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Cerebral functions monitor "Encephalan-CFM"
Cerebral Functions Monitor  

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Cerebral functions monitoring data display peculiarities

Cerebral function monitoring data display peculiarities   

Full-term infant, age 8 days.

Background activity: medium amplitude constant pattern, absence of “burst-suppression” pattern, presence of epileptiform bursts, theta-activity on the spectral indices trends is evident, there are signs of short-term transition to deeper sleep stages (sinusoid extension of aEEG zone on EEG)
Pattern relates to nominal normal because it has no pathological signs.

Compressed spectrum trends

Display the results of EEG spectral analysis in compressed form. This representation type is effective for quick evaluation of dominating spectral content dynamics and hemispheres EEG power on continuous record fragments. If required, graphs of different indices are displayed atop of spectrum which allows evaluating and characterizing EEG changes more objectively.

Compressed spectrum trends

Amplitude-integrated EEG trend (aEEG)

This type of data representation is effective during continuous monitoring of EEG amplitude dynamics. Used to evaluate evidence of hypoxic-ischemic disorders, ratio of active and quiet sleep and wakefulness, epiactivity detection and neurologic fate prognostication.

Amplitude-integrated EEG trend (aEEG)

Spectral power indices trend by ranges

Frequency ranges are highlighted with colour bar the width of which displays the relative EEG rhythm power. The number of frequency ranges, their limits and colours are customizable.
The left circular diagram displays the ratio of spectral power index for the current time slice.

Spectral power indices trend by ranges

Typical EEG montages for cerebral functions monitoring

Basic 2-channel montage Bipolar EEG derivations Monopolar EEG derivations

Basic 2-channel montage, frequently used in neonatology, FzP_bip, without ear or mastoidal referents, includes 2 bipolar frontoparietal derivations with common point on sagittal line

Bipolar EEG derivations without common electrode:
FP_bip
(frontoparietal) or CO_bip (central- occipital)

Monopolar EEG derivations with mastoidal or ear referents


Examples of aEEG patterns

During cerebral functions monitor you can perform the analysis and classification of recorded aEEG patterns for clinical brain evaluation and prognostication.

Pattern1

Pattern with flat EEG (< 5 µV) with periodical bursts of high – amplitude activity shows the most severe brain damages with poor prognosis and high possibility of significant neurological defects forming when a patient survives.


Pattern2

Continuous pattern with low amplitude (< 10 µV) often goes with hypoxic-ischemic encephalopathy (HIE) (severe or of moderate severity), meningitis etc.


Pattern3

Continuous pattern with normal amplitude. High aEEG value > 10 µV, low values > 5 µV. If there are no pathological signs (see other examples) this pattern is considered to be normal.


Pattern4

"Burst-suppression" pattern often goes with severe neurological diseases of neonatal period, comatose states, heavy asphyxia, encephalomeningitis, metabolic disturbances.


Pattern5

"Saw-tooth" pattern corresponding to status epilepticus.


Monitoring examples

Monitoring example   

Preterm infant, 7 days hypoxic-ischemic encephalopathy and jaundice

On the left there are controlled physiological signals (EEG, ECG and PPG SpO2).
On the right there are results of study analysis (from top downward: compressed spectrum, aEEG, spectrum indices).
Additional window contains videorecord.
EEG signals and aEEG trends contain the pattern "burst-suppression" with low values of EEG amplitudes and periodical bursts which is characteristic of neurological diseases of neonatal period, heavy asphyxia and metabolic disturbances. Low-frequency slow-wave activity within delta-1 range predominated on range Power spectrum index trends.

Monitoring example   

Patient with episyndrome

Against the background of significantly disorganized non-regular alpha-activity the discharges of epileptiform activity are recorded (the left picture) which indicates that the patient has episyndrome.
Evident bursts (the right picture) correspond to epidischarges and speak for the frequency and duration of epileptiform activity manifestation on the continuous record fragment.


Neuromonitoring and Videomonitoring

Neuromonitoring and Videomonitoring   

Analysis of polygraphic channels signals combined with
EEG signals "Encephalan-CA"


Neuromonitoring and Videomonitoring allow simultaneous displaying of recorded physiological signals, indices trends, which represent the state of CNS and cardiorespiratory system in the neuromonitoring trends window.
In addition to that - compressed spectrums trends, aEEG, rhythm spectral power indices are shown in "CFM" window.
In neuromonitoring beside EEG rhythms indices and powers the following diagnostically important indices are used: median and weighted average frequency, effective bandwidth, etc.
Various indices can be shown in compressed view: ECG, EMG, pneumogramma, respiration rate, SpO2 etc. Videomonitoring, synchronized with other recorded data, gives additional diagnostically valuable information.


Complete set of "Encephalan-CFM"

Patient transceiver recorder ABP-5       Patient transceiver recorder ABP-5 (Basic device)
Ensures data transmission to PC which are to be accumulated and displayed on the cerebral functions monitor screen.

Characteristics of patient transceiver-recorder ABP-5
Up to 5 EEG channels (or EOG, EMG, ECG). Noise – <1 µV.
Integrated accelometric sensor – 3-axis. Indication of electrode breakoff.
Weight – up to 110 g. DC-potential (DCp) and electrode impedance recording (simultaneous with EEG).
Power – 1 АА accumulator or AC adapter or USB adapter. Customizable high and low frequency filters.
24-bit analog to digital converter. Wireless data transmission – Bluetooth®.
Memory card – MicroSD.

Defibrillation proof connector  Defibrillation proof connector
Protects equipment, medical staff and patients
during cardiopulmonary resuscitation.
Wireless pulseoximeter  Wireless Pulseoximeter
Records the level of arterial blood oxygen (SpO2) saturation using different sensors.

Wireless module Poly-4   Wireless module "Poly-4"
Allows recording simultaneously with ABP-5 via 4 channels additional signals in various combinations from the following: ECG, EMG, EEMG, GSR, photoplethysmogram, temperature, skin conductance, respiration effort (oronosal thermal sensor, air pressure transducer), snoring etc.
Wireless electrostimulator  Wireless electrostimulator

Wireless stimulation control unit  Wireless stimulation control unit
With integrated LED matrix for photostimulation.
Photostimulator  Photostimulator

Additional wireless modules, sensors and stimulators work with patient transceiver-recorder ABP-5 as united multi-channel system which ensures synchronous monitoring and accumulation of EEG and other physiological data.


Several patients monitoring

Several patients monitoring    Information on each patient is displayed in a separate window.

All windows has full-screen mode for detailed view and analysis.

There is an opportunity of electrical brain activity monitoring synchronized with videomonitoring.

Information from transceiver-recorder (up to 4 units) is transmitted to the central station via wireless channels (see the picture).