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1、Advanced BIS Monitoring SolutionsCOVIDIEN, COVIDIEN with logo, the Covidien logo and positive results for life are U.S. and internationally registered trademarks of Covidien AG. Other brands are trademarks of a Covidien company. 2010 Covidien.Covidien Respiratory and Monitoring Solutions | Confident
2、ialBIS VISTA Bilateral SystemFour components make up the BIS VISTA Bilateral system.2 |BIS VISTA monitor with 3.0 softwarePIC-4 cableBISx4Bilateral Sensor*2 |Covidien Respiratory and Monitoring Solutions | ConfidentialBilateral Parameters Four channel EEG DSA Density Spectral Array ASYM Asymmetry In
3、dicatorAdditional Features Dual BIS Monitoring Trends One BIS Monitoring Value Bilateral Trend Review Bilateral Screen Menu DSA Printing Bilateral Sensor MessagingBIS VISTA Monitor Additional Parameters*3 |Covidien Respiratory and Monitoring Solutions | ConfidentialBilateral Sensor Same peel-and-sti
4、ck simplicity Designed for symmetrical placement to capture bi- hemispheric data Letter indicators for electrode positions Liner card with breakaway tab sections You can only use the BIS Bilateral sensor with a BIS VISTA monitor with software version 3.0 and BISx4; it will not be recognized by BISxI
5、mage property of Covidien.*4 |Covidien Respiratory and Monitoring Solutions | ConfidentialBilateral Monitor Display*5 |Covidien Respiratory and Monitoring Solutions | ConfidentialEEG Display Option Four channel referential EEG in lower section of the screen (large window) Yellow is EEG L (left) Blue
6、 is EEG R (right)Four Channel EEG Waveform*6 |Covidien Respiratory and Monitoring Solutions | ConfidentialThere are two ways of displaying EEG waveforms: EEG from the left will always be in yellow; EEG from the right will always be in blue EEG labels refer to electrode positions on BIS Bilateral Sen
7、sorOn the lower (larger) screen all four channels of EEG can be shownOn the upper right (smaller) screen one or two channels of EEG can be shownFour Channels of EEG*7 |Covidien Respiratory and Monitoring Solutions | ConfidentialDensity Spectral Array (DSA)Density Spectral Array The DSA screen offers
8、 a graphical representation of the patients EEG frequency and power distribution in the two hemispheres The color-coded screen helps identify which frequencies are most dominant in the EEG Red = high power Blue = low power*8 |Covidien Respiratory and Monitoring Solutions | ConfidentialThe frequency
9、range is shown on the horizontal axis with a range from 0 to 30 Hz (Hertz) Time is on a vertical axis and moves up as new information is displayedThe color scale is used to indicate maximum and minimum power.(Red is maximum and blue is minimum.)Density Spectral Array (DSA)*9 |Covidien Respiratory an
10、d Monitoring Solutions | ConfidentialAsymmetry Indicator (ASYM)Asymmetry Indicator The Asymmetry Indicator is the black and white graph that represents hemispheric differences in relative Total Power of the EEG Asymmetry will be reflected in the form of a white ASYM graph Available in smaller window
11、 and in larger DSA window*10 |Covidien Respiratory and Monitoring Solutions | ConfidentialTime is on a vertical axis and moves up as new information is displayedThe horizontal axis is showing the difference between the two hemispheres. The scale range is 20% to 100% with markers for easier interpret
12、ation. There are two instances where the asymmetry display will be empty: At the beginning of a case and when there is less than 20% asymmetryAsymmetry Indicator (ASYM)*11 |Covidien Respiratory and Monitoring Solutions | ConfidentialDual BIS Monitoring TrendsBilateral monitoring allows users to tren
13、d both sides of the brain by selecting BIS monitoring as a secondary variable.Target range only applies to the side being monitored in the BIS value area.Remember: Data from the left is always in yellow; data from the right is always in blue.*12 |Covidien Respiratory and Monitoring Solutions | Confi
14、dentialOne BIS Monitoring ValueSame BIS monitoring algorithmOne BIS monitoring number displayed BIS L or BIS RNo averaging or combining of BIS monitoring valuesUser selects which side to display Monitor default is BIS L EMG, SQI, Suppression Ratio, Burst Count and BIS trend all derived from side dis
15、playedor*13 |Covidien Respiratory and Monitoring Solutions | ConfidentialBilateral Trend ReviewNew trend review options*14 |Covidien Respiratory and Monitoring Solutions | ConfidentialBilateral Screen MenuPress the BIS number screen to enter and exit Bilateral menuAlternate way to access the Bilateral menu:Press “Home” and then the “Bilateral” button*15 |Covidien Respiratory and Monitoring Solutions | ConfidentialDensity Spectral Array (DSA) PrintingTouch the BIS number button firstThen touch the DSA print button*16 |Covidien Respiratory and Monitoring Solutio
