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In this pairing method, the B4C System mobile app will make the connection between the dongle and the sensor. A major benefit of this method is the ability to view the sensor waveform both on the mobile app and patient monitor and also the ability to generate a monitoring session report (please view section 6.9.1 b4c report (original) for details on the generated report).


Step 1 - Connect receiver (dongle)

Connect the receiver/dongle ( 1 ) to the invasive pressure input on the patient monitor ( 2 ) and make sure that if required the USB power source is also connected ( 3 ).

ATTENTION - The dongle requires a minimum power supply of 5V. Typically this is supplied through the ABP plug. When this is not available a charging cable connected to the dongle ( 3 ) is required. The required cable is a Micro-Usb on the dongle’s side and normal Type A USB on the monitor side.

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Step 2 - Log into app and pair sensor

Log into app and pair sensor as explained in section 6.3 logging into app

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Step 3 - Initiate dongle pairing in mobile device

After pairing the sensor, in the application, click “Pair Receiver.” A list of available receivers will appear.

Check the receiver’s UDI on the label opposite to the button

…and then select it from the list

Some receivers may not be available to be clicked, represented in gray, as they are not active, locked, do not belong to the organization (corporate account), or are awaiting activation (if your sensor is grayed out, check with your clinical engineering team).

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Step 5 - Verify matching devices in app

After selecting the dongle, the pairing intelligence mode between sensor and receiver will start, with a visual LED confirmation on both devices. Visually confirm the pairing with the physical receiver, with the receiver image in the mobile app. Both should be flashing matching color and blinking patter. Click “Confirm” to continue pairing. If the pattern is not identified or you want to change the receiver, simply click on “Reselect”.

Once the connection with the dongle is confirmed, you will be directed to the screen on Figure 6.8-7, where the sensor, receiver and application are paired. The same pairing intelligence method is done with the sensor, receiver, and mobile application screen by flashing in the same randomly generated color and frequency pattern.

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Step 6 - Confirm dongle pairing

Verify that all three devices have the same flashing pattern and click “Confirm”. If the pattern is not identified or you want to change any of the devices, just click “Reselect”.

The sensor and receiver status LEDs will flash green three times as soon as pairing is confirmed, and a success window will appear in the application.

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Step 7 - Verify signal on patient monitor

After correctly placing the sensor on the patient’s head and pairing with the dongle the waveform should appear on the patient monitor. Good positioning of the headband and proper placement of the sensor will result in typical waveform. Note: the figure is simply an illustration of a sample waveform.

ATTENTION - The waveforms acquired from non-invasive ICP method do NOT represent actual mmHg values on the patient monitor scale.

If the signals shown on the monitor do not present any of the characteristics seen in the depiction above (the signal should at least present identifiable P1 and P2 peaks), modify the position of the sensor on the patient’s head by shifting and/or tightening/ loosening the headband until a satisfactory pulse waveform is obtained.

An example of a poor reading is depicted on the figure to the left.

ATTENTION - Trained Personnel are expected to recognize proper waveform quality.

WARNING - Do NOT attempt to calibrate BcSs-PICNIW-1000 Sensor with your patient monitor. This may result in display of a misleading ICP value shown in the patient monitor that can be misinterpreted when making critical clinical decisions.

WARNING - Make sure NO ICP value is shown in your patient monitor when the BcSs-PICNIW-1000 Sensor is connected. Make sure that the default question marks (? /?) or dashes (- / -) are shown instead.

ATTENTION - Only use with a compatible monitors and DO NOT calibrate the ICP value (mmHg)

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