ELMIKO LONG-TERM aEEG/CFM NIRS/SpO2 MONITORING SOLUTIONS TO HELP AMPLITUDE-INTEGRATED ELECTROENCEPHALOGRAPHY

ELMIKO BIOSIGNALS .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Background patterns in neonates – isoelectric (flat, inactive) trace . . . . . . . . . . Correlation of spo2 and rso2 parameters with the CFM trend . . . . . . . . . . . . . . . . . . . . Online impedance measurement! WHAT IS AEEG/CFM? INFORMATION ABOUT THE METHOD 2.1 aEEG/CFM, amplitude-integrated electroencephalography .. . . . . . . . . . . . . . . . . . . . . . . . What is aEEG/CFM a powerful...

ELMIKO BIOSIGNALS SP. Z O.O. A Polish family company established in 1978 as a company designing and manufacturing electronic systems and devices. For over 45 years we have specialized in designing and implementing the latest technologies in the field of electronics and informatics in medicine. With many years of experience and highly qualified team, ELMIKO BIOSIGNALS is a recognized manufacturer of medical devices in numerous markets around the world.

CERTIFICATIONS OUR PRODUCTS EEGDigiTrack® electroencephalographs meet the requirements for medical devices under ELMIKO adopted, implemented and certified a quality management system for manufacturers of medical devices compliant with the EN ISO 13485:2016 standard The certificate was issued by a reputable notified body No. 0197 TUV Rheinland LGA Products GmbH EEGDigiTrack® system database is compliant with the GDPR provisions

THE PRODUCTS WE MANUFACTURE INCLUDE:■ EEG DigiTrack EQUIPMENT FOR NEUROLOGICAL DIAGNOSTICS EQUIPMENT FOR LONG-TERM NEUROLOGICAL MONITORING EQUIPMENT FOR NEUROLOGICAL THERAPY

CERTIFICATIONS OUR PRODUCTS EEGDigiTrack® electroencephalographs meet the requirements for medical devices under ELMIKO adopted, implemented and certified a quality management system for manufacturers of medical devices compliant with the EN ISO 13485:2016 standard The certificate was issued by a reputable notified body No. 0197 TUV Rheinland LGA Products GmbH EEGDigiTrack® system database is compliant with the GDPR provisions

THE PRODUCTS WE MANUFACTURE INCLUDE:• ELMIKO EEG DigiTrack, EQUIPMENT FOR NEUROLOGICAL DIAGNOSTICS EQUIPMENT FOR LONG-TERM NEUROLOGICAL MONITORING EQUIPMENT FOR NEUROLOGICAL THERAPY

Nowadays, the question is usually not whether the preterm infant will survive, but what his or her life will be like. PROF. JACEK RUDNICKI WHAT IS aEEG/CFM? INFORMATION ABOUT THE METHOD

Long-term EEG monitoring can detect abnormalities in bioelectrical brain activity that include both epileptic episodes, and suppression of electroencephalographic activity. • Primarily used in intensive care units (ICU) and neonatal intensive care units (NICU), it contributes to better management of critical conditions • During long-term patient monitoring, epileptic episodes can be detected, allowing for rapid intervention and therapy adjustment • Rapid Assessment and Response: The easy-to-interpret trend signal enables immediate assessment of the patient's condition and taking appropriate actions,...

WHAT IS aEEG/CFM A POWERFUL BUT SIMPLE TOOL Remarkable simplicity of interpretation a few simple patterns are enough to recognize many extremely important vital signs, the trace reflects the maximum and minimum amplitude of the signal Incredible ease of use only a few electrodes, colour-coding and shading Long-term monitoring and alerts condensed and rich information provided continuously with alarm conditions signalled Correlation with SpO2, rSO2 and other signals easy observation of the relations between brain activity and other biomedical signals Enormous expansion possibilities correlation...

USE RECOMMENDATIONSFOR NEUROMONITORING WITH aEEG/CFM Drug therapy

BENEFITS OF aEEG/CFM MONITORING: • Rapid point-of-care neurological interpretation of the patient’s condition Lower cost compared to continuous EEG monitoring CCFM (Coloured CFM) – colour marking of aEEG trend fragments according to the maximum and minimum amplitude values Changes in the patient’s condition can easily be noticed by people without specialist training in the field of neurology Pathologies and acute conditions can be predicted before they appear in the clinical

SIMPLIFIED EEG ELECTRODE PLACEMENT The international 10-20 system is most commonly used for basic eeg recording and its simplification in CFM. It is possible to make a ‘full-cap’ recording with 21 electrodes placed according to the 10-20 system, but when measuring aEEG/CFM in newborns, only two or four electrodes are usually sufficient. Electrodes are usually placed in, central and parietal lobes areas: • measurement electrodes in C3, C4, P3 and P4 reference electrodes in Fpz, Cz, A1 or A2

BASICS OF aEEG/CFM VISUALIZATION Constant activity at a low amplitude (continuous pattern) Constant activity at a high amplitude (continuous pattern) NARROW, HIGH GRAPH amplitude of activity (discontinuous pattern) WIDE GRAPH

DISPLAYING THE CFM TREND IN DIFFERENT VIEWS CHANNEL VIEW HEMISPHERE VIEW

BACKGROUND PATTERNS IN NEONATES Normal continuous pattern Abnormal continuous pattern Discontinuous pattern is observed as the norm in full-term neonates. For a pattern to be considered normal, the sleep-wake cycles must be visible (every 40–50 minutes) has the same lower and upper limits as in the normal pattern, but there is no sleep-wake cycling visible. This indicates the existence of some pathology maintain normal upper and lower limits without visible sleep-wake cycling, suggests pathology but is normal in preterm infants under 30–32 weeks. It appears periodically during quiet sleep in...

BACKGROUND PATTERNS IN NEONATES BURST-SUPPRESSION PATTERN (+) Maintains an amplitude of below 5 µV (lower limit) most of the time. Occasionally you will see the amplitude increase (BURST) marked by green “lines”. In BS (+) there are over 100 bursts/ (uncountable at first sight). Such a pattern is never normal. It is the result of hypoxia, a severe general condition, a cerebralhaemorrhage, etc. LOWER LIMIT BELOW 5 μV (SUPPRESSION)