neuromyoanalyser nma-4-01 neuromyan issued by british...

Neuromyoanalyser NMA-4-01 "Neuromyan"

European Quality Certificate CE 538571, issued by British Standards Institution (BSI)

Taganrog, Rostov region, Russia, 347900, 68 Frunze Str. – production postal address, 99 Petrovskaya Str. – legal address

Phones: +7 (8634) 62-62-42, 62-62-43, 62-62-44, 62-62-45, 38-34-67

www.medicom-mtd.com www.apnox.com e-mail: [email protected] Service e-mail: [email protected]

Fax: +7 (8634) 61-54-05 (24 hours)

Quality management system is certified with ISO 9001:2015 and ISO 13485:2016 standards

V_27-03_09-04-2018

2 Neuromyoanalyser NMA-4-01 "Neuromyan" comes in two, four and five-channel modifications for electromyographic and evoked potentials (EP) studies. Flexible combination of methodical software versions and neuromyograph’s modifications provide different variants of functional capabilities of the device. Effectively used in functional diagnostics rooms, neurological departments, sports medicine, private practice and for scientific research. The wireless connection of the patient amplifier un it with remote controller (functional keyboard) and footswitch significantly reduces the number of con nection cables at the working place and increases the comfo rt for a doctor and a patient during the study proc ess.

Comparison table of the modification sets of the Ne uromyoanalyzer NMA-4-01 "Neuromyan"

Modification Set Number of channels

of patient amplifier unit

Variant of EMG and EP examination programs

in software

Remote Controller Footswitch

01 "basic" 2 "basic"

Available, included in a sales package

N/A (optional)

01 "professional" 2 "professional" 1

02 "basic" 4 "basic"



1 For Needle EMG examination program (MUP) a set of electrodes and accessories for needle EMG are required to be purchased.

The visual stimulator with Reversal Pattern Visual Evoked Potentials (RP-VEP) examination program can be optionally purchased to any set.

item.

Contents of the illustrated* catalogue page

1 Neuromyoanalyzer’s modifications .................................................................................................................................................................................................... 3

2 Basic neuromyograph’s accessories and electrode set s ................................................................................................................................................................ 8

3 Additional methodical software and accessories ............................................................................................................................................................................. 14

4 Additional electrodes and accessories for EP and EM G studies .................................................................................................................................................... 16

5 Required computing hardware ............................................................................................................................................................................................................ 24

* The external appearance of the products is given as an example and may have some differences that do not affect functionality when delivered.

3 Item # Ref. no. Description and figure Comments

Neuromyoanalyser NMA-4-01 "Neuromyan" To form a sales package, select from this table neuromyoanalyser’s modification, variant of the equipment set, and necessary options

1. Neuromyoanalyser’s modifications:

1.1. Modification 01 (2-channel)

1.1.1. A_2987-10 Modification 01 (2-channel)

for muscle and peripheral nerves diseases diagnostics, and assessment of the state of vision and hearing.

Equipment set "basic" includes:

• Amplifier Unit, NMA-4-01M01, 2-channel with table support, headphones, photostimulator (see item 2.1) and operation documentation;

• Remote Controller, DU-NMA21 2 in 1: wireless remote controller (functional keyboard) and wireless E-Stimulator (remote controller set – see item 2.2)

• Sets of electrodes and accessories:

o basic for each modification (see item 2.2);

o for EMG studies for 2-channel neuromyoanalyser (see item 2.4);

o for EP studies for 2-channel neuromyoanalyser (see item 2.3);

• CD methodical software "Neuromyan" with examination programs – variant "basic"

o EMG for muscle and peripheral nerves diseases diagnostics:

- Motor Nerve Conduction Velocity (MCV);

- Sensory Nerve Conduction Velocity (SCV);

- surface EMG (SURF);

- F-Wave;

- Repetitive nerve stimulation (Decrement);

o EP for assessment of the state of vision and hearing:

- Brainstem Auditory Evoked Potentials (BAEP);

- Long Latency Auditory Evoked Potentials (LAEP);

- Flash Visual Evoked Potentials (F-VEP);

- Somatosensory Evoked Potential (SSEP);

o Cardfile.

Requires computing hardware (see item 5)

The customer can optionally purchase:

• Footswitch – wireless foot-operated switch for stimulation control (see item 3);

• Videostimulator (software-controlled) with Reversal Pattern Visual Evoked Potentials (RP-VEP) examination program (see item 3).

4 1.1.2. A_2987-11 Modification 01 (2-channel)

for muscle and peripheral nerves diseases diagnostics, and assessment of the state of vision and hearing. Optionally – needle EMG.

Equipment set "professional" includes:

• Amplifier Unit, 2-channel with table support, headphones, photostimulator (see item 2.1) and operation documentation;

• Remote Controller, 2 in 1: wireless remote controller (functional keyboard) and wireless E-Stimulator (remote controller set – see item 2.2)





• CD with software "Neuromyan" with examination progr ams – variant "professional"

o Examination programs variant "basic"

o Optional EMG examination programs for muscle and peripheral nerves diseases diagnostics:

- Needle EMG (MUP);

- EMG Screening;

- Blink-reflex, H-reflex;

o Optional EP examination programs for assessment of the state of vision and hearing:

- Middle Latency Auditory Evoked Potentials (MAEP);

- Long Latency Auditory Evoked Potentials (LSEP).

Required computing hardware (see item 5)

Requires for needle EMG (MUP):

• set of electrodes and accessories for needle EMG (see item 3.2);


• Facilities for listening EMG signals – speaker system and stereo cable (see item 5).


Videostimulator (software-controlled) with Reversal Pattern Visual Evoked Potentials (RP-VEP) examination program (see item 3).

5 1.2. Modification 02 (4-channel)

1.2.1. A_2988-10 Modification 02 (4-channel)

for muscle and peripheral nerves diseases diagnostics, assessment of the state of vision and hearing, multichannel studies of symmetric muscles and their antagonists.

Equipment set "basic" includes:







• CD methodical software "Neuromyan" with examination programs – variant "basic"

o EMG for muscle and peripheral nerves diseases diagnostics:

- Motor Nerve Conduction Velocity (MCV);

- Sensory Nerve Conduction Velocity (SCV);

- surface EMG (SURF);

- F-Wave;

- Repetitive nerve stimulation (Decrement);

o EP for assessment of the state of vision and hearing:

- Brainstem Auditory Evoked Potentials (BAEP);

- Long Latency Auditory Evoked Potentials (LAEP);

- Flash Visual Evoked Potentials (F-VEP);

- Somatosensory Evoked Potential (SSEP);

o Cardfile.




• Videostimulator (software-controlled) with Reversal Pattern Visual Evoked Potentials (RP-VEP) examination program (see item 3).

6 1.2.2. A_2988-11 Modification 02 (4-channel)

for muscle and peripheral nerves diseases diagnostics, assessment of the state of vision and hearing, multichannel studies of symmetric muscles and their antagonists.








• CD methodical software "Neuromyan" with examination programs – variant "professional"



- Needle EMG (MUP);

- EMG Screening;











Videostimulator (software-controlled) with Reversal Pattern Visual Evoked Potentials (RP-VEP) examination program (see item 3).

7 1.3. A_2941-10 Modification 03 (5-channel)

for fine differential diagnostics of the central and peripheral nervous system disorders, detailed study of the muscles disorders and testing of neuromuscular transmission using five channels.

Five-channel record of EP for detection by-chiasmatic and the central visual dysfunction is provided.

Option of recording EMG via two channels and EP via three channels allows minimizing the need for changing the electrodes when performing EP and EMG tests.








• CD methodical software "Neuromyan" with examination programs – variant "professional"



- Needle EMG (MUP);

- EMG Screening;











Videostimulator (software-controlled) with Reversal Pattern Visual Evoked Potentials (RP-VEP) examination program (see item ).

8 2. Basic neuromyograph’s accessories and electrode set s

2.1. Basic neuromyograph’s accessories Included into every sales package

2.1.1. A_1665 Table Support

For mounting Amplifier Unit on the table.

2.1.2. A_3149

Headphones

For playing auditory EP (tones, beeps, clicks).

2.1.3. A_2991 Photostimulator FO-03

Goggles for recording flash visual EP studies.

9 2.2. A_3061-2 Remote Controller

2 in 1: wireless remote controller (functional keyboard) and wireless E-Stimulator with a set of stimulating electrodes.

The set includes:

• Stimulating Electrode SEA-23 for adults (A_3222-03);

• Stimulating Electrode SEA-10 for children (A_3223-03)

• Table Support for Remote Controller (A_8312-01)

• Rechargeable battery – Ni-MH, АА, 2400mA (A_2334-01) – 4 pcs.

• Charger (A_2894-01)

10 2.3. A_2997 "Basic" set of electrodes and accessories

• Stimulating bar electrode ESS-23/F6 with felt pads (A_3245-02)

• Stimulating bar electrode ESSR-23/D7N9 with handle (A_6335-01)

• Stimulating bar electrode ESS-15/F6 with felt pads (A_3244-02)

• Felts duplicate set (A_1517-02) – 20 pcs.

• Universal stimulating cable (A_8321-01)

• Multifunctional pick-up cable (A_8320-01) – 2 pcs.

• Alligator clips, pair (A_8319-01) – 2 pcs.

• Disposable square electrode (Fiab F3001 type) (A_7362-01) – 1 pack (100 pcs.)

• Cup electrodes, pair (A_8315-01) – 2 pcs.

• Ribbon electrodes, pair (A_8316-01)

• N-electrode cable with snap connector (length – 2 m) (A_4822-13)

• Grounding electrode GE-C1ТР (for children, length – 20 cm, width – 10 mm) (A_5223-01)

• Grounding electrode GE-01ТР (length – 25 cm) (A_2936-04)



• Disposable syringe (A_0467-01)

Included into every sales package

11 2.4. Sets of electrodes and accessories for EP studies

2.4.1. A_3000 Set of electrodes and accessories for EP studies

• Cup electrode (A_7873-01) – 5 pcs.;

• Fixing band for electrodes conductors (A_8567-02);

• Differential cable (A_7848-01) – 2 pcs.;

• Cable, 2 channels with a common referent (A_8191-01) – 2 pcs.;

• Brush for electrode cleaning (A_0343-04);

• Ten20 Conductive Paste (A_2669);

• Abrasive paste (A_1523-01).

Included into a sales package of 2-channel neuromyoanalyser

2.4.2. A_3001 Set of electrodes and accessories for EP studies

• Cup electrode (A_7873-01) – 9 pcs.;

• Fixing band for electrodes conductors (A_8567-02);

• Differential cable (A_7848-01) – 3 pcs.;

• Cable, 2 channels with a common referent (A_8191-01) – 2 pcs.;

• Cable, 3 channels with a common referent (A_8192-01);

• Brush for electrode cleaning (A_0343-04);

• Ten20 Conductive Paste (A_2669);

• Abrasive paste (A_1523-01).

Included into a sales package of 4- and 5-channel neuromyoanalyser

12 2.5. Sets of electrodes and accessories for EMG studies

2.5.1. A_3003-02 Set of electrodes and accessories for EMG studies (for 2-channel neuromyoanalyser)

• Surface bar electrode, red marker (A_3246-03);

• Surface bar electrode, blue marker (A_3247-03);

• Surface bar electrode for children, green marker (A_3230-02);

• Set of ribbons for fixing electrodes (A_1016-03);

• Infrared Thermometer UT-633 (A_3154-01);

• Electrode gel (A_1854-01);

• Measuring tape (A_0610-01)

Included into a sales package of 2-channel neuromyoanalyser

13 2.5.2. A_3004-02 Set of electrodes and accessories for EMG studies (for 4- and 5-channel neuromyoanalysers)

• Surface bar electrode, red marker (A_3246-03);

• Surface bar electrode, blue marker (A_3247-03);

• Surface bar electrode, white marker (A_3248-03);

• Surface bar electrode, yellow marker (A_3249-03);

• Surface bar electrode for children, green marker (A_3230-02);

• Set of ribbons for fixing electrodes (A_1016-03);

• Infrared Thermometer UT-633 (A_3154-01);

• Electrode gel (A_1854-01);

• Measuring tape (A_0610-01)

Included into a sales package of 4- and 5-channel neuromyoanalyser

14 3. Additional methodical software and accessories

3.1. A_3066-1 Videostimulator (software-controlled) with Reversal Pattern Visual Evoked Potentials (RP-VEP) examination program.

Additional LCD monitor is required.

3.1.1. A_0687 Additional LCD monitor

Required for Reversal Pattern Visual Evoked Potentials (RP-VEP) examination program

Features:

• resolution 1920x1080;

• aspect ratio 16х9

3.2. A_3006 Set of electrodes and accessories for needle EMG

Disposable concentric needle electrodes (EMG-MUP) 37х0,46 mm – 50 pcs.

Disposable concentric needle electrodes (EMG-MUP) 50х0,46 mm – 25 pcs.

Cable for disposable concentric needle electrodes, length 1.5 m – 1 pcs.

For “professional” sets of neuromyoanalyser

Purchased products – supplied according to the customer's specification or purchased by the customer individually

15 3.3. A_3069 Footswitch –

wireless foot-operated switch for stimulation control

Required for comfortable switching between functional tests when carrying out needle EMG (MUP).

It’s also provides comfortable switching between functional tests when carrying out surface EMG (Surf).

Included into the sales package for

• 02 «professional»;

• 03 «professional».

Can be additionally purchased (optionally) for sets:

• 01 «basic»;

• 01 «professional»;

• 02«basic».

3.4. A_3378 Magnetic stimulator

for transcranial magnetic stimulation of cerebral cortex, spinal cord and peripheral nervous system.

Purchased product – supplied according to the customer's specification or purchased by the customer individually.

3.5. A_3150-11 Audiometric headphones

Recommended for more correct auditory EP studies carrying out.

Purchased product – supplied according to the customer's specification or purchased by the customer individually.

16 4. Additional electrodes and accessories for EP and EM G studies

4.1. A_6335 Stimulating bar electrode with handle

It is used to stimulate the deep-seated nerve trunks in the stimulation EMG techniques.

4.2. A_3244 Stimulating bar electrode (children) with felt pads

Filled in with physiological saline solution only.

It is used in stimulation techniques when working with children.

4.3. A_3245 Stimulating bar electrode ESS-23/F6 (adults) with f elt pads

Filled in with physiological saline solution only.

Usually used for long-term stimulation of a nerve at one point (for example, in Rhythmic stimulation).

17 4.4. A_1517 Felts duplicate set F6 Н5

4.5. A_8321 Universal stimulating cable

4.6. A_8320 Multifunctional pick-up cable

18 4.7. A_8319 Alligator clips, pair

Requires disposable square electrodes

Used in the most EMG stimulation techniques.

Blink reflex study requires 2 pcs

4.8. A_7362 Disposable square electrode (22х34mm, Fiab F3001).

4.9. A_8315 Cup electrodes, pair

Used in the most EMG stimulation techniques.

Blink reflex study requires 2 pcs.

4.10. A_8316 Ribbon electrodes, pair

Used in the study of sensory nerves.

19 4.11. А_4822 N-electrode cable

with snap connector (for any type of electrodes).

4.12. A_5223 Grounding electrode GE-C1ТР (for children)

N-electrode for small circumference (arm)

4.13. A_2936 Grounding electrode GE-01ТР

N-electrode for small circumference (arm)


N-electrode for large circumference (foot, body).


N-electrode for large circumference (foot, body).

4.16. А_7848 Differential cable EP2-1

It is used in EP techniques that do not require a common referent.

The number of cables is equal to the number of recording channels used

4.17. А_8191 Cable EP3-2 with electrodes

2 channels with a common referent

Used to record 2 channels with a common referent (for example, short-latent auditory EP of the brain stem, visual EP, etc)

20 4.18. A_8192 Cable EP4-3

3 channels with a common referent

Used to record 3 channels with a common referent (for example, short-latent auditory EP of the brain stem, visual EP, etc)

4.19. А_7873 Cup electrode

Required are:

• 5 pcs. for 2-channel neuromyoanalyser;

• 9 pcs. for 4- or 5-channel neuromyoanalyser.

4.20. А_8567 Fixing band for electrodes conductors

Required are:

• 5 pcs. for 2-channel neuromyoanalyser;

• 9 pcs. for 4- or 5-channel neuromyoanalyser.

4.21. A_3246 Surface bar electrode

SES-20/10х5Н-R red marker

Used in stimulation EMG techniques and for recording surface EMG.

When used for recording surface EMG the number of electrodes is equal to the number of channels used.


SES-20/10х5Н-B blue marker


SES-20/10х5Н-W white marker


SES-20/10х5Н-Y yellow marker

21 4.25. A_3230 Surface bar electrode for children

Used in stimulation EMG techniques when working with children.

4.26. А_1016 Set of ribbons for fixing electrodes

Including:

• span-type fixator – 8 pcs.;

• elastic band (width - 20 mm) – 9 pcs.

4.27. A_0343 Brush for electrode cleaning

22 4.28. A_3222 Stimulating electrode (attachment) SEA-23 for adult s

Used in stimulation EMG techniques

4.29. A_3223 Stimulating electrode (attachment) SEA-10 for child ren

Used in stimulation EMG techniques when working with children.

4.30. A_3154-01 Infrared Thermometer UT-633

For temperature control of a limb in stimulation EMG techniques.

4.31. A_2669 Ten20 Conductive Paste

Used for attaching cup electrodes when recording EP

23 4.32. A_1523 Abrasive paste

Used for skin treatment before attachment of cup electrodes.

4.33. A_1854-01 Electrode gel

250 ml

Used for attachment of any EMG/EP electrodes.

4.34. A_0610-01 Measuring tape

24

5. Required computing hardware

5.1. PC System Unit (stationary PC)

The set includes: • keyboard; • mouse; • main monitor

Configuration and characteristics are approximate and should be specified when order.

Minimal requirements:

• Intel Core i5;

• RAM 4GB;

• HDD 500GB;

• LCD monitor – minimal diagonal 15";

• OS Windows 10.

If the customer requires and is able to purchase the improved characteristics, inform the manufacturer about it: advanced characteristics should be approved by the manufacturer.

5.2. Portable PC (laptop) in agreement with the customer instead of a stationary PC

5.3. Additional software and accessories to a system uni t or a laptop

5.3.1. A_6843 HDD mobile data storage drive, over 1000 Gb A_6843

5.3.2. A_5109 Antivirus application "Kaspersky Internet Security" . Recommended to protect PC from viruses

A_5109

5.3.3. A_4319 MS Office ENG. Recommended to be installed at PC. Word and Excel are required

A_4319

5.3.4. A_4299 Uninterruptible power supply – to the system unit A_4299

5.3.5. Transport bag for a laptop

25 5.3.6. Speaker system

Required to listen to the EMG signals in the technique of needle myography (MUP) at a stationary PC.

Requires a stereo cable to connect the patient unit to the speaker system.

5.3.7. Stereo cable

Required to listen to the EMG signals in the technique of needle myography (MUP).

For connection of the patient unit to the speaker system.

5.4. A_0687 Additional monitor

26 5.5. A_5527-11 Display Mount

5.6. A_4087 Printer (Laser Black-And-White A4 format)

5.7. Patient chair

27 5.8. Equipment Trolley

28 Medicom MTD

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