5-30:

Fig 5-30 SpO2 Analysis

6. [Event View]
This option shows the list of sleep events and Respiration Pause (apnea) events,
events, and you can
delete or clear any redundant events. You will be able to select this option after completing
the automatic sleep analysis. You will also see the RESP analysis result in this list after it is
completed, as shown in Fig 55-31:

Fig 5-31 Event View

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7. [Sleep Analysis Report]

You can generate “Sleep Report” after completing the sleep analysis in the “Analyze” menu.
Report will extract case information automatically, listing status and time of sleep stages,
provide stages of sleep trends and data on blood oxygen data. You can also fill out the test
results manually.
An example of the report is shown in Fig. 5-32:
5

Fig 5-32 Sleep Analysis Report

8. [RESP/Sleep Analysis Report]

You can select the “RESP/Sleep Analysis Report” in the “Analyze” menu after
fter finishing the
RESP Analysis, Sleep Analysis and SpO2 Analysis.
The report will be empty when it is opened, and the data will be filled in after clicking the
“Analyze” key at the right side of report. You can edit the report manually afterwards, and
click “Save” to keep the report after editing.
An example of the RESP/Sleep Analysis Report is shown in Fig. 5
5-33:

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Fig 55-33 RESP/Sleep Analysis Report

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VI. EEG with ERP

ERP, also known as Event-Related
Related Potentials, is a type of cognitive potential mainly used for
evaluate the extent of attentiveness or learning ability of a subject.

A. Acquisition

To begin, click “Add Case” on the main interface register a new case. After inputting the
configurations and case details, click on “EEG/ERP” to initiate EEG data acquisition
tion with ERP (See
Fig 6-1 and Fig 6-2).

Fig 6-1 Add Case Fig 6-2

2 EEG Acquisition Interface with ERP

Electrode Placement:
Use disc/cup electrodes: place an electrode at Cz position (according to International 10-20
10 EEG
System positioning), and place a reference electrode on the forehead, and clamp body ground
electrode to the wrist.
Recording EEG electrode placement, general Fz, Cz, Pz, Oz most significant points, the reference
electrode lead binaural mode, a physical connection must be the reference
reference REF, the central body
earth wire forehead.

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Equipment Preparation:
1. Amplifier should be calibrated beforehand. To confirm, use a signal source to input 100uV,
and the EEG measurements should indicate magnitude at 100uV ~ 105uV (<5% error)
2. In the construction
ction of the configuration interface front channel gain value used in each of the
guide device with a negative sign;
3. Use “Monitor” to test signal output to ensure that no significant or rhythmic interference is
present before acquisition.

1. Menu and Toolbar

1.1. [Case Info]

This function is to update case information for database upkeep.

Fig 6-3
3 Case Information Edit Fig 6-4
4 View Menu

1.2. [View]
You can select toolbars to be displayed in the acquisition interface using the "View" button.
Selected items are thosee with "√" before it, as shown in Fig 6-4.
6
1.3. [Setting]
Adjust parameters for display, events, stimulator, and event induced stimulation via
"Setting" button, as seen in Fig 66-5.

Fig 6-5 Setting Menu

a. [Event]
Event marking function works the same as in th
the
e standard EEG data acquisition phase.
See Chapter IV for details.

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b. [Event Setting]
This option enables selection of target event or non-target
non target event, as shown in Fig 6-6.
6

Fig 6--6 Event Setting Fig 6-7 Display Setup

c. [Display Setting]
Select the EEG channels
annels to be shown during waveform acquisition (See Fig 6-7).
6 7).
d. [Stimulator Setting]
This setting enables configur
onfiguration of parameter values for different stimulation types.
Overlay count is the number of target stimulation eventss that will occur, and
Stimulation
tion probability is the probability for the target stimulation event to occur.
occur

Fig 6-8 Stimulation Setting

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NOTE: For standard P300 recording, set overlay count to 50 target superposed signals
during acquisition; run up to 3 sets of tests to evaluate the P300 waveform output.
e. [Event Induced Setting] / [ERP Setting]
Set evoked event parameters and stimulation modes in this option, and adjust
vice-screen
screen resolution (See Fig 6-9).
6
After setting the event name, stimulation order, duration, event interval and color
c setup,
click "OK" button and this event will be added into the list of event related stimulation.
To remove an event, select an event to be cancelled and click "Remove event";
Vice-screen
screen resolution can be set here, or set it through the PC.
Setup method for vice-screen
screen display:
 2 independent display cards at the back of the host.
 Right-click
click mouse on desktop of operation system, select "Properties" in pop-up
pop menu.
 Click "Setup" to open display setup function.
 Click "Recognition" tab in display setup interface to recognize code of display.
 Click display marked with serial number on interface, then select serial number of
display which is to be set as vice-screen
vice display.
 Click "Extend Windows desktop to this monitor" on bottom left of the interface and
select this item with "√"
"√". (Note if "Use this system as main monitor" is chosen, it will
make the intended vice
vice-screen
screen display to main display instead. This option is not
advisable.)
 Adjust display resolution and then click "OK" to save.

Fig. 6-9 ERP Setting

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1.4. [Lead]
The function
on can let you choose the channel mode and view the selected channels.

Fig 6-10 Leads View

a. Channel Mode
This works just like “Montage” in the standard Data Acquisition Interface in Chapter IV.

Fig 66-11 Channel Mode Selection

b. Channel Graphic
This works just like “Overview” option in the standard Data Acquisition Interface and
Review Interface. See Chapter IV for details.
1.5. [Calibrate]
This function is only used by customer service for calibrating EEG gain during installation.
Do not arbitrarily change its setup without technical guidance.
1.6. [Help]
Opens the “Help” document.

2. Waveform Parameter Settings Toolbar

This toolbar is right above the waveform display area. The buttons function similarly to their
counterparts in Chapter IV.

Fig 6-12 Waveform Parameter Settings Toolbar

NOTE: Recommended parameters for P300 acquisition is time constant (High-pass pass filter) at
0.3s (5.3Hz), Low-pass
pass filter 30Hz, and activate Notch (match with local AC frequency).

3. Display Control Area

3.1. Display Control: Determine total numbe

numberr of EEG channels to display and the number of

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channels to be displayed every page, with each page displaying no more than 32 leads.
This enables bigger waveform display for easier observation. The pages can be switched
by clicking the page button or use tthe shortcut key “P”.

Fig 6-14 Stimulation Selection

Fig 6-13
13 Display Control Fig 6-15 Superposition Count

3.2. Stimulate: Choose the stimulation method in this function. Note this should be set prior
to data acquisition, and no changes can be made during
duri data acquisition.
3.3. Superposition Count: Observe the superposition count with this function.

4. Waveform Tracing Area

a) The left side of the waveform display area as lead mode display during data acquisition,
generally shows in letter form, but can be switched to lead number display mode.
b) While the original waveform data acquisition are displayed, the right side of the
waveform display area are superposed waveform data, with the background color, grid
color, waveform color in this area adjustable in “System setup - display and
acquisition”.
5. Basic Functional Buttons Area
The bottom row of the interface has command keys similar to that in the Data Acquisition
Interface in Chapter IV.
5.1. [Calibrate]
When used during acquisition, 100μV square wave will be traced automa
automatically
tically in this area.
5.2. [Monitor]
Trace the waveform without recording the data.
5.3. [Recording]
Trace the waveform and record the data.
5.4. [Stop]
Stop “Monitoring” or “Recording” acquisition activity.
5.5. Evoked Stimulation
This function starts the evoked stimulation,
stimulat and the sub-screen
screen will display the evoked
stimulation events, and at the same time mark on the EEG waveforms. The events of evoked
stimulation can be modified in the ERP Setting.

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6. Time Information
Display computer time and time of the data recorded.

B. Review,
eview, Superposition and Analysis

In the list of cases of the main interface, select the program to be reviewed and click “ERPPL”
button on the toolbar in the main interface (See Fig 66-16).

Fig 6-16
16 Review Interface for EEG with ERP

1. Menu Bar
The functionss listed here are the same as in the ERP Acquisition section.
1.1. View
Use this to adjust the display of the waveform review with this function (See Fig 6
6--17).
Display Control: Change the number of leads displayed.
Ms Line Switch: Enter the Review Interface, click to start, and then click in the waveform
display area to obtain the current time point.
Video Switch: Toggles video display.

Fig 6-17 Review-View

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1.2. Measure
Use this to perform tests on the original and superimposed waveforms.

Fig 6-18 Measurement Function

a) Measurement of Original Waveform

Use this to measure the original waveform by this function. After selecting this, move
the mouse cursor to parts of the waveform to be tested, select the waveform and a
window as per Fig 6-19
19 will pop
pop-up (works similarly as in Chapter V).

Fig 6-19
19 Measurement of Original Waveform

In this interface, click the two waveform peak, then the waveform period, frequency
and amplitude will be tested out.
b) Multi-Parameter
Parameter Measurement of the Original Waveform
Use this to measure
ure ECG data and EMG, eye movements, or EEG waveform data.
i. There are 4 lines in the interface (2 horizontal and 2 vertical), which you can click on
the line to adjust the positions to change the measured values. The values are
displayed behind the waveform setup bar.
ii. The horizontal lines are for amplitude measurement and the vertical lines are for
frequency measurement. To exit this function, click “Analysis””Cancel”.

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Fig 6--20 Multi-Parameter Measurement

c) Superposed Waveform Measurements

i. Select the function
on and then select the waveform to be tested in the superposed
waveform area. Then click on the waveform and the window like Fig 6
6-22
22 will appear.

Select [Average Waveform Measure]

under [Measure] at the top menu bar.

After selecting [Average Wavefor

Waveform
Measure],, click on one of the
superposed waveforms on the right
column to make measurements. The
waveform that shares the same colour
with the channel name will be
selected for measurement.
Use this panel at the lower right to
select the waveforms to be measured
by the colour.
ii. In this window,, click on the waveform peak
peaks,, and the latency and amplitude of the

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waveform can be measured. Up to 5 measurements can be saved, and the names are:
N1, P2, N2, P3a, P3b.
iii. Click “Save” to save the measured data. Up tto
o 5 measurements can be saved.
iv. P300 should be the maximum output value of the entire invoked waveform through
overlay, with latency between 300 ~ 350ms. You can mark this with P3a, or if there are
multiple peaks at 300 ~ 350ms, you can mark P3b for comparison.
compari

Fig 6-22 Superimposed Waveform Measurement

d) Superposed Waveform Measurement Data

Check for the saved measurement results of superposed waveform with this function.
See Fig 6-23.

Fig 6-23 Superimposed Waveform Measurement Data

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1.3. [Print]
Print current screen or all the superposed waveform measurement data.

Fig 6-24 Print

1.4. [Analysis]
Analysis on the waveform can be done with this function.

Fig 6-25 Analysis

a) [Edit]: Crop out a portion of the original waveform data similar to the mapping
function explained
ined in Chapter V. When exiting the software, click “Yes” to save the
cropped data.
b) [Topographic Map]: This runs the BEAM analysis function on the waveform (See
Chapter V, Section 2).
c) [Spike Wave Analysis]: Details are covered in Chapter V.
d) [Brain Trend Analysis]:
nalysis]: Details are covered in Chapter V.
e) [Cancel]: Cancels the selected parts of waveform for editing or analysis.
1.5. [Self-Defined Events]
This option brings up an Event Edit dialog, as shown in Fig 66-29.
Input the description of event, select the color o
of event, and then click “Yes” to begin. Click
on the intended event marking position on the original waveform, and the custom events
will be marked on the waveform.

Fig 6-26 Self-defined

defined Events Fig 6-27 Self-Defined
Defined Events Marking

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2. Waveform Setup Area

Please refer to the Waveform Settings Toolbar in the Acquisition Section of this chapter.

3. Display Control Area

3.1. Page Control
Please refer to Page Control in the Acquisition Section of this chapter.
3.2. Events List
Select the superposition of events to add into
i the events list.
3.3. Superposition Events List
View all the superposition events, and select the time point of the superposition event (See
Fig. 6-29).

Fig 6-28
28 Events List Fig 6-29 Superposition Events List

3.4. Superposed Waveform Area

Use this to view
w the superposed waveform in this area. If superposition is disabled, there
will be no waveform in this section.

Fig 6-31 5 Function Keys of the Superposed

Fig 6-30
30 Superposed Waveform Area
Waveform

Up to 5 superposed waveforms can be viewed in this area, and the color of the
superposed waveform can set manually. Click the color block on the superposed
waveform, and the function keys of the superposed waveform will pop-up.
pop

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Among the function keys available are:

 Open: Add superposed waveform.
 Delete: Delete
elete selected waveform.
 Annotate: Input comments for a selected waveform, which can then be referred
to afterwards.
 Rename: Rename your saved superposed waveforms.
 Save: Save the current superposed waveform as “.cdf” data file.
 Save As: Save the current ssuperposed waveform viewed.
 Color Set: Set the current color of superposed waveform.
 Close: Close the current superposed waveform.

4. Waveform Review Control Area

Select the waveform to be reviewed. The controls work similarly to the ones in Review
Phase (Chapter V).

Fig 6--32 Waveform Review Control Area

4.1. [Play] / [Stop]

Press this to run waveform playback, and the button will change to “Stop”;; press again to
stop waveform playback, and the button change back to “Play”.

4.2. Data Playback Control

The controls here
re work similarly to the ones in the Review Interface (See Chapter V).
4.3. Waveform Navigation Bar

Fig 6
6-33 Waveform Navigation Bar

Waveform Jump: Located at the right of the Waveform Review Control Area, use this to view
the waveform at a specific recordin
recording time.
View the waveform: View the selected waveform with the upper half of the navigation bar
displaying the current time, and the other half displaying the event, including transient
events, long events, and stimulation events; long events are displayed from the time it starts
to the end; short-term
term events and stimulation events are shown in thin strips with
corresponding color codes.
4.4. Wave Speed

The drop-down
down menu at the left controls the waveform play speed, whereby 1
Speed unit here refers according tto the “Paper Speed”:: If the paper speed is 3cm/s, then the
waveform runs at 3cm/s at 1 Speed, and runs at 30cm/s at 10 Speed.

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Appendix 1 Contact Information

Manufacturer
Company Name Neurostyle Pte Ltd

Company Address 63 Hill View Avenue #08-08, Singapore 669569

Contact Information
Email info@neurostyle.biz

Tel. +65 6563 2678

Fax +65 6563 0169

EU Representative
Company Name MedNet EC-REP GmbH

Company Address Borkstrasse 10, 48163 Münster, Germany

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Appendix 2 Equipment Cleaning Instructions

1. Outer surface of equipment (EEG amplifier, EEG controller, monitors, printers, etc.) should
be cleaned on a regular basis. The outer surface of device can be cleaned using non-shed
non
wet cloth; please use mild soapy water (already
(a diluted) for cleaning.
2. In order to avoid damage to equipment, please follow the following rules:
 Always
lways follow the manufacturer's recommended cleaning solution.
 Always wipe the surface with a dry cloth after cleaning.
 Never use cleaning materials containing wax.
 Never let water or any cleaning solution splashed or sprayed into the device, or
 Never make the liquid flow to the back of switches, the connector or any vents in the
device.
 Never use any kind of scrubbing agents or solvents, or cleaning cleaning agents containing
acetone, ketone and/or alcohol.

! Important Notes

Please be sure to disconnect the power when cleaning, or the coating shell may melt or distort,
the label text may become fuzzy, or even equipment failure may happen.

Cleaning Requirements:

1. Display: To clean the display screen, use a clean soft cloth, use agent in the glass to wet it.
Never make the cleaning agent in the glass to direct injection on the screen, also do not use
alcohol or disinfectant.
2. Application components:
a. Electrode Cables
 Electrode cables used for data acquisition should be cleaned using warm, damp cloth
with mild soap suds, or by using isopropyl alcohol.
 Do not use acetone or ketone solutions to do the cleaning; do not use high
high-pressure
steam sterilization or any autoclave
a cleaning agent.
 Do not soak the patient lead cables.
b. Electrodes
Remove the conductive paste film from the surface of the electrode plate after use.
Clean the electrode plates with absorbent cotton cloth with alcohol, and then make it
dry.
Warning: Do not use any abrasive or grinding materials to clean the electrodes, for any
！ scrape on the electrode plate may lead to inaccurate readings in future use.

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Appendix 3 Servic
Servicing and Maintenance
The device maintenance and inspection does not touch the iinternal
nternal structure of the instrument,
a technician or operator can perform it.
Given the requirements of device safety and usage rights, commissioning and maintenance of
internal device must be performed by authorized service personnel of the company. When the
device is not functioning, clear mark should be made to avoid using it in the abnormal state.

1. Maintenance and Calibration

The device should be put in a dry place; indoor air conditioning must be in place. Do not place
the device under the window, next to the heater so as to avoid the rain, heat, moisture. Caution
should be taken when moving the device and avoid high shock. If the device is not used for more
than 10 days, it should be power once every other week, each time about one hour, so as to
prevent decay or other damage.
Ideally a dedicated power supply system with the regulator should be used for the device. The
device should be turn on only after regulated voltage reaches to the required level, so the
damage due to too high or too low voltage can be minimized.
After use, firstly put the knob and switch back to the original position, then pull out the
electrodes connected to the amplifier, finally turn off the power.
Specialized maintenance personnel should be requested to handle any major issues.
WARNING: Disconnect the device from power cord during device preventive maintenance.

2. Cleaning and Disinfection

WARNING: Components connected to this device, such as computers, monitors,
！ printers, cart and others should also be cleaned and disinfected in accordance
accordance with the
requirements of the relevant products.
WARNING: During the product life period, requirements of this standard should be
assessed.
WARNING: Make sure to disconnect the power before cleaning and disinfecting the
！ device. Failure of complia
compliance
nce may melt, distort or corrode the coating shell, causing
text on the label to become fuzzy, or even causing device failure.
A. Clean outer surfaces (EEG amplifier, EEG controller, etc.)
Devices and components should be cleaned regularly. The outer surface of the device
and components can use damp cloth with a mild soap and water (diluted) for cleaning.
To avoid damage to equipment, follow these rules:
 Always follow the manufacturer's recommendations diluted liquid.
 Always wipe with a dry cloth after cleanin
cleaning all cleaning solution.
 Never use cleaning materials containing wax.
 Never spray water or any cleaning solution onto the device, or to allow the liquid
to flow into the back of the switch, connector or any other opening.
 Never use the following cleaning aagents:
gents: Any type of abrasive cleaners or solvents,
s
Acetone, Methyl ketone,
ketone Alcohol-based cleaners.

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B. Clean components
i. Electrode cables
Be careful:
 Do not use acetone or methyl ketone solvent to clean; do not use high
pressure steam sterilization or a cleanin
cleaning agent.
 Do not soak the lead wires linking to electrodes.
 Lead wires linking to electrodes can be cleaned using a warm, damp cloth
and mild soap or wipe with isopropyl alcohol.
ii. Signal acquisition electrodes
1) Disc / cup electrode
electrodes after use: Remove conductive ve paste from the surface
of electrode plates,
plate and then use water to clean the electrode plate plates and
brush off residue gently with a toothbrush; alternately, clean the electrode
plates with an absorbent cloth soaked in alcohol scrubbing pads. Remember
to dryy the electrode plates and never
n leave them wet, for the surface may
oxidize and affect their effectiveness in future recordings.
2) If disposable electrodes are used, d dispose them according to the relevant
national standards.

3. Visual Inspection
NOTE: The external
rnal parts should be inspected from time to time. Only authorized service
personnel should replace damaged parts.
A. After every usage
Disconnect the patient lead cables, clean the equipment and visually inspect the device
to check for any damaged
damage parts.
B. Service
ice and maintenance procedures
i. The product was manufactured with high level production process, so the product
requires only minimal maintenance.
ii. The product is recommended to have regular calibration and maintenance, at
least once a year. A test should be conducted when the device is suspected to
have problem. Sophisticated detection and correction should be conducted by
manufacturer or distributor.
iii. The circuit diagram, parts list and other information of the device are only
available to the authorized ser
service
vice personnel for maintenance purpose. If the
information is needed, customer can put up a request to distributor.
iv. When the power indicator light of the amplifier turns orange, it warns that the
battery is running low, and the charger should be promptly connected
connected to charge
the control box. During the charging process, the indicator light remains orange
and flashes until the power is full, then the light turns to solid green.

NOTE: Do not use the device for EEG examination when recharging.
！ CAUTION: Company'sy's warranty may be void if unauthorized accessories are used.

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Appendix 4 Troubleshooting
Functional changes listed below are all the possible problems that may happen after using the
equipment for some time due to wear and tear:
1. EEG Amplifier cannot be switched
witched on.
a) Battery power is low. If amplifier can boot when connected to AC power supply, charge
the battery within the EEG amplifier to resolve issue;
b) Button issue: To switch on the amplifier, press and hold power switch for 2 seconds;
similarly, press and
nd hold power switch for 2 seconds to switch off the amplifier. When
holding, the power indicator light on amplifier should be flashing.
NOTE: The power switch mentioned above is the green button at front of amplifier
(see Chapter 1 Section A for the locat
location)
2. The computer system cannot install the EEG instrument.
a) Driver programs are lost due to computer system error. You can recover the driver
programs from the installation CD disk provided with the EEG system package if you are
sure that the computer is not
not infected by viruses or malware and the system is not
damaged;
b) For Windows 8, Windows 10 and newer Windows OS, a procedure called Disable Driver
Signature Enforcement needs to be done first before the hardware driver can be
installed. Please refer to Chapter II, Section C for the steps to follow. The
he steps can
actually be found online if you prefer a different approach to do it.
c) Hardware failure of the amplifier may cause the installation to fail. You may verify by
following the operations mentioned in a) and b) to determine whether the issue is
caused by the amplifier or due to connection cable problem.. If this problem persists,
please contact your supplier for help.
d) Neurostyle EEG software is not tested on non
non-Windows
Windows OS environment such as Linux
or Mac OS, not even any emulated Windows environment. Any attempts to install
and/or run the software in those OS environments should be done at own risk.
3. EEG Amplifier serial ID not recognized, or EEG signal cannot be acquired.
a) EEG controller is switched on, bu
but the EEG amplifier is not switched on;
b) If both controller and amplifier are switched on, check whether the fiber optic indicator
lights at the ports on the controller and amplifier are lit. if the indicator lights are not lit,
the causes can be:
i. EEG Controller
oller and/or EEG Amplifier is off: Switch on the hardware to resolve;
ii. Fiber optic cable is faulty: Replace fiber optic cable.

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c) Fiber optic indicator lights on both amplifier and controller are functional, but one goes
out when connecting USB cable to the co
computer.
mputer. This indicates that USB cable is faulty,
and should be replaced;
d) Check whether the computer drive program identified is correct through the Device
Manager. Reinstallation of driver may be required (Refer to Chapter II, Section C for
hardware driver installation steps).
4. No signal detected from electrode cables.
a) Electrode cables are not connected properly. This can be resolved by removing and
reconnecting the cables;
b) Signal detection issue is caused by data source setting in software. Reset data sourc
source
setting to match hardware connections.
c) When electrode cable connection is confirmed, use ECG
ECG-EEG
EEG signal generator to input
sine wave to the electrodes and check the output signals. If there is no signal then the
electrode cable may be broken inside. Hold on to the port with one hand and the
electrode with the other and pull slightly. If the cable is broken then it can be stretched
or pulled apart. This can be solved with some soldering.
d) If there is no signal generator, connect the lead cables with signals and the ones
without onto the patient’s head to see if the channel has signal. If signal is present then
the electrode is not placed properly, otherwise if there is no signal then there is need
to determine whether the cable is broken.
e) If all the above methods
thods indicate normal signal output, then it is the internal chip that
is faulty and needs to be returned to the company for servicing.
5. When running an EEG examination, waveforms of one or several channels are straight line
or there is significant interference
interfer in the signal output.
a) The quality of the electrode cables deteriorate due to wear and tear over a long time of
use, so normal waveform data cannot be collected. The electrode cables are
consumable materials with life cycle of one year in general. If tthis
his is the problem,
please consider purchasing for new electrode cables from the supplier.
b) Amplifier failure causes the waveform output to be straight line or have significant
interference. You may exchange the electrode cables of the channels with output issues
with the normal ones to confirm whether it is caused by the electrode cables or the
faulty in the amplifier. If amplifier failure is confirmed to be the cause, then please
return the amplifier to the supplier for servicing.
c) If waveform output is abn
abnormally
ormally large i.e. waveform can only be observed at
sensitivity more than 400uV/cm, check the lighting of the EEG amplifier to find out if
the Impedance Test mode is still on. When the Impedance Test Mode will have

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indicator light lit at the threshold valu

value bar (Fig. 1-4, Area 1). Press “On/off” to switch
off if that happens.
d) If the waveform output is consistently sinusoidal, it is due to AC interference. Place the
EEG amplifier at least 50cm away from the power source and the EEG controller, and
then place it on a separate platform. If a laptop is used with the EEG, unplug the AC
power supply to the laptop as well. The output waveform should then return to normal.

If the problem persists or is not mentioned above, please contact the nearest authorized
supplier
ier of Neurostyle for assistance (or refer to Appendix 1 to contact Neurostyle directly).

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Appendix 5 Battery Operation

To ensure safe and reliable battery operation, the following operating rules should be observed:
1. Please check whether the battery voltag
voltage
e corresponds to the stated voltage on the label.
2. Actual battery usage period may vary, depending on the
 Battery manufacturers
 Usage temperature
 Charging frequency
3. If the following situation occurs, the battery may explode or leak, resulting in damage:
 Battery
tery is opened or burned
 Battery is installed incorrectly, such as reverse polarity, etc.
4. When the following condition occurs, the battery should be replaced immediately:
 Battery performance is not normal, such as rechargeable batteries only work for a
short
rt time after prolonged charging time.
 Battery has been used for 2 years or longer,, even if it still works well after recharging.

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Appendix 6 Parameter Settings for EEEG Modules

Scan Speed Sensitivity
Module High-Pass (s) Low-Pass (Hz) Notch (Hz)
(cm/s) (cm/μV)
EEG 3.0 50 - 100 0.03 - 0.3 20 - 40 50 / 60
(Subject to
country AC
regulation)

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Appendix 7 Electromagnetic Compatibility

NS-EEG-D-1 is produced
ed according to IEC60601-1-2
IEC60601 2 EMC test regulations. As electromagnetic
electromagnet
environment exceeding IEC60601-1-2
IEC60601 2 specified parameters will seriously interfere with the
equipment and result in the device not achieving its intended performance levels,
electromagnetic effects in the test environment should be avoided, identified and resolved
before using the equipment.

Here below are some common sources of electromagnetic interference and relevant solutions:
1. Strong Electromagnetic Interference from Radio or Cell Phone:
This equipment and/or system can be installed in other locations
locations.. Emission sources such as
mobile phones should stay away from the equipment and/or system, or be switched off
during examinations.
2. AC Power for Equipment and/or System, and Radio Interference from Other Devices:
Confirm the source of interference and if possible, remove the interference source.
Otherwise, please adopt a different power supply.
3. Direct or Indirect Static Electricity Influence:
Before use, confirm that all operators and patients contacting the equipment do not have
direct or indirect static
ic electricity by washing their hands clean.
4. Interference from Radio Receivers, such as Radio or Television:
The device and/or system should be kept away as far as possible from the radio receivers.
5. Lightning Interference:
When lightning occurs near the equipment and/or system, it will cause very high voltage
surge to the device and/or system.
In this case, unplug the AC power line from device and/or system, and use battery power or
an uninterruptible power supply to operate the device and/or systems.
6. Usage with Other Devices:
When the device and/or system is positioned near or stacked with other devices, the output
of the devices and/or systems may interfere with each other. Please confirm with supplier in
advance that the devices and/or systems can be used together safely.
7. Use of Non-Specified
Specified Accessories, Transducer and/or Cable:
If this device and/or system use non-specified
non specified accessories, transducer and/or cables,
electromagnetic radiation will increase and reduce electromagnetic immunity.
Electromagnetic
etic requirements of this equipment and/or system are consistent with the
specified configuration. The equipment and/or systems should be used by the specified
configuration.

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Guidance and Manufacturer´s Declaration – Electromagnetic Emission – For All

EQUIPMENT AND SYSTEMS

Guidance and Manufacturer´

Manufacturer´s Declaration – Electromagnetic Emission
NS-EEG-D-1
1 EEG SYSTEM is intended for use in the electromagnetic environment specified below. The
customer or the user of NS-EEG-D--1 EEG SYSTEM should assure that it is used in such an environment.
Emissions Test Compliance Electromagnetic Environment - Guidance
RF emissions Group 1 NS-EEG-D-1
1 EEG SYSTEM uses RF energy only for its internal
EN 55011 function. Therefore, its RF emissions are very low and are
not likely to cause any interference in nearby electronic
equipment.
RF emissions Class B
EN 55011
Harmonic emissions Class A
EN 61000-3-2
Voltage fluctuations Complies
/ flicker emissions
EN 61000-3-3

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Guidance and Manufacturer's Declaration – Electromagneticc Immunity – For All

EQUIPMENT and SYSTEMS

Guidance and Manufacturer´

Manufacturer´s Declaration – Electromagnetic Immunity
NS-EEG-D-1
1 EEG SYSTEM is intended for use in the electromagnetic environment specified below. The
customer or the user of NS-EEG-D-11 EEG SYSTEM sshould
hould assure that it is used in such an environment.
Immunity Test EN 60601 Test Compliance Level Electromagnetic Environment -
Level Guidance
± 6 kV contact ± 6 kV contact Floors should be wood, concrete or
Electrostatic
± 8 kV air ± 8 kV air ceramic tile. If floors are covered with
discharge (ESD)
synthetic material, the relative
EN 61000-4-2
humidity should be at least 30 %.
± 2 kV for power ± 2 kV for power Mains power quality should be that of a
Electrostatic
supply lines supply lines typical commercial or hospital
transient / burst
± 1 kV for ± 1 kV for environment.
EN 61000-4-4
input/output lines input/output lines
± 1 kV differential ± 1 kV differential Mains power quality should
shoul be that of a
Surge mode mode typical commercial or hospital
EN 61000-4-5 ± 2 kV common ± 2 kV common environment.
mode mode
< 5% UT (>95% dip in < 5% UT (>95% dip Mains power quality should be that of a
UT) for 0.5 cycle in UT ) for 0.5 cycle typical commercial
rcial or hospital
Voltage dips, short
40% UT (60% dip in 40% UT (60% dip in environment. If the user of NS
NS-EEG-D-1
interruptions and
UT) for 5 cycles UT ) for 5 cycles EEG SYSTEM requires continued
voltage variations
70% UT (30% dip in 70% UT (30% dip in operation during power mains
on power supply
UT) for 25 cycles UT ) for 25 cycles interruptions, it is recommended that
input lines
< 5% UT (>95% dip in < 5% UT (>95% dip NS-EEG-D-1
1 EEG SYSTEM be powered
EN 61000-4-11
UT) for 5 sec in UT ) for 5 sec from an uninterruptible power supply
or a battery.
Power frequency 3 A/m 3 A/m Power frequency magnetic fields
(50/60 Hz) should be at levels characteristic of a
magnetic field typical location in a typical commercial
EN 61000-4-8 or hospital environment.

NOTE: UT is the a.c. mains voltage prior to application of the test level.

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Guidance and manufacturer´s declaration – electromagnetic immunity – for

EQUIPMENT and SYSTEM that is not LIFE-SUPPORTING

Guidance and Manufacturer´

Manufacturer´s Declaration – Electromagnetic Immunity
NS-EEG-D-11 EEG SYSTEM is intended for use in the electromagnetic
electromagnetic environment specified below. The
customer or the user of NS-EEG-D--1
1 EEG SYSTEM should assure that it is used in such an environment.
Immunity EN 60601 Compliance
Electromagnetic Environment - Guidance
Test Test Level Level
Portable and mobile RF communications equipment should
be used no closer to any part of NS-EEG
EEG-D-1 EEG
SYSTEM, including cables, than the recommended
separation distance calculated from the equation
applicable to the frequency of the transmitter.
Recommended separation distance
Conducted RF 3 Vrms 3V
EN 61000-4-6 150 kHz to
80 MHz
Radiated RF 3 V/m 3 V/m
EN 61000-4-3 80 MHz to
2.5 GHz

where p is the maximum output power rating of the

transmitter in watts (W) according to the transmit
transmitter
manufacturer and d is the recommended separation
distance in metres (m).b
Field strengths from fixed RF transmitters, as determined
by an electromagnetic site survey,a should be less than the
compliance level in each frequency range.b
Interference may occur in the vicinity of equipment marked
with the following symbol:

NOTE 1: At 80 MHz and 800 MHz, the higher frequency range applies.
NOTE 2: These guidelines may not apply in all situations. Electromagnetic is affected by absorption and
reflection from
rom structures, objects and people.
aField strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land
mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoreticall
theoretically
with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site
survey should be considered. If the measured field strength in the location in which the NS-EEG
EEG-D-1 EEG
SYSTEM is used exceeds the applicable RF compliance level above, the NS-EEG-D-1
1 EEG SYSTEM should be
observed to verify normal operation. If abnormal performance is observed, additional measures may be
necessary, such as reorienting or relocating the NS-EEG-D-1 EEG SYSTEM.
b Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3V/m.

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Recommended Separation Distances between Portable and Mobile RF

Communications Equipment and the EQUIPMENT or SYSTEM - for EQUIPMENT and
SYSTEMS that are not LIFE-SUPPORTING
SUPPORTING

Recommended separation distances between portable and mobile RF

communications equipment and the NS
NS-EEG-D-1 EEG SYSTEM
NS-EEG-D-1
1 EEG SYSTEM is intended for use in an electromagnetic environment in which radiated RF
disturbances are controlled.
trolled. The customer or the user of NS-EEG-D-1
NS 1 EEG SYSTEM can help prevent
electromagnetic interference by maintaining a minimum distance between portable and mobile RF
communications equipment (transmitters) and NS-EEG-D-1
NS 1 EEG SYSTEM as recommended below,
below
according to the maximum output power of the communications equipment.
Rated maximum Separation distance according to frequency of transmitter m
output of 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2.5 GHz
transmitter
W
0.01 0.12 0.12 0.23
0.1 0.38 0.38 0.73
1 1.2 1.2 2.3
10 3.8 3.8 7.3
100 12 12 23
For transmitters rated at a maximum output power not listed above the recommended separation
distance d in meterss (m) can be estimated using
using the equation applicable to the frequency of the
transmitter, where P is the maximum output power rating of the transmitter in watts (W) according
to the transmitter manufacturer.
NOTE 1: At 80 MHz and 800 MHz, the separation distance for the higher frequ
frequency
ency range applies.
NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects and people.

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Tel: 65-65632678 Fax: 65-65630169 Website: www.neurostyle.biz

Our Vision:
To establish as a leading company in Neurological D
Diagnostic
iagnostic &
Rehabilitation devices.

Our Mission:
To build excellence through technological advancement and
high service quality.

Neurostyle Pte Ltd

Neurostyle Pte Ltd keeps the final interpretation right for product’s change of appearance design
desi and software

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