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This graph, Figure 6.7-13, is a summary of the surrogate waveform estimated P2/P1 peaks ratio for each minute of the monitoring period. Each blue line represents a minute of the monitoring session and the value of each in the graph scale, i.e., the estimated calculated ratio for that minute. Each lighter blue rectangle behind each blue line indicates the 95% confidence interval for that P2/P1 ratio estimation.

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Info

ATTENTION - These estimated P2/P1 peaks identified in this report are the most likely P1 and P2 positions derived from a statistical model based on the cardiac cycle of patients. The estimated P2/ P1 ratio shows the value of the division between the amplitude of peak P2 and the amplitude of peak P1. Values above 1.0 indicate that P2 is greater than P1 when monitored with the brain4care sensor.

Info

ATTENTION - The B4C System is an operator dependent device that contains inherent variances and as such all confidence intervals should be considered by the health professional during interpretation of estimated waveform associated parameters. 

Info

ATTENTION - The surrogate waveform and estimated associated parameters are intended to be utilized to monitor relative variation in an individual patient’s intracranial pressure over time.

Note

PRECAUTION - The derived P2/P1 ratio is an estimated value and therefore carries some uncertainty. The clinician is reminded to use their professional judgment when interpreting this and all waveform information in the report.

Warning

WARNING - The B4C System does not replace a comprehensive clinical evaluation. The waveform output should always be evaluated by the clinician in conjunction with other clinical parameters or analyses

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Figure 6.7-19 shows the overall minute of surrogate ICP waveform pulses and the moments an observation was included.

Info

ATTENTION - A minute can have a maximum of six observations.

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  • a visual aid for the P2/P1 ratio range; a (circle); b (triangle), or; c (square)

  • minute count

  • pulse morphology with estimated P1 and P2 markings

  • T1 = time to pulse P1 peak

  • T2 = time to pulse P2 peak

  • Estimated P2/P1 ratio = the estimated P2/P1 ratio for that minute with confidence interval

  • Derived useful pulses = how many pulses from that minute were useful pulses for all associated waveform parameters calculations

  • heart rate = the calculated heart rate derived from ICP pulses with confidence interval

  • normalized Time-to-Peak (nTTP) = the normalized time to maximum peak of pulse with confidence intervals

Info

ATTENTION - you may see following messages will appear in place of the average pulse waveform and associated parameters

  • No Data - when no data for that minute was injected into the database

  • Insufficient signal quality - when less than half of the six 10 second blocks of that minute did not pass the SNR (signal-to-noise) filter

  • Insufficient sample size - at least half of expected pulses, based on derived BPM, were considered artifacts

  • Difference between P2/P1 statistically non-significant - WHEN the smallest of P2 or P1 confidence intervals is bigger than 20% of pulse’s max amplitude OR the smallest of P2 or P1 max amplitudes MINUS max between P2 or P1 min amplitudes is greater than 30% of smallest of P2 or P1 confidence intervals

  • Time to peak out of physiological limits - none of surrogate ICP pulses in that minute had a nTTP between 0 and 0.5

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