IS/IT Features Scalable Enterprise Polysmith Sleep

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IS/IT FeaturesToday’s sleep lab is increasing its dependenceon the IS/IT department to provide security,remote access, connectivity throughout the laband an interface with medical records.JE-921JE-120The JE-921 amplifier provides theflexibility and configurability of amulti-modality system. This amplifier isavailable as a dedicated PSG systemor a multi-modality EEG/PSG system.Nihon Kohden sleep solutions are compatiblewith our EEG high definition amplifiers givingyou the flexibility to record high density EEGfrom 64-256 channels. The JE-120 gives you theability to perform sleep studies simultaneouslywith long-term EEG monitoring. Full 10-20 montage 32 channels 4 pairs of mono/bipolar channels Internal SpO2 3 pairs of bipolar channels Internal EtCO2 Internal SpO2 200 MΩ input impedance Internal mainstream EtCO2 Internal data storage4 DC inputs (expandable up to12 DC inputs) Built-in power isolation Combination EEG/PSG with dualdata streaming IP addressable Clip out PSG and leave LTM intact Optional 16 DC inputsPolysmith System DiagramPolysmith provides ascalable enterprisesolution that canaccommodate a singlesite to a multi-centerorganization. Citrix compatible HL7 ADT/results interfaceimprovements Windows 7 compliant Windows server 2008 R2and 2012 compliant Active directorySQL Server Database Polysmith requiresa dedicated instance of SQLServer 2008 R2 or 2012MSSQL database Auto copy—copy files to acentral location immediatelyafter the study is collected.A backup copy resides on thelocal computer and isautomatically deleted aftera user defined period. Remote physician access tolive patient recordingFacility EMRSleep CenterHL7 Interface- ADT & ORM Outbound- Results InboundSleep center runningPolysmith version 10Polysmith ADT ServerReceives ADT & ORMmessages and passes themto Polysmith databaseFile StorageStorage capacity shouldbe determined basedon projected sleep labpatient volumeCitrix XenApp ServerLicense ServerCitrix XenApp 6.5 is fullysupportedPolysmith license serverprovides licensingfor remote and localreviewingRemote Usersus.nihonkohden.comNMLB 004 [F]-CO-0484InternetStage Assist is a trademark and, Polysmith and Nomad areregistered trademarks of Neurotronics, Inc., a Nihon KohdenCompany. Citrix is a registered trademark of Citrix Systems, Inc.Windows and MSSQL are registered trademarks of MicrosoftCorporation. Trackit and Sleepwalker are trademarks ofLifelines Neurodiagnostic Systems, Inc. PSG-1100 and capONE are trademarks of Nihon Kohden Corporation. DifferentThinking for Better Healthcare is a trademark of Nihon Kohden.Polysmith Sleep In-lab polysomnographyand home sleep apneatesting

Different Thinkingfor Better Healthcare.Nihon Kohden offers the most comprehensivearray of products and services in the world toaddress the sleep diagnostic market.We pioneered the first polysomnographs andcontinue to lead the way in developing cuttingedge smart solutions for home sleep apneatesting (HSAT), polysomnography, combinedEEG and PSG multi-modality tools, datamanagement and IT compatible solutions.Amplifier SpecificationsSphinx PMU710JE-912 PSGJE-921 10-20Nomad Type IIIPSG-1100JE-120Number of Inputs: 6 x DC Inputs 2 x Audio Jacks(microphone/speaker) 1 x Microphone (audio recordedwith video and data)Number of Inputs: 20 Unipoplar 14 Bipolar Optical and Magnetic IsolationBattery Type:2 x AA BateriesInput Impedance:100 MΩNumber of Inputs: 32 Channels Total 10-20 Input Layout 3 D edicated Bipolar Channels 4 P rogrammable Bipolar Channels 4 DC Channels Optical and Magnetic IsolationNumber of Inputs: 256 4 Bipolar (with JE-125 input box) 1 Common Reference(with JE-125 input box) 16 DC Channels Optically IsolatedInput Circuit Current: 5 nAInput Impedance:100 MΩInputs: EEG 25 CHIN EMG 3 3 EKG Inputs Plus Reference 16 Bipolar Inputs 6 DC Channels, Expandableto 14 DC Channels Internal SpO2 Internal EtCO2 (wave and value) ADC 16 bitsCMRR: 105 dB at 60 Hz (bipolar input60 dB or greater)CMRR: 105 dBInput Impedance:100 MΩCMRR: 110dB (EEG input box) 100dB (bipolar input jack)Input Impedance: 20 MΩCMRR: 100 dBInternal Noise Level: 2μV (0.1 – 60 Hz)Filter Bandwidth:0.072 Hz 300 HzOffset Tolerance: /- 300 mVA/D Conversion:16-bits for all ChannelsAt Nihon Kohden, we focus on workflow and deliveringthe latest and best technology to keep your lab runningsmoothly. We provide 24/7 knowledgeable productsupport and service because we understand thatyou rely on your equipment day and night. Quality andperformance have been our priority for over 60 years,since we developed our first EEG technology.Sampling Frequency:250 Hz, 500 Hz or 1000 HzMagnetic IsolationInternal Noise Level: 1.5μVp-p (0.53 to 60 Hz)High-Cut Filter:120 Hz (-18 dB/oct)Low-Cut Filter:0.08 Hz (TC 2 s)Offset Tolerance:600 mVSampling Frequency:Up to 500 HzUSB InterfaceCat5 ConnectivityInternal Noise Level: 3uV p-p (0.53-120 Hz)High-Cut Filter: 00 Hz (-18 dB/oct)3Low-Cut Filter:0.016-160 HzSampling Frequency:Up to 1000 HzUSB InterfaceCat5 ConnectivityWeight:155 g (without batteries)Size:11.75 cm x 7.24 cm x 2.54 cm(L x W x D)ADC Resolution:16 bitsInputs: 5 Bipolar Inputs 2 Respiratory Effort Channelsand Thermocouple 2 Limb Movement Channels 1 DC Input Integrated Nonin SpO2 Integrated Body Position Sensor Pressure Transducer Channelwith Derived Snore ChannelSampling Frequency:Up to 250 HzCMRR: 105dB at 60 HzInternal Noise Level: 1.5μVp-p (0.53 to 60 Hz)Input Impedance:200 MΩInternal Noise Level: 1.5μVp-p (up to 120Hz)High-Cut Filter:15 to 3000 Hz (-18dB/oct) SampleRate DependentLow-Cut Filter:0.016 to 160 Hz (-6dB/oct)Clinical Sampling Frequency: 100, 200, 500, 1000, 2000 HzAll 256 Channels 128 channels at 5000 Hz and64 channels at 10,000 HzResearch Stream SamplingFrequency:200, 500, 1000, 2000, 5000, and10,000 Hz All Channels

AmplifiersScheduling and DatabaseMeet your sleep recording needs with Nihon Kohdenamplifiers. We offer PSG compatible amplifiers rangingfrom 27 to 256 channels:Simplify your scheduling and patient tracking needswith Polysmith DMS. Read HL7 ADT or orders fromcentralized scheduling and update patient andscheduling information automatically.Some of the featuresincluded in PolysmithDMS include: HL7 ADT/orders scheduling Polysmith PQ electronic patientquestionnaireSphinx PMU710PSG-1100 Amplifier The Sphinx PMU710 is the latestaddition to the Nihon Kohdenfamily of amplifiers. Designedto meet the AASM’s essentialrecording parameters,the Sphinx also incorporatesunique features.The PSG-1100 is designed withenhanced features with the qualityand reliability you have cometo expect from Nihon Kohden.The convenient user interface keeps staff informedof the patient’s study status. Utilize Polysmith PQto electronically capture patient questionnaireinformation and update to the database. PolysmithDMS was designed to improve communicationbetween staff members, facilitate scheduling, andprovide quick access to information.Manage scanned and electronicfiles associated with patient Priority and waitlist scheduling Icon coded patient and recordstatus management Single click rescheduling Electronic notes Configurable date blocking Staff schedule management Day view with patient profileand picture 100 MΩ input impedance IP addressable 25 EEG (full 10-20 montage) Dedicated body position, EOG (2), ECG(3 with reference) and Chin EMG (3) Built-in pressure transducer Quick disconnect IP Addressable 8 bipolar pair inputs VESA wall-mount Internal SpO2 Full AASM channel set Internal mainstream EtCO2 Built-in intercom/microphone Internal data storage Nihon Kohden SpO2 Built-in power isolation 6 DC inputs (expandableto 14 DC channels) 6 DC inputs (expandableto 14 DC channels)At Nihon Kohden, we understand the demands andbudgetary constraints of a sleep lab. We continueto develop our product to maximize efficiency andstreamline workflows, so you can focus on patientcare and satisfaction.

Administrationand LabManagementThe administrative console is a simplifieduser interface that tracks and trendsthe performance of your lab and presentsvital lab statistics without the need tocreate complex queries. It also displaysthe information in an easy to understandgraphical format.Some of the parameterscovered by the administrativeconsole include: Average time to each record status(recorded to scored, scored tointerpreted, and interpreted to reportcompleted) No show statistics Types of studies performed Most frequent diagnostic andbilling codes Insurance provider breakdown analysis Percentage of studies turned aroundand not turned around in 24 hours,48 hours, 5 days and 10 days Primary care, referring and readingphysician synopsisData AcquisitionHome Sleep Apnea TestingSeamless data acquisition is the basis forthe Polysmith recording interface. A directinterface with Polysmith DMS scheduler toyour site’s centralized scheduling eliminatesthe need for patient information entryto initiate a recording. Simply right click onthe patient’s name to start a recording.Record and track your home sleep apnea testing (HSAT) studiesvia Polysmith DMS. Our Type II (Trackit 18 8 and Sleepwalker )and Type III (Nomad ) recorders use the same interface as ourin-lab studies for scheduling, initialization, download and scoring.A common interface reduces training time and facilitatesbetter tracking of your sleep records and interpretations; therebyincreasing efficiency. Rest assured, you can expect that ourHSAT devices incorporate signal quality, reliability and durableconstruction, the hallmarks of Nihon Kohden products.A configurable workspace allows the user tocustomize their workspace environment tobest suit their role in the lab. Our full featuredPolysmith program is used in a varietyof sleep lab environments and provides acomprehensive approach to studying yourpatients. From our easy to use recordingand scoring tools to customizable trend plots,Polysmith is designed to meet your dataacquisition needs.Diagnostics are the specialtyof your sleep lab. Thesefeatures help technologistsmanage their patients anddata easier: Start a recording with a single clickfrom the calendar Record video prior to starting acquisition Real time AHI and TST indicators Score study during acquisition withsplit window Capture impedance checks Selectable video and audio quality Auto append Dual screen support Automatic MSLT/MWT timer andrecording tool Auto copy files to server or alternativemediaTechnician percentagesHSAT Device FeaturesFEATURESNOMADTRACKIT SLEEPWALKERTRACKIT 18 8Number of Channels:121718 ref and 8 polyEEG:N/A4AssignableEOG:N/A6 polyAssignableAirflow Channels:Therm and spiratory Effort:22AssignableBuilt-in Body Position:YesYesNoBuilt-in SpO2:YesYesOptionalLimbs:2AssignableAssignableDC Channels:14 optional4 optional

Multi-modality EEG/PSG SystemsScoring and Patient DataMulti-modality electrodiagnostic equipment represents increased value for hospitals thatwant to add polysomnography to their existing neurodiagnostic services when space isat a premium and reimbursements are declining.The technologist is an integral part of anysleep service operation. Night and day,technologists are tasked with patient care,collecting questionnaires and documents,data management, and scoring. Withinnovative tools in both Polysmith DMS andPolysmith software, the technologist’s workday is made more manageable.Nihon Kohden offers a full range of hardware and software features to fit your needsby providing easy to use analytical software, flexible montages, built-in SpO2 and EtCO2,photic and more.To meet your epilepsy monitoring needs, as well as expand your PSG capabilities, theEEG-1200 multi-modality system can provide your facility with standard and expandedrecording solutions of 64, 128, or 256 channels.Polysmith assists the technicianscore and manage data withsome of the following features:Add polysomnography toyour EEG/EMU environmentand Nihon Kohden canadd the following benefits: Simultaneous scrolling of live PSG andEEG data in separate montages*Stage Assist maximizes technicianefficiency by reducing scoring times.Polysmith autoscores the study and StageAssist presents the scorer with the epochswith a low auto score confidence rating.Using Stage Assist, the scorer can efficientlyuse their scoring knowledge to makedifficult scoring decisions and leave themore mundane staging to Stage Assist. Stage assist scoring* Snap Trend Plot Custom Events wizard One-Click editing Configurable keyboard and mousecommands Customizable workspaces SpO2, EtCO2, transcutaneous CO2, andPh artifact editing Separate recording modalities forEEG and PSG Spike and seizure analysis Selectable video and audio quality Photic stimulation Real time quantitative EEG trending Configurable watermarks Segment PSG studies from long-termmonitoring data Status tracking File size managementCompatible with amplifiers rangingfrom 27 to 256 channels Video clipping and annotation Multiple time bases with Time Guide Channel zoom

Physician InterfaceCap-ONE End Tidal CO2Remotely access your data with Citrix compatiblePolysmith, Polysmith DMS, and Surveysmith ReportViewer. With HL7 compatibility, electronic signature,and dropdown dictation fields, Surveysmith ReportViewer creates an efficient environment for thephysician on the go. Physicians can verify Surveysmithreport data using the exclusive hyperlinked reportfunction. Check report values against the raw dataat the click of a mouse. Integrating all aspectsof the patient’s evaluation through Polysmith DMSgives the physician the ability to access a patient’sstudy status without being in the lab or picking upa phone.For those who thrive onaccessibility and anintuitive user interface,Polysmith offers thefollowing conveniences: Electronic signatureWe take into consideration the demands placedon the reading physician when designingour software and services for healthcare providers. Airway Pressure Prescriptioninterface Desaturation analysis whichcan calculate and reportdesaturation events in binsof 2%, 3%, 4% and 5% ASV reporting Access electronic documentattachments and Polysmith PQquestionnaires High resolution trend plots Programmable normative data Customizable electronicsquestionnaires Discrete HL7 results Configurable Trend Snapshot ICSD-3 coding 24/7 phone support HL7 Results interface Customizable reports Hyperlink data fields navigateto exact study locationThe Nihon Kohden legacy of creating industrychanging technology includes the invention of PulseOximetry in the late 1970’s and continues todaywith cap-ONE (capnography-Oral Nasal Expiration)mainstream EtCO2. In an effort to overcome thedifficulties of monitoring carbon dioxide in differentenvironments, the engineers at Nihon Kohdendeveloped a miniaturized main stream EtCO2 sensorfor cap-ONE. The goal of this new developmentwas not only to create technology that could monitorEtCO2 in the critical care environment, but also tocreate a solution that could better monitor CO2in polysomnography. The TG-970 sensor representsthe new generation of miniaturized main streamEtCO2 technology. The result improves the way CO2is monitored and interpreted.Benefits of the cap-ONEEtCO2 system include: Integrated pressure transducerinterface Instantaneous EtCO2 waveformand values Very low dead space foradded accuracy No water traps or condensationproblems Smallest and lightest mainstreamEtCO2 device Built-in interface to JE-921,PSG-1100A and JE-120A amplifier Stand-alone OLG-2800 modelwith DC output c hannel interface

and an interface with medical records. IS/IT Features Polysmith provides a scalable enterprise solution that can accommodate a single site to a multi-center organization. Citrix compatible HL7 ADT/results interface improvements Windows 7 compliant Windows server 2008 R