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<strong>Spiegelberg</strong>: <strong>ICP</strong>-Products<br />

Technology<br />

for<br />

Brains


Contents<br />

<strong>ICP</strong>-Monitoring with the<br />

Air-Pouch System<br />

<strong>ICP</strong>-Monitors<br />

Epidural Probes<br />

Standard Intraventricular Probes<br />

Intraparenchymal Probes<br />

Intraventricular Probe with<br />

Temperature Sensor<br />

Antimicrobial Silverline<br />

Intraventricular Probes<br />

Scientific Information about Silverline<br />

Technology<br />

<strong>ICP</strong> Lab Software<br />

The Tunneling Tool<br />

The Pole Mount<br />

The Moore Drill<br />

Connecting Cables and Accessories<br />

3<br />

4<br />

5<br />

5<br />

6<br />

8<br />

9<br />

11<br />

12<br />

14<br />

14<br />

14<br />

15


<strong>ICP</strong> Monitoring<br />

With the Air-Pouch Method<br />

The Air-Pouch System consists of a<br />

hollow body connected to a pressure<br />

transducer by tubing. The pressure<br />

transducer, the electronic hardware,<br />

and the device for filling the Air-<br />

Pouch are integrated in the Brain-<br />

Pressure Monitor.<br />

For intraventricular or intraparenchymal<br />

pressure measurement the Air-<br />

Pouch is placed in the ventricle or in<br />

the parenchyma respectively. For epidural<br />

pressure measurement the Air-<br />

Pouch is placed on the dura of the patient.<br />

The Intracranial Pressure is transmitted<br />

across the thin pouch wall to the<br />

air volume in the pouch and transformed<br />

into an electric signal by the<br />

pressure transducer.<br />

On the digital display the mean pressure<br />

and the amplitude of the pressure<br />

wave are shown. At the monitor<br />

output the pulsatile signal is available.<br />

The <strong>ICP</strong>-Monitor can be connected to<br />

all ICU bedside monitors through their<br />

pressure transducer inputs.<br />

A voltage output allows the connection<br />

to chart recorders.<br />

Through the RS 232 interface a computer<br />

can be connected to read out<br />

the pressure signal.<br />

The <strong>ICP</strong>-Monitor zeroes automatically<br />

once per hour. This automatic in-vivo<br />

zeroing is a unique feature of the Air-<br />

Pouch system.<br />

The probes themselves do not contain<br />

electric or optic pressure transducers.<br />

That is the reason why they are very<br />

robust and not expensive.<br />

A complete line of intraventricular, intraparenchymal,<br />

subdural, and epidural<br />

probes is available.<br />

3


4<br />

<strong>ICP</strong> Monitors<br />

The Classic Choice with New Features<br />

The <strong>ICP</strong>-Monitor uses the Air-Pouch<br />

method for measuring intracranial<br />

pressure. It is compatible with the full<br />

range of Air-Pouch probes, with the<br />

CPP-Monitor and the Compliance-Monitor.<br />

The digital display indicates mean<br />

<strong>ICP</strong>, systolic <strong>ICP</strong> and diastolic <strong>ICP</strong>. Additionally<br />

a mains power control light<br />

is visible.<br />

Two connectors in the back of the<br />

monitor take a connecting cable to a<br />

bedside monitor or chart recorder<br />

and a connecting cable to a CPP-Monitor,<br />

a Compliance-Monitor or a<br />

computer.<br />

The stainless steel enclosure is resistant<br />

to wear and tear and to influences<br />

from the environment.<br />

The <strong>ICP</strong>-Monitor with Batteries<br />

The new <strong>ICP</strong>-Monitor has all the features<br />

of the classic choice. Additionally<br />

it is equipped with rechargeable<br />

batteries that allow more than three<br />

hours of independent operation. It is<br />

compatible with the full range of Air-<br />

Pouch probes, with the CPP-Monitor<br />

and the Compliance-Monitor.<br />

The digital display indicates mean<br />

<strong>ICP</strong>, systolic <strong>ICP</strong> and diastolic <strong>ICP</strong>. Additionally<br />

a charge control light and a<br />

battery state indicator are visible.<br />

Two connectors in the back of the<br />

monitor take a connecting cable to a<br />

bedside monitor or chart recorder<br />

and a connecting cable to a CPP-Monitor,<br />

a Compliance-Monitor or a<br />

computer.<br />

The stainless steel enclosure is resistant<br />

to wear and tear and to influences<br />

from the environment.<br />

Description REF<br />

<strong>ICP</strong>-Monitor 230 V HDM 26.1/FV500<br />

<strong>ICP</strong>-Monitor 115 V HDM 26.1/FV503<br />

Technical Information<br />

Measurement range -50 to +100 mmHg<br />

Displays Mean <strong>ICP</strong><br />

Systolic <strong>ICP</strong><br />

Diastolic <strong>ICP</strong><br />

Mains control<br />

Voltage output 1 V/50 mmHg<br />

Pressure monitor 5 µV/mmHg/V<br />

output<br />

RS 232 C interface 9600 Bd<br />

Accuracy class 2<br />

Safety class I, type BF<br />

Description REF<br />

<strong>ICP</strong>-Monitor with Batteries HDM 29.1<br />

(indicate voltage)<br />

Technical Information<br />

Measurement range -50 to +100 mmHg<br />

Displays Mean <strong>ICP</strong><br />

Systolic <strong>ICP</strong><br />

Diastolic <strong>ICP</strong><br />

Battery state<br />

Charge control<br />

Running time More than 3 h<br />

on batteries<br />

Voltage output 1 V/50 mmHg<br />

Pressure monitor 5 µV/mmHg/V<br />

output<br />

RS 232 C interface 9600 Bd<br />

Accuracy class 2<br />

Safety class I, type BF


Epidural Probes<br />

Probe 1<br />

Probe 1 is placed concentrically on<br />

the dura. It is used when intracranial<br />

pressure monitoring with minimum<br />

risk of infection is desired.<br />

A burr hole of 11 mm diameter is required.<br />

In adults this can be drilled<br />

with a standard trepan. For thin skull<br />

caps the use of a Martell Drill or hand<br />

drill is recommended.<br />

Probe 2<br />

Probe 2 is to be used postoperatively<br />

after large trepanation. It is placed<br />

under the bone flap.<br />

In principle, after mobilisation of a<br />

sufficiently large area of the dura, the<br />

probe can be inserted between the<br />

dura and the cranial bone through a<br />

burr hole.<br />

Standard Intraventricular Probes<br />

Probe 3<br />

Probe 3 measures intraventricular<br />

pressure using an Air-Pouch mounted<br />

in the tip region of a dual lumen<br />

probe. One lumen transmits the<br />

pressure to the Brain-Pressure<br />

Monitor. The second lumen is used<br />

for drainage of CSF. The measurement<br />

of pressure in the parenchyma<br />

is also possible. There is no interference<br />

of drainage and pressure<br />

measurement.<br />

As opposed to measurements via CSF<br />

coupled pressure transducers, <strong>ICP</strong> is<br />

still transmitted in the case of slit ventricles.<br />

Description REF<br />

Probe 1 SND 13.1.11/FV530<br />

Technical Information<br />

Material Polyurethane<br />

Filling volume .05 - .1 cc<br />

Outer diameter 2 mm<br />

Length 1500 mm<br />

Air-Pouch diameter 16 mm<br />

Burr Hole diameter 11 mm<br />

Duration of use Short term<br />

not more than 30<br />

days<br />

Shelf life 3 years<br />

Double packed<br />

EO sterile<br />

For single use<br />

Latex free<br />

Description REF<br />

Probe 2 SND 13.1.12/FV531<br />

Technical Information<br />

Material Polyurethane<br />

Filling volume .05 - .1 cc<br />

Outer diameter 2 mm<br />

Length 1500 mm<br />

Air-Pouch width 11 mm<br />

Air-Pouch length 25 mm<br />

Duration of use Short term<br />

not more than 30<br />

days<br />

Shelf life 3 years<br />

Double packed<br />

EO sterile<br />

For single use<br />

Latex free<br />

Description REF<br />

Probe 3 SND 13.1.13/FV532<br />

Technical Information<br />

Material Polyurethane<br />

Filling volume .05 - .1 cc<br />

Outside diameter 2.3 mm<br />

Inside diameter drainage 1 mm<br />

Dual lumen length 130 mm<br />

with radiopaque stripe<br />

Single lumen length 150 mm<br />

(Drainage)<br />

Single lumen length 1370 mm<br />

(Air-System)<br />

Depth marks 50 - 100 mm<br />

Duration of use Short term<br />

not more than 30<br />

days<br />

Shelf life 3 years<br />

Double packed<br />

EO sterile<br />

For single use<br />

Latex free<br />

5


6<br />

Probe 3 XL<br />

Probe 3 XL has all the properties of<br />

Probe 3. Furthermore, it is equipped<br />

with a wider drainage lumen for use<br />

with blood in the CSF.<br />

Intraparenchymal Probes<br />

Probe 3 PN<br />

Probe 3 PN measures intraparenchymal<br />

pressure.<br />

Probe 3 PN is placed in the parenchyma<br />

through a burr hole. Probe 3<br />

PN can be tunneled with the aid of<br />

the tunneling tool ZBH 13.001.03.<br />

Probe 3 PN is fixed to the skin with a<br />

suturing flap.<br />

Probe 3 PS<br />

Probe 3 PS measures intraparenchymal<br />

pressure.<br />

Probe 3 PS is placed in the parenchyma<br />

through a bolt that is screwed<br />

into the cranial bone. A compressionscrew<br />

connection fixes the probe in<br />

the bolt and tightens it.<br />

Description REF<br />

Probe 3 XL SND 13.1.13XL/FV533<br />

Technical Information<br />

Material Polyurethane<br />

Filling volume .05 - .1 cc<br />

Outside diameter 3 mm<br />

Inside diameter for 1.6 mm<br />

Drainage<br />

Dual lumen length 130 mm<br />

with radiopaque stripe<br />

Single lumen length 150 mm<br />

(Drainage)<br />

Single lumen length 1370 mm<br />

(Air-System)<br />

Depth marks 50 - 100 mm<br />

Duration of use Short term<br />

not more than 30<br />

days<br />

Shelf life 3 years<br />

Double packed<br />

EO sterile<br />

For single use<br />

Latex free<br />

Description REF<br />

Probe 3 PN SND 13.1.53/FV534<br />

Technical Information<br />

Material Polyurethane<br />

Filling volume .05 - .1 cc<br />

Diameter 1.3 mm<br />

Length 1500 mm<br />

Air Tube radiopaque<br />

Depth marks 30 mm<br />

40 mm<br />

Duration of use Short term<br />

not more than 30<br />

days<br />

Shelf life 3 years<br />

Double packed<br />

EO sterile<br />

For single use<br />

Latex free<br />

Description REF<br />

Probe 3 PS SND 13.1.63/FV535<br />

Technical Information<br />

Material Polyurethane<br />

Filling volume .05 - .1 cc<br />

Diameter 1.3 mm<br />

Length 1500 mm<br />

Air Tube radiopaque<br />

Duration of use Short term<br />

not more than 30<br />

days<br />

Shelf life 3 years<br />

Double packed<br />

EO sterile<br />

For single use<br />

Latex free


Probe 3 PN with Trocar<br />

The trocar is used to<br />

tunnel the distal end of<br />

the probe. It is<br />

equipped with a conic<br />

hole to take up the<br />

connector of the airtube<br />

.<br />

The probe has two<br />

depth marks.<br />

Probe 3 PN with trocar measures<br />

intraparenchymal pressure.<br />

The probe is placed in the parenchyma<br />

through a burr hole.<br />

Probe 3 PN with trocar is tunneled by<br />

means of the trocar in a surgically<br />

correct fashion away from the burr<br />

hole. To facilitate the tunneling, the<br />

air tube is equipped with a<br />

connector, that is taken up by the<br />

trocar.<br />

The extension is used to<br />

connect the probe with<br />

the <strong>ICP</strong>-Monitor.<br />

The slitted suturing wing<br />

is used for the fixation to<br />

the skin.<br />

After tunneling, the trocar is removed<br />

and the air tube is connected to the<br />

<strong>ICP</strong>-Monitor by means of the<br />

extension.<br />

Probe 3 PN is fixed to the skin with a<br />

suturing wing.<br />

The nut secures the<br />

connection of the probe<br />

to the extension.<br />

Description REF<br />

Probe 3 PN with Trocar SND 13.1.54<br />

Technical Information<br />

Material Polyurethane<br />

Filling volume .05 - .1 cc<br />

Diameter 1.3 mm<br />

Length 1500 mm<br />

Air Tube radiopaque<br />

Depth marks 30 mm<br />

40 mm<br />

Duration of use Short term<br />

not more than 30<br />

days<br />

Shelf life 3 years<br />

Double packed<br />

EO sterile<br />

For single use<br />

Latex free<br />

7


8<br />

Intraventricular Probe with Temperature Sensor<br />

In the tip of the probe a<br />

temperature sensor is<br />

located.<br />

The probe is outfitted<br />

with lettered marks.<br />

The Probe 3 XLT measures<br />

intraventricular pressure with an airpouch<br />

mounted in the tip region of a<br />

dual lumen probe. One lumen<br />

transmits the pressure to the Brain-<br />

Pressure Monitor. The second lumen<br />

is used for drainage of CSF. The<br />

measurement of pressure in the<br />

parenchyma is also possible. There is<br />

no interference of drainage and<br />

pressure measurement.<br />

As opposed to measurements via<br />

CSF coupled pressure transducers,<br />

<strong>ICP</strong> is still transmitted in the case of<br />

slit ventricles.<br />

Additionally a temperature sensor is<br />

located in the tip of the probe.<br />

Through an adapter cable the probe<br />

is connected directly to the<br />

temperature input of a patient<br />

monitor.<br />

The slotted suture<br />

clamp is used for<br />

fixation to the skin.<br />

Description REF<br />

Probe 3 XLT SND 13.1.13 XLT<br />

Technical Information<br />

The air tube connects<br />

the probe with the <strong>ICP</strong>-<br />

Monitor.<br />

The stylet is used for<br />

stiffening during<br />

insertion.<br />

Material Polyurethane<br />

Filling volume .05 - .1 ml<br />

Outer diameter 3 mm<br />

Inner diameter of 1.6 mm<br />

drainage lumen<br />

Length of dual lumen 130 mm<br />

part with radiopaque<br />

stripe<br />

Length of single lumen 150 mm<br />

part (drainage)<br />

Length of single lumen 1370 mm<br />

part (air system)<br />

Depth marks 50 - 100 mm<br />

Sensitivity of YSI 400<br />

temperature sensor<br />

Duration of use Short term,<br />

not more than 30 days<br />

Shelf life 3 years<br />

Double packed<br />

EO sterile<br />

For single use<br />

Latex free<br />

Adapter Cables for<br />

Temperature Input<br />

of Patient Monitor<br />

Description REF<br />

The adapter cable<br />

connects the probe to<br />

the patient monitor.<br />

The Luer-Lock connector<br />

connects the probe to<br />

the EVD kit.<br />

Adapter Cable with KBL 13.040.01<br />

6.35 mm Audio Plug<br />

Adapter Cable with KBL 13.041.01<br />

Draeger Connector<br />

Adapter Cable with KBL 13.043.01<br />

Philips/HP Connector


Tunnelable Antimicrobial Intraventricular Probe<br />

The dual trocar is used<br />

to tunnelate the distal<br />

end of the probe. It is<br />

equipped with a conic<br />

hole to take up the<br />

connector of the air-tube<br />

and a saw toothed<br />

connector to take up the<br />

drainage tube.<br />

The air-pouch is 35%<br />

smaller than the one on<br />

standard ventricular<br />

probes.<br />

Silverline ventricular probes are<br />

tunneled by means of the dual trocar<br />

in a surgically correct fashion away<br />

from the burr hole. To facilitate the<br />

tunneling, the air tube is equipped<br />

with a connector, that is taken up by<br />

the trocar together with the drainage<br />

tube. After tunneling, the trocar is<br />

removed and the air tube is<br />

connected to the <strong>ICP</strong>-Monitor by<br />

means of the extension. The drainage<br />

tube is connected to a drainage kit<br />

with the Luer connector.<br />

The catheter has<br />

numbered depth marks.<br />

The extension is used to<br />

connect the probe with<br />

the <strong>ICP</strong>-Monitor.<br />

The slitted suturing wing<br />

is used for the fixation to<br />

the skin.<br />

The air-pouch of the Silverline<br />

ventricular probes is 35% smaller<br />

than that of the standard ventricular<br />

probes. The tip of the probe is<br />

equipped with four rows of drainage<br />

holes, just like a ventricular catheter.<br />

The Luer-Lock<br />

Connector adapts the<br />

catheter to the EVD kit.<br />

Description Antimicrobial Antimicrobial<br />

Intraventricular Intraventricular<br />

Probe 8F Probe 10F<br />

REF SND 13.1.14 SND 13.1.15<br />

Technical Information<br />

Material Silver bearing Silver bearing<br />

polyurethane polyurethane<br />

Filling volume .05 - .1 ml .05 - .1 ml<br />

Outer diameter 2.7 mm 3.3 mm<br />

Inner diameter drainage 1.5 mm 2 mm<br />

Length of dual-lumen 200 mm 200 mm<br />

probe<br />

Length of single lumen 70 mm 70 mm<br />

drainage tube<br />

Length of single lumen 95 mm 95 mm<br />

air tube<br />

Length of extension 1200 mm 1200 mm<br />

tube<br />

Depth marks 50 - 100 mm 50 - 100 mm<br />

150 mm 150 mm<br />

Duration of use short term,<br />

not more than 30 days<br />

Shelf life 3 years<br />

Double packed<br />

For single use<br />

EO sterile<br />

Latex free<br />

The nut secures the<br />

connection of the probe<br />

to the extension.<br />

The stylet is used to<br />

introduce the catheter<br />

into the ventricle.<br />

9


10<br />

Antimicrobial Intraventricular Probe with Bolt<br />

The air-pouch is 35%<br />

smaller than the one on<br />

standard ventricular<br />

probes.<br />

The probe has two sets<br />

of numbered depth<br />

marks. The first set is<br />

related to the tip of the<br />

probe.<br />

The drill bit has an<br />

adjustable stop.<br />

The Allen wrench is<br />

used to adjust the stop.<br />

The dura opener is used<br />

to perforate the dura<br />

mater.<br />

The Silverline ventricular probe with<br />

bolt is fixed in the bone by means of<br />

a bolt. After making a burr hole and<br />

opening the dura the probe is placed<br />

in the ventricle with the bolt in place<br />

in the upper region of the probe.<br />

Then the bolt is slid down to the burr<br />

hole and screwed into the bone.<br />

Finally the probe is fixed in the bolt<br />

with the clamping nut. The Luerconnector<br />

is placed in the drainage<br />

tube and connected to a drainage<br />

kit. The air tube is connected to the<br />

<strong>ICP</strong>-Monitor.<br />

With the clamping nut<br />

the probe is fixed in the<br />

bolt.<br />

The second set of depth<br />

marks is related to the<br />

upper edge of the bolt.<br />

Description REF<br />

Antimicrobial SND 13.1.14 S<br />

Intraventricular Probe<br />

with Bolt 8F<br />

Technical Information<br />

The stylet is used to<br />

introduce the probe<br />

into the ventricle.<br />

The Luer-Lock<br />

Connector adapts the<br />

probe to the EVD kit.<br />

Material Silverimpregnated<br />

Polyurethane<br />

Filling volume .05 - .1 ml<br />

Outer diameter 2.7 mm<br />

Inner diameter drainage 1.5 mm<br />

Length of dual-lumen 200 mm<br />

probe<br />

Length of single lumen 1300 mm<br />

air tube<br />

Length of single lumen 70 mm<br />

drainage tube<br />

depth marks 50 mm<br />

60 mm<br />

70 mm<br />

Duration of use short term,<br />

not more than 30 days<br />

Shelf life 3 years<br />

Double packed<br />

EO sterile<br />

For single use<br />

Latex-free


Scientific Information about Silverline ® Technology<br />

Silverline Ventricular Probes are used<br />

for drainage and <strong>ICP</strong>-monitoring at<br />

the same time. They are made of<br />

polyurethane. Particles of silver and<br />

particles of an an unsoluble silver<br />

salt are incorporated in the material.<br />

Silver ions have a strong antiseptic<br />

effect. Because of the small size of<br />

the particles the specific surface area<br />

is large, which results in the release<br />

of ions in antimicrobial concentration<br />

on the surface of the catheter.<br />

The combination of the fast acting<br />

silver salt and the slow acting metallic<br />

silver results in an optimal short<br />

term and long term effect. The silver<br />

salt starts to release silver ions<br />

immediately when it gets in contact<br />

with body fluid. The release of silver<br />

ions from the metallic silver particles<br />

doesn´t start until some hours later,<br />

when the effect of the silver salt<br />

slows down.<br />

Silverline ventricular probes are<br />

available in two styles and in two<br />

diameters.<br />

In an in-vitro study (7) the Silverline<br />

material could demonstrate an<br />

antimicrobial effect on:<br />

- Staph. aureus,<br />

- Staph. epidermidis,<br />

- multi resistant Staph.,<br />

- E. coli,<br />

- Pseudomonas aeruginosa,<br />

- Clostridium difficile,<br />

- Acinetobacter baumannii,<br />

- Streptococcus intermedius,<br />

- Candida albicans, and<br />

- Candida glabrata.<br />

Clinical studies indicate a marked<br />

reduction of the infection rate<br />

(9,10,11).<br />

Bibliography<br />

1. Anneke, A.: Infektiöse Komplikationen<br />

von Liquoraußendrainagen.<br />

Dissertation Universität<br />

Heidelberg, 1999<br />

2. Lozier AP, Sciacca RR, Romagnoli<br />

MF, Connolly ES Ventriculostomyrelated<br />

infections: A critical<br />

review of literature. Neurosurgery<br />

51, 2002, 170-182<br />

3. Naegeli, C. v.:Über die<br />

oligodynamischen Erscheinungen<br />

an lebenden Zellen. Neue<br />

Denkschr. Allg. Schweiz. Ges.<br />

0 h 16 h 32 h<br />

Cultures of catheters after subjecting them to a suspension of Staph. aureus<br />

Upper row: Silverline catheter<br />

Lower row: Control catheter<br />

Naturwiss. 33, 1893, 174 - 182<br />

4. Pfisterer, W.;Mühlbauer, M.;<br />

Czech, T.; Reinprecht, A.: Early<br />

diagnosis of external ventricular<br />

drainage infection: results of a<br />

prospective study. J Neurol<br />

Neurosurg Psychiatry 74, 2003,<br />

929–932<br />

5. Thurmann, R.B.; Gerba, C.H.P.:<br />

The molecular mechanisms of<br />

copper and silver ion disinfection<br />

of bacteria and viruses. Crit. Rev.<br />

Environmental Control, 18, 1989,<br />

295-315<br />

6. Zabramski J.M.; Darouiche, R.O.<br />

et al.: Efficacy of antimicrobialimpregnated<br />

external ventricular<br />

catheters: a prospective,<br />

randomized, controlled trial. J<br />

Neurosurg, 98, 2003, 725-730<br />

7. Zschaler, R.: Testing of the<br />

Antimicrobial Effect of Catheter<br />

Tubing with a Roll Culture<br />

Method. www.spiegelberg.de/<br />

home/documents/Zschaler.pdf<br />

8. Kojic, E.M.; Darouiche, R.O.: Candida<br />

infections of medical<br />

devices. Clin. Microbiol. Rev., 17,<br />

2004, 255-267<br />

9. Keong, N.C.;D. Bulters, H.<br />

Richards, M. Farrington, O.<br />

Sparrow, J.D. Pickard, P.J.<br />

Hutchinson, P.J. Kirkpatrick: The<br />

SILVER (Silver-Impregnated Line Vs<br />

EVD Randomized) Trial : A Double-blind,<br />

Prospective, Randomized<br />

Controlled Trial of an Intervention<br />

to Reduce the Rate of External<br />

Ventricular Drain Infection.<br />

Neurosurgery, 71(2):394-404, August<br />

2012<br />

11. Izci, Y.; Secer, H.; Akay, C.;<br />

Gonul, E.: Initial experience with<br />

silver-impregnated polyurethane<br />

ventricular catheter for shunting<br />

of cerebrospinal fluid in patients<br />

with infected hydrocephalus.<br />

Neurol. Res. 2008, online version.<br />

12. Fichtner, J.; Güresir, E.; Seifert, V.;<br />

Raabe, A.: Efficacy of silverbearing<br />

external ventricular<br />

drainage catheters: a retrospective<br />

analysis. J Neurosurg, Sept.<br />

18, 2009, DOI: 10.3171/<br />

2009.8.JNS091297<br />

11


12<br />

<strong>Spiegelberg</strong>: <strong>ICP</strong> Lab<br />

Software for<br />

<strong>ICP</strong> Data Processing<br />

Up to five pressure<br />

channels can be shown<br />

simultaneously.<br />

Individual pressure<br />

scales can be chosen<br />

for the different<br />

channels.<br />

Data Capture<br />

The <strong>ICP</strong> Lab software has been<br />

written to allow data capture from<br />

the <strong>Spiegelberg</strong> <strong>ICP</strong>-Monitor, CPP-<br />

Monitor, and Compliance-Monitor<br />

(CMP) using RS 232 connection and<br />

a Windows XP (or above) computer.<br />

<strong>ICP</strong> Lab captures up to five signals<br />

simultaneously:<br />

- <strong>ICP</strong><br />

- ABP<br />

- CPP<br />

- Compliance<br />

- PVI<br />

Tools and procedures<br />

are available for data<br />

collection and<br />

processing.<br />

Individual time scales<br />

can be chosen.<br />

Sampling Frequency<br />

The data collection can be made<br />

with sampling frequency of up to 100<br />

Hz. The data is then stored in a file<br />

using ICM+ software raw signals<br />

format ‘.dta’.<br />

Browsing<br />

The <strong>ICP</strong> Lab software contains some<br />

basic tools for signal browsing. The<br />

time scale and pressure scale can be<br />

chosen individually. Printing of<br />

selected time intervalls can be<br />

performed in black and white or full<br />

color on any of the standard printers<br />

of your computer.<br />

Advanced Analysis<br />

For more advanced analysis the data<br />

can be exported to a text file and<br />

then imported to a spreadsheet<br />

application like Excel.<br />

However, for best results it should be<br />

analysed using specialised software<br />

for <strong>ICP</strong> waveforms analysis like<br />

ICM+.


Trial Version<br />

The software will work for one<br />

month. After the trial period, you will<br />

need to register the software. To<br />

register you will need to obtain a<br />

license from your distributor. With<br />

the license you will get a license<br />

number.<br />

Getting a Key<br />

Once you have obtained your license,<br />

please follow the instructions in the<br />

Help/Register pull down menu of <strong>ICP</strong><br />

Lab. An install code will be indicated<br />

in the menu. Upon sending the<br />

install code with your license number<br />

to us by email or entering the install<br />

code online, you will get the key by<br />

email within seven days.<br />

Registration<br />

Entering the key and filling in the<br />

required fields in the menu will result<br />

in a permanently operational program.<br />

Written by<br />

Dr. Peter Smielewski<br />

Department of Clinical Neurosciences<br />

University of Cambridge, UK<br />

Copy Protection<br />

The program is copy protected. It will<br />

be operational only on one<br />

computer. If your computer is<br />

damaged or otherwise unusable,<br />

please notify us. We will then issue<br />

a new key for your new computer.<br />

Serial communication<br />

<strong>ICP</strong> Lab works with all <strong>Spiegelberg</strong><br />

Brain-Pressure monitors, <strong>ICP</strong>-Monitors,<br />

CPP-Monitors, and Compliance-<br />

Monitors. Communication is done<br />

through an RS 232 interface. If your<br />

computer is equipped with an RS 232<br />

interface, then you will have to select<br />

the COM port associated with the<br />

interface in the Setup menu of <strong>ICP</strong><br />

Lab.<br />

If your computer does not have an RS<br />

232 interface, you will first need to<br />

install a USB to RS 232 converter.<br />

Follow the instructions of your USB to<br />

RS 232 converter for installation.<br />

Once the converter is installed, you<br />

will need to select the COM port in<br />

the Setup menu.<br />

Compatibility<br />

<strong>ICP</strong> Lab uses the same data format as<br />

ICM+. It is fully upward compatible. All<br />

data files created with <strong>ICP</strong> Lab can be<br />

later analyzed by ICM+.<br />

Description REF<br />

<strong>ICP</strong> Lab CD LAB 08.001.01<br />

<strong>ICP</strong> Lab License LAB 08.002.01<br />

Technical Information<br />

Compatible with HDM 13.x<br />

HDM 26.x<br />

HDM 29.x<br />

CPP 21.x<br />

CMP 27.x<br />

Communication RS 232, 9600 Bd, 8 bits<br />

1 stop bit, no parity<br />

System requirements Windows XP or above<br />

Features Recording<br />

Storing<br />

Browsing<br />

Printing<br />

Compatible Connecting Cables<br />

Description REF<br />

RS 232 cable, 9 pin, KBL 13.033.01<br />

25 cm long<br />

RS 232 cable, 9 pin, KBL 13.033.00/FV656<br />

1.5 m long<br />

USB/RS 232 Cable Kit KBL13.036.01<br />

Consisting of Computer<br />

Cable RS 232, 25 cm and<br />

USB/RS 232 Converter<br />

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14<br />

The Tunneling Tool<br />

The Tunneling Tool is an accessory<br />

for the sterile placement of Probe 3,<br />

Probe 3 XL, and Probe 3 PN.<br />

The Tunneling Tool consists of a<br />

metal trocar, a tapered splitable tube,<br />

and a guide wire.<br />

The Pole Mount<br />

With the Pole Mount an <strong>ICP</strong>-Monitor,<br />

CPP-Monitor, Compliance-Monitor or<br />

combinations thereof are securely<br />

held on a wall rail or on an IV-pole.<br />

The Moore Drill<br />

The Moore Drill is a versatile tool,<br />

that can take up drill bits with<br />

cylindrical shafts. It is made of<br />

stainless steel. It can be sterilized with<br />

all the usual sterilizing processes.<br />

Description REF<br />

Tunneling Tool Kit for ZBH 13.001.01/FV536<br />

Probe 3<br />

Tube for it ZBH 13.002.01/FV537<br />

Tunneling Tool Kit for ZBH 13.001.02/FV538<br />

Probe 3 XL<br />

Tube for it ZBH 13.002.02/FV539<br />

Tunneling Tool Kit for ZBH 13.001.03<br />

Probe 3 PN<br />

Tube for it ZBH 13.002.03<br />

Technical Information<br />

Material trocar Stainless steel<br />

Material guide wire Stainless steel<br />

Material tube Biocompatible<br />

plastic alloy<br />

Length trocar 200 mm<br />

Length guide wire 150 mm<br />

Length tube 230 mm<br />

Duration of use Transient,<br />

not more than 60<br />

minutes<br />

Shelf life 3 years<br />

Double packed<br />

For single use<br />

EO sterile<br />

Latex free<br />

Description REF<br />

Pole Mount ZBH 26.001.01<br />

Technical Information<br />

For rail profile 10 mm x 25 mm<br />

For IV-pole diameter 15 mm - 30 mm<br />

Area 200 mm x 200 mm<br />

Maximum load 7 kg<br />

Description REF<br />

Moore Drill ZBH 13.003.01<br />

Technical Information<br />

Length 270 mm<br />

Weight .5 kg<br />

Clamping range 1 - 6 mm


Connecting Cables and Accessories<br />

Tell us what you want to connect, we supply the cable<br />

Description REF<br />

Interconnect Cables<br />

HDM 13.x, 26.x or HDM 29.x to KBL 21.005.00/FV600<br />

CPP 21.x or CMP 27.x<br />

HDM 26.x or HDM 29.x to CMP 27.x KBL 27.005.01/FV601<br />

and Drainage Valve<br />

Monitor Cables for HDM, CPP, and CMP<br />

Criticare KBL 13.037.01<br />

Datascope KBL 13.026.01<br />

Datex-Cardiocap KBL 13.007.00/FV608<br />

Digicare KBL 13.039.01<br />

Dixtal KBL 13.042.01<br />

Hellige 4./5. Generation KBL 13.003.00/FV609<br />

Hewlett Packard / Philips KBL 13.004.00/FV610<br />

Lohmeier / B.Braun, CombiCable KBL 13.027.01<br />

Marquette KBL 13.005.00/FV612<br />

Mindray KBL 13.038.01<br />

Nihon Kohden 5-pins KBL 13.029.01<br />

Nihon Kohden Lifescope KBL 13.035.01<br />

Ohmeda KBL 13.022.00/FV616<br />

Propaq/Mennen KBL 13.009.00/FV617<br />

Siemens / Draeger, 7-pins, round KBL 13.028.01<br />

Siemens / Draeger, 10-pins (Sirecust) KBL 13.002.00/FV620<br />

Siemens / Draeger, 16-pins, oval KBL 13.024.01<br />

Space-Labs KBL 13.006.00/FV622<br />

Transducer Cables for CPP-Monitor<br />

Abbott Transpac III, IV KBL 21.007.00/FV623<br />

Baxter Truewave KBL 21.014.01/FV657<br />

Braun-Melsungen KBL 21.002.00/FV624<br />

Gould Spectramed / Ohmeda / BD KBL 21.006.00/FV627<br />

Mallinckrodt / Utah KBL 21.004.00/FV628<br />

Medex LogiCal KBL 21.017.01/FV629<br />

Peter von Berg KBL 21.001.00/FV630<br />

Adapter for CPP-Monitor<br />

<strong>Spiegelberg</strong> ABP/<strong>ICP</strong> Two<br />

Channel Adapter KBL 21.009.00/FV631<br />

Description REF<br />

Transducer Cables for<br />

Compliance-Monitor ABP Input<br />

Abbott Transpac III, IV KBL 27.007.01/FV635<br />

Baxter Truewave KBL 27.014.01/FV636<br />

Braun-Melsungen KBL 27.002.01/FV637<br />

Gould Spectramed / Ohmeda / BD KBL 27.006.01/FV640<br />

Mallinckrodt / Utah KBL 27.004.01/FV641<br />

Medex LogiCal KBL 27.017.01/FV642<br />

Peter von Berg KBL 27.001.01/FV643<br />

Transducer Cables for<br />

Compliance-Monitor <strong>ICP</strong> Input<br />

Abbott Transpac III, IV KBL 27.107.01/FV644<br />

Baxter Truewave KBL 27.114.01/FV645<br />

Braun-Melsungen KBL 27.102.01/FV646<br />

Gould Spectramed / Ohmeda / BD KBL 27.106.01/FV649<br />

Mallinckrodt / Utah KBL 27.104.01/FV650<br />

Medex LogiCal KBL 27.117.01/FV651<br />

Peter von Berg KBL 27.101.01/FV652<br />

Cables for the Connection of HDM, CPP, CMP<br />

to Devices with Voltage Input<br />

Banana Plugs 4 mm KBL 13.031.00/FV653<br />

BNC Connector KBL 13.030.00/FV654<br />

Computer Cables RS 232 for HDM, CPP, and CMP<br />

IBM-AT, 9 pins, 1.5 m KBL 13.033.00/FV656<br />

IBM-AT, 9 pins, 25 cm KBL 13.033.01<br />

Accessories<br />

Memory Card 1 MB ZBH 21.403.00<br />

Memory Card 2 MB ZBH 21.402.00/FV603<br />

Pressure Transducer Peter von Berg VBM 21.100.00/FV607<br />

Drainage Valve for CMP 27.x ZBH 27.003.01/FV604<br />

Tube for Drainage Valve ZBH 27.001.01/FV605<br />

Thermal Paper Perforated VBM 21.002.00/FV606<br />

for Compliance-Monitor<br />

and CPP-Monitor, 4 Rolls<br />

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16<br />

© by <strong>Spiegelberg</strong> (GmbH & Co.) KG, 2012<br />

<strong>ICP</strong>_ProspektV101<br />

2012-08-03<br />

Manufacturer<br />

<strong>Spiegelberg</strong> (GmbH & Co.) KG<br />

Tempowerkring 4<br />

21079 Hamburg<br />

Germany<br />

Phone +49-40-790-178-0<br />

Fax.: +49-40-790-178-10<br />

Email: info@spiegelberg.de<br />

http://www.spiegelberg.de<br />

DIN EN ISO 13485 certified<br />

0297

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