Nicolet EDX

Installation Guide
May 13, 2014

269-640200 Rev 03

© 2012 - 2014 Natus Medical Incorporated or one of its subsidiaries. All rights reserved.
Natus is a registered trademark of Natus Medical Incorporated. All product names appearing on this document are trademarks or registered trademarks owned,
licensed to, promoted or distributed by Natus Medical Incorporated, its subsidiaries or affiliates. All other trademarks are the property of their respective owners.
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Nicolet EDX Table of Contents

General Information
Installation and servicing instructions ..............................................................1-1
Device continuity maintenance and installation test ........................................1-1
Safety Notes..........................................................................................................1-1
Electromagnetic Compatibility ..........................................................................1-1
User guide.............................................................................................................1-1
How do I use this guide? .....................................................................................1-1
Technical support ................................................................................................1-2
European Authorized Representative ...............................................................1-2
Labels and symbols .............................................................................................1-3
Using the Easy Riser tray....................................................................................1-4
Viking EDX control panel...................................................................................1-5
Synergy EDX control panel ................................................................................1-6
AT2 and AT2+6 amplifier functions ..................................................................1-7
HB-6 Headbox functions.....................................................................................1-8
HB-7 Headbox functions.....................................................................................1-8
Nicolet EDX electrical stimulator probes..........................................................1-9
EDX Comfort Probe Plus Stimulator icons ......................................................1-9
SP1/SP2 Stim-Switching Units .........................................................................1-10
Base Unit rear panel icons ................................................................................ 1-11
Base Unit front panel icons ...............................................................................1-12
Base Unit bottom panel label icons ..................................................................1-12

Assembling a Nicolet EDX Portable System

About this chapter ...............................................................................................2-1
Tools needed.........................................................................................................2-1
Installation checklist for Portable systems........................................................2-1
Voltage requirements ..........................................................................................2-3
Patient isolation requirements............................................................................2-3
Place the Base Unit and Laptop on the work station .......................................2-4
Connect the Base Unit and Laptop ....................................................................2-4
Connect the Base Unit rear panel components .................................................2-5
Connect power to the printer .............................................................................2-6
Connecting the system power cables..................................................................2-7
Switching the system power on and off .............................................................2-7
Turning the Printer on and off ..........................................................................2-7
Where do I go next? ............................................................................................2-7

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Table of Contents Nicolet EDX

Installing a Nicolet EDX Cart Based System

About this chapter ...............................................................................................3-1
Tools Needed ........................................................................................................3-1
Installation checklist for Desktop systems ........................................................3-1
Voltage requirements ..........................................................................................3-3
Base Unit ..........................................................................................................3-3
Printer ...............................................................................................................3-3
Isolation Power Supply ....................................................................................3-3
Patient isolation requirements............................................................................3-4
Assemble the Photic stand (option)....................................................................3-5
Assemble the Photic stand (option)....................................................................3-5
Assemble the Mobile Cart...................................................................................3-6
The AT2 amplifier bracket ...............................................................................3-6
The AT2+6 amplifier bracket ...........................................................................3-6
Mounting the amplifier to the amplifier holder................................................3-7
Mounting the needle holder to the amplifier bracket ......................................3-8
Optional needle holder mounting .....................................................................3-8
Mounting the stimulator probe holder to the amplifier bracket ......................3-9
Optional stimulator probe holder mounting .....................................................3-9
Mount the AT2+6 Headbox Bracket ..............................................................3-10
Mount the LCD Monitor ................................................................................3-10
Load the cart ...................................................................................................... 3-11
Mount the computer..........................................................................................3-12
The isolation power supply power cable clamp ..............................................3-13
The isolation power supply ground clamp ......................................................3-13
Grounding the Base Unit when using a Laptop on a cart..............................3-14
Connect the desktop components.....................................................................3-15
Connect the base unit rear panel components ................................................3-16
Connect the base unit .......................................................................................3-16
Connect the front panel components ...............................................................3-17
Connect the base unit power cable...................................................................3-17
Connecting an external speaker to the EDX set to Digital (PC) 
generated audio...............................................................................................3-18
Connecting an external speaker to the EDX set to Analog audio .................3-19
Switching system power on and off..................................................................3-20
Turning the printer on and off .........................................................................3-20
Printer precautions............................................................................................3-20
Where do I go next? ..........................................................................................3-20

2 May 13, 2014

Nicolet EDX Table of Contents

Installing the Nicolet EDX Software 1

About this chapter ...............................................................................................4-1
Overview...............................................................................................................4-1
Installing/reinstalling Nicolet EDX software ....................................................4-3
Licensing Nicolet EDX software.........................................................................4-5
Step A: Activating a new Synergy software load.............................................4-6
Step B: Activating a new Synergy feature .......................................................4-7

System Verification 1
About this chapter ...............................................................................................5-1
Verifying the Nicolet EDX system operation (Synergy) ..................................5-3
Motor NCS .......................................................................................................5-3
Device continuity maintenance and installation test ........................................5-4
Cart grounding system with Isolation Power Supply .......................................5-4
Cart grounding without an Isolation Power Supply .........................................5-4
Leakage tests ........................................................................................................5-4

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Table of Contents Nicolet EDX

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4 May 13, 2014

 Chapter 1
General Information

Installation and servicing instructions

Device continuity During installation, assembly and operation, some protective ground connection
maintenance and points are susceptible to becoming electrically detached or not properly connected. This can
installation test pose a safety hazard to both the user and patient.
It is recommended/required that you perform regular electrical continuity tests from exposed
conductive materials on the medical system to the protective ground on the medical system.
Regular testing will help ensure that proper protective grounding is maintained. This test
should always be performed after installation and maintenance. Additionally, this test
should be performed on a regular maintenance basis.

Safety Notes

Before continuing with any of the procedures in this document, please read the Safety
Notes located in the Additional Information and Safety Notes for Assorted Nicolet Brand Products
Reference (part number 269-594705) on CD.

Electromagnetic Compatibility

Please refer to the Electromagnetic Compatibility Reference Guide (part number 269-
596201) on CD for information concerning your Nicolet EDX system.

User guide
Refer to the Nicolet EDX User guide (part number 269-658300) before using the Nicolet EDX
system.

How do I use this guide?

Refer to the table below to locate the desired procedure.

Procedure Location
Installing an EDX Portable Chapter 2

Installing an EDX Desktop Chapter 3

Installing the software Chapter 4

Verifying the system operation Chapter 5

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General Information Nicolet EDX

Technical support

Domestic International
Natus Neurology Incorporated Natus Neurology Incorporated
3150 Pleasant View Road Phone: 0049 (0) 180 501 5544
Middleton, WI USA 53562 Fax: 0049 (0) 89 83942777
1-800-356-0007 service.europe@natus.com
madision.helpdesk@natus.com www.Natus.com
www.Natus.com

European Authorized Representative

Natus Europe GmbH

Robert-Koch-Str. 1
82152 Planegg
Germany

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Nicolet EDX General Information

Labels and symbols

The following labels and symbols may be affixed to the Nicolet EDX system:

When applied on device: Attention: Consult Accompanying Documentation. (ISO

7000-0434A)
When used in documentation: Caution, Warning or Precaution follows.

Consult Operating Instructions. Failure to follow operating instructions could place the
patient or operator at risk. Image on blue background. (ISO 7010 M002)

Consult Operating Instructions. (ISO 7000-1641)

European Authorized Representative.

Manufacturer.
Natus Neurology Incorporated
3150 Pleasant View Road
Middleton, WI USA 53562
608-829-8500
1 800-356-0007
Fax: 608-829-8589
www.natus.com

Disposal at end of operating life instructions.

CE Mark and Notified Body.

(Compliant to Medical Device Directive 93/42/EEC)

Type BF equipment.

Class II device.

RX Only CAUTION: USA Federal law restricts this device to sale or on the order of a licensed
Neurology practitioner.

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General Information Nicolet EDX

Using the Easy Riser tray

To raise: Grasp sides of unit as shown. Move to desired height.

To lower: Grasp sides of unit as shown. Tip UP front of unit. Move to desired height.

To set tilt: Release wand. Adjust angle. Lock wand.

A: Lock wand.

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Nicolet EDX General Information

Viking EDX control panel

The control panel is active in all Nicolet Viking EDX software modes. However, it is not active in NicVue, the Backup/Restore
mode, the Report Program, the internet, or in any Windows application. In these modes, use the mouse or keyboard.

The control panel includes two types of touch-keys, the hardkeys and softkeys. See User Guide for additional details.

Hardkeys

The hardkeys are touch-panel keys with a single function. Each hardkey is labeled with its purpose and are operational only in
relevant modes.

Softkeys

The softkeys are the 12 color-coded touch-panel keys on the control panel. Softkey functions change according to the mode you
are working in and are designated by the corresponding colored buttons in the Display Prompt Area (DPA) displayed in the lower
portion of the screen display.

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General Information Nicolet EDX

Synergy EDX control panel

! B

IMPORTANT:
The Electrical Stimulator outputs are
disabled when the Synergy Control
Panel is connected to an EDX Unit.

The Synergy EDX control panel provides a single control operation for setting essential parameters during a patient examination.

The control panel is active in all Synergy software modes. However, it is not active in NicVue, the Backup/Restore mode, the
Report Program, the internet, or in any Windows application. In these modes, use the mouse or keyboard.

The Adjustment dials

The adjustment dials include the Volume, Sensitivity, Sweep Duration, Stim A (IES-1 amplitude), Stim B (IES-2 amplitude),
and Stim Duration and Stimulus Level dials located on the upper right. See User Guide for additional details.

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Nicolet EDX General Information

AT2 and AT2+6 amplifier functions

N A N A

B B

M
K Nicolet
Nicolet
AT2 amplifier
L L AT2+6 amplifier L
Fz 13
R

K
A1 11 C3 3 Cz 14 C4 4 A2 12

M T5 9
P3

O1
5

7
Pz 15

Oz 16
P4

O2
6

8
T6 10 J
!
19

!
1 2
17 18 19

1 2 C
C C C - + - +
20 21 22

- + - +

D E F GH D E F DE F DE F G H I

AT2 amplifier AT2+6 amplifier

A Temperature Probe The temperature probe attaches to this connector for skin temperature measurements. Connecting the
Connector temperature probe displays the temperature on the Exam Record screen.
B - Power Indicator When lit, the amplifier has power.
C Common (Ground) Plug the patient ground electrode into either green jack on the amplifier.

D
- Active (-) Electrode Patient recording electrodes connect to the red (+) and black (-) pin jacks. Negative voltages applied to the
black input jack produce an upward deflection on the Nicolet EDX display. Use the black input jack as the
’active’ electrode.
E - DIN Electrode The DIN electrode connectors accommodate patient electrodes supplied with DIN jacks, such as
Connector concentric needle electrodes. The DIN connectors provide a negative-up convention.
F
+ Reference (+) Electrode Patient recording electrodes connect to the red (+) and black (-) pin jacks. Use the red input jack as the
’inactive’ or ’reference’ electrode for a negative-up convention.

G Run/Standby Switch Turns the EMG amplifier channel inputs ON and OFF.

H - Run/Standby Indicator When lit, the channel is ON and is ready to receive signals from the patient electrodes. When OFF, the
amplifier input jacks are disconnected and grounded internally.
I Headbox Connector For optional HB-6 Headbox.

J L
A1 11 C3 3
Fz 13

Cz 14 C4 4 A2 12
R
1020 Integrated The numbers correspond to the montages defined in the software.
Headbox
P3 5 Pz 15 P4 6

T5 7 T6 10
O1 7 Oz 16 O2 8

K Type BF Equipment.

L See page 1-2 in this manual.

M Not for use in the presence of electrical cautery device without additional patient protection headbox or other in-line protection device.

N Amplifier

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General Information Nicolet EDX

HB-6 Headbox functions

A Common.

B See page 1-2 in this manual.

Fz 13
L R
A1 11 C3 3 Cz 14 C4 4 A2 12
C Type BF Equipment.
T5 9
P3 5 Pz 15 P4 6

T6 10 F
O1 7 Oz 16 O2 8

D Headbox.
17 18 19

20 21 22
E Not for use in the presence of electrical cautery device without additional patient protection
headbox or other in-line protection device.
A 1 2
A
E HB-6
! B
F L
A1 11 C3 3
Fz 13

Cz 14 C4 4 A2 12
R
The HB-6 Headbox consists of 1020 head pattern and 2 ground jacks. It is equipped with a 6 foot
T5 7
P3 5 Pz 15 P4 6

T6 10

signal cable and a clip that allows you to secure the Headbox on or near your patient.
D C
O1 7 Oz 16 O2 8

HB-7 Headbox functions

A Common.

B See page 1-2 in this manual.

Fz 13
L R
A1 11 C3 3 Cz 14 C4 4 A2 12
C Type BF Equipment.
T5 9
P3 5 Pz 15 P4 6

T6 10 F
O1 7 Oz 16 O2 8

D Headbox.
17 18 19

20 21 22
E Designed for use in the presence of electrical cautery.

A 1 2
A
E ! B F The HB-7 Headbox consists of 1020 head pattern and 2 ground jacks. It is equipped with a 6 foot
HB-7
Fz 13
L R
A1 11 C3 3 Cz 14 C4 4 A2 12

signal cable and a clip that allows you to secure the Headbox on or near your patient.
P3 5 Pz 15 P4 6

T5 7 T6 10

D C
O1 7 Oz 16 O2 8

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Nicolet EDX General Information

Nicolet EDX electrical stimulator probes

Several types of electrical stimulator probes are available for use with the Nicolet EDX.
•Comfort Probe (RS10)
•Comfort Probe Plus (WR50)

EDX Comfort Probe Plus Stimulator icons

A B

S1

S2

S3

!
+_
C D E F GHI

A Stimulation On/Off.

B Press wheel to start / stop stimulation. Rotate wheel to increase / decrease stimulus intensity.

C Variability. Increase / Decrease Stimulus Intensity.

D Increase Stimulus Duration.

E Decrease Stimulus Duration.

F Next Trace (Waveform)

G + Stimulus Polarity (switches cathode side)

-
H See page 1-2 in this manual.

I Attention, consult accompanying documents.

J - Lighted LED indicates the cathode (-) side.

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General Information Nicolet EDX

SP1/SP2 Stim-Switching Units

IES-1 (SP-1) IES-1 (SP-2) IES-2 (SP-1) IES-2 (SP-2)
B B
IES-1 IES-1 IES-2 IES-2
LL

LL
12

12
6

6
11

11
5

5
10

10
4

4
С С С С
3

9
2

8
1

7
SP-1 SP-2 SP-1 SP-2

A A

A Stimulator Probe Input (No external control)

B Lower Level Pair

C Stimulator Outputs

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Nicolet EDX General Information

Base Unit rear panel icons

A B C D E F G H I JKL

US and Canada use only 120 VAC

Hz Freq Range 50-60
AC Voltage 230 100/120
Fuse 5x20mm T2.0AL T2.0AL

Input VA System Power 110

VA Output Power 70
Output

V UT S RG Q P O N W M

A Reflex Hammer. P USB.

B Input/output option device port. Q Trigger 1 / 2 In.

C Viking Control Panel. R Trigger.

D Synergy Control Panel. S Stimulator Option Port.

E Trigger 1 / 2 Out. T R Right ear headphone Out.

F Analog Out. U Headphones.

G See page 1-2 in this manual. V L Left ear headphone Out.

H Audio Out. Voltage Label

Input voltage of 100VAC, 120VAC or 230VAC (110VA) at 50 or 60 Hertz.
Maximum total output power is 70VA.

I Type BF Equipment. W System Power.

J Audio In. W Output Power.

K Electrostatic Sensitive. W AC Power.

L Loudspeaker. W Fuse.

M Equipotentiality. W HZ Frequency Range.

N Footswitch for single switch only. W VA System Power / Output Power

O Amplifier. W See page 1-2 in this manual.

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General Information Nicolet EDX

Base Unit front panel icons

A - To (Touch-proof) Electrical Stimulator. Positive Output. F Electrical Stimulator.

B IES-1 Isolated Electrical Stimulator 1 (- / +). G Type BF Equipment.

C + To (Touch-proof) Electrical Stimulator. Negative Output. H On (part of a system).

D Attention, consult accompanying documents. I Stimulation On/Off.

E IES-2 Isolated Electrical Stimulator 2 (- / +).

Base Unit bottom panel label icons

N i co l et E D X B ase
A REF 5 1 5 - 0 1 5 3 0 0 R e v 0 3

B Natus Medical Incorporated

Middleton, WI 53562
2010 Made in USA

C LOT C 1 0 0 9 2 7 0 0 1

D 50
0086

E F G

A Manufacturing Reference Number. E 50 years of life before leakage of contaminates into land
fill.

B Manufacture (xxxx = year of manufacture). F Special Recycling Required. Do not dispose in landfill.

C Manufacturing Lot number. G Manufacturer’s Bar Code.

D CE Mark.

1-12 May 13, 2014

 Chapter 2
Assembling a Nicolet EDX
Portable System
About this chapter
This chapter describes how to connect the components for systems configured with a portable or
laptop type of computer.
Carefully read this entire section before beginning any of the procedures. If you have any
questions, please contact your local Natus Neurology Incorporated service representative.
IMPORTANT: Because of the various types of laptop computers that may be used with the
system, only generic references will be used to describe the laptop cabling. Please refer to your
laptop's User Guide to locate the appropriate connectors.
The cable connector shapes may vary from those shown in the following figures.
When finished with this procedure, go to Chapter 4 for the software installation instructions.

Tools needed
You may need a small flat-blade screwdriver to secure some of the system connectors.
A Philips head screwdriver is needed for attaching the Grounding Strap between the Base Unit and
Cart (when using a Laptop on a cart without an Isolation Power Supply).

Installation checklist for Portable systems

 Unpack the system
 Verify the line (input) voltage settings
 Mount the system components
 Cable the system
 Verify the system cabling
 Power-on/boot test
 Install the Nicolet EDX software (if not installed at the factory)
 Verify the system is operational

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Assembling the Nicolet EDX Portable System Nicolet EDX

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Nicolet EDX Assembling the Nicolet EDX Portable System

Voltage requirements
This section lists the voltage requirements for the main system components.

Laptop computer The laptop computer used for the portable systems accepts AC voltage ranges of 100V - 240V,
±10%, 50-60 Hz.

Make sure your power cord plug is correct for the power outlet into which it
will be plugged. That is, plug in a 120V power cord into a 120V outlet only.

Base unit The electrically isolated Base Unit is designed to accept AC voltages of 100V, 120V, 230V, ±10%,
50-60 Hz.

Printer The voltage ranges accepted by printers vary according to the printer model. Check the printer
power supply for the voltage requirements.

Make sure it matches the line voltage for your country.

For Laptop systems using a printer without the Isolation Power Supply, the Printer Isolation Power
Supply must be used to power the printer if it is within 6 ft (1.8m) of the patient.

Patient isolation requirements

To ensure that your system is fully electrically isolated and help guard your patient from excessive
current leakage, be sure to connect the main electrical components in the approved way labeled
YES as shown below.

May 13, 2014 2-3

Assembling the Nicolet EDX Portable System Nicolet EDX

Place the Base Unit and Laptop on the work station

Before you begin connecting the Nicolet EDX system components, place them on the Work
Station.
1. Set the Base Unit on the work station.
2. Center the Laptop on top of the Base Unit (optional).

Connect the Base Unit and Laptop

1. Connect the USB cable between the Base Unit and Laptop.
2. Connect the Audio cable between the Base Unit and Laptop, typically labeled with a
Headphone symbol.

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Nicolet EDX Assembling the Nicolet EDX Portable System

Connect the Base Unit rear panel components

1. Connect the USB cable between the Base Unit connector and one of the
Laptop USB ports.
2. Connect the Amplifier cable between the Base Unit and Amplifier.
3. Connect the remaining components and options as shown below.

NOTE: If you have the photic strobe option, follow the instructions included with that stimulator to
connect it to the system.

Reflex Synergy Control Panel Trigger Out Isolation Power Supply

Hammer To External
Stimulator EMG Speaker
Analog (See Note 1)
OR Out
Trigger Out See Note 2
To External
Stimulator
External Audio
Viking Control Panel Out In
On
Off
Patient Response

Base Unit
Laptop Footswitch
Blue Red

Trigger In from
External Device
AEP Option Only
Patient's VEP Option Only AT2 AT2+6
Headphones LED Goggles
or Other Auditory NIC-105A
RIGHT
NIC-105A
LEFT

OR
Transducers Nicolet
AT2 amplifier
Nicolet
AT2+6 amplifier L

A1 11 C3

P3
3

5
Fz 13

Cz 14

Pz 15
C4

P4
4

6
R

A2 12

T5 7 T6 10
O1 7 Oz 16 O2 8

!
19

!
1 2 1 2
17 18

- + - + - + - +
20 21 22

2 Channel 8 Channel
Amplifier Amplifier

NOTE 1: The EMG Speaker must be powered externally.

NOTE 2: The Isolation Power Supply may not be required with some laptop computers.

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Assembling the Nicolet EDX Portable System Nicolet EDX

Connect power to the printer

For proper isolation while the patient is connected to the system, only connect
a battery powered or independently isolated printer to the system. Do not charge the
printer’s battery or operate the printer from a wall outlet when the system is connected to the
patient.

NOTE: Do not load the printer drivers that are supplied with the printer.

If using the printer with a patient connected to the system, connect the other end of the adapter
cable to the Isolation Power Supply and then connect the Isolation Power Supply input Power cable
between the Isolation Power Supply and a Medical Grade Wall Outlet.
If using the printer without a patient connected to the system, connect the other end of the adapter
cable to a Medical Grade Wall Outlet. The isolation power supply is not required.
See your printer user guide for additional information as necessary:

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Nicolet EDX Assembling the Nicolet EDX Portable System

Connecting the system power cables

Your Laptop may require a power cable adapter to plug into the computer's
power connector properly. If so, locate the adapter and connect it between the computer's
AC Adapter and the Base Unit. Contact your local Natus Neurology Incorporated
representative for more information.

Wall Outlet On
Off
Laptop (Model may vary)

Base Unit
To Laptop
Power Input
Laptop Power Supply

Switching the system power on and off

The first time you switch on system power, switch the components on in the following order:
1. Base Unit. Press the "I" on the power switch to turn on the Base Unit.
2. Laptop Computer.

To switch off the system, switch the components off in the following order:
1. Laptop Computer.
2. Base Unit. Press the "O" on the power switch to turn off the Base Unit.

Turning the Printer on Press the printer Power button to turn power on. Because the printer power is controlled by the
and off isolation power supply, you can leave this power switch on.

For proper isolation while the patient is connected to the system, only connect
a battery powered or independently isolated printer to the system. Do not charge the
printer’s battery or operate the printer from a wall outlet when the system is connected to the
patient.

Where do I go next?
If you do not see the Nicolet EDX icon on the Desktop screen display, please go to Chapter 4 and
load the software.
If you see the Nicolet EDX icon, please go to Chapter 5 and verify the system is functional.

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Assembling the Nicolet EDX Portable System Nicolet EDX

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2-8 May 13, 2014

 Chapter 3
Installing a Nicolet EDX
Cart Based System
About this chapter
This chapter describes how to connect the components for systems configured with the cart-based
computer.
Please read this section carefully before attempting any of the procedures. If you have any
questions, please contact your nearest Natus Neurology Incorporated representative.

Tools Needed
You may need a small flat blade screwdriver to secure some of the connectors.

Installation checklist for Desktop systems

 Unpack the system
 Verify the input (line) voltage settings
 Assemble the Photic Stand (option)
 Mount the system components
 Cable the system
 Verify the system cabling
 Power-on/boot test
 Install the Nicolet EDX software (if not installed at the factory)
 Verify the system is operational

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Nicolet EDX Assembling the Nicolet EDX Cart Based System

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Assembling the Nicolet EDX Cart Based System Nicolet EDX

Voltage requirements
This section lists the voltage requirements for the main system components, including:
• Base Unit
• Printer
• Isolation Power Supply

Base Unit The electrically isolated base unit is designed to accept AC voltages of 100V, 120V, 230V, ±10%,
50-60 Hz.

Make sure your power cord plug is the correct voltage for the power outlet
into which it will be plugged.

Because the Base Unit is electrically isolated, be sure that the Base Unit is
connected to the Isolation Power Supply outlet labelled "Base Unit only." Do not connect any
other device to this outlet or current leakage limits may be exceeded.

Printer The voltage ranges accepted by printers vary according to the printer model. Check the printer
power supply for the voltage requirements. Make sure it matches the line voltage for your country.

Plug the printer power supply into the Isolation Power Supply only. If it is
not connected to the Isolation Power Supply, current leakage limits may be exceeded.

Isolation Power Supply The cart-based system uses an external, stand-alone Isolation Power Supply to provide electrically
isolated power to all system devices, except the Base Unit. Two types of Isolation Power Supplys
are available:
• One accepts AC voltage ranges of 100V-120V, ±10%, 50-60 Hz.
• One accepts AC voltage of 220V-240V, ±10%, 50-60 Hz.

Verify that your Isolation Power Supply is appropriate for your power
source. For example, if your power source is 120 VAC, make sure you have the 100V - 120V
Isolation Power Supply.

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Nicolet EDX Assembling the Nicolet EDX Cart Based System

Patient isolation requirements

To ensure that your system is fully electrically isolated and help guard your patient from excessive
current leakage, be sure to connect the main electrical components in one of the approved ways
labeled YES shown below.

YES
Power
Computer Monitor

Data Power
Data Isolation Wall
Patient Base Unit Power Outlet
(Isolated) Transformer
(Iso Box) Power

Data

Printer
Power

NO
Power
Computer Monitor

Data Power

Patient Data Power Isolation Power

Base Unit Transformer Wall
(Not Isolated)
(Iso Box) Outlet
Data

Power
Printer

NO
Power
Computer Monitor

Data
Power
Data Wall
Patient Power Outlet
Base Unit
(Not Isolated)
Power
Data Wall
Power Outlet

Printer

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Assembling the Nicolet EDX Cart Based System Nicolet EDX

Assemble the Photic stand (option)

Slide on
Photic Strobe Cable

Cable Cover Holder

Slide on

Cable Cover Holder

Cable Groove Photic Strobe

Optional Swivel Arm

Knob

Assemble the Photic stand (option)

Optional Swivel Arm

The photic stimulator and
arm are separate options. Photic Strobe
Optional Swivel Arm

Photic Strobe Swivel Arm Knob

Align notch with knob Optional Flexible Arm

1/4-20 Knob
The photic stimulator and
arm are separate options. Photic Strobe

Cable Hanger
Knob
Photic Cable
Clearance Hole for Knob

Post Chain
To Photic
Power Supply

Base

Castle Nut Cotter Pin

May 13, 2014 3-5

Nicolet EDX Assembling the Nicolet EDX Cart Based System

Assemble the Mobile Cart

Follow the instruction sheet included with each cart option that you have received when installing
the options on the cart.

The AT2 amplifier

bracket
Temperature Probe Strain Relief Bracket
(Factory Mounted)
Slide Bracket flush with edge of
the Amplifier Bracket.

Optional Location
Needle Holder Bracket Needle Holder Bracket

Needle Holder Needle Holder

Stimulator Probe Holder Stimulator Probe Holder

Stimulator Probe Bracket Optional Location

Stimulator Probe Bracket

Amplifier Mount Handle

(Factory Mounted) Slide Handle fully upward.

Figure 1: Rear view when used with the AT2 Amplifier.

The AT2+6 amplifier

bracket Temperature Probe Strain Relief Bracket
(Factory Mounted)
Extend the Bracket.

Optional Location AT2+6 Headbox Bracket

AT2+6 Headbox Bracket

Optional Location
Needle Holder Bracket Needle Holder Bracket

Needle Holder Needle Holder

Stimulator Probe Holder Stimulator Probe Holder

Stimulator Probe Bracket Optional Location

Stimulator Probe Bracket

Amplifier Mount Handle

(Factory Mounted)
Extend the Handle.

Figure 2: Rear view when used with the AT2+6 Amplifier.

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Assembling the Nicolet EDX Cart Based System Nicolet EDX

Mounting the amplifier 1. Insert the Amplifier mounting posts into the two key holes on the Amplifier Plate (Figure 1).
to the amplifier holder 2. Slide the Amplifier downward until it is locked to the Amplifier Plate.

Amplifier
mounting holes

Front View

AT2 or AT2+6 Amplifier 2

1

Side View

Figure 1: Mounting the amplifier to the amplifier plate.

May 13, 2014 3-7

Nicolet EDX Assembling the Nicolet EDX Cart Based System

Mounting the needle 1. If mounting the needle holder to the amplifier bracket, determine on which side you want to
holder to the amplifier mount the bracket (Figure 1).
bracket 2. Clean the mounting surface areas before attaching the tape.
3. Mount the needle holder bracket to the amplifier bracket using the tape provided.
4. Attach the needle holder to the needle holder bracket using the factory attached tape on the
holder.
5. Allow the tape's glue to dry for at least 1 hour.

Amplifier

Optional Location Needle Holder Needle Holder

Bracket
Needle Holder Bracket 3

Amplifier Mounting Bracket 2

Tape

1 Tape
Needle Holder Bracket
Rear View Top View

Figure 1: Mounting the Needle Holder to the Amplifier Mounting Bracket.

Optional needle holder If you wish, you can choose a different location (e.g., cart, wall, etc.) to mount the needle holder
mounting instead of mounting it on the amplifier bracket. You can choose to use or not use the needle holder
bracket.
1. Clean the mounting surface areas before attaching the tape.
2. If using the needle holder bracket, mount the bracket to the desired mounting surface using the
tape provided (Figure 2). If not using the bracket, skip this step.
3. If using the needle holder bracket, attach the needle holder to the bracket using the factory
attached tape on the holder. If not using the bracket, attach the needle holder directly to the
desired mounting surface.
4. Allow the tape's glue to dry for at least 1 hour.

Needle Holder
3

Tape
Needle Holder Bracket
2
Tape

1
Mounting surface

Top View

Figure 2: Mounting the Needle Holder Bracket and Needle Holder to an optional surface.

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Assembling the Nicolet EDX Cart Based System Nicolet EDX

Mounting the 1. Determine on which side you want to mount the stimulator probe bracket (Figure 1).
stimulator probe 2. Clean the mounting surface area before attaching the tape.
holder to the amplifier
3. Mount the stimulator probe bracket on the amplifier bracket.
bracket
4. Attach the probe holder to the bracket using the factory attached tape on the holder.
5. Allow the tape's glue to dry for at least 1 hour.

NOTE: Once mounted, do not remove the Holder from the bracket.

Optional Location
Stimulator Probe Bracket

Stimulator Probe Holder Bracket

Stimulator Probe Holder
Stimulator Probe Holder
Amplifier

Tape
Amplifier Mounting Bracket 2 1 Amplifier Mounting Bracket

Rear View Top View

Figure 1: Mounting the Stimulator Probe Holder to the Amplifier Mounting Bracket.

Optional stimulator If you wish, you can choose a different location (e.g., cart, wall, etc.) to mount the stimulator probe
probe holder mounting holder instead of mounting it on the amplifier bracket.
1. Clean the mounting surface areas before attaching the tape.
2. Attach the stimulator probe holder using the factory attached tape on the holder to the desired
mounting surface (Figure 2).
3. Allow the tape's glue to dry for at least 1 hour.

Stimulator Probe Holder

Tape

1
Mounting surface

Top View
Figure 2: Mounting the Stimulator Probe Holder to an optional surface.

May 13, 2014 3-9

Nicolet EDX Assembling the Nicolet EDX Cart Based System

Mount the AT2+6 1. Determine on which side you want to mount the headbox bracket (Figure 1).
Headbox Bracket 2. Secure the AT2+6 headbox bracket to the amplifier bracket.

Optional Location AT2+6 Headbox Bracket

AT2+6 Headbox Bracket

Amplifier Mounting Bracket

Figure 1: Mounting the AT2+6 Headbox Bracket to the Amplifier Mounting Bracket.

Mount the LCD Monitor

The standard mounting of the LCD Monitor is to the top of the cart, using four clamps as shown in
Figure 2. An optional LCD Monitor Arm is available as shown on the next page.
1. Set the monitor on the cart top.
2. Use the four clamps to secure the base of the monitor to the cart top.

NOTE: Make sure the securing clamps are tight against the monitor base and parallel with the
cart top (not tilted).

Figure 2: Mounting the LCD Monitor to the cart top.

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Assembling the Nicolet EDX Cart Based System Nicolet EDX

Load the cart

May 13, 2014 3-11

Nicolet EDX Assembling the Nicolet EDX Cart Based System

Mount the computer

The computer is secured to the cart using two reusable tapes as shown below. Position the
Computer as shown below. Ensure the system Serial Number sticker facing outside.

Note: The model shown above may vary.

Ensure that both tapes are snug to guard against the computer from
excessive shaking or falling off of the cart.

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Assembling the Nicolet EDX Cart Based System Nicolet EDX

The isolation power supply power cable clamp

If it becomes necessary to replace a damaged Isolation Power Supply power cable, ensure that the
power cable is secured to the cart with the clamp as shown below.

The isolation power supply ground clamp

If it becomes necessary to replace a damaged Isolation Power Supply, ensure that the ground clamp
is attached to the Isolation Power Supply.

Isolation Power Supply

Cart Shelf

Ground

May 13, 2014 3-13

Nicolet EDX Assembling the Nicolet EDX Cart Based System

Grounding the Base Unit when using a Laptop on a cart

1. Attach the ground strap between the Base Unit and cart using the two screws with captive
washers provided in the kit.

2. Affix the Ground label to the cart.

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Assembling the Nicolet EDX Cart Based System Nicolet EDX

Connect the desktop components

NOTE: The Printer is optional. Printer models may vary. Please refer to the manufacturer's Printer
guide to locate the connection(s).

Do NOT connect the Power Cable between the Isolation Power Supply and
Wall Outlet until the end of this procedure.

May 13, 2014 3-15

Nicolet EDX Assembling the Nicolet EDX Cart Based System

Connect the base unit rear panel components

Connect the base unit

See Note 1

Connect to any See Note 2 Green Audio (PC Speaker Out)

available USB Port

Note 1: For additional/advance audo configuration options and “Producer” audio details, please
contact Customer Support.
Note 2: Computer Port locations may differ from those shown.

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Assembling the Nicolet EDX Cart Based System Nicolet EDX

Connect the front panel components

IES-1 IES-2
!
- + - +

Future Future
Use Use
Optional Second
To (Touch-proof) Electrodes Electrical Stimulator Probe

1S
3S

2S
!

+_
Electrical Stimulator Probe
To (Touch-proof) Electrodes

S1

S2

S3

!
+_
Connect the base unit power cable

Always turn OFF system power before connecting or disconnecting system

components to help guard against personal injury.

Isolation Power Supply

On
Off

Base Unit

1 2 !

!
L R 1 2

May 13, 2014 3-17

Nicolet EDX Assembling the Nicolet EDX Cart Based System

Connecting an external speaker to the EDX set to Digital (PC) generated audio

NOTE: The External Speaker is not provided. Speaker models may vary. This reference is provided
for users that prefer to add external speaker rather than use the speaker embedded in the EDX Base
Unit.

NOTE: In Synergy software, go to Audio Setup and select ‘Mute EDX Speaker.’

Do NOT connect the Power Cable between the Isolation Power Supply and
Wall Outlet until the end of this procedure.

Speaker (Model may vary) Isolation Power Supply

Speaker Power Pack

(may not be needed)

IEC Adapter Cable

To Green Audio Jack

Computer (PC Speaker Out)

To Blue Audio Jack

(Line-In)

This connection is for Viking ONLY.

Do NOT connect this cable for
Base Unit Synergy.

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Assembling the Nicolet EDX Cart Based System Nicolet EDX

Connecting an external speaker to the EDX set to Analog audio

NOTE: The External Speaker is not provided. Speaker models may vary. This reference is provided
for users that prefer to add external speaker rather than use the speaker embedded in the EDX Base
Unit.

NOTE: In the EMG software, go to Audio Setup and select ‘Mute EDX Speaker.’

Do NOT connect the Power Cable between the Isolation Power Supply and
Wall Outlet until the end of this procedure.

Speaker (Model may vary) Isolation Power Supply

Speaker Power Pack

(may not be needed)

IEC Adapter Cable

Base Unit

To Green Audio Jack

(PC Speaker Out)
Computer

May 13, 2014 3-19

Nicolet EDX Assembling the Nicolet EDX Cart Based System

Switching system power on and off

For the first time you switch on the system power, switch the components on in the following order.
(Press the "I" on the power switch to turn on each component.) Later, you can switch system power
on and off using just the Isolation Power Supply power switch.
1. Monitor
2. Processor
3. Base Unit
4. Isolation Power Supply
To switch off the system, press the "O" on the power switch on the Isolation Power Supply.

Turning the printer on and off

Press the printer Power button to turn the power on. Because system power is controlled by the
Isolation Power Supply, you can leave this power switch on.

Printer precautions

Regardless of the printer type used with your system, all printers must be connected
into the Isolation Power Supply. If it is not connected to the Isolation Power Supply, current leakage
limits may be exceeded.

Where do I go next?
If you do not see the Nicolet EDX icon on the Desktop screen display, please go to Chapter 4 and
load the software.
If you see the Nicolet EDX icon, please go to Chapter 5 and verify the system is functional.

3-20 May 13, 2014

 Chapter 4
Installing the Nicolet EDX Software

About this chapter

This chapter provides step-by-step instructions on reinstalling the NicVue program and the Nicolet
EDX Master and Application software on your system should you need to reinstall it in the future.

Overview
Your Nicolet EDX was shipped with the NicVue (if ordered), Windows OS and the Nicolet EDX
application software you purchased already installed on the hard drive. As part of your system
package, you received the Nicolet EDX Master Software CD. These items contain the Nicolet
EDX software programs that you purchased.
You will not need to install any Nicolet EDX software you purchased with your initial order.
However, under unusual circumstances, you may be instructed by a qualified Natus Neurology
Incorporated service representative to reinstall one or more software programs. Should this
reinstallation be necessary, your Natus Neurology Incorporated service representative will provide
you with detailed instructions on the Nicolet EDX software installation procedure.
If you are instructed to reinstall only NicVue or the Nicolet EDX software, please follow the
instructions in the NicVue Install Guide (269-639100) on the NicVue Application DVD and the
Reinstalling the Nicolet EDX Software section later in this chapter.

Important: NicVue must always be installed first.

As part of your system software setup, you may have to enter the system time and date. Please
follow the instructions on the next page.

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Installing the Nicolet EDX Software Nicolet EDX

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Nicolet EDX Installing the Nicolet EDX Software

Installing/reinstalling Nicolet EDX software

1. Close all programs that are open and running before continuing.
2. Insert the EDX Software CD into the CD drive.
3. The Synergy install program opens in Auto-Run.
4. From the Welcome dialog, click Next.
5. The setup program should start up automatically. If it does not start, follow the steps below:
a. Select Start > Run.
b. Click on Browse.
c. Double-click on the CD drive, if necessary.
d. Double-click on Setup.exe.
6. Click OK.
7. Select the Natus EMG Application you would like to install.
8. Click Yes when asked to allow the Natus program to make changes to this computer.
9. Read the License Agreement, click Accept license agreement and then click Next.
• If the Install Program detects that the Synergy software program is already installed, the
Application Upgrade dialog appears, click Next to continue the upgrade, click Cancel to
exit.
• If the Synergy software program is not already installed, click Next to continue the
installation.
10. Enter the system serial number, click Next.
11. If you want to load the factory supplied data base, select Yes, click Next.

May 13, 2014 4-3

Installing the Nicolet EDX Software Nicolet EDX

12. From the NicVue dialog, choose whether you want NicVue as the Patient Administrative
System, click Yes or leave blank, click Next.
13. From the Start Installation dialog, click Next.
14. On a Windows 7 system, the following message may appear. Click Install this driver
software anyway.

15. Several dialogs will appear and disappear, followed by a Progress dialog. When the
installation is completed, click Finish.
16. A pop-up will appear explaining the application will need to be restarted for the license
changes to take effect. Click Yes if you are ready to restart the application. The application
will shut down and can be reopened by double-clicking the Synergy software icon on the
Windows desktop.
• If the pop-up does not appear, you will need to restart the application by closing it and
reopening it as stated above for the updated license to take effect.
17. Your new feature(s) have been activated.

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Nicolet EDX Installing the Nicolet EDX Software

Licensing Nicolet EDX software

Following is important information regarding your system and its Synergy software license
information. If you have any problems or wish to order additional software options, please provide
the System Serial Number, Synergy License Number, Synergy System ID Number, and Synergy
Software Version in any correspondence with Natus Neurology Incorporated.

NOTE: The Synergy License Number will change if additional software features are added or the
PC is replaced. The Synergy System ID Number will change if the PC is replaced.

Use the following directions to activate your new software or features.

If you have not loaded Synergy software yet, you must do so prior to these instructions.

NOTE: If open, the application will require to be restarted after the license is updated.

1. If it is not already, power up the PC and log in to Windows. The Synergy software should
initialize after Windows boots.
• If this is a first time Synergy software load, proceed to Step A.
• If this is a Synergy software features upgrade, proceed to Step B.

May 13, 2014 4-5

Installing the Nicolet EDX Software Nicolet EDX

Step A: Activating a When the Synergy software opens, the ‘Initialize License’ window (Figure 1) appears.
new Synergy software
load

Figure 1.
1. If you have not already, contact Technical Support to obtain your Synergy License Number.
Ensure to have the following information ready.
• System Serial Number:
• Synergy System ID Number: This number is found between the 2 hyphens on the ‘Initial
License’ pop-up.
If you are unsure on where this information is, Technical Support will be able to assist you in
locating this information.
• U.S.: 1-800-356-0007
• International: 608-829-8500
2. Enter the Synergy License Number that you received from our Customer Support.
3. Click OK.
4. Click OK to the notification. Your software has been activated.

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Nicolet EDX Installing the Nicolet EDX Software

Step B: Activating a 1. With the Synergy software open, from the Main Menu bar, click System > Machine
new Synergy feature Configuration… (Figure 2).

Figure 2.
2. The ‘Machine Configuration’ window (Figure 3) appears, click the Software License…
button.

Figure 3.
3. The ‘Software License’ window appears (Figure 4). Enter the Synergy License Number that
you received from our Customer Support.

Figure 4.
4. Click OK to accept the new Synergy License Number.
5. Click OK to the notification.
6. Click OK to close the ‘Machine Configuration’ window.
7. A pop-up will appear explaining the application will need to be restarted for the license
changes to take effect. Click Yes if you are ready to restart the application. The application
will shut down and can be reopened by double-clicking the Synergy software icon on the
Windows desktop.
• If the pop-up does not appear, you will need to re-start the application by closing it and
reopening it as stated above for the updated license to take effect.
8. Your new feature(s) have been activated.

May 13, 2014 4-7

Installing the Nicolet EDX Software Nicolet EDX

Blank page.

4-8 May 13, 2014

 Chapter 5
System Verification

About this chapter

This chapter provides step-by-step instructions for verifying the Nicolet EDX system is functioning
properly with Viking or Synergy after you have completed the hardware and software installations.

May 13, 2014 5-1

System Verification Nicolet EDX

Blank page.

5-2 May 13, 2014

Nicolet EDX System Verification

Verifying the Nicolet EDX system operation (Synergy)

After you have assembled and connected your Nicolet EDX system components and have installed
all software programs, you should verify that the system functions properly. System verification
involves performing a simple representative test. Please recruit a subject before you begin.

Do not perform a verification test on a patient.

The following procedure includes simple steps to verify that the Nicolet EDX Synergy system is
functioning properly. Please follow the instructions for the test type that you have installed on your
Nicolet EDX.

Motor NCS Follow this procedure if the Motor NCS package is installed as part of the system software. This
test verifies the electrical stimulator and the amplifiers as well as the PC, Base Unit and software.
1. From the Function keys or the Test Menu, select the test you want.

2. Use the mouse to select the nerve and click to select a side. Press Enter or click on OK to
accept the selection. If you do not find the desired protocol, select General Nerve.

3. Attach surface electrodes for a Median Nerve study to a subject according to your conventions.

4. Press Acquire On for recurrent stimulation. Increase the stimulus intensity and duration to get
the Compound Muscle Action Potential (CMAP). Stop recurrent stimulation by pushing
Acquire On.

5. Type in the distance (in cm). It is displayed in the yellow highlighted box in the result table.
Press Enter to complete the entry. Velocity is not computed at the distal site.

6. Press Next for another stimulation site.

7. Repeat steps 4-7 as necessary.

8. When finished, press <F2> or click on Test Menu to return to the Main Screen.

May 13, 2014 5-3

System Verification Nicolet EDX

Device continuity maintenance and installation test

During installation, assembly and operation, some protective ground connection

points are susceptible to becoming electrically detached or not properly connected. This can
pose a safety hazard to both the user and patient.
It is recommended/required that you perform regular electrical continuity tests from exposed
conductive materials on the medical system to the protective ground on the medical system.
Regular testing will help ensure that proper protective grounding is maintained. This test
should always be performed after installation and maintenance. Additionally, this test
should be performed on a regular maintenance basis.

Cart grounding system

with Isolation Power
Supply
Isolation Power Supply

Cart Shelf

Ground

Cart grounding
without an Isolation
Power Supply

Leakage tests
Perform leakage tests annually or as required by your place of employment.

5-4 May 13, 2014