Operator Manual Meb-2300

OPERATOR’S MANUAL
EMG/EP Measuring System MEB-2300

EMG/EP
Measuring System
MEB-2300
MEB-2300A
MEB-2300K
First Edition: 05 Jun 2009

Ninth Edition: 21 Jun 2016
0614-902246H
Printed: 2016/07/25
Operator’s Manual
EMG/EP
Measuring System
MEB-2300
MEB-2300A
MEB-2300K
If you have any comments or suggestions

on this manual, please contact us at:
www.nihonkohden.com 0614-902246H
In order to use this product safely and fully understand all its functions, make sure to read this manual before using the
product.
Keep this manual near the instrument or in the reach of the operator and refer to it whenever the operation is unclear.
This product stores personal patient information. Manage and operate the information appropriately.
Patient names on the screen shots and recording examples in this manual are fictional and any resemblance to any
person living or dead is purely coincidental.
The contents of this manual are subject to change without notice.
Copyright Notice
The entire contents of this manual are copyrighted by Nihon Kohden. All rights are reserved. No part of this document
may be reproduced, stored, or transmitted in any form or by any means (electronic, mechanical, photocopied, recorded,
or otherwise) without the prior written permission of Nihon Kohden.
Trademarks
Microsoft and Windows are registered trademarks of Microsoft Corporation.
Other models and trademarks are the property of their respective owners.
Contents 1
2
GENERAL HANDLING PRECAUTIONS.............................................................................. i
3
WARRANTY POLICY.......................................................................................................... ii
EMC RELATED CAUTION...................................................................................................iii 3-1
Conventions Used in this Manual and Instrument............................................................... v
Warnings, Cautions and Notes.................................................................................. v 3-2
Explanations of the Symbols in this Manual and Instrument.................................... vi
3-3
Section 1 General.................................................................................... 1.1 4

Introduction....................................................................................................................... 1.2
5
Examination Programs...................................................................................................... 1.3
Standard Programs................................................................................................. 1.3
6
Optional Programs.................................................................................................. 1.3
Important Safety Information............................................................................................ 1.4 7
General................................................................................................................... 1.4
Cable Connection................................................................................................... 1.6 8
Network.................................................................................................................. 1.7
Clock Adjustment.................................................................................................... 1.7 9
Operation................................................................................................................ 1.8
Stimulation.............................................................................................................. 1.8
Maintenance........................................................................................................... 1.8
Electrodes............................................................................................................... 1.9
CC-230B PC Unit................................................................................................. 1.10
KD-030A Cart....................................................................................................... 1.10
JB-206B/212B Electrode Junction Box................................................................. 1.11
LCD Display.......................................................................................................... 1.11
CD/DVD Handling and Storing............................................................................. 1.12
Panel Descriptions.......................................................................................................... 1.13
Components......................................................................................................... 1.13
Main Unit, DC-230B.............................................................................................. 1.14
Control Panel Unit, PV-230B................................................................................ 1.16
PC Unit, CC-230B................................................................................................ 1.24
Power Unit, SC-230B............................................................................................ 1.25
Power Unit, SC-230BK......................................................................................... 1.26
Electrode Junction Box, JB-206B/212B................................................................ 1.27
Constant Current Stimulation Unit, MS-230B....................................................... 1.28
Foot Switch, RY-482B........................................................................................... 1.29
Somato Control Box, RY-230B (Option)................................................................ 1.30
Active Electrode Cable, BM-230B (Option).......................................................... 1.31
Multi Interface Box, JJ-230B (Option)................................................................... 1.32
Section 2 Installation.............................................................................. 2.1

Introduction....................................................................................................................... 2.3
System Location............................................................................................................... 2.4
Operator’s Manual MEB-2300 C.1

CONTENTS
Warnings and Cautions for Installation............................................................................. 2.5

General................................................................................................................... 2.5
Network.................................................................................................................. 2.6
KD-030A Cart......................................................................................................... 2.6
Setting Flow...................................................................................................................... 2.7
Cable Connection............................................................................................................. 2.8
Connection Diagram (Example).............................................................................. 2.8
Connecting the Units to the PC Unit....................................................................... 2.9
Main Unit...................................................................................................... 2.9
Control Panel Unit........................................................................................ 2.9
Mouse and Keyboard................................................................................... 2.9
LCD Display................................................................................................ 2.10
Printer......................................................................................................... 2.10
Connecting the Units to the Main Unit.................................................................. 2.10
Constant Current Stimulation Unit.............................................................. 2.10
Electrode Junction Box............................................................................... 2.10
Foot Switch................................................................................................. 2.10
Connecting the Stimulation Units.................................................................................... 2.11
Connecting the Electric Stimulation Unit and Electrode....................................... 2.12
Connecting the Somato Control Box to the Constant Current Stimulation
Unit............................................................................................................. 2.12
Adjusting the Stimulation Intensity............................................................. 2.12
Connecting the Surface Stimulation Electrode to the Constant Current
Stimulation Unit.......................................................................................... 2.12
Connecting the Headphone and Earphone.......................................................... 2.13
Connecting the Thermistor Probe......................................................................... 2.13
Connecting the LED Goggles............................................................................... 2.14
Connecting the Display for VEP Stimulation......................................................... 2.14
Connecting the Power Cord............................................................................................ 2.15
Connecting the Power Cord to the Power Unit..................................................... 2.15
Removing the Plug Cover from the Power Unit.......................................... 2.15
Connecting the PC Unit to the Power Unit.................................................. 2.15
Connecting the LCD Display to the Power Unit.......................................... 2.16
Connecting the Printer to the Power Unit................................................... 2.16
Attaching the Plug Cover to the Power Unit............................................... 2.16
Connecting the Main Unit to the Power Unit......................................................... 2.17
Connecting the Power Unit to the AC Source....................................................... 2.17
Connecting the Earth Lead to the Equipotential Grounding Terminal................... 2.17
Cutting Off the Power Supply to the System......................................................... 2.18
Connecting to the Network............................................................................................. 2.19
Connecting the Breakout Box and Stimulation Pod........................................................ 2.20
Connecting the Breakout Box to the Electrode Junction Box............................... 2.20
Connecting the Stimulation Pod to the Constant Current Stimulation Unit........... 2.20
Preparing the PC Unit..................................................................................................... 2.21
Preparing the Printer....................................................................................................... 2.23
Power On Procedure...................................................................................................... 2.24
Checking and Adjusting the Date and Time of the Instrument............................. 2.26
Installing the MEB-2300 EMG/EP Measuring System Program........................... 2.27
Checking the System Program Version...................................................... 2.27
C.2 Operator’s Manual MEB-2300

CONTENTS
Installing the System Program.................................................................... 2.28 1

Restarting the MEB Examination Program........................................................... 2.30
Power Off Procedure...................................................................................................... 2.31 2
When the PC Unit cannot be Turned Off due to System Error............................. 2.31
Items to Check when Turning the Power Off......................................................... 2.32 3
Changing the AC Interference Filter Settings................................................................. 2.33
General Requirements for Connecting Medical Electrical Systems................................ 2.35 3-1
KEY TO TABLE..................................................................................................... 2.36
3-2
3-3
Section 3 Basic Operation..................................................................3-0.1
Section 3-1 Basic Examination Flow and Operation............................................ 3-1.1 4
Basic Examination Flow.................................................................................................3-1.3
Entering the Patient Information....................................................................................3-1.4 5
Entering Examination Information..................................................................................3-1.4
Selecting an Examination Protocol or Examination Program........................................3-1.5 6
Selecting an Examination Protocol from NeuroWorkbench.................................3-1.5
Opening the NeuroWorkbench Main Menu Window..................................3-1.5 7
Selecting an Examination Protocol............................................................3-1.5
Selecting an Examination Program from the Examination List............................3-1.6 8
Opening the Examination List...................................................................3-1.6
9
Selecting an Examination Program...........................................................3-1.6
List of Examination Programs..............................................................................3-1.6
Closing the Examination Program.......................................................................3-1.7
Checking the Measurement Settings.............................................................................3-1.7
Opening the Measurement Settings Window......................................................3-1.7
Checking the Skin-electrode Contact Impedance..........................................................3-1.8
Performing Skin-electrode Contact Impedance Check........................................3-1.8
Operations during Examinations..................................................................................3-1.11
Monitoring Waveforms.......................................................................................3-1.11
Performing Stimulation and Displaying Evoked or MUP Waveforms.................3-1.11
Starting Averaging or Analysis...........................................................................3-1.12
Stopping Displaying Waveforms, Stimulation, Averaging or Analysis................3-1.12
Other Operations...............................................................................................3-1.13
Select the Function Displayed on the Screen..........................................3-1.13
Displaying or Hiding the Calibration Waveform.......................................3-1.13
Turning the Baseline Reset Function On or Off.......................................3-1.13
Turning the Hum Filter On or Off.............................................................3-1.13
Changing the Display Gain......................................................................3-1.14
Changing the Time Scale........................................................................3-1.14
Selecting Waveforms...............................................................................3-1.15
Moving the Selected Waveforms.............................................................3-1.15
Measuring the Latency Using Cursors....................................................3-1.16
Measuring the Amplitude Using Cursors.................................................3-1.16
Displaying or Hiding the Waveforms........................................................3-1.16
Changing the Stimulation Settings...............................................................................3-1.17
Changing the Stimulation Side..........................................................................3-1.17
Changing the Intensity.......................................................................................3-1.17
Changing the Stimulation Rate..........................................................................3-1.17

CONTENTS
Changing the Stimulation Duration (Electric Stimulation Only)..........................3-1.18

Selecting the Trigger Type..................................................................................3-1.18
Performing Single Stimulation...........................................................................3-1.18
Initializing the Intensity......................................................................................3-1.18
Saving the Measurement Data....................................................................................3-1.19
Saving the Waveforms and Analysis Result on the Screen...............................3-1.19
Deleting the Waveforms and Analysis Results on the Screen...........................3-1.19
Saving Measurement Files................................................................................3-1.20
Printing.........................................................................................................................3-1.21
Making a Hardcopy of the Current Window.......................................................3-1.21
Printing the Measurement Results Using a Default Format...............................3-1.21
Creating a Report........................................................................................................3-1.22
Explanation of the Menu Command and Tool Buttons on the Examination Window...3-1.23
Operations Using the Keyboard...................................................................................3-1.27
Section 3-2 NeuroWorkbench................................................................................. 3-2.1

General..........................................................................................................................3-2.3
Main Windows.....................................................................................................3-2.3
EMG/EP (Measurement Protocol) Page....................................................3-2.3
Workbench Page.......................................................................................3-2.4
Data Manager Page..................................................................................3-2.4
Explanation of Menu Commands on the Main Windows...............................................3-2.5
File Menu.............................................................................................................3-2.5
Edit Menu............................................................................................................3-2.6
Help Menu...........................................................................................................3-2.6
Option Buttons.....................................................................................................3-2.6
Entering and Changing Patient Information...................................................................3-2.7
Entering Patient Information................................................................................3-2.7
Changing the Existing Patient Information...........................................................3-2.8
Examination Protocol Page............................................................................................3-2.9
Pop-up Menu of the Examination Protocol Button...............................................3-2.9
User Accounts.............................................................................................................3-2.11
Creating a New User Account...........................................................................3-2.11
Editing and Deleting User Accounts..................................................................3-2.12
Explanation of the Edit User Accounts Dialog Box..................................3-2.12
Adding a User Account............................................................................3-2.13
Deleting a User Account..........................................................................3-2.13
Editing a User Account............................................................................3-2.13
Using the Active Directory Accounts when Logging in to NeuroWorkbench.....3-2.14
Changing User Account Settings.......................................................................3-2.15
Entering User Name and Password........................................................3-2.15
Setting Access Rights.............................................................................3-2.15
Selecting a Reference Account...............................................................3-2.16
Setting the Patient Information Security..................................................3-2.16
Setting Function Access Rights...............................................................3-2.16
Setting Weekly Schedule Functions........................................................3-2.17
Selecting Available Examinations............................................................3-2.17
Selecting the Default Examination for a New Examination Schedule......3-2.18
Setting Report Application Security.........................................................3-2.18

CONTENTS
Limiting the Applications..........................................................................3-2.19 1

Limiting Patients Displayed in the Patient List and Data List...................3-2.20
Editing Examination Protocol Pages and Examination Protocol Buttons Using the 2
Edit Menu Window.......................................................................................................3-2.21
Opening the Edit Menu Dialog Box....................................................................3-2.21 3
Adding a New Examination Protocol Page........................................................3-2.23
Deleting an Examination Protocol Page............................................................3-2.24 3-1
Changing the Order of Examination Protocol Pages.........................................3-2.25
3-2
Changing the Name of an Examination Protocol Page.....................................3-2.25
Displaying Patient Information at Examination Start for Selected Examination
3-3
Protocol Pages..................................................................................................3-2.25
Importing Examination Protocol Pages.............................................................3-2.26
4
Exporting Examination Protocol Pages.............................................................3-2.26
Saving All Examination Protocol Page Settings......................................3-2.26
5
Saving the Current Examination Protocol Page Settings........................3-2.27
Setting the Current Menu as the Default...........................................................3-2.28 6
Restoring the Default Menu...............................................................................3-2.28
Restoring the Previous Examination Protocol Page and Protocol Button 7
Settings..............................................................................................................3-2.28
Setting Up Protocol Buttons..............................................................................3-2.29 8
Selecting Examination Programs Assigned to a Protocol Button......................3-2.30
Opening the Settings Window.................................................................3-2.30 9
Adding an Examination Program to a Protocol Button from a List of
Available Examination Programs.............................................................3-2.31
Removing an Examination Program from a Protocol Button...................3-2.32
Importing an Examination Program to a Protocol Button........................3-2.32
Exporting Examination Program Settings as a File.................................3-2.32
Editing the Protocol Button................................................................................3-2.33
Automatically Starting an Examination Program when a Protocol
Button is Clicked on the Main Menu Page of NeuroWorkbench..............3-2.33
Changing the Order of the Examination Programs in a Protocol
Button......................................................................................................3-2.33
Changing the Measurement Settings for an Examination Program........3-2.34
Editing the List of Available Examination Programs..........................................3-2.34
Removing an Examination Program from the List of Available
Examination Programs............................................................................3-2.34
Importing an Examination Program in the List of Available Examination
Programs.................................................................................................3-2.35
Exporting an Examination Program in the List of Available Examination
Programs as a File..................................................................................3-2.35
Copying a Protocol Button.................................................................................3-2.36
Deleting a Protocol Button.................................................................................3-2.36
Importing a Protocol..........................................................................................3-2.37
Exporting a Protocol..........................................................................................3-2.38
Initializing a Protocol Button..............................................................................3-2.38
Section 3-3 Examination List.................................................................................. 3-3.1

General..........................................................................................................................3-3.2
Examination List Window.....................................................................................3-3.2

CONTENTS
Examination Flow when Using the Examination List...........................................3-3.3

Opening the Examination List Window..........................................................................3-3.4
Starting Examination.....................................................................................................3-3.5
Adding an Examination..................................................................................................3-3.6
Adding an Examination to the Examination List Using the Settings of an
Existing Examination...........................................................................................3-3.6
Copying the Current Examination Including Waveforms......................................3-3.7
Adding Examinations Assigned to a Protocol Button to the Examination List.....3-3.7
Creating a Report..........................................................................................................3-3.9
Reviewing the Measurement Files Saved in the System.............................................3-3.10
Closing the Examination List Window..........................................................................3-3.11
Closing the Examination List for Currently Selected Patient..............................3-3.11
Closing the Examination List for All Patients.....................................................3-3.12
Section 4 Workbench.............................................................................. 4.1

General............................................................................................................................. 4.2
Examination Status................................................................................................. 4.2
Explanation of the Main Window and Each Mode.................................................. 4.3
Schedule Mode............................................................................................ 4.3
Examination Mode........................................................................................ 4.3
Review Mode................................................................................................ 4.4
Patient List Mode.......................................................................................... 4.4
Displaying Examinations by Workflow Status................................................................... 4.5
Working with Examination Schedules............................................................................... 4.6
Entering a New Schedule....................................................................................... 4.6
Editing a Schedule.................................................................................................. 4.7
Importing and Exporting Schedules....................................................................... 4.8
Importing a Schedule................................................................................... 4.8
Exporting a Schedule................................................................................. 4.10
Displaying a Schedule for a Specified Date.......................................................... 4.12
Adding a Memo to a Schedule............................................................................. 4.13
Starting an Examination from a Schedule...................................................................... 4.15
Changing the Workflow Status of an Examination.......................................................... 4.16
Filtering the Displayed Examinations.............................................................................. 4.17
By Criteria............................................................................................................. 4.17
By Archive Status................................................................................................. 4.19
By Selecting Patient.............................................................................................. 4.20
Searching for a Patient................................................................................................... 4.21
By ID, Patient Name and Date.............................................................................. 4.21
By Detailed Patient Information............................................................................ 4.21
Reviewing an Examination.............................................................................................. 4.24
Editing Patient Information in the Database.................................................................... 4.25
Copying, Deleting and Archiving Files............................................................................ 4.26
Copying Files........................................................................................................ 4.26
Deleting Files........................................................................................................ 4.27
Archiving Files...................................................................................................... 4.28

CONTENTS
Section 5 Data Manager......................................................................... 5.1 1

General............................................................................................................................. 5.2
Explanation of the Main Window for Each Mode.................................................... 5.4 2
Database Mode............................................................................................ 5.4
File Mode...................................................................................................... 5.4
3
Explanation of Icons in the Data List............................................................ 5.5
3-1
Displaying Data................................................................................................................. 5.6
Selecting the Data Source...................................................................................... 5.6 3-2
Grouping Data by Patient or Examination.............................................................. 5.6
Displaying All Data for a Patient............................................................................. 5.7 3-3
Sorting the Data List............................................................................................... 5.7
Searching for a Patient..................................................................................................... 5.8 4
By ID, Patient Name and Date................................................................................ 5.8
By Detailed Patient Information.............................................................................. 5.8 5
Filtering the Data List...................................................................................................... 5.10
Reviewing an Examination.............................................................................................. 5.12 6
Handling Information in the Database............................................................................ 5.13
Printing the Patient Information and Data List...................................................... 5.13 7
Backing Up the Database..................................................................................... 5.14
Restoring the Database........................................................................................ 5.15 8
Editing Patient Information in the Database......................................................... 5.16
Deleting an Examination....................................................................................... 5.17
9
Adding a Memo to an Examination....................................................................... 5.18
Managing Measurement Files........................................................................................ 5.19
Copying Files to Another Drive or Media.............................................................. 5.19
Moving Files to Another Drive or Media................................................................ 5.21
Archiving Files...................................................................................................... 5.23
Adding an Examination in the Database.............................................................. 5.24
Deleting Files........................................................................................................ 5.25
Disk Management........................................................................................................... 5.26
Assigning and Changing a Disk Number.............................................................. 5.26
Section 6 System Settings..................................................................... 6.1

General............................................................................................................................. 6.2
Changing the Settings in the User Define Dialog Box...................................................... 6.3
Opening the User Define Dialog Box...................................................................... 6.3
Registering a User Name....................................................................................... 6.4
Changing the Muscle Names Displayed in the Muscle List Box on the EMG
Findings Window.................................................................................................... 6.4
Changing the Nerve Names Displayed in the Nerve List Box on the Nerve Input
Window................................................................................................................... 6.6
Editing the Frequently Used EMG Findings in the EMG Findings Table Dialog
Box.......................................................................................................................... 6.7
Editing the Frequently Used Names and Comments for Entering Patient
Information and Examination Information............................................................... 6.9
Default Names and Comments.................................................................. 6.11
Selecting the Tool Buttons Displayed on the Examination Window...................... 6.14
Customizing the Window................................................................................................ 6.15

CONTENTS
Setting the Report Format.............................................................................................. 6.17

Setting the System Settings............................................................................................ 6.18
Section 7 Troubleshooting..................................................................... 7.1

System.............................................................................................................................. 7.3
Waveform Acquisition....................................................................................................... 7.4
Stimulation........................................................................................................................ 7.4
Printing.............................................................................................................................. 7.5
Acquiring Clear Waveforms.............................................................................................. 7.6
AC Interference....................................................................................................... 7.6
Spike Noise............................................................................................................ 7.7
Other Noise............................................................................................................ 7.8
Setting BIOS (Date and Time)........................................................................................ 7.10
Section 8 Maintenance........................................................................... 8.1

Periodic Inspection............................................................................................................ 8.2
Check Items when Turning the Power On and Off.................................................. 8.2
Cleaning, Disinfecting and Sterilizing the System Components....................................... 8.4
Cleaning................................................................................................................. 8.4
Disinfecting and Sterilizing..................................................................................... 8.5
Cleaning, Disinfecting and Sterilizing the Electrode and Cables...................................... 8.6
Electrode Leads and Extension Cables.................................................................. 8.6
Needle Electrode.................................................................................................... 8.6
Disk Electrode and Collodion Electrode................................................................. 8.7
Grounding Electrode............................................................................................... 8.8
Skin Surface Stimulation Electrode........................................................................ 8.9
Surface Electrode................................................................................................. 8.10
Somato Control Box.............................................................................................. 8.11
ERG Contact Lens Electrode............................................................................... 8.11
LED Goggles, Headphone and Earphones.......................................................... 8.12
Active Electrode Cable......................................................................................... 8.12
Repair Parts Availability Policy........................................................................................ 8.13
Disposal.......................................................................................................................... 8.13
Disposing of Disposable Products........................................................................ 8.13
Section 9 Reference................................................................................ 9.1

Specifications.................................................................................................................... 9.2
Amplifiers................................................................................................................ 9.2
Acquisition.............................................................................................................. 9.2
Display.................................................................................................................... 9.3
Stimulator Common Functions............................................................................... 9.3
Power Requirements.............................................................................................. 9.5
Environment........................................................................................................... 9.5
Safety...................................................................................................................... 9.5
Dimensions and Weight.......................................................................................... 9.6
Electromagnetic Compatibility................................................................................ 9.6

CONTENTS
Electromagnetic Emissions.................................................................................... 9.7 1

Electromagnetic Immunity...................................................................................... 9.7
Recommended separation distances between portable and mobile RF 2
communications equipment and the MEB-2300A/K............................................... 9.9
System Composition for EMC Test......................................................................... 9.9 3
Reference for the Electrical Stimulator........................................................................... 9.10
Current Density of the Stimulation Electrode........................................................ 9.10 3-1
Relationship of the Preset Intensity and the Impedance for Electric
3-2
Stimulation............................................................................................................ 9.11
Standard Accessories..................................................................................................... 9.12
3-3
Options and Consumables............................................................................................. 9.13
Options................................................................................................................. 9.13
4
Consumables........................................................................................................ 9.15

GENERAL HANDLING PRECAUTIONS
This device is intended for use only by qualified medical personnel.
Use only Nihon Kohden approved products with this device. Use of non-approved products
or in a non-approved manner may affect the performance specifications of the device. This
includes, but is not limited to, batteries, recording paper, pens, extension cables, electrode
leads, input boxes and AC power.
Please read these precautions thoroughly before attempting to operate the instrument.
1. To safely and effectively use the instrument, its operation must be fully understood.
2. When installing or storing the instrument, take the following precautions:

(1) Avoid moisture or contact with water, dust, extreme atmospheric pressure, excessive humidity and temperatures,
poorly ventilated areas, and saline or sulphuric air.
(2) Place the instrument on an even, level floor. Avoid vibration and mechanical shock, even during transport.
(3) Avoid placing in an area where chemicals are stored or where there is danger of gas leakage.
(4) The power line source to be applied to the instrument must correspond in frequency and voltage to product
specifications, and have sufficient current capacity.
(5) Choose a room where a proper grounding facility is available.
3. Before Operation
(1) Check that the instrument is in perfect operating order.
(2) Check that the instrument is grounded properly.
(3) Check that all cords are connected properly.
(4) Pay extra attention when the instrument is in combination with other instruments to avoid misdiagnosis or other
problems.
(5) All circuitry used for direct patient connection must be doubly checked.
(6) Check that battery level is acceptable and battery condition is good when using battery-operated models.
4. During Operation
(1) Both the instrument and the patient must receive continual, careful attention.
(2) Turn power off or remove electrodes and/or transducers when necessary to assure the patient’s safety.
(3) Avoid direct contact between the instrument housing and the patient.
5. To Shutdown After Use

(1) Turn power off with all controls returned to their original positions.
(2) Remove the cords gently; do not use force to remove them.
(3) Clean the instrument together with all accessories for their next use.
6. The instrument must receive expert, professional attention for maintenance and repairs. When the instrument is
not functioning properly, it should be clearly marked to avoid operation while it is out of order.
7. The instrument must not be altered or modified in any way.
8. Maintenance and Inspection

(1) The instrument and specified parts must undergo regular maintenance inspection at the interval which is specified
after the GENERAL HANDLING PRECAUTIONS section.
(2) If stored for extended periods without being used, make sure prior to operation that the instrument is in perfect
operating condition.
Operator’s Manual MEB-2300 i
(3) Technical information such as parts list, descriptions, calibration instructions or other information is available for
qualified user technical personnel upon request from your Nihon Kohden representative.
9. When the instrument is used with an electrosurgical instrument, pay careful attention to the application and/or
location of electrodes and/or transducers to avoid possible burn to the patient.
10. When the instrument is used with a defibrillator, make sure that the instrument is protected against defibrillator
discharge. If not, remove patient cables and/or transducers from the instrument to avoid possible damage.
WARRANTY POLICY
Nihon Kohden Corporation (NKC) shall warrant its products against all defects in materials and workmanship for one year
from the date of delivery. However, consumable materials such as recording paper, ink, stylus and battery are excluded
from the warranty.
NKC or its authorized agents will repair or replace any products which prove to be defective during the warranty period,
provided these products are used as prescribed by the operating instructions given in the operator’s and service manuals.
No other party is authorized to make any warranty or assume liability for NKC’s products. NKC will not recognize any
other warranty, either implied or in writing. In addition, service, technical modification or any other product change
performed by someone other than NKC or its authorized agents without prior consent of NKC may be cause for voiding
this warranty.
Defective products or parts must be returned to NKC or its authorized agents, along with an explanation of the failure.
Shipping costs must be pre-paid.
This warranty does not apply to products that have been modified, disassembled, reinstalled or repaired without Nihon
Kohden approval or which have been subjected to neglect or accident, damage due to accident, fire, lightning, vandalism,
water or other casualty, improper installation or application, or on which the original identification marks have been
removed.
In the USA and Canada other warranty policies may apply.
CAUTION
United States law restricts this product to sale by or on the order of a physician.
ii Operator’s Manual MEB-2300

EMC RELATED CAUTION
This equipment and/or system complies with IEC 60601-1-2 International Standard for electromagnetic
compatibility for medical electrical equipment and/or system. However, an electromagnetic environment that
exceeds the limits or levels stipulated in IEC 60601-1-2, can cause harmful interference to the equipment
and/or system or cause the equipment and/or system to fail to perform its intended function or degrade
its intended performance. Therefore, during the operation of the equipment and/or system, if there is any
undesired deviation from its intended operational performance, you must avoid, identify and resolve the
adverse electromagnetic effect before continuing to use the equipment and/or system.
The following describes some common interference sources and remedial actions:
1. Strong electromagnetic interference from a nearby emitter source such as an authorized radio station
or cellular phone:
Install the equipment and/or system at another location. Keep the emitter source such as cellular phone
away from the equipment and/or system, or turn off the cellular phone.
2. Radio-frequency interference from other equipment through the AC power supply of the equipment and/
or system:
Identify the cause of this interference and if possible remove this interference source. If this is not
possible, use a different power supply.
3. Effect of direct or indirect electrostatic discharge:

Make sure all users and patients in contact with the equipment and/or system are free from direct or
indirect electrostatic energy before using it. A humid room can help lessen this problem.
4. Electromagnetic interference with any radio wave receiver such as radio or television:
If the equipment and/or system interferes with any radio wave receiver, locate the equipment and/or
system as far as possible from the radio wave receiver.
5. Interference of lightning:
When lightning occurs near the location where the equipment and/or system is installed, it may induce
an excessive voltage in the equipment and/or system. In such a case, disconnect the AC power cord
from the equipment and/or system and operate the equipment and/or system by battery power, or use
an uninterruptible power supply.
6. Use with other equipment:

When the equipment and/or system is adjacent to or stacked with other equipment, the equipment
and/or system may affect the other equipment. Before use, check that the equipment and/or system
operates normally with the other equipment.
7. Use of unspecified accessory, transducer and/or cable:

When an unspecified accessory, transducer and/or cable is connected to this equipment and/or system,
it may cause increased electromagnetic emission or decreased electromagnetic immunity. The specified
configuration of this equipment and/or system complies with the electromagnetic requirements with the
specified configuration. Only use this equipment and/or system with the specified configuration.
Operator’s Manual MEB-2300 iii

Caution - continued
8. Use of unspecified configuration:
When the equipment and/or system is used with the unspecified system configuration different than
the configuration of EMC testing, it may cause increased electromagnetic emission or decreased
electromagnetic immunity. Only use this equipment and/or system with the specified configuration.
9. Measurement with excessive sensitivity:

The equipment and/or system is designed to measure bioelectrical signals with a specified sensitivity. If
the equipment and/or system is used with excessive sensitivity, artifact may appear by electromagnetic
interference and this may cause mis-diagnosis. When unexpected artifact appears, inspect the
surrounding electromagnetic conditions and remove this artifact source.
10. Use with radiation therapy equipment:

When the equipment and/or system is used in a radiotherapy room, it may cause failure or malfunction
due to electromagnetic radiation or corpuscular radiation. When you bring the equipment and/or system
into a radiotherapy room, constantly observe the operation. Prepare countermeasures in case of failure
or malfunction.
If the above suggested remedial actions do not solve the problem, consult your Nihon Kohden
representative for additional suggestions.
For EMC compliance, refer to “Specifications – Electromagnetic Compatibility” in the Reference section.
The CE mark is a protected conformity mark of the European Community. Products with the CE mark comply
with the requirements of the Medical Device Directive 93/42/EEC.
The CE mark is only applied to the MEB-2300K EMG/EP Measuring System.
This equipment complies with International Standard IEC 60601-1-2: 2001 and Amendment 1: 2004.
NOTE about Waste Electrical and Electronic Equipment (WEEE) Directive 2002/96/EC
For the member states of the European Union only:
The purpose of WEEE directive 2002/96/EC is, as a first priority, the prevention of waste electrical and
electronic equipment (WEEE), and in addition, the reuse, recycling and other forms of recovery
of such wastes so as to reduce the disposal of waste.
Contact your Nihon Kohden representative for disposal.
iv Operator’s Manual MEB-2300

Conventions Used in this Manual and Instrument
Warnings, Cautions and Notes

Warnings, cautions and notes are used in this manual to alert or signal the reader to specific information.
WARNING
A warning alerts the user to possible injury or death associated with the use or misuse of the instrument.
CAUTION
A caution alerts the user to possible injury or problems with the instrument associated with its use or
misuse such as instrument malfunction, instrument failure, damage to the instrument, or damage to other
property.
NOTE
A note provides specific information, in the form of recommendations, prerequirements, alternative methods or
supplemental information.
Operator’s Manual MEB-2300 v

Explanations of the Symbols in this Manual and Instrument
The following symbols found in this manual/instrument bear the respective descriptions as given.
Main Unit
Symbol Description Symbol Description
Alternating current Equipotential ground terminal
Fuse Input connector
Output connector USB connector
Attention, consult operator’s manual Line out
Line in Foot switch
Trigger pulse Response switch
Type B applied part Pattern reversal
Goggles Type BF applied part
Headphone connector Power on
Power off Serial number
MR unsafe
Date of manufacture
(MEB-2300A only)
CSA mark
(MEB-2300A only) Products marked with this symbol
comply with the European WEEE
The CE mark is a protected directive 2002/96/EC and require
conformity mark of the European separate waste collection. For Nihon
Community. Products marked Kohden products marked with this
with this symbol comply with the symbol, contact your Nihon Kohden
requirements of the Medical Device representative for disposal.
Directive 93/42/EEC. (MEB-2300K only)
(MEB-2300K only)
vi Operator’s Manual MEB-2300

PC Unit
Standby Headphone connector
Serial number Date of manufacture
Hard disk access USB connector
Also refer to the PC unit manual. The symbol mark on the PC unit might differ due to requirement of specification change
from its manufacturer.
Power Unit
Alternating current Equipotential ground terminal
Attention, consult operator’s manual Serial number
Date of manufacture Power on
The CE mark is a protected

Power off conformity mark of the European
Community. Products marked
with this symbol comply with the
CSA mark requirements of the Medical Device
(SC-230B only) Directive 93/42/EEC.
(SC-230BK only)
Electrode Junction Box
Type BF applied part Attention, consult operator’s manual

Waveform input on conformity mark of the European
Waveform input off requirements of the Medical Device
Directive 93/42/EEC.
Serial number Products marked with this symbol

directive 2002/96/EC and require
Date of manufacture separate waste collection. For Nihon
Kohden products marked with this
symbol, contact your Nihon Kohden
CSA mark representative for disposal.
Operator’s Manual MEB-2300 vii

Constant Current Stimulation Unit
Type BF applied part Attention, consult operator’s manual
Electric stimulation Serial number
Date of manufacture CSA mark
Products marked with this symbol

conformity mark of the European
directive 2002/96/EC and require
separate waste collection. For Nihon
Kohden products marked with this
requirements of the Medical Device
symbol, contact your Nihon Kohden
representative for disposal.
Somato Control Box
Minus: negative polarity Plus: positive polarity
A B Function buttons Attention, consult operator’s manual
CSA mark Products marked with this symbol

viii Operator’s Manual MEB-2300

Active Electrode Cable
Type BF applied part Date of manufacture
Attention, consult operator’s manual Lot number

Serial number conformity mark of the European
CSA mark requirements of the Medical Device
Foot Switch
Protected against vertically falling

Attention, consult operator’s manual
IPX 1 water drops
Multi Interface Box
Attention, consult operator’s manual

conformity mark of the European
Serial number
requirements of the Medical Device
Date of manufacture
Control Panel Unit
CSA mark
(except for Europe) Products marked with this symbol
Operator’s Manual MEB-2300 ix

On Screen
Display of list box Check box
Scrolling of data, list and others Help
Window maximize/resize/minimize
Option button
Maximize Resize Minimize button
Close button
Tool Buttons
Save Print
Report Muscle
Nerve Change measurement settings
Impedance check Calibration
Baseline reset AC filter
Delete Store
Increase display gain Decrease display gain
Shrink time scale Expand time scale
Show measurement settings Measurement table
Latency Amplitude
x Operator’s Manual MEB-2300

Trigger Individual wave selection
Channel selection All wave selection
Operation panel Wave on/off
Sound on/off
Operator’s Manual MEB-2300 xi

Section 1 General 1
Introduction........................................................................................................................................................... 1.2
Examination Programs......................................................................................................................................... 1.3
Standard Programs.................................................................................................................................... 1.3
Optional Programs..................................................................................................................................... 1.3
Important Safety Information................................................................................................................................ 1.4
General....................................................................................................................................................... 1.4
Cable Connection....................................................................................................................................... 1.6
Network...................................................................................................................................................... 1.7
Clock Adjustment....................................................................................................................................... 1.7
Operation.................................................................................................................................................... 1.8
Stimulation.................................................................................................................................................. 1.8
Maintenance............................................................................................................................................... 1.8
Electrodes.................................................................................................................................................. 1.9
CC-230B PC Unit..................................................................................................................................... 1.10
KD-030A Cart........................................................................................................................................... 1.10
JB-206B/212B Electrode Junction Box..................................................................................................... 1.11
LCD Display............................................................................................................................................. 1.11
CD/DVD Handling and Storing................................................................................................................. 1.12
Panel Descriptions.............................................................................................................................................. 1.13
Components............................................................................................................................................. 1.13
Main Unit, DC-230B................................................................................................................................. 1.14
Control Panel Unit, PV-230B.................................................................................................................... 1.16
PC Unit, CC-230B.................................................................................................................................... 1.24
Power Unit, SC-230B............................................................................................................................... 1.25
Power Unit, SC-230BK............................................................................................................................. 1.26
Electrode Junction Box, JB-206B/212B.................................................................................................... 1.27
Constant Current Stimulation Unit, MS-230B........................................................................................... 1.28
Foot Switch, RY-482B............................................................................................................................... 1.29
Somato Control Box, RY-230B (Option)................................................................................................... 1.30
Active Electrode Cable, BM-230B (Option).............................................................................................. 1.31
Multi Interface Box, JJ-230B (Option)....................................................................................................... 1.32
Operator’s Manual MEB-2300 1.1

1. GENERAL
Introduction
* Essential performance in EMC The Neuropack MEB-2300A/K EMG/EP Measuring System (hereafter referred
standard to as the system) measures and averages EMG, electric/auditory/visual evoked
potential and nerve conduction.* The MEB-2300A/K system software operates
on Microsoft® Windows.
This operator’s manual describes basic operation, installation and common

information for measurements. For detailed examination settings, examination
procedures, and data management for EMG/EP measurement, refer to the
MEB-2300A/K examination guide.
For simplicity, the suffix A/G/J/K for the system and its options are omitted in
this manual. There is no difference in operation among models with different
suffixes unless otherwise specified.
• Main menu
The Main menu is based on NeuroWorkbench (system program of the
MEB-2300) and the examination list for each protocol lets you easily select
and perform examinations.
• Electrode junction box

2 types of electrode junction boxes can be used.
JB-206B (6 channels)
JB-212B (12 channels)
• Waveform processing
After measurement, the acquired waveforms can be analyzed, saved, printed
and processed.
• Data saving in a built-in hard disk, CD-RW or DVD-RW disk

Measured waveforms and data can be saved in disks. Saved waveforms and
data can be displayed on the screen.
• Data compatibility among Neuropack series instruments

The MEB-2300 can read disk data from other Neuropack series instruments:
MEB-2200, MEB-2300, MEB-9100, MEB-9200/9300 and MEB-9400.
• Various options for expanding the system’s function

Refer to “Options and Consumables” in Section 9.
• Optional examination programs

Specialized examinations are available in optional programs which you can
install in the system.
Section 1 provides a general overview of the system and how to operate it.
• Examination programs
• System components
NOTE
Use Nihon Kohden parts and accessories to assure maximum
performance from your system.
1.2 Operator’s Manual MEB-2300

1. GENERAL
1
Examination Programs
Standard Programs Optional Programs
Somatosensory Evoked Potential Measurement QP-258B Trend Monitoring Software

• Somatosensory evoked potential (SEP) measurement • Intraoperative Monitoring (IOM) measurement
• Short-latency somatosensory evoked potential (SSEP)
measurement QP-259B Autonomic Nervous System Test Software
• ECG triggered SSEP (ECG-SSEP) measurement • Microneurogram (MICRO-N) measurement
• Evoked spinal cord potential (ESCP) measurement • Sympathetic skin response (SSR) measurement
• Customizable somatosensory protocol (Electric) • R-R interval analysis
Auditory Evoked Potential Measurement QP-260B Event Related Potential Software

• Auditory brainstem response (ABR) measurement • P300
• Middle latency response (MLR) measurement • Movement Related Cortical Potential (MRCP)
• Slow vertex response (SVR) measurement measurement
• Electrocochleogram (EcochG) measurement • Contingent Negative Variation (CNV) measurement
• Customizable auditory protocol (Auditory)
Visual Evoked Potential Measurement

• Pattern reversal – Visual evoked potential (Pattern-VEP)
measurement
• Flash LED goggles – Visual evoked potential (LED-VEP)
measurement
• External stimulator – Visual evoked potential (EXT-VEP)
measurement
• Electroretinogram (ERG) measurement
• Electrooculogram (EOG) measurement
• Customizable visual control (Visual)
Electromyogram (EMG) Measurement
Quantitative EMG (QEMG) Measurement
Single Fiber EMG (SF EMG) and Macro EMG

Measurement
Nerve Conduction Study

• Motor nerve conduction study (MCS)
• Sensory nerve conduction study (SCS)
• Nerve conduction studies (NCS)
• Repetitive stimulation (REP. stim)
• F-wave measurement (F-wave)
• Monosynaptic reflex H-wave (H-reflex) measurement
• Collision method
• Polysynaptic reflex (orbicularis oculi muscle reflex)
measurement (Blink)

1. GENERAL
Important Safety Information
General
WARNING WARNING
Never use the system in the presence of any For patients with the following conditions, all
flammable anesthetic gas or high concentration stimulation (activations) must be applied under
oxygen atmosphere. Failure to follow this warning the supervision of the physician in charge.
may cause explosion or fire. • Patients with a history of epilepsy, cortical
lesions, convexity skull defects, raised
intracranial pressure, neurological or psychiatric
WARNING
disorders or cardiac disease
Never use the system in a hyperbaric oxygen
• Patients with a history of cerebral aneurysm
chamber. Failure to follow this warning may cause
treatment using surgical devices such as
explosion or fire.
vascular clips or shunts, or a neurovascular
intervention device such as an endovascular
WARNING coil
Do not diagnose a patient based only on data • Patients under proconvulsant medications or
acquired by the system. Overall judgement must anesthetics
be performed by a physician who understands • Patients with any type of implanted biomedical
the features, limitations and characteristics of the device (e.g. intracranial electrodes, cochlear
system and by reading the biomedical signals implant or cardiac pacemaker) or any metallic
acquired by other instruments. fragments or plate in the head
For those patients, there is the possibility of the
following potential hazards:
WARNING
• Tongue or lip laceration
When performing MRI test, remove all electrodes
• Mandibular fracture
and transducers from the patient which are
• Seizure
connected to this system. Failure to follow this
• Cardiac arrhythmia
warning may cause skin burn on the patient. For
• Scalp burn
details, refer to the MRI manual.
• Intraoperative awareness
For details, refer to the references for the safety issue:

WARNING
• MacDonald D.B.: Safety of Intraoperative Transcanial
When using an electrically controlled Electrical Stimulation Motor Evoked Potential
neurovascular intervention device such as an Monitoring. J. Clin. Neurophysiol. 19(5): 416-429, 2002
endovascular coil, follow the instructions of the • MacDonald D.B.: Intraoperative Motor Evoked Potential
Monitoring: Overview and Update. J. Clin. Monitoring
device’s manual.
and Computing. 20(5): 347-377, 2006
WARNING WARNING
Before defibrillation, remove from the patient all Before defibrillation, all persons must keep clear
electrodes, probes and transducers from of the bed and must not touch the patient or any
connectors that do not have a or mark. equipment or cable connected to the patient.
Otherwise, the operator may receive electrical Failure to follow this warning may cause electrical
shock and the connected instrument may be shock or injury.
damaged.

1. GENERAL
1
WARNING WARNING
Before defibrillation, remove everything including Ground the system and other instruments which
electrodes and patches from the patient’s chest. If are used together to the same one-point ground.
the defibrillator paddle contacts an object on the Any potential difference between instruments
patient’s chest, the discharged energy may be may cause electrical shock to the patient and
insufficient and cause skin burn. operator.
CAUTION CAUTION
Only install the specified software in the system. While the breakout box is disconnected from the
Unspecified software may cause the system to electrode junction box, do not touch the sockets
malfunction. Nihon Kohden has no responsibility for the breakout box on the electrode junction box
for any problem caused by unspecified software. because static electricity from your body may
affect acquisition.
Using with an Electrosurgical Unit (ESU)

When using an ESU with this EMG/EP measuring system, follow the precautions
in the ESU manual. If the ESU is not used correctly, it may cause burns at the
site of the electrical stimulator or biopotential input part electrodes, or damage to
the equipment.
WARNING
When the system is used with an electrosurgical unit (ESU), firmly
attach the entire area of the ESU return plate. Otherwise, the current
from the ESU flows into the electrodes of the system, causing
electrical burn where the electrodes are attached. For details, refer to
the ESU manual.
Using Disk Electrodes with an ESU
WARNING
When using an ESU, do the following. Otherwise, current from the
ESU flows into the electrodes and causes skin burn.
• Ensure that there is enough distance between the electrodes and
the ESU tip or return plate.
• Ensure that no electrodes are attached near the high frequency
current path between the ESU tip and return plate. If the electrodes
are too close to the high frequency current path between the ESU
tip and the return plate, disconnect the electrodes and breakout
box connector from the electrode junction box while using the ESU.
• During long term monitoring, periodically check that the electrodes
are attached properly.
NOTE
Use a breakout box during intraoperative monitoring.

1. GENERAL
Using Needle Electrodes or Silver Ball Electrodes with an ESU
WARNING
While using an ESU, needle electrodes, silver ball electrodes and
intracranial electrodes must not be used for monitoring unless no
other alternatives are available. If needle electrodes, silver ball
electrodes and intracranial electrodes are used, whenever possible,
disconnect cables of the breakout boxes from the amp unit while
using the ESU. Otherwise, current from the ESU might cause skin
burn where the electrodes are attached.
NOTE
While using an ESU, remove all the electrode leads from the breakout
box. After removing the leads, place the leads and connectors away from
the patient and metal parts such as a bed.
Cable Connection
WARNING WARNING
Connect only the specified instrument to the Only use the provided power cord. Using other
system and follow the specified procedure. power cords may result in electrical shock or
Failure to follow this warning may result in injury to the patient and operator.
electrical shock or injury to the patient and
operator, and cause fire or instrument
malfunction.
WARNING WARNING
When connecting an external instrument to the Before and while using the system, make sure
following connectors on this system, ensure that that all connectors are connected to the correct
the external instrument has an internal isolation instrument. If the metal part of a disconnected
unit. If the external instrument does not have the connector is touched, the patient or operator
internal isolation unit, use a locally available might receive electrical shock or skin burn.
medical use isolation transformer unit between
the external instrument and the AC outlet. Failure
WARNING
to follow this warning may cause electrical shock
Do not use a multiple portable socket outlet or
or injury to the patient and operator.
extension cord. The patient or operator might
• External Input/Output connectors
receive electrical shock.
• PATTERN connector
• Trigger In/Out connectors
• Digital Input connector
• LINE Input connector
• EXTERNAL SPEAKER connector

1. GENERAL
1
CAUTION CAUTION
Connect only the specified instrument to the Before connecting or disconnecting instruments,
system and follow the specified procedure. If an make sure that each instrument is turned off and
unspecified instrument is connected, it may the power cord is disconnected from the AC
cause system malfunction or loss of data by socket. Otherwise, the patient or operator may
radiated electrostatic energy or harmonic receive electrical shock or injury.
components of the power supply.
CAUTION
Connect the power cord connector to an outlet
which is separated from the power switchboard
and has 20 A or more of current.
Network
WARNING WARNING
Install all network devices, including printer and Do not use a damaged network cable. The patient
hubs, outside the patient environment (IEC or operator may receive electrical shock when the
60601-1-1). If they are installed inside the patient damaged part is touched.
environment, the patient or operator may receive
electrical shock or injury. For installation, contact
your Nihon Kohden representative.
WARNING
Connect the system to network as specified.
Otherwise the patient and operator may receive
electrical shock or injury. To connect the network,
contact your Nihon Kohden representative.
Clock Adjustment
CAUTION CAUTION
When using the instrument for brain death During intraoperative monitoring, do not change
diagnosis, before examination, check and adjust the date and time. This makes the order of the
the date and time of the system. The date and saved event data and the time of the saved
time on the screen and recording result are part waveforms incorrect.
of important information for the medical record.

1. GENERAL
Operation
WARNING WARNING
Do not put a water cup where it can spill on the When the monitored waveform is abnormal (for
system. It may cause electrical shock to the example, the waveform is flat or hum is
patient and operator and cause system overlapping), remove the contact lens electrode
malfunction. from the patient immediately.
Stimulation
WARNING WARNING
Do not place the positive and negative electrodes Supply AC power to the optional VD-403B display
on opposite sides of the thorax so that the heart for stimulation only from a medical isolation
is between the electrodes. If electrical stimulation transformer. Do not connect the display to a wall
is performed with the heart between the AC outlet. Failure to follow this warning may
electrodes, fibrillation might occur. cause electrical shock or injury to the patient and
operator.
CAUTION CAUTION
The current density from the electric stimulator Do not use the photic stimulator continuously
can exceed 2 mA rms/cm2 depending on the over 5 minutes. After 5 minutes of continuous
dimensions of the electrode, pulse width, intensity use, the flash lamp assembly gets very hot and
and frequency of stimulation. If the electric causes burn if touched.
stimulator is used in the setting of over
If the photic stimulator is used continuously for 5 minutes,
2mA rms/cm2 of current density, it may cause
do not use it for at least 20 minutes to let it cool down.
skin burn.
Maintenance
CAUTION CAUTION
Before maintenance, cleaning or disinfection, turn Dispose of Nihon Kohden products according to
the system power off and disconnect the power your local laws and your facility’s guidelines for
cord from the AC socket. Failure to follow this waste disposal. Otherwise, it may affect the
instruction may result in electrical shock and environment. If there is a possibility that the
system malfunction. product may have been contaminated with
infection, dispose of it as medical waste
according to your local laws and your facility’s
CAUTION
guidelines for medical waste. Otherwise, it may
Do not touch the patient while also touching any
cause infection.
metal part on the PC unit or a locally purchased
unit such as an LCD display or printer. The
patient and operator may receive electrical shock
by leakage current.

1. GENERAL
Electrodes 1
WARNING WARNING
Disconnect all unused electrodes from the Do not use a needle electrode for electric
system. If the electrode touches a metal object or stimulation. Failure to follow this warning injures
any other conductive material, the patient might the patient because the needle electrode is
receive electrical shock or injury. damaged by electrolyzation inside the body.
WARNING WARNING
When electrical stimulation is performed for a • Never check the skin-electrode contact
long period, the felt-pad and the EEG paste get impedance while using a contact lens
dry and electrical stimulation may cause skin electrode. Failure to follow this warning injures
burn because the dried felt-pad or paste the patient’s eyes because impedance check
increases the skin-electrode contact impedance. electrical current will be applied.
Therefore, periodically check that felt-pads and • When attaching a contact lens electrode, follow
the paste are moist. the contact lens electrode operator’s manual.
CAUTION CAUTION
• If redness, swelling, itch, or rash appears on Do not use the sub-dermal straight needle
the patient’s skin, immediately remove the electrode for more than one hour as a
collodion and EEG paste from the skin and measurement electrode for the EEG or evoked
perform medical treatment. potential measurement. When measuring the
• Never allow collodion/celloidin or acetone to EEG or evoked potential for over one hour, use
get in the patient’s eyes. If collodion/celloidin the EEG disk electrode.
or acetone accidentally gets in the eyes,
immediately and thoroughly wash eyes with
CAUTION
clean water and perform medical treatment
Never check the skin-electrode contact
immediately.
impedance while using a needle electrode or
• If collodion is swallowed, have the person drink
while any electrodes are attached at the
water and vomit collodion. Perform medical
operation site on the patient’s body. Failure to
treatment immediately.
follow this caution causes electrical burn where
• Collodion is a volatile solvent. Both patients
the electrodes are inserted or attached.
and medical staff must take extreme care not to
inhale collodion fumes. When using collodion,
make sure there is adequate ventilation. If CAUTION
excess collodion fumes are inhaled, have the The disposable needle electrodes are single use
person lie quietly and keep warm in fresh air. only. Do not reuse even after sterilization.
Perform medical treatment immediately.

1. GENERAL
CC-230B PC Unit
WARNING
If there is PC unit malfunction, contact your Nihon
Kohden representative. If you use the unspecified
PC unit or PC parts, safety of the system cannot
be ensured.
CAUTION CAUTION
• Back up data periodically. Otherwise, data in Only use NeuroWorkbench to delete files. If you
the hard disk cannot be restored when there is delete a system file using other tools such as
a PC unit malfunction or other trouble. Windows Explorer, the EMG/EP measuring
• If you cannot access the hard disk of the PC system might not operate correctly.
unit, immediately contact your Nihon Kohden
representative. If you leave the PC unit for a
CAUTION
long time, data might be lost.
Do not connect unspecified USB devices such as
• Be careful to avoid computer viruses when
USB memory to this instrument because the
connecting the system to the network or
device may have a computer virus.
connecting external devices such as USB
memory. Computer viruses can cause serious
problems to your PC.
KD-030A Cart
CAUTION CAUTION
Use only the KD-030A cart for this system. If the Use the KD-030A cart only for mounting the
specified cart is not available and you must use MEB-2300 EMG/EP measuring system.
another cart, use a cart that complies with IEC
60601-1. Otherwise, the cart may tip over and the
CAUTION
cart and system components may break. Also
When you use the KD-030A cart, use the
secure the cables of the instrument to ensure
specified tools for cart assembly.
electrical safety and to prevent components from
falling off or cable disconnection.
CAUTION CAUTION
• Do not move the cart with the casters locked. Be careful not to pinch your fingers between the
The cart may tip over. PC unit, main unit, isolation unit, printer and cart.
• When moving the cart, hold the handle of
the cart. Never hold the arm for the electrode
CAUTION
junction box.
When moving the cart, close the keyboard table
by pushing it until it clicks.

1. GENERAL
1
CAUTION CAUTION
Do not sit or put your weight on the keyboard Do not ride on the cart. You may fall off and get
table. If weight is placed on the table, it may injured.
break and cause injury.
JB-206B/212B Electrode Junction Box
WARNING
Do not put the electrode junction box or breakout
box on a floor. If the electrode junction box or
breakout box gets dusty, damaged or contacts
liquid, it may cause instrument malfunction and
electrical shock to the patient and operator.
CAUTION CAUTION
Loosen the knob bolt on the KD-030A cart when Do not install the electrode junction box above
you adjust the arm position. Otherwise, the cart the patient. An electrode junction box located
may tip over. above the patient may fall and injure the patient.
LCD Display
CAUTION CAUTION
Make sure that the stopper of the arm holder is Periodically check that the screws are tight.
attached to the cart pillar. Never remove the free Otherwise the units may fall off.
stopper. If you remove the free stopper, the arm
may fall off.
CAUTION
Be careful not to pinch your fingers when you
adjust the arm of the KH-122A LCD stand.

1. GENERAL
CD/DVD Handling and Storing

NOTE
• Do not insert or remove a disk while the lamp on the disk unit is lit.
• Keep disks clean of dust and fingerprints. Otherwise, the disk may
become unreadable.
• Keep disks away from direct sunlight and high temperature. Otherwise,
the disk may become deformed.
• Do not handle the disk while smoking or eating.
• Do not get the disk wet.
• Do not put on a label on the disk.
• Do not bend the disk, put heavy material on the disk, or give a strong
impact to the disk.
• Clean the disk with a disk cleaner. Do not use organic solvents such as
acetone.
• The installation CD is not an audio CD and cannot be played with an
audio CD player.
• No part of this software program may be reproduced or transmitted in
any form or by any means without the prior written permission of Nihon
Kohden.

1. GENERAL
1
Panel Descriptions
Components
This example shows the system with an optional KD-030A cart.
Mouse
LCD display Arm
(locally purchased)
Electrode junction box

Main unit
Control panel unit
Keyboard
PC unit
Constant current
stimulation units
Printer
(locally purchased)
Power unit

1. GENERAL
Main Unit, DC-230B

Front Panel
2 3
Name Functions
1. Power switch Press the side of the switch to turn the main unit power on. Press the side of
the switch to turn the main unit power off. When the main unit power is on, the
power LED beside the power switch lights.
2. Speaker For EMG sounds and line in sounds.
3. Trigger lamp Blinks in synchronization with a trigger signal.
Right Side Panel

NOTE
When moving the system or when the instrument is not used for a long
time, disconnect the cables connected to the main unit. Otherwise, the
connector may be broken.
1 2 3 4 5 6 7 8 9
Name Functions
1. AUDITORY connector For the headphones or earphones for auditory stimulation.
2. GOGGLE connector For the LED goggles for visual stimulation.
3. PATTERN connector For the display for pattern reversal stimulation.
4. RESPONSE SWITCH connector For the response switch for event related potentials measurements.
5. TRIGGER 1 INPUT connector Inputs trigger signal from an external stimulator or other trigger signal.
Max voltage: +5 V, Input impedance: 100 kΩ
6. TRIGGER 1 OUTPUT connector Outputs trigger signal to an external stimulator.

Max voltage: +5 V, Max current: 25 mA
7. FOOT SW connector For the foot switch.
8. LINE INPUT connector Inputs line out signal from the PC unit.
Max voltage: ±5 V, Input impedance: 3 kΩ
9. EXTERNAL SPEAKER connector For the external active speaker to output EMG sounds.
Max voltage: ±5 V, Max current: ±5 mA

1. GENERAL
Rear Panel 1
1 2 3 4 5 6 7 9 8
Name Functions
1. AUX connector For the optional JJ-230B multi interface box.
2. SEN (SEN output) connector For the optional SEN-4100 electric stimulator.
3. USB connector For the PC unit.
4. SOMATO 3/4 (electric stimulation output) connector

5. SOMATO 1/2 (electric stimulation output) connector
For the MS-230B constant current stimulation unit.
NOTE
Before you connect or disconnect the constant current stimulation unit
cables, turn the main unit power off. Otherwise, the constant current
stimulation unit might malfunction.
6. JUNCTION BOX connector For the electrode junction box.
NOTE
When connecting or disconnecting the electrode junction box to/from
the main unit, turn the main unit and electrode junction box power off.
Otherwise, the electrode junction box might get damaged.
7. AC SOURCE socket For the power unit to supply AC power to the main unit.
8. Equipotential ground terminal Connects to the protective earth cable.
9. FUSE holder Contains the power line protection fuses.

To replace the fuses, pry loose the holder with a flat-blade screw driver.

1. GENERAL
Control Panel Unit, PV-230B

The control panel unit is divided into seven areas. For detailed explanation of
each area, refer to the following pages.
NeuroWorkbench Waveform Display

Control keys Control keys Number keys
Cursor and Mark

Control keys and dial
Stimulation Control Function keys Processing Control

keys keys

1. GENERAL
NeuroWorkbench Control Keys 1
1 2 3 4
7 5
Name Functions
1. Exit key Closes the examination windows.
2. Main Menu key Displays the NeuroWorkbench main menu window.
3. Muscle/Nerve key When editing examination protocols, shows muscle or nerve list.
On the NeuroWorkbench main window, selects the tab which is on the left of the
currently selected tab.
4. L/R key On the muscle/nerve list, changes left or right.

On the NeuroWorkbench main window, selects the tab which is on the right of
the currently selected tab.
5. Enter key Finishes entering the currently selected item and moves to the next item.
6. Arrow keys Selects the protocol buttons on all pages except Workbench and Data Manger of
NeuroWorkbench.
7. Exam key Displays the examination list in the left of the screen.

1. GENERAL
Waveform Display Control Keys
1 2 4
Name Functions
1. Superimpose key Superimposes the waveforms.
2. Display gain keys Increases or decreases the display gain.
3. Time scale/Sweep speed keys Changes the waveform sweep time and expands or decreases the time scale. For
the stored waveforms, only the time scale can be changed.
4. Cascade key Equally spaces all the waveforms.

1. GENERAL
Number Keys 1
Name Functions
1. Number keys Enters numbers in the windows such as the examination window and the
Measurement Settings window.
2. Millimeter key Enters “mm” in the windows such as the measurement window.
3. Celsius degree key Enters “°C” in the windows such as the measurement window.
4. Up/down keys Moves to the next text box or previous text box.

1. GENERAL
Cursor and Mark Control Keys and Dial
1 2 3 4 5
8 7
Name Functions
1. Trace All/Single key Selects the waveform select mode. The waveform select mode changes in the
order “all” → “channel” → “single” → “all” every time you press the key. The
tool buttons in the window change depending on the waveform select mode.
“all”: selects all the waveforms in the window.
“channel”: selects all the waveforms in a single channel.
“single”: selects a single waveform.
2. Trace Select keys Selects the waveform to be processed. The number of selected waveforms
depends on the waveform selection mode.
3. Position key Enters the position mode.
4. Cursor key Enters the cursor mode.
5. Marking key Enters the mark set mode.
6. Set Mark/Cursor Mode key Selects the cursor type from the latency, amplitude and trigger.
7. Select Mark/Select Cursor key Switches the cursors to move on the screen.
8. Waveform/Cursor Dial Moves a waveform up or down by rotating the dial when a waveform is selected.
Moves a latency, amplitude and trigger cursor when a cursor is selected.

1. GENERAL
Processing Control Keys 1
1 2 3 4 5 6 7 8
Name Functions
1. Volume dial Adjusts the waveform sound volume.
2. Monitor key Displays the currently measured waveforms continuously.
3. Stim/Sweep key Starts stimulation and displays sweep waveforms synchronized triggers. The
lamp blinks synchronized trigger output.
4. Analysis key Starts averaging or analyzing waveforms.
5. Stop key Stops monitoring, sweeping, analyzing and stimulation.
6. Store key Stores the waveform temporarily.
7. Delete key Deletes the currently selected waveforms.
8. Print key Prints the measurement reports.

1. GENERAL
Function Keys
Name Functions
Function keys F1 to F12 The function depends on the program and window. These keys have the same
function as the function keys on the keyboard.

1. GENERAL
Stimulation Control Keys 1
1 2 3
4 5 6
Name Functions
1. Stim Rate (Hz) keys Selects the stimulation rate.
2. Duration keys Selects the duration of stimulation.
3. Single Stim key Performs stimulation once and monitors the waveform.
4. Stim Select key Selects trigger type on the Intensity window.
5. Reset key Resets the intensity of electric stimulation to 0 mA.
6. Intensity dial Adjusts the intensity of electric stimulation and auditory stimulation.
Changes the number of grids during pattern reversal stimulation.

1. GENERAL
PC Unit, CC-230B
To use the PC unit, also refer to the PC unit manual. The position of the
connector and label of the PC unit depends on the manufacturer and might differ
from the following panel description.
CAUTION
Do not connect unspecified USB devices such as USB memory to
this instrument because the device may have a computer virus.
Front Panel
1 2
Name Functions
1. CD/DVD drive Lets you save measured data in a CD or DVD or install optional software from
the installation CD.
2. Power switch Turns the PC unit power on or off.
Rear Panel
1 2 3 4
Name Functions
1. Video connector (DisplayPort) For a sub LCD display. Use the DisplayPort-DVI adapter provided with the PC
unit to connect the DVI-D cable provided with the display.
2. Video connector (VGA) For a main LCD display.
3. USB sockets For main unit, printer, keyboard, control panel unit and mouse.
NOTE
Do not connect the units other than main unit, printer, keyboard, control
panel unit and mouse. Even if a PC unit also has USB connectors on the
front panel, do not use them.
4. AC source socket For the AC power cord. Make sure to connect the power cord to the power unit.
Do not directly connect to the AC outlet on the wall.

1. GENERAL
Power Unit, SC-230B 1

Rear Panel
1 2 3 4 5
Name Functions
1. Isolated outlet For PC unit, LCD displays, printer and display for stimulation.
NOTE
Use these output sockets only the specified instruments. Otherwise, the
fuse blows.
2. AC source socket For connecting a power cord.
3. Non isolated outlet For main unit and SEN-4100 electric stimulator. Supplies 100 to 120 V AC.
4. Equipotential ground terminal Connect this terminal to the equipotential ground terminal on the wall with the
ground lead when the equipotential grounding is required to ensure electrical
safety.
5. Breaker Lights in green when the isolation unit power is on. Turns off when the output
current exceeds 12 A.
NOTE
This is not a power switch.

1. GENERAL
Power Unit, SC-230BK

Rear Panel
1 2 3 4 5
Name Functions
1. Isolated outlet For PC unit, LCD displays, printer and display for stimulation.
NOTE
Use these output sockets only for the specified instruments. Otherwise,
the fuse blows.
2. AC source socket For connecting a power cord.
3. Non isolated outlet For main unit and SEN-4100 electric stimulator. Supplies 220 to 240 V AC.
4. Equipotential ground terminal Connect this terminal to the equipotential ground terminal on the wall with the
ground lead when the equipotential grounding is required to ensure electrical
safety.
5. Breaker Lights in green when the isolation unit power is on. Turns off when the output
current exceeds 6 A.
NOTE
This is not a power switch.

1. GENERAL
Electrode Junction Box, JB-206B/212B 1

Front Panel
2 3 4
1
5
9 10 8 11 7
Name Functions
1. Impedance display LED After the skin-electrode contact impedance check, a lit LED indicates an
electrode impedance lower than the preset value.
2. Electrode jack (DIN type) Mainly for disk electrodes.
3. IMP (kΩ) key Selects a preset impedance (threshold) for evaluation. The LED above the key
(Impedance preset key) indicates the preset value. The preset value changes as follows each time you
press the key.
50 → 20 → 10 → 5 → 2 (kΩ)
4. IMP. TEST key Performs skin-electrode contact impedance for the junction box.
(Impedance check key) The result is displayed on the impedance display LEDs.
5. Needle electrode holder Holds the needle electrode protection tube which holds needle electrodes during
measurement.
6. Electrode lead jack Mainly for needle electrodes.
7. Input On/Off key and lamp Turns the amplifiers on or off. When they are turned on, the lamp lights.
When they are turned off, the lamp lights.
8. E jack For the grounding electrode.
9. Cord hanger For hanging electrode leads and cables.
10. Breakout box socket A Connects to the JB-101B breakout box.*
11. Breakout box socket B Connects to the JB-101B breakout box.*
* When you do not connect breakout boxes to these connectors, make sure to
attach the connector covers.

1. GENERAL
Constant Current Stimulation Unit, MS-230B

Front Panel
Name Functions
1. SOMATO1 connector For somato control box.

(Electric stimulation output 1)
NOTE
• Up to 200 mA constant current electric stimulation can be output. Be
careful when setting the electric current value.
• When performing stimulation, attach the electrodes before increasing
the electric current.
2. SOMATO2 connector For surface stimulation electrodes.

(Electric stimulation output 2)
NOTE
• Up to 100 mA constant current electric stimulation can be output. Be
careful when setting the electric current value.
• When performing stimulation, attach the electrodes before increasing
the electric current.
3. Pod A 1-5 connector For the JS-101B stimulation pod.
4. TEMP connector For thermistor probes.
NOTE
Only use the 409J thermistor probe.

1. GENERAL
Foot Switch, RY-482B 1
1
2
Name Functions
1. Foot switch R, L You can assign the operation for each foot switch. Refer to “Foot Switches”
(Measurement Settings window → Misc Page).
2. Main unit connector Connects to the DC-230B main unit.

1. GENERAL
Somato Control Box, RY-230B (Option)
3
4
6 5
Name Functions
1. Connector For the SOMATO1 connector of the MS-230B constant current stimulation unit.
2. Function button A/B Performs preset operation. The operation for each function button can be set on
the System Settings window.
3. Stimulation intensity adjustment dials

These are on both sides of the somato control box.
• To increase the electric stimulation intensity, turn the dial towards the electrode
side. To decrease the electric stimulation intensity, turn the dial towards the
cable side.
• To perform the single electric stimulation, press the dial. To perform
continuous electric stimulation, hold the dial for several seconds. Stimulation
continues even if you stop holding the dial. To stop stimulation, press the dial
again.
4. Stimulation probes Touch the stimulation probes (+ and −) to the patient to perform electrical
stimulation.
5. Somato attachment To perform electric stimulation using the MS-230B constant current stimulation
unit and disk electrodes, attach the case to the somato control box.
6. Electrode jack For disk electrodes.

1. GENERAL
Active Electrode Cable, BM-230B (Option) 1
1
2
Name Functions
1. Electrode junction box connector Connects to the electrode junction box.
2. Electrode jack Mainly for disk electrodes.

1. GENERAL
Multi Interface Box, JJ-230B (Option)
1 2
3
4
6
Name Functions
1. External input connector Inputs analog data from an external unit such as a recorder. The input conditions
can be set on the System Settings window. You can select 200 mV/DIV or
1 V/DIV.
Max voltage: ±5 V, Input impedance: 100 kΩ
2. External output connector Outputs analog data for an external unit such as recorder. The output condition is
1 V/DIV.
Max voltage: ±5 V, Max current: 10 mA
3. Digital input connector Not used.
4. Connector For the main unit.
5. 6 ch trigger output connectors Outputs trigger signals for external units.

Max voltage: +5 V, Max current: 25 mA
6. 6 ch trigger input connectors Inputs trigger signals from external units and synchronize the trigger signals with
the system.
Max voltage: +5 V, Input impedance: 100 kΩ

Section 2 Installation
2
Introduction........................................................................................................................................................... 2.3
System Location................................................................................................................................................... 2.4
Warnings and Cautions for Installation................................................................................................................. 2.5
General....................................................................................................................................................... 2.5
Network...................................................................................................................................................... 2.6
KD-030A Cart............................................................................................................................................. 2.6
Setting Flow.......................................................................................................................................................... 2.7
Cable Connection................................................................................................................................................. 2.8
Connection Diagram (Example)................................................................................................................. 2.8
Connecting the Units to the PC Unit........................................................................................................... 2.9
Main Unit.......................................................................................................................................... 2.9
Control Panel Unit............................................................................................................................ 2.9
Mouse and Keyboard....................................................................................................................... 2.9
LCD Display................................................................................................................................... 2.10
Printer............................................................................................................................................ 2.10
Connecting the Units to the Main Unit...................................................................................................... 2.10
Constant Current Stimulation Unit.................................................................................................. 2.10
Electrode Junction Box.................................................................................................................. 2.10
Foot Switch.................................................................................................................................... 2.10
Connecting the Stimulation Units....................................................................................................................... 2.11
Connecting the Electric Stimulation Unit and Electrode........................................................................... 2.12
Connecting the Somato Control Box to the Constant Current Stimulation Unit............................. 2.12
Adjusting the Stimulation Intensity................................................................................................. 2.12
Connecting the Surface Stimulation Electrode to the Constant Current Stimulation Unit.............. 2.12
Connecting the Headphone and Earphone.............................................................................................. 2.13
Connecting the Thermistor Probe............................................................................................................ 2.13
Connecting the LED Goggles................................................................................................................... 2.14
Connecting the Display for VEP Stimulation............................................................................................. 2.14
Connecting the Power Cord................................................................................................................................ 2.15
Connecting the Power Cord to the Power Unit......................................................................................... 2.15
Removing the Plug Cover from the Power Unit.............................................................................. 2.15
Connecting the PC Unit to the Power Unit..................................................................................... 2.15
Connecting the LCD Display to the Power Unit.............................................................................. 2.16
Connecting the Printer to the Power Unit....................................................................................... 2.16
Attaching the Plug Cover to the Power Unit................................................................................... 2.16
Connecting the Main Unit to the Power Unit............................................................................................. 2.17
Connecting the Power Unit to the AC Source........................................................................................... 2.17
Connecting the Earth Lead to the Equipotential Grounding Terminal...................................................... 2.17
Cutting Off the Power Supply to the System............................................................................................ 2.18
Connecting to the Network................................................................................................................................. 2.19
Connecting the Breakout Box and Stimulation Pod............................................................................................ 2.20
Connecting the Breakout Box to the Electrode Junction Box................................................................... 2.20
Connecting the Stimulation Pod to the Constant Current Stimulation Unit............................................... 2.20

Preparing the PC Unit........................................................................................................................................ 2.21
Preparing the Printer.......................................................................................................................................... 2.23
Power On Procedure.......................................................................................................................................... 2.24
Checking and Adjusting the Date and Time of the Instrument................................................................. 2.26
Installing the MEB-2300 EMG/EP Measuring System Program............................................................... 2.27
Checking the System Program Version.......................................................................................... 2.27
Installing the System Program....................................................................................................... 2.28
Restarting the MEB Examination Program.............................................................................................. 2.30
Power Off Procedure.......................................................................................................................................... 2.31
When the PC Unit cannot be Turned Off due to System Error................................................................. 2.31
Items to Check when Turning the Power Off............................................................................................ 2.32
Changing the AC Interference Filter Settings..................................................................................................... 2.33
General Requirements for Connecting Medical Electrical Systems................................................................... 2.35
KEY TO TABLE.............................................................................................................................. 2.36

2. INSTALLATION
Introduction
2
This section explains how to install the MEB-2300 EMG/EP measuring system
(hereafter referred to as the system). When you mount the system on the
KD-030A cart, also refer to the cart operator’s manual.
NOTE
Use only Nihon Kohden parts and accessories to assure maximum
performance from your instruments.
MEB-2300 System Composition (Example)

• DC-230B Main Unit
• PV-230V Control Panel Unit
• CC-230B PC Unit
• SC-230B Power Unit (option)
• LCD Display (locally purchased)
• JB-206B, JB-212B Electrode Junction Box
• Printer (locally purchased)
• MS-230B Constant Current Stimulation Unit (Up to two units are available,
one of the units is a standard accessory and the other is an option)
• KD-030A Cart (option)
LCD display
(Locally purchased)
JB-206B/JB-212B
electrode junction box
DC-230B main unit
PV-230B control KD-030A cart

panel unit
CC-230B PC unit MS-230B constant

current stimulation
unit
Printer
(Locally purchased)
SC-230B/BK
power unit

2. INSTALLATION
System Location
The system measures very small electrical potential changes like evoked
potentials (0.5 to 10 µV) so ideally it should be installed in a shielded room
which provides constant environmental conditions.
Select the examination locations as follows and also refer to “GENERAL

HANDLING PRECAUTIONS” and “Warnings and Cautions for Installation” in
this section.
CAUTION
Do not install the electrode junction box above the patient. An
electrode junction box located above the patient may fall and injure
the patient.
• Install the system in the room where the system can be properly grounded.
• Install the system so that the system is kept away from a power line, dynamo
or motor which has electromagnetic induction.
• Install the system so that the system is kept away from an equipment with high
power consumption, such as X-ray equipment.
• Install the system so that the system is not influenced by noises from the
instrument such as radio frequency treatment device, electrosurgical unit or
displays for other system or instrument.
• Avoid vibration, high temperature, direct sunlight, high humidity and water
splashes.
• Install the system so that there are no influence from a cellular phone or pager.
• Install the system so that system does not receive high frequency electric
interference such as radio or TV stations, cellular phones or two-way radios.
• When using electric bed or electric blanket, disconnect its power cord or
ground it during examinations.
NOTE
• A sudden loss of power or extreme power surge may damage data
and the PC unit. If you use the system in the circumstance with
inadequate power supply, to assure interrupted power supply, use an
uninterruptable power supply (UPS).
• If the system is used near strong electromagnetic waves such as
shortwave or microwave therapy equipment, output from the electric
stimulator may be unstable, the waveform trace may be thicker, or the
display may flicker. It is not a system malfunction. Keep the system
away from the source of the electromagnetic interference.
• When you use the optional KD-030A cart for mounting the MEB-2300
system, do not move the cart with the LCD arm out of the top table of
the cart. The cart may tip over.
For external instrument connection and local area network connection, refer
to “General Requirements for Connecting Medical Electrical Systems” in this
section.

2. INSTALLATION
Warnings and Cautions for Installation

2
General
WARNING WARNING
Connect only the specified instrument to the Only use the provided power cord. Using other
system and follow the specified procedure. power cords may result in electrical shock or
Failure to follow this warning may result in injury to the patient and operator.
electrical shock or injury to the patient and
malfunction.
WARNING WARNING
When connecting an external instrument to the Before and while using the system, make sure
following connectors on this system, ensure that that all connectors are connected to the correct
the external instrument has an internal isolation instrument. If the metal part of a disconnected
unit. If the external instrument does not have the connector is touched, the patient or operator
internal isolation unit, use a locally available might receive electrical shock or skin burn.
medical use isolation transformer unit between
the external instrument and the AC outlet. Failure
WARNING
to follow this warning may cause electrical shock
Do not use a multiple portable socket outlet or
or injury to the patient and operator.
extension cord. The patient or operator might
• External Input/Output connectors
receive electrical shock.
• PATTERN connector
• Trigger In/Out connectors
• Digital Input connector
• LINE Input connector
• EXTERNAL SPEAKER connector
CAUTION CAUTION
Connect only the specified instrument to the Before connecting or disconnecting instruments,
system and follow the specified procedure. If an make sure that each instrument is turned off and
unspecified instrument is connected, it may the power cord is disconnected from the AC
cause system malfunction or loss of data by socket. Otherwise, the patient or operator may
radiated electrostatic energy or harmonic receive electrical shock or injury.
CAUTION
Connect the power cord connector to an outlet
which is separated from the power switchboard
and has 20 A or more of current.

2. INSTALLATION
Network
WARNING WARNING
Install all network devices, including printer and Do not use a damaged network cable. The patient
hubs, outside the patient environment (IEC or operator may receive electrical shock when the
60601-1-1). If they are installed inside the patient damaged part is touched.
environment, the patient or operator may receive
electrical shock or injury. For installation, contact
your Nihon Kohden representative.
WARNING
Connect the system to network as specified.
Otherwise the patient and operator may receive
electrical shock or injury. To connect the network,
KD-030A Cart
CAUTION CAUTION
Use only the KD-030A cart for this system. If the When moving the cart, close the keyboard table
specified cart is not available and you must use by pushing it until it clicks.
another cart, use a cart that complies with IEC
60601-1. Otherwise, the cart may tip over and the
CAUTION
cart and system components may break. Also
When you use the KD-030A cart, use the
secure the cables of the instrument to ensure
specified tools for cart assembly.
electrical safety and to prevent components from
falling off or cable disconnection.
CAUTION CAUTION
• Do not move the cart with the casters locked. Be careful not to pinch your fingers between the
The cart may tip over. PC unit, main unit, isolation unit, printer and cart.
• When moving the cart, hold the handle of
the cart. Never hold the arm for the electrode
CAUTION
junction box.
Use the KD-030A cart only for mounting the
MEB-2300 EMG/EP measuring system.
CAUTION CAUTION
Do not sit or put your weight on the keyboard Do not ride on the cart. You may fall off and get
table. If weight is placed on the table, it may injured.
break and cause injury.

2. INSTALLATION
Setting Flow
2
1. Check that all ordered system components are present and not damaged.
NOTE
If there is any damaged or missing component, contact your Nihon
Kohden representative.
2. If you use the optional KD-030A cart, mount the system components on the
KD-030A. For details, refer to the KD-030A cart operator’s manual.
3. Connect the cables. For details, refer to “Cable connection” in this section.
4. Connect the stimulation units to the system. For details, refer to “Connecting
the Stimulation Units” in this section.
5. Connect the power cords of each units. For details, refer to “Connecting the
Power Cord” in this section.
6. Connect the breakout box and stimulation pod to the system. For details,
refer to “Connecting the Breakout Box and Stimulation Pod” in this section.

2. INSTALLATION
Cable Connection
Connection Diagram (Example)

LCD display*
Control panel unit
Main unit
SOMATO PC unit
Constant current
stimulation unit
Mouse Printer*
Keyboard Multi
interface box
To the ground terminal

Power unit
To the outlet
* Locally purchased unit.
Optional Power Cord

Description
YZ-001A1 power cord UL For the KD-030AJ cart or the SC-230B power unit
YZ-001A3 power cord N For the KD-030AK cart or the SC-230BK power unit
YZ-001A8 system power cable (50 cm)
YZ-001A9 system power cable (160 cm) For non-isolated units such as LCD display and printer
YZ-002A0 system power cable (250 cm)
NOTE
The shape of the plug depends on the country where the system is used. When you use a locally purchased
power cord, use a power cord rated for AC 125 V, 13 A for the KD-030AJ cart or the SC-230B power unit and
use a power cord rated for AC 250 V, 10 A for the KD-030AK cart or the SC-230BK power unit.

2. INSTALLATION
Connecting the Units to the PC Unit
CAUTION 2
Do not connect unspecified USB devices such as USB memory to
this instrument because the device may have a computer virus.
Main Unit
Rear panel of the main unit
Connect the main unit to the PC unit using the USB cable (accessory of the main
unit). On the PC unit, use the USB connector on the left column and third from
the top.
Rear panel of the
PC unit NOTE
Do not disconnect the USB cable while the system is operating. Unsaved
data may be lost.
Control Panel Unit

Control panel unit
Connect the control panel unit to the PC unit. On the PC unit, use the USB
connector on the bottom of the left column.
Rear panel of the PC unit
Mouse and Keyboard
Connect the mouse and the keyboard to the PC unit. On the PC unit, use the USB
connector on the bottom of the right column for the mouse and top of the right
column for the keyboard.
Keyboard Mouse

2. INSTALLATION
LCD Display
LCD display (example)
Connect the LCD display to the PC unit. The position of the video connector on
the LCD display depends on the LCD model.
Rear panel of the printer (example) Printer
Connect the printer to the PC unit with a USB cable (accessory of the printer).
The position of the USB connector on the printer depends on the model of the
printer.
On the PC unit, use the USB connector on the left column and second from the
top for the printer.
Connecting the Units to the Main Unit

Constant Current Stimulation Unit
Connect the constant current stimulation unit connector to the “SOMATO1/2”
connector on the main unit. Make sure to lock the cable connector.
When you use two constant current stimulation units, connect the second
constant current stimulation unit connector to the “SOMATO3/4” connector on
the main unit.
Electrode Junction Box

Connect the electrode junction box connector to the “JB” connector on the main
unit. Make sure to lock the cable connector.
Foot Switch
Right side of the main unit
Connect the foot switch cable to the “FOOT SW” connector on the right side of
the main unit.

2. INSTALLATION
Connecting the Stimulation Units

2
WARNING WARNING
Connect only the specified instrument to the When using an electrically controlled
system and follow the specified procedure. neurovascular intervention device such as an
Failure to follow this warning may result in endovascular coil, follow the instructions of the
electrical shock or injury to the patient and device’s manual.
malfunction.
WARNING
For patients with the following conditions, all stimulation (activations) must be applied under the supervision
of the physician in charge.
• Patients with a history of epilepsy, cortical lesions, convexity skull defects, raised intracranial pressure,
neurological or psychiatric disorders or cardiac disease
• Patients with a history of cerebral aneurysm treatment using surgical devices such as vascular clips or
shunts, or a neurovascular intervention device such as an endovascular coil
• Patients under proconvulsant medications or anesthetics
• Patients with any type of implanted biomedical device (e.g. intracranial electrodes, cochlear implant or
cardiac pacemaker) or any metallic fragments or plate in the head
For those patients, there is the possibility of the following potential hazards:
• Tongue or lip laceration
• Mandibular fracture
• Seizure
• Cardiac arrhythmia
• Scalp burn
• Intraoperative awareness
For details, refer to the references for the safety issue:

• MacDonald D.B.: Safety of Intraoperative Transcanial Electrical Stimulation Motor Evoked Potential Monitoring. J. Clin.
Neurophysiol. 19(5): 416-429, 2002
• MacDonald D.B.: Intraoperative Motor Evoked Potential Monitoring: Overview and Update. J. Clin. Monitoring and
Computing. 20(5): 347-377, 2006
CAUTION CAUTION
Before connecting or disconnecting instruments, Connect only the specified instrument to the
make sure that each instrument is turned off and system and follow the specified procedure. If an
the power cord is disconnected from the AC unspecified instrument is connected, it may
socket. Otherwise, the patient or operator may cause system malfunction or loss of data by
receive electrical shock or injury. radiated electrostatic energy or harmonic

2. INSTALLATION
Connecting the Electric Stimulation Unit and Electrode

Connecting the Somato Control Box to the Constant Current
Stimulation Unit
SOMATO 1 To use the optional RY-230B somato control box, connect the somato control
connector box connector to the “SOMATO 1” connector on the constant current stimulation
unit.
NOTE
After attaching the stimulation electrode to the patient, start the
stimulation intensity from 0 mA and increase gradually. Failure to follow
this instruction may apply up to 200 mA constant current to the patient.
Constant current
stimulation unit
RY-230B somato control box
Adjusting the Stimulation Intensity
To adjust the stimulation intensity, toggle the “Intensity” dial on the control panel
unit or stimulation intensity adjustment dial.
Stimulation intensity
adjustment dial
Connecting the Surface Stimulation Electrode to the Constant
Current Stimulation Unit
SOMATO 2 To use the optional NM-420S surface stimulation electrode, connect the
connector connector of the surface stimulation electrode to the “SOMATO 2” connector on
the constant current stimulation unit.
NOTE
After attaching the stimulation electrode to the patient, start the
stimulation intensity from 0 mA and increase gradually. Failure to follow
this instruction may apply up to 100 mA constant current to the patient.
Constant current
stimulation unit
NM-420S surface stimulation electrode

2. INSTALLATION
Connecting the Headphone and Earphone

Right side panel of the main unit Connect the headphone or earphones to the “AUDITORY” connector on the right
side panel of the main unit.
2
AUDITORY connector DR-531B-14 headphones DR-531B-15 headphones (for child)
BM-701B extension cord

YE-103J earphones
for headphones and earphones
Connecting the Thermistor Probe

Connect the thermistor probe to the “TEMP” connector of the constant current
stimulation unit.
NOTE
Only use the 409J thermistor probe.
TEMP
connector
Constant current
stimulation unit

2. INSTALLATION
Connecting the LED Goggles

Right side panel of the main unit Connect the LED goggles to the “GOGGLE” connector on the right side panel of
the main unit.
BM-702B extension cord

LS-102J LED goggles
for LS-102J LED goggles
GOGGLE connector
Connecting the Display for VEP Stimulation
WARNING
When connecting an external instrument to the PATTERN connector
on this system, ensure that the external instrument complies with the
IEC 60601-1 safety standard for medical equipment and CISPR 11
Group 1 Class B standard, or the equivalent. When the external
instrument does not comply with these standards, use a locally
available medical use isolation transformer unit between the external
instrument and the AC outlet. Failure to follow this warning may
cause electrical shock or injury to the patient and operator.
Connect the VGA socket on the optional VD-403B display for stimulation and
PATTERN connector on the main unit with a VGA cable.
VD-403B display
VGA cable
PATTERN connector
Right side panel of the main unit

2. INSTALLATION
Connecting the Power Cord

2
WARNING WARNING
Only use the provided power cord. Using other Ground the system and other instruments which
power cords may result in electrical shock or are used together to the same one-point ground.
injury to the patient and operator. Any potential difference between instruments
may cause electrical shock to the patient and
operator.
Connecting the Power Cord to the Power Unit

Removing the Plug Cover from the Power Unit
When using an SC-230B power unit, do the following procedure. When using a
different power unit, skip the following procedure and follow the manual of your
Power unit
power unit.
1. Remove the screws of the plug cover to remove the plug cover for the
isolated outlets from the power unit.
2. Connect the power cords of the PC unit, printer and LCD displays. For
details, refer to the following.
Plug cover
Connecting the PC Unit to the Power Unit
Rear panel of the PC unit Connect the PC unit power cord to the isolation outlet of the power unit.
When using the optional SC-230B power unit, connect the power cord to the
outlet on the bottom of the right column.
Rear panel of the power unit

2. INSTALLATION
Connecting the LCD Display to the Power Unit
Rear panel of the LCD display Connect the LCD display power cord to the isolation outlet of the power unit.
(example)
outlet on the middle of the right column.
Connecting the Printer to the Power Unit
Rear panel of the printer Connect the printer power cord to the isolation outlet of the power unit.
(example)
outlet on the top of the right column.
Power unit Attaching the Plug Cover to the Power Unit
When using an SC-230B power unit, do the following procedure. When using a
different power unit, skip the following procedure and follow the manual of your
Plug cover power unit.
Attach the plug cover removed in the “Removing the Plug Cover from Power
Unit” with the screws.

2. INSTALLATION
Connecting the Main Unit to the Power Unit
Rear panel of the main unit Connect the main unit power cord to the non-isolated outlet of the power unit.
2
non-isolated outlet on the left.
Connecting the Power Unit to the AC Source

Rear panel of the power unit Connect the power unit to the AC outlet on the wall. Make sure to use the
3-prong power cord provided with the system to ground the power unit.
CAUTION
Connect the power cord connector to an outlet which is separated
from the power switchboard and has 20 A or more of current.
Power cord
Connecting the Earth Lead to the Equipotential Grounding Terminal

Rear panel of the power unit If equipotential grounding is needed, connect the power unit and main unit
equipotential grounding terminals (terminal marked with ) to the earth on the
wall using the earth lead provided with the system.
Earth lead
Earth lead

2. INSTALLATION
Necessity of Equipotential Grounding

When more than two electrical instruments are used together, there may be
electrical potential difference between the instruments. Potential difference
between instruments may cause current to flow to the patient connected to the
instruments, resulting in electrical shock. Never use any medical equipment
without proper grounding.
Always perform equipotential grounding when required. It is often required

in the OR, ICU, CCU, cardiac catheterization room and cardiovascular x-ray
room. In other rooms, equipotential ground is recommended. Consult a qualified
biomedical engineer to determine if it is required.
When you ground several instruments at one terminal, use a thick braided wire to
securely connect the ground lead to the equipotential terminal.
Cutting Off the Power Supply to the System

To cut off the power supply to the system, disconnect the power cord of the
system from the wall AC outlet. When installing the system, position the system
so that it is easy to disconnect the power cord from the wall AC outlet.

2. INSTALLATION
Connecting to the Network

2
WARNING
Connect the system to network as specified. Otherwise the patient
and operator may receive electrical shock or injury. To connect the
network, contact your Nihon Kohden representative.
WARNING
Install all network devices, including printer and hubs, outside the
patient environment (IEC 60601-1-1). If they are installed inside the
patient environment, the patient or operator may receive electrical
shock or injury. For installation, contact your Nihon Kohden
representative.
WARNING
Do not use a damaged network cable. The patient or operator may
receive electrical shock when the damaged part is touched.
For external instrument connection and local area network connection, refer
to “General Requirements for Connecting Medical Electrical Systems” in this
section.
When connecting the system to the network, make sure to use the network cable
with Nihon Kohden QW-100Y hyper isolation transformer (HIT-100).
NOTE
• To disconnect cables connected to the hyper isolation transformer, use
the specified tool.
• Discharge static electricity before touching a network connector. The
connector is easily affected. When not using the network connector,
make sure to put a connector cover on the connector.
• Put the hyper isolation transformer where the instrument cannot get wet
or accidentally stepped on.

2. INSTALLATION
Connecting the Breakout Box and Stimulation Pod
Connecting the Breakout Box to the Electrode Junction Box

Connect the breakout box to the connector of the electrode junction box
(JB-206B/JB-212B).
1. Remove the connector cover by inserting a flat blade screwdriver into the
JB-101B breakout box slot beside the connector cover. Keep the removed connector covers and do
not throw them away.
Electrode
junction box
Connector cover
2. Connect breakout boxes to the breakout box sockets.
Breakout box sockets
NOTE
When you disconnect the breakout boxes from the electrode junction box,
make sure to reattach the connector covers.
Connecting the Stimulation Pod to the Constant Current Stimulation Unit

Connect the stimulation pod to the “Pod A” connector of the constant current
stimulation unit.
Pod A connector
JS-101B stimulation pod
Constant current stimulation unit

2. INSTALLATION
Preparing the PC Unit

2
Before using the system, confirm that the Windows settings are as follows. These
are the factory default settings. Only use the factory default settings. Otherwise,
the system program might not operate correctly.
If any of the following Windows settings are not the factory default settings, use
the following procedure to change the setting to the factory default.
• Screen Saver: none

1. Right-click the Desktop and click Personalize from the pop-up menu.
2. On the Personalize window, click “Screen Saver” and select “none” for the
screen saver.
• Sidebar: uncheck
1. Click the Windows Start menu and select Control Panel.
2. On the Control Panel window, click “Windows Sidebar Properties”.
3. Uncheck the “Start Sidebar when Windows starts” check box.
• Application Compatibility functions: off

1. Click the Windows Start menu and select Run.
2. On the Run window, enter “mmc” in the text box and press the Enter key
on the keyboard. The Console1 window opens.
3. On the Console1 window, Select “Add/Remove Snap-in...” from the File
menu. The Available Snap Ins window opens.
4. On the Available Snap Ins window, select “Group Policy Object” and click
the Add> button.
5. On the next window, click the Finish button. A new tree appears.
6. On the new tree, select “Local Computer Policy” – “Computer
Configuration” – “Administrative Templates” – “Windows Components” –
“Application Compatibility”.
7. Set the “Turn Off Application Compatibility Engine”, “Turn Off Program
Compatibility Wizard” and “Turn Off Program Compatibility Assistant”
settings to “Enabled”.
8. Close the Console1 window without saving the settings.
• UAC: off
This function must be set after you set the Application Compatibility functions
to off.
2. On the Control Panel window, click “User Account”.
3. Click “Turn User Account Control on or off”.
4. Uncheck the “Use User Account Control (UAC) to help protect your
computer” check box and click the OK button.
5. Restart the computer.
• Notify Alerts from Security Center: off

2. INSTALLATION

2. On the Control Panel window, click “Security Center”.
3. Click “Change the way Security Center alerts me” then click “Don’t notify
me and don’t display the icon (not recommended)”.
• Windows Defender: off

2. On the Control Panel window, click “Windows Defender”.
3. Click “Tools” then select “Option”.
4. Uncheck the “Administrator options – Use Windows Defender” check box
and click the Save button.
5. An alert message appears. Accept the changed settings.
• Problem Reports and Solutions: on

2. On the Control Panel window, click “Problem Reports and Solutions”.
3. Click “Change Settings” from “Tasks”.
4. Check the “Ask me to check if a problem occurs” check box and click the
OK button.
• Windows Update: off

2. On the Control Panel window, click “Windows Update”.
3. Click “Change Settings”.
4. Check the “Never check for updates (not recommended)” check box and
click the OK button.
• Assign the turning off function to the power button on the screen
2. On the Control Panel window, click “Power Options”.
3. Click “Choose what the power button does”.
4. Set “When I press the power button” to “Shut down”.
• Turn off display: off

Sleep mode: off
2. On the Control Panel window, click “Power Options”.
3. Click “Choose when to turn off the display”.
4. Set “Turn off the display” and “Put the computer to sleep” to “Never”.
• AutoPlay: off
2. On the Control Panel window, click “AutoPlay”.
3. Uncheck the “Use AutoPlay for all media and devices” check box.

2. INSTALLATION
• Automatic defragmentation: off

1. Click the Windows Start menu and select Run.
2. On the Run window, enter “dfrgui” in the text box and press the Enter key 2
on the keyboard. The Disk Defragmenter window opens.
3. Uncheck the “Run on a schedule” check box.
• Synchronize with an Internet time server: off

2. On the Control Panel window, click “Date and Time”.
3. Click “Change Setting”.
4. Uncheck the “Synchronize with an Internet time server” check box.
Preparing the Printer
Before using the printer, check that there is enough paper and toner.
To refill paper and change the toner cartridge, refer to the printer’s manual.

2. INSTALLATION
Power On Procedure
NOTE
The system operates by loading programs in the hard disk. Never turn
off the PC unit from when you turn the system power on to when the
NeuroWorkbench window opens. If you turn the power off while the PC
unit is loading the program, the programs may be damaged.
1. Before turning the power on, check the following items. If there is any
damage, attach an “Unusable” or “Repair request” label to the system and
The first time that you turn the system power on after installing the SC-230B
power unit, turn the breaker on the SC-230B power unit rear panel on and
check that the green lamp lights. And also turn the LCD display and printer
power on. Once you turn on the breaker, display power and printer power,
you do not have to turn them on or off again.
Breaker
Check Items before Turning the Power On
Overview:
• System is not dirty, damaged or in contact with liquid.
• Power cord is not damaged.
• No key on the keyboard is broken.
• No electrode is dirty or damaged.
• No electrode lead is frayed or damaged.
Connection:
• Power cords and ground lead are properly connected.
• Electrode junction box, constant current stimulation unit, PC unit, foot
switch, earphones, headphone, LED goggles and/or display for stimulation
are properly connected.
• Display, keyboard, mouse and printer are properly connected.
• Paper is loaded on the printer.
Accessories:
• Enough electrodes.
• Enough EEG paste.
• Enough paper for the printer.
2. Turn the main unit power on. The power switch is on the front panel.
3. Turning the PC unit power on. Check that the power lamp lights.
If Windows does not start and there are following messages, set time and
date of the PC unit. For setting the time and date, refer to “Setting BIOS” in
Section 7.

2. INSTALLATION
Message
“Time-of-day not set – please run SETUP program”
“Strike the F1 key to continue, F2 to run the setup utility” 2
4. Wait until Windows starts and the NeuroWorkbench window opens.
For details on starting Windows, refer to the Windows manual or online

help.
Check Items after Turning the Power On:

• No fire, smoke or smell.
• No electrical shock when touching the system.
• System is not too hot.
• System does not affect surrounding equipment.
• All operation indicators light.
• There is no malfunction or error message.
• The screen display (such as brightness, contrast, color, no distortion) is
correct.
• The date and time on the screen is correct.
• The mouse operates correctly.
• All keys on the keyboard operate properly.
• All keys and controls on the operation panel operate correctly.
• All programs operate correctly.
• All settings (such as montage and amplifier setting) are correct.
• Calibration waveform is properly displayed and recorded:

No noise on the calibration waveform.
Amplitude of the calibration waveform is correct.
• The measured waveform is properly displayed (not flat).
• Auditory stimulators operate correctly.

• Visual stimulators operate correctly.
• Electrical stimulators operate correctly.
• Monitored waveform sound is correct.
• All storage devices (hard disk drive and CD/DVD-RW drive) operate
correctly.
• All storage media have enough space to save measured data files (hard
disk drive and CD/DVD-RW drive).
• Printer operates correctly (paper feed, intensity, no jamming).
• There is no error message on the screen or abnormality during operation.
• Optional equipment operates correctly.

• External equipment operates correctly.

2. INSTALLATION
NOTE
When the monitoring waveforms are flat or there is AC interference even
if the impedance is less than 5 kΩ, immediately remove the electrodes
from the patient and check the calibration waveform and connection of
the electrode junction box. If the waveforms are still flat or influenced by
noise after you check the calibration waveform and connection of the
electrode junction box, clearly mark that the instrument is out of order and
Checking and Adjusting the Date and Time of the Instrument
CAUTION
When using the instrument for brain death diagnosis, before
examination, check and adjust the date and time of the system. The
date and time on the screen and recording result are part of
important information for the medical record.
To adjust the date and time, open the Date and Time dialog box of Windows.
This dialog box can be opened by clicking the time display on the Task bar on
the desktop. For details, refer to the Windows manual or online help.

2. INSTALLATION
Installing the MEB-2300 EMG/EP Measuring System Program

NOTE
The system program installed at the factory might not be the latest
2
version. Check the version of the system program and install the system
program in the installation CD before use if the system program is not the
latest version.
Checking the System Program Version
Before use, check the system program version.
1. Check the system program version printed on the installation CD label.

Installation CD
System program version
Tab 2. Check the version of the program installed in the PC unit.

i) Turn the PC unit on. NeuroWorkbench automatically opens.
ii) On the NeuroWorkbench, click a tab for an examination protocol page,
then click a protocol button on the examination protocol page. The
Examination List and examination window opens.
iii) Check the system program version displayed on the bar beside the
Protocol button Examination List.
Examination List
System program version

2. INSTALLATION
Installing the System Program
If the system program installed in the PC unit is not the latest version, install the
system program in the installation CD before use.
1. Turn the PC unit power on. Confirm that Windows starts.
2. Insert the installation CD into the CD/DVD drive of the PC unit.
3. Close all examination programs and Windows applications.
4. Select Run from the Windows start menu. The Run dialog box opens.
5. Enter the following in the text box on the Run dialog box and click the OK
button.
E:\setup.exe
(E is the CD/DVD drive letter.)

2. INSTALLATION
The Wizard for installing the MEB system program and examination
programs opens.
2
6. Click the Next button. The installation starts.
7. When the confirmation window below appears, click “Install this driver
software anyway”.
8. The confirmation window in step 7 appears again. Click “Install this driver
software anyway.” again.
9. When the following message appears, select “Yes, I want to restart my

computer now” and click the OK button. The PC automatically restarts.

2. INSTALLATION
Restarting the MEB Examination Program

The NeuroWorkbench window automatically opens when you turn the PC unit
on. If you accidentally close the NeuroWorkbench window during operation,
restart it by the following procedure.
1. Click the button on the Window task bar. The menu window opens.
2. Click “Nihon Kohden” on the menu window.
3. Click “NeuroWorkbench” on the menu. The NeuroWorkbench main window

opens.
Step 2
Step 3
Step 1

2. INSTALLATION
Power Off Procedure

2
NOTE
Before turning the PC unit and the main unit power off, close all the
programs including the examination programs and NeuroWorkbench.
1. Click the button at the bottom of the screen.
2. Confirm that the PC unit power is off, then turn the main unit power switch
○
off by pressing the side of the main unit power switch. Confirm that the
main unit power lamp is off.
When the PC Unit cannot be Turned Off due to System Error

Turning the PC Unit Power Off
If you cannot turn the PC unit off due to system trouble such as PC unit lock,
wait until the hard disk access lamp of the PC unit is not lit and then hold the PC
unit power button for 5 seconds.
NOTE
If you turn the PC unit off by holding the PC unit power button for more
than 5 seconds, unsaved data is lost.
Turning the PC Unit Power On Again

After turning the PC unit power off by the above procedure, wait about
10 seconds, and then turn the PC unit power on again. Refer to “Power On
Procedure” in this section.

2. INSTALLATION
Items to Check when Turning the Power Off

Before Turning the Power Off
• The measured data has been saved.
• The disk access lamp of the PC unit is not lit.
Abnormality of the Operation

• There was no abnormality during operation.
Overview
• The system is not dirty and there are no scratched or damaged parts.
Storage
• The electrodes are clean.
• If the system got wet, wipe and dry it completely.
• All units such as somato control box, LED goggles, headphone and foot switch
are put back to their original position.
• There is enough paper and toner for the printer.
• All units are turned off.
• There are no chemicals or liquid near the system.
• The system is stored in a proper environment.

2. INSTALLATION
Changing the AC Interference Filter Settings

2
NOTE
• The AC filter which decreases the AC interference is set to 60 Hz at
the factory. If you use the system in a 50 Hz commercial environment,
change the AC interference filter settings by the following procedure.
• Do not change the AC filter frequency during measurement. This affects
the measured value.
1. On the NeuroWorkbench window, click the “System Settings” function

button at the bottom of the window.
System Settings function button
The System Settings window opens.

2. INSTALLATION
2. On the System Settings window, click the “50 Hz” radio button for “AC
Filter”.
AC Filter
OK button Cancel button
3. Click the OK button to close the dialog box. To cancel setting AC filter, click
the Cancel button.

2. INSTALLATION
General Requirements for Connecting Medical Electrical

2
Systems
When more than one electrical instrument is used, there may be electrical
potential difference between the instruments. Potential difference between
instruments may cause current to flow to the patient connected to the
instruments, resulting in electrical shock. Therefore, electrical instruments must
be appropriately installed as specified in IEC 60601-1-1: 2000 Second edition.
The following is an extract from IEC 60601-1-1 “Medical electrical equipment

Part 1-1: General requirements for safety”. For details, refer to IEC 60601-1-1
and consult with a biomedical engineer.
Examples of combinations of MEDICAL ELECTRICAL EQUIPMENT and

non-medical electrical equipment
Medically used room
Feasible solution (See
Outside the Non-medically used
Situation No. Inside the PATIENT clause 19 in all
PATIENT room
ENVIRONMENT situations)
ENVIRONMENT
1 1a Items A and B in
PATIENT A B
ENVIRONMENT
IEC IEC
60601 60601
1b Items A and B in For B: Additional

PATIENT A B protective earth or
ENVIRONMENT separating transformer
IEC IEC
60601 XXXXX
1c Item A powered For B: Additional
from specified power A protective earth or
IEC 60601
supply in item B in separating transformer
PATIENT B
ENVIRONMENT IEC XXXXX
2 2a Item A in
PATIENT A B
ENVIRONMENT and
IEC IEC
item B in medically
60601 60601
used room
2b Item A in For B: See 19.201 and its
PATIENT A B rationale
ENVIRONMENT and
IEC IEC
item B in medically
60601 XXXXX
used room
3 3a Item A in For B: See 19.201 and its
PATIENT A B rationale
ENVIRONMENT and IEC 60601
IEC or
item B in non-medically
60601 IEC XXXXX
used room
common protective earth
3b Item A in For B: Additional
A B
PATIENT protective earth or
IEC 60601
ENVIRONMENT and SEPARATION DEVICE
IEC or
item B in non-medically
60601 IEC XXXXX
used room
protective earth with
protective earth
potential difference

2. INSTALLATION
KEY TO TABLE
• Additional protective earth: If necessary, provide additional protective

earthing, which is permanently connected (see also 58.201).
NOTE: Equipment modification may be required.
• Separating transformer: If necessary, limit the ENCLOSURE LEAKAGE
CURRENT, by using an additional separating transformer according to annex
EEE.
NOTE 1: No equipment modification is required.
NOTE 2: A separating transformer is a transformer with one or more input
winding(s) separated from the output winding(s) by at least basic
insulation [IEC 60989].
• SEPARATION DEVICE: If necessary, apply SEPARATION DEVICE.
• IEC 60601: MEDICAL ELECTRICAL EQUIPMENT in compliance with IEC
60601.
• IEC XXXXX: Non-medical equipment in compliance with relevant IEC safety
standards.
NOTE
All system components (main unit, PC unit, electrode junction box,
constant current stimulation unit, foot switch, printer and display) may be
installed inside the patient environment.

Section 3 Basic Operation
3
3-1
Section 3-1 Basic Examination Flow and Operation.......................................................................................3-1.1
Section 3-2 NeuroWorkbench.........................................................................................................................3-2.1 3-2
Section 3-3 Examination List...........................................................................................................................3-3.1
3-3
Operator’s Manual MEB-2300 3-0.1

Section 3-1 Basic Examination Flow
and Operation 3
3-1
Basic Examination Flow....................................................................................................................................3-1.3
Entering the Patient Information........................................................................................................................3-1.4
Entering Examination Information.....................................................................................................................3-1.4
Selecting an Examination Protocol or Examination Program............................................................................3-1.5
Selecting an Examination Protocol from NeuroWorkbench....................................................................3-1.5
Opening the NeuroWorkbench Main Menu Window.....................................................................3-1.5
Selecting an Examination Protocol...............................................................................................3-1.5
Selecting an Examination Program from the Examination List...............................................................3-1.6
Opening the Examination List.......................................................................................................3-1.6
Selecting an Examination Program...............................................................................................3-1.6
List of Examination Programs.................................................................................................................3-1.6
Closing the Examination Program...........................................................................................................3-1.7
Checking the Measurement Settings.................................................................................................................3-1.7
Opening the Measurement Settings Window..........................................................................................3-1.7
Checking the Skin-electrode Contact Impedance.............................................................................................3-1.8
Performing Skin-electrode Contact Impedance Check............................................................................3-1.8
Operations during Examinations.....................................................................................................................3-1.11
Monitoring Waveforms...........................................................................................................................3-1.11
Performing Stimulation and Displaying Evoked or MUP Waveforms.....................................................3-1.11
Starting Averaging or Analysis..............................................................................................................3-1.12
Stopping Displaying Waveforms, Stimulation, Averaging or Analysis....................................................3-1.12
Other Operations...................................................................................................................................3-1.13
Select the Function Displayed on the Screen.............................................................................3-1.13
Displaying or Hiding the Calibration Waveform...........................................................................3-1.13
Turning the Baseline Reset Function On or Off..........................................................................3-1.13
Turning the Hum Filter On or Off.................................................................................................3-1.13
Changing the Display Gain.........................................................................................................3-1.14
Changing the Time Scale............................................................................................................3-1.14
Selecting Waveforms...................................................................................................................3-1.15
Moving the Selected Waveforms.................................................................................................3-1.15
Measuring the Latency Using Cursors........................................................................................3-1.16
Measuring the Amplitude Using Cursors....................................................................................3-1.16
Displaying or Hiding the Waveforms............................................................................................3-1.16
Changing the Stimulation Settings..................................................................................................................3-1.17
Changing the Stimulation Side..............................................................................................................3-1.17
Changing the Intensity...........................................................................................................................3-1.17
Changing the Stimulation Rate..............................................................................................................3-1.17
Changing the Stimulation Duration (Electric Stimulation Only).............................................................3-1.18
Selecting the Trigger Type.....................................................................................................................3-1.18
Performing Single Stimulation...............................................................................................................3-1.18
Initializing the Intensity..........................................................................................................................3-1.18
Saving the Measurement Data........................................................................................................................3-1.19
Saving the Waveforms and Analysis Result on the Screen...................................................................3-1.19

Deleting the Waveforms and Analysis Results on the Screen...............................................................3-1.19
Saving Measurement Files....................................................................................................................3-1.20
Printing............................................................................................................................................................3-1.21
Making a Hardcopy of the Current Window...........................................................................................3-1.21
Printing the Measurement Results Using a Default Format..................................................................3-1.21
Creating a Report............................................................................................................................................3-1.22
Explanation of the Menu Command and Tool Buttons on the Examination Window.......................................3-1.23
Operations Using the Keyboard.......................................................................................................................3-1.27
3-1.2 Operator’s Manual MEB-2300

3-1. BASIC EXAMINATION FLOW AND OPERATION
Basic Examination Flow
The basic examination flow is as follows. 3

Procedure
3-1
1 Enter patient information.
examination
2 Select examination protocol.
Before
3 Check the measurement settings.
4 Attach the electrodes to the patient.
If you perform evoked potential measurements, check the skin-
5
electrode contact impedance.
Open the Monitor window.
6 • Check the raw waveforms (other than EMG)
During examination
• Acquire waveforms (EMG)

Open the Sweep window.
• Start stimulation and display evoked waveforms (other than
7
EMG)
• Temporarily save the acquired MUPs in the memory (EMG)
Open the Average window.
8 • Start averaging the waveforms (other than EMG)
• Start averaging the MUPs if necessary (EMG)
9 Stop the measurements.
10 Store the measured waveforms.
examination
11 Perform calculation.
After
12 Save measurement data in the hard disk.

13 Print the examination results.
Devices, Menu Bar and Tool Buttons Used for Operation

You can operate the system using the following devices, menu bar and tool
buttons.
• Tool buttons
The buttons above the examination window. For operation, click the button.
• Menu bar
The bar above the examination window. For operation, click the bar and select
the command from the menu.
• Control panel unit
• Keyboard
Menu bar
Tool buttons

3. BASIC OPERATION
Entering the Patient Information
Open the Patient Information dialog box and enter patient information such as
the patient’s name and age.
To enter patient information, click the button on the examination list or

click the Patient Information button on the NeuroWorkbench main window.
NOTE
• Make sure to enter patient ID and patient name before measurement.
• When you stop a measurement and restart the measurement for
the same patient after the specified period of time has passed, a
confirmation message appears. Click the Yes button to continue the
measurement and click the No button to cancel the measurement.
Entering Examination Information
1. Click the Examination Information tool button on the tool bar. The
Examination Information window opens.
2. On the Examination Information window, enter the comment for the

examination and click the OK button.

Selecting an Examination Protocol or Examination Program
You can select an examination protocol or program from the NeuroWorkbench 3

main menu window.
3-1
Selecting an Examination Protocol from NeuroWorkbench

Opening the NeuroWorkbench Main Menu Window
When you turn the system on, the NeuroWorkbench main menu window
automatically opens. If other windows are open, press the Main Menu key on the
control panel unit.
Selecting an Examination Protocol

To select an examination protocol, do one of the following.
Device, bar or button

Description
for operation
Click the protocol button on the NeuroWorkbench
Mouse
main window.
Select the protocol button using the arrow keys and
press the Enter key.
To change the tab on the NeuroWorkbench main

page, press the “← Menu →” keys.
Menu keys
Control panel unit
Arrow keys Enter key

3. BASIC OPERATION
Selecting an Examination Program from the Examination List

Opening the Examination List
Press the “Exam” key on the control panel unit.
Selecting an Examination Program

To select an examination program from the examination list, do one of the
following.

Description
for operation
Click the protocol button on the NeuroWorkbench
Mouse
main window.
Select the protocol button using the arrow keys and
press the Enter key.
Up/Down arrow keys:
Selects an examination program
Left/Right arrow keys:
Selects an item in the lower/upper level
Control panel unit
Arrow keys Enter key
List of Examination Programs

You can perform the following examinations with this system.
Category Examination Program

Somatosensory Evoked SEP, SSEP, ECG-SSEP, ESCP, Electric
Potential Measurement
Auditory Evoked Potential ABR, MLR, SVR, EcochG, Auditory
Measurement
Visual Evoked Potential Pattern-VEP, Goggle-VEP, Flash-VEP, ERG,
Measurement Visual, EOG
Electromyogram (EMG) EMG, SF EMG, Macro EMG, EMG2, QEMG
Measurement
Nerve Conduction Study MCS, SCS, NCS, Rep Stim, F-Wave, H-reflex,
Collision, Blink
Intraoperative Monitoring IOM (option)
(IOM) measurement
Autonomic Nervous System MICRO-N (option), SSR (option),
Test R-R Interval (option)
Event Related Potential P300 (option), MRCP (option), CNV (option)

Closing the Examination Program

To close an examination program, do one of the following.

Description
for operation 3
Click the “File” on the menu bar and select “Exit”
Menu bar
from the menu. 3-1
Press the “Exit” key.
When the “Exit” key is pressed, all examination

programs close and all unsaved data are
automatically saved.
Control panel unit
Checking the Measurement Settings
Before starting examination, check the measurement settings and change the
settings if necessary.
You have to use a mouse to change the settings.
Opening the Measurement Settings Window

To open the Measurement Settings window, do one of the following.

Description
for operation
Tool button Click the button on the tool bar.

Click “Change Meas Settings” on the menu bar and
Menu bar
select the setting to change from the menu.

3. BASIC OPERATION
Checking the Skin-electrode Contact Impedance
After attaching the electrodes to the patient, check the skin-electrode contact
impedance using the Impedance Check dialog box window.
To acquire clear waveforms, make the skin-electrode contact impedance as low

as possible.
WARNING
• Never check the skin-electrode contact impedance while using a
contact lens electrode. Failure to follow this warning injures the
patient’s eyes because impedance check electrical current will be
applied.
• When attaching a contact lens electrode, follow the contact lens
electrode operator’s manual.
CAUTION
Never check the skin-electrode contact impedance while using a
needle electrode or while any electrodes are attached at the
operation site on the patient’s body. Failure to follow this caution
causes electrical burn where the electrodes are inserted or attached.
Performing Skin-electrode Contact Impedance Check

Start the skin-electrode contact impedance check from the Impedance Check
dialog box. The system checks the impedance from channel 1 to the last channel
and shows the check result. Until the Impedance Check dialog box is closed, the
system checks skin-electrode contact impedance for every electrode.
1. Opening the Impedance Check Dialog Box

To open the Impedance Check dialog box, do one of the following.

Description
for operation

Click “Examination” on the menu bar and select
Menu bar
“Impedance Check” from the menu.
Press the “IMP Test” key on the electrode junction
box.

2. Selecting the Impedance Threshold

To change the impedance threshold, do one of the following.

Description
for operation
Select the impedance threshold from the “Impedance 3
Mouse Threshold” setting on the Impedance Check dialog
box. 3-1
Press the “IMP (kΩ)” key on the electrode junction
box.
Every time you press the key, the impedance

threshold changes as follows.
20 → 10 → 5 → 2 → 50 → 20 .... (kΩ)
3. Checking the Impedance Check Result

Check the impedance check result on the Impedance Check dialog box or the
LEDs on the electrode junction box.
Impedance Check Dialog Box LEDs on the

Result Electrode
Electrode Impedance Junction Box
The name of the electrode
≤ Threshold Displayed in green Lit in green
is displayed in green.
Displayed in
orange (If the
impedance
> Threshold exceeds twice the Not lit
is displayed in orange.
threshold value, the
impedance is not
displayed)
Not used electrode is displayed in a pale Not displayed Not lit
color.
When starting The name of the electrode
Not displayed Not lit
impedance check is displayed in black.

3. BASIC OPERATION
4. Closing the Impedance Check Dialog Box

To close the impedance check dialog box, do one of the following.

Description
for operation
Click the Close button or the × button on the
Mouse
Impedance Check dialog box.
Menu bar
“Impedance Check” from the menu.
Press the “IMP Test” key on the electrode junction
box.

Operations during Examinations
3
WARNING
Do not diagnose a patient based only on data acquired by the 3-1
system. Overall judgement must be performed by a physician who
understands the features, limitations and characteristics of the
system and by reading the biomedical signals acquired by other
instruments.
Monitoring Waveforms
To monitor waveforms, do one of the following.
When you perform the EMG examination, raw waveforms are displayed.

Description
for operation
Press the Monitor key.
Control panel unit

Menu bar
“Monitor” from the menu.
Performing Stimulation and Displaying Evoked or MUP Waveforms

To perform stimulation and display the evoked waveforms, or display MUP
waveforms, do one of the following.
When you perform the EMG examination, a MUP is displayed.

Description
for operation
Press the Stim/Sweep key.
Control panel unit

Menu bar
“Stim/Sweep” from the menu.

3. BASIC OPERATION
Starting Averaging or Analysis

To start averaging or analysis, do one of the following.
When you perform the EMG examination, the MUPs are averaged.

Description
for operation
Press the Analysis key.
Control panel unit

Menu bar
“Analysis” from the menu.
Stopping Displaying Waveforms, Stimulation, Averaging or Analysis

To stop displaying waveforms, stimulation, averaging or analysis, do one of the
following.

Description
for operation
Press the Stop key.
Control panel unit

Menu bar
“Stop” from the menu.

Other Operations
Select the Function Displayed on the Screen
To select a function on the screen, do one of the following.
Device, bar or button 3

Description
for operation
3-1
Mouse Click the function button on the screen.
Press the function key.
Control panel unit
Keyboard Press the function key.
Displaying or Hiding the Calibration Waveform

To display or hide the calibration waveform, do one of the following.

Description
for operation

Menu bar
“Calibration” from the menu.
Turning the Baseline Reset Function On or Off

To turn the baseline reset function on or off, do one of the following.

Description
for operation

Menu bar
“Baseline Reset” from the menu.
Turning the Hum Filter On or Off

To turn the hum filter on or off, do one of the following.

Description
for operation

Menu bar
“Hum Filter” from the menu.

3. BASIC OPERATION
Changing the Display Gain

To increase or decrease the display gain, do one of the following.
Device, bar or button Description

for operation Increase Decrease
Tool button Click the button on the tool bar. Click the button on the tool bar.
Press the gain up key shown in the illustration. Press the gain down key shown in the
illustration.
Control panel unit
Click “Examination” on the menu bar and Click “Examination” on the menu bar and
Menu bar select “Display Gain” → “Gain Up” from the select “Display Gain” → “Gain Down” from
menu. the menu.
When the waveform window is selected, press When the waveform window is selected, press
Keyboard
the ↑ key. the ↓ key.
Changing the Time Scale

To expand or shrink the time scale, do one of the following.

for operation Expand Shrink
Tool button Click the button on the tool bar. Click the button on the tool bar.
Press the time scale expand key shown in the Press the time scale shrink key shown in the
illustration. illustration.
Control panel unit
Click “Examination” on the menu bar and Click “Examination” on the menu bar and
Menu bar select “Time Scale” → “Expand” from the select “Time Scale” → “Shrink” from the
menu. menu.
When the waveform window is selected, press When the waveform window is selected, press
Keyboard
the → key. the ← key.

Selecting Waveforms
To select waveform(s), do one of the following.
Description
Device, bar or
button for operation Select waveforms for a 3
Select a waveform Select all waveforms
single channel
3-1
Click the button on the Click the button on the Click the button on the
Tool button tool bar and then select the tool bar and then select the tool bar.
waveform. waveform.
1. Press the “All/Single” key 1. Press the “All/Single” key Press the “All/Single” key to
to enter individual mode. to enter channel mode. enter all mode.
2. Press the “Select” key to 2. Press the “Select” key to
select a waveform. select a waveform for the
channel.
Control panel unit Each time you press the All/Single
button, the waveform selection mode
changes as follows.
All → Channel → Individual → All ...
The tool button on the screen is also
changes in the same order.
Click “Edit” on the menu bar
Menu bar — and select “Select All” from
the menu.
Moving the Selected Waveforms

To move the selected waveform(s), do one of the following.

Description
for operation
Mouse Drag the waveform.

Turn the waveform/cursor dial.
Control panel unit
Waveform/Cursor dial

3. BASIC OPERATION
Measuring the Latency Using Cursors

To measure the latency using vertical cursors, do one of the following.

Description
for operation
Mouse Click the button.

Press the “Cursor” key to enter cursor mode and
then press the “Set Mark/Cursor Mode” key to select
latency cursors.
Control panel unit
Click “Measurement” on the menu bar and select

Menu bar
“Cursor” → “Latency” from the menu.
To move the selected cursors, turn the Waveform/Cursor dial.
Measuring the Amplitude Using Cursors

To measure the amplitude using horizontal cursors, do one of the following.

Description
for operation
Mouse Click the button.

Press the “Cursor” key to enter cursor mode and
then press the “Set Mark/Cursor Mode” key to select
amplitude cursors.
Control panel unit
Click “Measurement” on the menu bar and select

Menu bar
“Cursor” → “Amplitude” from the menu.
To move the selected cursors, turn the Waveform/Cursor dial.
Displaying or Hiding the Waveforms

Click the button on the tool bar.
When the button is clicked when the waveforms are displayed, the waveforms
are hidden. When the button is clicked when the waveforms are hidden, the
waveforms are displayed again.

Changing the Stimulation Settings
Changing the Stimulation Side 3
Device, bar or button 3-1

Description
for operation
When performing stimulation using headphone,
earphones or goggles, press the “Stim Select” key to
change the stimulation side (right and left).
When performing electric stimulation, press the

“Stim Select” key to change the stimulation unit to
Control panel unit use.
Changing the Intensity

You can change the intensity for electric stimulation, the intensity for auditory
stimulation and the number of the grids for the visual stimulation.

Turn the “Intensity” dial Turn the “Intensity” dial
clockwise. counterclockwise.
Control panel unit
Changing the Stimulation Rate

Press the key. Press the key.
Control panel unit

3. BASIC OPERATION
Changing the Stimulation Duration (Electric Stimulation Only)

Press the key. Press the key.
Control panel unit
Selecting the Trigger Type

You can change the trigger type on the Intensity window. To change the trigger
type, press the “Stim Select” key on the control panel unit when the Intensity
window is open.
Performing Single Stimulation

To perform single stimulation, press the “Single Stim” key on the control panel
unit.
Initializing the Intensity

To reset the electric stimulation intensity to 0 (mA), press the “Reset” key on the
control panel unit.

Saving the Measurement Data
Saving the Waveforms and Analysis Result on the Screen 3

The auto-store function is set to off at the factory.
3-1
When you set the auto-store function to off, to save the waveforms, do one of the
following.

Description
for operation

Menu bar
“Store” from the menu.
Press the “Store” key.
Control panel unit
If this function is set to on, all waveforms are automatically saved when pressing
the “Stop” key on the control panel unit.
NOTE
If you set the auto-store function to on, you cannot perform further
averaging once you press the Store button.
Deleting the Waveforms and Analysis Results on the Screen

To delete the waveforms and analysis results on the screen when starting a new
examination, do one of the following.

Description
for operation

Menu bar
“Erase” from the menu.
Press the “Delete” key.
Control panel unit

3. BASIC OPERATION
Saving Measurement Files

To save the measurement file, do one of the following.

Description
for operation

Click “File” on the menu bar and select “Save” from
Menu bar
the menu.
When you save the selected measurement file as another measurement file in the
examination list:

Description
for operation
Tool button Click the Save As tool button on the tool bar.

Printing
Making a Hardcopy of the Current Window 3

To print the window, do one of the following.
3-1
Description
for operation
Click the button on the window to print.*

Tool button
Click the Hardcopy Print tool button on the tool
bar.
Click “File” on the menu bar and select “Print” →
Menu bar
“Hard Copy” from the menu.
Press the “Print” key.*
Control panel unit
* The function of the button or key depends on the settings of the “Change Meas
Settings – Misc.Condition – Print key” menu. You can print the window when
the function of the button or key is set to “Hard Copy”.
Printing the Measurement Results Using a Default Format

To print the measurement results using one of the default formats, do one of the
following.
You can print waveforms and measurement settings at acquisition and also raw
waveforms.

Description
for operation
Click the button on the tool bar.*

Tool button
Click the Review Print tool button on the tool
bar.
Menu bar
“Review Print” from the menu.
Press the “Print” key.*
Control panel unit
* The function of the button or key depends on the settings of the “Change Meas
Settings – Misc.Condition – Print key” menu. You can print the measurement
result using the one of the default formats when the function of button or key is
set to “One Frame” or “Screen Wave”.

3. BASIC OPERATION
Creating a Report
To create a report from the measurement settings, do one of the following. For
the detailed settings for the report, refer to the NeuroReport operator’s manual.

Description
for operation

Menu bar
“Report” from the menu.
Examination list Click the “Report” button.

Explanation of the Menu Command and Tool Buttons on the

Examination Window
3
File Menu 3-1
Command Tool Button Description

Saves the waveform and measurement data in the currently opened file (overwrite).
Save
Saves the waveform and measurement data as another measurement file.
Save as
Hard Copy * Prints the waveforms in the active measurement window.

or
Review Print * Prints data in the active measurement window in the preset format.
or
Creates a report.
Report
Closes the examination window. If there is unsaved data in the window when this
Exit —
command is selected, confirmation message for saving data appears.
* The function for the button depends on the settings of the “Change Meas Settings – Misc.Condition – Print key” menu.
You can print the window when “Hard Copy” is set and you can print the measurement result using the one of the default
formats when “One Frame” or “Screen Wave” is set.
Measurement Settings Menu Type 1

The following commands are for the Auditory, ECG-SSEP, EcochG, ERG, ESCP, Flash-VEP, Goggle-VEP, MLR, Pattern-
VEP, SEP, SSEP, SVR, Visual examinations.

Amplifier/ Opens the Amp/Acq page of the Measurement Settings widow to set the amplifier
Acquisition settings and the waveform acquisition settings.
Opens the Trigger/Stimulator page of the Measurement Settings widow to set the
Trigger/Stimulators
trigger settings and the stimulation settings.
Mark/Orientation/ Opens the Mark/Orientation/Mics page of the Measurement Settings window to set
Misc the mark settings and the waveform window display settings.
Opens the Side Comparison page of the Measurement Settings window to set side
Side Comparison
comparison settings (for brain evoked potentials).

3. BASIC OPERATION
Measurement Settings Menu Type 2

The following commands are for the examinations other than Auditory, ECG-SSEP, EcochG, ERG, ESCP, Flash-VEP,
Goggle-VEP, MLR, Pattern-VEP, SEP, SSEP, SVR, Visual.

Opens the Amp page of the Measurement Settings window to set the amplifier
Amplifier
settings.
Opens the Acquisition page of the Measurement Settings window to set the
Acquisition
waveform acquisition settings.
Opens the Trigger page of the Measurement Settings window to set the trigger
Trigger
settings.
Opens the Electric page of the Measurement Settings window to set the electric
Electric
stimulation settings.
Opens the Auditory page of the Measurement Settings window to set the auditory
Auditory
Opens the Visual page of the Measurement Settings window to set the visual
Visual
Opens the Display page of the Measurement Settings window to set the waveform
Display
window display settings.
Opens the Labeling page of the Measurement Settings window to set the mark
Labeling
settings.
Opens the Table page of the Measurement Settings window to set the table settings.
Table
Opens the Misc page of the Measurement Settings window to set the settings on
Misc.
the Misc page.
Examination Menu
Opens the Impedance Check dialog box to perform impedance check. This
Impedance Check command is not available when impedance check is not necessary for the currently
selected program or the electrode junction box is not connected to the system.
Turns the baseline reset function on or off.
Baseline Reset
Turns the hum filter on or off.
Hum Filter
Turns the calibration waveforms on the window on or off.
Calibration
Opens the Monitor window and displays acquired waveforms on the Monitor
Monitor —
window.
Opens the Sweep window and starts stimulation and waveform acquisition
Stim./Sweep — according to the examination. The acquired, triggered or evoked waveforms are
displayed on the Sweep window.
Starts averaging or analysis. The result is displayed in the Stop window.
Analysis —
Stops waveform acquisition, stimulation and averaging.
Stop —
Increases display gain.
Increase Gain
Decreases display gain.
Decrease Gain
Expands waveform sweep time scale.
Expand
Shrinks waveform sweep time scale.
Shrink


Saves the currently displayed waveforms and analysis result.
Store
Deletes the currently selected waveform(s).
Delete
3
Displays or hides the currently selected waveform(s).
Wave ON/OFF
3-1
Opens the Operation window.
Keypad
Measurement Menu
Opens the Latency window and displays two latency cursors. To measure the
waveform latency, select the cursor with the “Set Mark/Select Cursor” key on the
Latency control panel unit and move them using the waveform/cursor dial on the control
panel unit. If you select this command while the Latency window is open, the
Latency window closes and the latency cursors are deleted.
Opens the Amplitude window and displays two amplitude cursors. To measure the
waveform amplitude, select the cursor with the “Set Mark/Select Cursor” key on
Amplitude the control panel unit and move them using the waveform/cursor dial on the control
panel unit. If you select this command while the Amplitude window is open, the
Amplitude window closes and the amplitude cursors are deleted.
Displays the Trigger Level cursor(s) on the Signal Level Trigger Monitor window.
To set the trigger threshold, move the cursor with the waveform/cursor dial on the
Trigger
control panel unit. This command is not available for the examinations with no
Signal Level Trigger Monitor window.
Opens the Mark Label window and the Latency window, or displays the cursors for
Set Mark — measurement. Move the cursors with the waveform/cursor dial on the control panel
unit or mouse. If there are no waveforms, this command is not available.
Opens the Nerve List dialog box.
Nerve List
Opens the Muscle List dialog box.
Muscle List
Opens the Measurement Table window. If you select this command while the
Measurement Table window is open, the Measurement Table window is closed.
Measurement Table
This command is not available for the examinations with no Table Measure
function button.
Opens the Measurement Settings at Acquisition window. If you select this
Show Meas Settings command while the Measurement Settings at Acquisition window is open, the
Measurement Settings at Acquisition window is closed.
Superimposes all waveforms in all stages. When the waveforms are not in a stage,
the waveforms are superimposed in each channel. If you select the command again,
Superimpose — the waveforms are displayed separately.
This command is not available for the examinations with no S-impose function
button.
Superimposes the waveforms by each channel. This command is not available for
Separate by Ch. —
the examinations with no Position Separate by Ch. function button.
Superimposes the waveforms by intensity of the auditory stimulation. This
Separate by Intens. —
command is only available for the ABR examination.
Superimposes the waveforms by the stages selected in the Stim.Site Left/Right
Separate by Stage — settings in the table. This command is only available for BLINK examination with
the Measure Table Type 2.
Displays the waveforms separately. This command is not available for the
Separate —
examinations with no Separate function button.

3. BASIC OPERATION
Edit Menu
Undoes the cut, copy or paste operation.
Undo —
Cuts the text or waveform. The text or waveform is copied to the clipboard.
Cut —
Copies text or waveform to the clipboard.
Copy —
Pastes text or waveform from the clipboard.
Paste —
Select all the waveforms in the window.
Select All —
Averages the waveforms.
Average —
Subtracts a waveform from another waveform.
Subtract —
Reverses the polarity of the waveforms.
Reverse —
Rectifies the waveforms from the waveform trace.
Rectify —
Expands the waveforms.
Expand —
Reduces artifact from the waveform with the digital filter processing.
Digital Filter —
Reanalyzes the waveforms by removing the unnecessary waveforms.
Reanalysis —
Window Menu
Command Tool Button Keyboard Description
Arranges all window in the examination window side by side
Tile (Horizontal) — —
horizontally so that all of them are visible.
Arranges all window in the examination window side by side
Tile (Vertical) — —
vertically so that all of them are visible.
Arranges all windows in the examination window so that the
front window is the largest and title bars of the other windows
Cascade — —
are visible. To bring a different window to the front, click its
title bar.
Initialize Position & Changes the position and size of all windows (including the
— —
Size examination window) to the default.
Opens the Intensity window to display the stimulation
Intensity Window — —
intensity.
Other
Command Tool Button Keyboard Description
Opens the Examination Information dialog box to enter the
— —
examination information.

Operations Using the Keyboard
The Page Up Key and Page Down Key 3

The function for the page up key and page down key depends on the examination
program. 3-1
When the Examination Program is EMG, EOG, QEMG, SFEMG, Macro

EMG or Micro N
The Page Up key: increases the site number
The Page Down key: decreases the site number
When the Examination Program is NCS

The Page Up key: increases the test number
The Page Down key: decreases the test number
When the Examination Program is F-wave or Rep.Stim

The Page Up key: increases the record number
The Page Down key: decreases the record number
The Up and Down Key while Holding the Ctrl Key

When the waveform display window is activated, you can do the following by
pressing Up or Down arrow key while holding the Ctrl key.
The Ctrl key + the ↑ key: assigned the same function as the trace select (up) key
on the control panel unit; you can select the waveform
to be processed. The number of selected waveforms
depends on the waveform selection mode.
The Ctrl key + the ↓ key: assigned the same function as the trace select (down)
key on the control panel unit; you can select the
waveform to be processed. The number of selected
waveforms depends on the waveform selection mode.

Section 3-2 NeuroWorkbench
3
General..............................................................................................................................................................3-2.3
Main Windows.........................................................................................................................................3-2.3 3-2
EMG/EP (Measurement Protocol) Page.......................................................................................3-2.3
Workbench Page...........................................................................................................................3-2.4
Data Manager Page......................................................................................................................3-2.4
Explanation of Menu Commands on the Main Windows...................................................................................3-2.5
File Menu.................................................................................................................................................3-2.5
Edit Menu................................................................................................................................................3-2.6
Help Menu...............................................................................................................................................3-2.6
Option Buttons.........................................................................................................................................3-2.6
Entering and Changing Patient Information.......................................................................................................3-2.7
Entering Patient Information....................................................................................................................3-2.7
Changing the Existing Patient Information..............................................................................................3-2.8
Examination Protocol Page...............................................................................................................................3-2.9
Pop-up Menu of the Examination Protocol Button...................................................................................3-2.9
User Accounts.................................................................................................................................................3-2.11
Creating a New User Account...............................................................................................................3-2.11
Editing and Deleting User Accounts......................................................................................................3-2.12
Explanation of the Edit User Accounts Dialog Box.....................................................................3-2.12
Adding a User Account...............................................................................................................3-2.13
Deleting a User Account.............................................................................................................3-2.13
Editing a User Account................................................................................................................3-2.13
Using the Active Directory Accounts when Logging in to NeuroWorkbench.........................................3-2.14
Changing User Account Settings..........................................................................................................3-2.15
Entering User Name and Password............................................................................................3-2.15
Setting Access Rights.................................................................................................................3-2.15
Selecting a Reference Account...................................................................................................3-2.16
Setting the Patient Information Security......................................................................................3-2.16
Setting Function Access Rights..................................................................................................3-2.16
Setting Weekly Schedule Functions............................................................................................3-2.17
Selecting Available Examinations...............................................................................................3-2.17
Selecting the Default Examination for a New Examination Schedule.........................................3-2.18
Setting Report Application Security............................................................................................3-2.18
Limiting the Applications.............................................................................................................3-2.19
Limiting Patients Displayed in the Patient List and Data List.......................................................3-2.20
Editing Examination Protocol Pages and Examination Protocol Buttons Using the Edit Menu Window.........3-2.21
Opening the Edit Menu Dialog Box.......................................................................................................3-2.21
Adding a New Examination Protocol Page............................................................................................3-2.23
Deleting an Examination Protocol Page................................................................................................3-2.24
Changing the Order of Examination Protocol Pages.............................................................................3-2.25
Changing the Name of an Examination Protocol Page.........................................................................3-2.25
Displaying Patient Information at Examination Start for Selected Examination Protocol Pages...........3-2.25
Importing Examination Protocol Pages.................................................................................................3-2.26

Exporting Examination Protocol Pages.................................................................................................3-2.26
Saving All Examination Protocol Page Settings..........................................................................3-2.26
Saving the Current Examination Protocol Page Settings............................................................3-2.27
Setting the Current Menu as the Default...............................................................................................3-2.28
Restoring the Default Menu...................................................................................................................3-2.28
Restoring the Previous Examination Protocol Page and Protocol Button Settings...............................3-2.28
Setting Up Protocol Buttons..................................................................................................................3-2.29
Selecting Examination Programs Assigned to a Protocol Button..........................................................3-2.30
Opening the Settings Window.....................................................................................................3-2.30
Adding an Examination Program to a Protocol Button from a List of Available Examination
Programs.....................................................................................................................................3-2.31
Removing an Examination Program from a Protocol Button.......................................................3-2.32
Importing an Examination Program to a Protocol Button............................................................3-2.32
Exporting Examination Program Settings as a File.....................................................................3-2.32
Editing the Protocol Button....................................................................................................................3-2.33
Automatically Starting an Examination Program when a Protocol Button is Clicked on the
Main Menu Page of NeuroWorkbench........................................................................................3-2.33
Changing the Order of the Examination Programs in a Protocol Button.....................................3-2.33
Changing the Measurement Settings for an Examination Program............................................3-2.34
Editing the List of Available Examination Programs..............................................................................3-2.34
Removing an Examination Program from the List of Available Examination Programs..............3-2.34
Importing an Examination Program in the List of Available Examination Programs...................3-2.35
Exporting an Examination Program in the List of Available Examination Programs as a File.....3-2.35
Copying a Protocol Button.....................................................................................................................3-2.36
Deleting a Protocol Button.....................................................................................................................3-2.36
Importing a Protocol..............................................................................................................................3-2.37
Exporting a Protocol..............................................................................................................................3-2.38
Initializing a Protocol Button..................................................................................................................3-2.38

3-2. NEUROWORKBENCH
General
Main Windows 3
When the PC unit is turned on or the NeuroWorkbench icon on the desktop is
double-clicked, the NeuroWorkbench main window opens. If the user account
function is active, a dialog box for the user name and password opens. Enter the
3-2
user name and password and click the OK button. For details of the user account
function, refer to the “Creating a New User Account” in this section.
All operations such as measurement, editing, system setup, patient information

Menu keys
management and data management can be performed from the NeuroWorkbench
main window. The main window has up to 10 measurement protocol pages
(named EMG/EP page at factory default), the Workbench page and the Data
Management page. Click the tab for the page to display the page. You can also
change the page by clicking the Menu key on the control panel unit.
EMG/EP (Measurement Protocol) Page

You can create 10 measurement protocol pages and each measurement protocol
page has up to 16 examination protocol buttons. Each button has settings for
an examination. Settings can be changed and saved for different examination
conditions.
To open an examination list and window, click the examination protocol button
for the examination.
Tab
Examination
protocol button
Option buttons

3. BASIC OPERATION
Workbench Page
In the Workbench page, you can manage the entire examination workflow, from
scheduling examination to ending and reviewing examination. For details on the
Workbench page, refer to Section 4 “Workbench”.
Select mode from the pull

down menu.
The screen is Patient List mode.
Data Manager Page

The Data Manager page lets you manage patient information and measured data.
When you start an examination from the NeuroWorkbench, patient information
and examination information for the examination are automatically registered in
the database when the examination ends.
You can edit or delete patient information and examination information in the
database. You can also add measurement data to the database for examinations
that are not started from the NeuroWorkbench. For details on reviewing the
measurement files, refer to the MEB-2300 examination guide.
For details on the Data Manager page, refer to Section 5 “Data Manager”.
Select a drive or database

from the pull down menu.
When you select a drive, the
window changes to the File
mode and when you select
the database, the window
changes to the Database
mode.
The screen is Database mode.

3-2. NEUROWORKBENCH
Explanation of Menu Commands on the Main Windows
File Menu 3
Load
Opens the Load dialog box to call up a saved setting file. This function is only
available when no Examination screen is opened. The Main window settings
(settings for all examination protocol pages, extension: *.MMS) and settings for 3-2
selected examination category (extension: *.EP23C) are available.
Save all settings

Opens the Save As dialog box to save all settings on the Main window as a file
(extension: *.MMS).
Save selected settings

Saves the settings of the menu window for the displayed examination protocol
page as a file (extension: *.EP23C). Not available on the Data Manager window
and Workbench window.
Tab for an examination protocol page

(main menu page)
Restore previous settings

Restores the previous examination protocol page and protocol button settings.
Restore Protocols
NeuroWorkbench automatically saves the main window settings including
protocol buttons and tabs when the NeuroWorkbench is closed. This command
restores the main window settings for the specified date.
To restore the factory default, select “Factory Default” from the list in the
Restore Protocol dialog box.
NOTE
To restore the user default, refer to “Restoring the Default Menu” in this
section.
Exit
Closes the Main window.
3. BASIC OPERATION
Edit Menu
Edit Menu
Opens the Edit Menu dialog box to edit the examination setting (examination
category/examination setting). For details on the Edit Menu window, refer to
“Editing Examination Protocol Pages and Examination Protocol Buttons Using
the Edit Menu Window” in this section.
Input Memo
Available only when you use the user account function. You can enter or check
the memo for the current user account.
Edit User Accounts

Opens the Edit User Accounts dialog box to edit the user account. This function
is only available when the user account is not set or the currently logged on user
is an Administrator. Refer to “Creating a New User Account” in this section.
Help Menu
Help Topics
Not available in this version.
About
Displays information about the NeuroWorkbench.
Option Buttons
Registered optional programs are displayed as buttons at the bottom of the Main
window. You can open a program by pressing the button for it.

3-2. NEUROWORKBENCH
Entering and Changing Patient Information
You can enter patient information from the NeuroWorkbench main window. 3
NOTE
• Make sure to enter patient ID and patient name before measurement.
• When you stop a measurement and restart the measurement for 3-2
the same patient after the specified period of time has passed, a
confirmation message appears. Click the Yes button to continue the
measurement and click the No button to cancel the measurement.
Entering Patient Information

Opening the MEB Patient Information Dialog Box
Click the New Patient button on the top left of the NeuroWorkbench main
window to open the MEB Patient Information dialog box.
Entering Patient Information

1. Enter the following items in the MEB Patient information dialog box.
Items to be Entered in the MEB Patient Information Dialog Box

• ID: Enter the patient ID. Up to 20 characters can be entered.
• Name: Enter the patient name. Up to 40 characters can be entered.
• Sex: Select the gender from the pull down list.
• DOB: Select the birth date from the calender.
• Age: When you enter the patient’s birth date, the system
automatically calculates and enters the patient age.
• Height: Enter the height. Up to 10 characters can be entered.
• Weight: Enter the weight. Up to 10 characters can be entered.
• Exam Date: Select the date of examination from the calender.
• Exam Number: Enter the examination number. Up to 20 characters can be
entered.
• In/Out Patient: Select In or Out from the pull down list.

3. BASIC OPERATION
• Refer Dept*: Enter the reference department or select the department from
the pull down list.
• Doctor*: Enter the physician name or select the name from the pull
down list. Up to 40 characters can be entered.
• Examiner*: Enter the operator name or select the name from the pull
down list. Up to 40 characters can be entered.
• History: Enter the patient history. Up to 256 characters can be entered.
• Comment*: Enter the comment. Up to 230 characters can be entered.
* The list of the items with * can be customized using the User Settings dialog
box. For details, refer to Section 6 “System Settings”.
2. Click the OK button to close the patient information dialog box. To cancel
entering patient information, click the Cancel button.
Changing the Existing Patient Information

1. Click the Patient Information button on the top left of the NeuroWorkbench
main window. The MEB Patient Information dialog box opens and shows
the patient information for the currently selected patient.
2. Change the patient information. For details of items on the MEB Patient
Information dialog box, refer to “Entering Patient Information” in this
section.

3-2. NEUROWORKBENCH
Examination Protocol Page
The examination protocol page has up to 16 examination protocol buttons to 3

open different examination windows and you can create up to 10 examination
protocol pages. You can set different measurement settings for each examination
protocol page.
3-2
Examination protocol button
Pop-up Menu of the Examination Protocol Button

You can open the pop-up menu for an examination protocol button by right-
clicking the examination protocol button.
Edit Menu
Opens the Edit Menu dialog box. For details on the Edit Menu window, refer to
“Editing Examination Protocol Pages and Examination Protocol Buttons Using
the Edit Menu Window” in this section.
Settings
Opens the Settings window to edit the examination protocol.
Import
Imports the examination protocol settings.

3. BASIC OPERATION
Export
Exports the examination protocol settings.
Copy
Copies the protocol settings. To paste the protocol, right-click the protocol button
to copy and select “paste” from the pop-up menu.
Paste
Pastes the protocol settings. This command is available when you right-click a
protocol button and select “copy” from the pop-up menu.
Initialize this protocol

Restores the previously saved protocol settings for the selected button. To restore
the protocol button, the menu settings have to be saved. Refer to “Setting the
Current Menu as the Default” in this section.
Delete this protocol

Deletes the protocol settings for the selected protocol button and makes the
selected protocol button blank.

3-2. NEUROWORKBENCH
User Accounts
Creating a New User Account 3

For setting details on user accounts using Edit User dialog box, refer to
“Changing User Account Settings” in this section.
3-2
1. From the Edit menu, select “Edit User Accounts...”. The Edit User Accounts
dialog box opens.
2. Click the “Enable user accounts service” check box on the Edit User
Accounts dialog box.
3. Click the Add button. The Edit User dialog box opens.
4. Enter the user information and password in the user account area.
5. Select the access rights in the Access Rights area.
6. Change the settings such as function access rights.

3. BASIC OPERATION
7. Click the OK button to close the Edit User dialog box.
8. In the Edit User Accounts dialog box, click the Apply button, then click the
OK button.
To cancel the setting, click the Cancel button.
Editing and Deleting User Accounts

Explanation of the Edit User Accounts Dialog Box
A new user account can be created with the Edit User Accounts dialog box. To
open the Edit User Accounts dialog box, select “Edit User Accounts...” from the
Edit menu of the NeuroWorkbench window. Any user in the Administrator group
can create a new user account.
Enable user accounts service:

Check this box to enable the user account function.
Add:
Opens the Edit User dialog box to add a new user.

3-2. NEUROWORKBENCH
Delete:
Deletes the selected user account.
Edit:
Opens the Edit User dialog box for the selected user to display the account 3
settings.
Screen lock:
Check the “If the specified time passes, the system is locked automatically” 3-2
check box to close the Main window automatically when there is no user
action for the specified time. When the Main window is closed, the “Log on
to NeuroWorkbench” dialog box opens. This function is not available when
any examination window is open.
Adding a User Account

Check the “Enable user account service” check box on the Edit User Account
dialog box and click the Add button. The Edit User dialog box opens. Set the
details and click the OK button. For details on the Edit User dialog box, refer to
“Changing User Account Settings” in this section.
Deleting a User Account

Select an account on the Edit User Account dialog box and click the Delete
button.
Editing a User Account

Select an account on the Edit User Account dialog box and click the Edit button.
The Edit User dialog box opens. Change the details and click the OK button. For
details on the Edit User dialog box, refer to “Changing User Account Settings” in
this section.

3. BASIC OPERATION
Using the Active Directory Accounts when Logging in to NeuroWorkbench

You can use the AD (Active Directory) domains in your facility when logging in
to NeuroWorkbench.
When “Enable Active Directory Login” on the Edit User Accounts window is on,
the Domain text box appears when you log in to NeuroWorkbench. You can log
in to NeuroWorkbench with the user name and password set in Active Directory
in your facility.
To use AD accounts, on the Edit User Accounts window, check the “Enable
Active Directory settings” check box and set the necessary settings on the Active
Directory Settings window.
For details on settings for AD accounts, refer to Section 8 of the

NeuroWorkbench operator’s manual.
NOTE
To use Active Directory when logging in to NeuroWorkbench, consult the
network administrator of your facility.

3-2. NEUROWORKBENCH
Changing User Account Settings

Details on a user account such as access rights can be changed using the Edit
User dialog box. To open the Edit User dialog box, click the Add button on the
Edit User Accounts dialog box.
3
User Account area

3-2
Entering User Name and Password

Enter the user name, description and password in the user account area.
Setting Access Rights

Select access rights from the Access Right area.
Explanation of the Access Right area
Access Right
Administrator Normal Browse
Creating user accounts,
changing and viewing the Enable Disable Disable
user account settings
Editing waveforms and
patient information on the Enable Enable Disable
review window

3. BASIC OPERATION
Selecting a Reference Account

You can apply the same account settings as another user by selecting an existing
user account as a reference account. You can quickly create a new account by
selecting a reference account and changing the user name and password.
To select a reference account, click the arrow button beside the Reference
Account text box.
The settings such as function access rights depend on the settings of the reference
account. The settings of accounts which are based on a reference account
automatically change when the settings of their reference account change.
Explanation of the Reference Account pull-down list

Nothing: Does not select a reference account.
Setting the Patient Information Security

Click the arrow buttons beside the text boxes in the Patient Information Security
area and select the settings from the pull down menu.
Explanation of the Patient Information Security area

Mask: Select “ON” to prevent changing the patient ID and name.
Display Level
OFF: No restrictions.
Weak: The patient ID and name are not displayed in the title bar of the
examination screen.
Medium: The patient ID and name are not displayed in the Patient Information
dialog box and in the title bar of the examination screen.
Strong: No patient information is displayed in the title bar of the examination
screen.
Print Level
OFF: No restrictions.
Weak: When printing, you can select whether or not to print the patient ID
and name.
Medium: The patient ID and name are not printed.
Strong: Printing is not available.
Print Header (Enable, Disable):
Not used for this system.
Patient Info. Screen Timeout:
Set a time-out period to automatically close the Patient Information
dialog box when there is no user action for a specified time.
Setting Function Access Rights

To allow or deny access to different functions, uncheck the check boxes in the
Workbench and Data Manager areas of the Function Access Rights area. The
function button for the function with the unchecked check box becomes grey and
cannot be used. For the Workbench page, you can limit the available functions
for each mode.

3-2. NEUROWORKBENCH
Function Access Rights area

Workbench: Select the function buttons that are available on the
Workbench page.
Change Workflow Status:
Check this check box to allow the user to change the 3
workflow status.
Show “Now Examining” Status on Review:
To display the “Now Examination” status
examinations on the data list in the Review mode, 3-2
check this check box.

Data Manager: Select the function buttons that are available on the Data
Manager page.
Enable Data Manager:
To use Data Manager, check this check box.
Edit Database: Enables editing information of the examinations in the
data list.
Allow examination start with protocol button:
Check this button to use examination protocol buttons.
When this box is unchecked, all examination protocol
buttons are disabled and examination cannot be
performed.
Setting Weekly Schedule Functions

Check the check boxes in the Weekly Schedule area to allow the user to add
comments to a schedule or change the schedule status to “attention” or “locked”.
Selecting Available Examinations

To limit reviewing or performing examinations for a specified category, click
the arrow button beside the text boxes in the Examination area and select the
restriction level from the pull-down list.
Explanation of the Examination area

Available: Enables all operations for the examination category.
Visible: Enables only review functions and disables performing
examination and editing data for the examination category.
Not available: Disables all operations for the category.

3. BASIC OPERATION
Selecting the Default Examination for a New Examination Schedule

You can select the examination which is initially selected when you create a
new examination schedule by clicking the New Schedule function button on the
Workbench page.
To change the default examination, click the arrow button beside Default and
select the examination category.
Setting Report Application Security

To limit available functions or change the settings for the NeuroReport program,
uncheck the check boxes or fill in the text boxes in the Report Application
Security area. For details of the NeuroReport program, refer to the NeuroReport
operator’s manual.
Explanation of the Report Application Security area

Confirm/Review Settings:
When the Use Password check box is checked, the user needs to enter the
password when confirming or reviewing reports.
Review Button
Enable: Enables the Review button on the ReportViewer window.
Close: Automatically closes the ReportViewer window when the
Review button on the ReportViewer window is clicked.
Confirm Function
Enable: Enables the Confirm button on the ReportViewer window.
Close: Automatically closes the ReportViewer window when the
Confirm button on the ReportViewer window is clicked.
Finalize: Finalize the report when the Confirm button on the
ReportViewer window is clicked.
Print: Check the check box to permit printing reports.

Export:
Check the check box to permit exporting reports.
Edit Report after Finalize:
Check the check box to permit editing finalized reports.
Template Edit Mode:
Select Standard or Advanced. Advanced cannot be used for this version.
Digital Signature:
Check the Enable check box to use digital signatures.
P12 or PFX file path: Select the digital signature (P12 or PFX) file.

3-2. NEUROWORKBENCH
Limiting the Applications

You can disable optional applications that are assigned to the option buttons
using the allowed application area.
The factory default is all applications enabled and “All” is displayed in the 3
Allowed Application area.
Specifying Allowed Applications

3-2
1. Click “All” in the Allowed Applications text box and click the Delete button.
2. Enter the file name of the allowed applications in the text box.
Example: MEESysSetting.exe
Click the Add button to add the application to the list.
Enabling All Applications

Enter “All” in the text box and the click the Add button.

3. BASIC OPERATION
Limiting Patients Displayed in the Patient List and Data List

You can use the patient filters to select which patients are
displayed in the patient list based on physician, operator
or department. Only patients that meets all criteria are
displayed.
Adding a Patient Filter

1. Click the Add button in the Allowed Patient Display area. The Edit Patient
Filter window opens.
2. Enter an operator, physician and/or department in the text boxes and click
the OK button. The filter is displayed in the list in the Allowed Patient
Display area.
To cancel adding a patient filter, click the Cancel button.
Editing a Patient Filter

1. Select a filter in the Allowed Patient Display area and click the Edit button.
The Edit Patient Filter window opens.
2. Change the operator, physician or department and click the OK button.
To cancel editing, click the Cancel button.
Deleting a Patient Filter

Select a filter in the Allowed Patient Display area and click the Delete button. If
the patient filter list is blank, all patients are included in the patient list.

3-2. NEUROWORKBENCH
Editing Examination Protocol Pages and Examination

Protocol Buttons Using the Edit Menu Window
3
Opening the Edit Menu Dialog Box

You can change the examination protocol page and examination protocol button
3-2
settings from the Edit Menu dialog box.
Tabs for examination

protocol pages
You can add, delete
or change the order of
these tabs.
Examination protocol
buttons
You can add, edit or
clear the protocol
buttons.
To open the Edit Menu dialog box, select “Edit Menu” from the Edit menu on
the NeuroWorkbench main window or right-click the protocol button and select
“Edit Menu” from the pop-up menu.

3. BASIC OPERATION
Edit Menu Dialog Box
Examination
protocol page
Protocol area
Protocol
buttons
Category area
Category
text box
List

3-2. NEUROWORKBENCH
Adding a New Examination Protocol Page

Click the Add Category button.
3-2
A new page appears in the list and a new page is added to the NeuroWorkbench
main window.

3. BASIC OPERATION
Deleting an Examination Protocol Page

1. Select an examination protocol page to delete from the list and click the
“Delete this category” button in the Category area.
A confirmation message appears.
2. Click the Yes button.
The selected page is deleted from the list and the NeuroWorkbench main
window.

3-2. NEUROWORKBENCH
Changing the Order of Examination Protocol Pages

Select the page to move and click the Up or Down button in the Category area.
3-2
The selected page moves up or down and the order of the pages changes. The
order of the tabs on the NeuroWorkbench main window also changes.
Changing the Name of an Examination Protocol Page

Select a page from the list and enter the new name in the Category name text box
of the Category area.
Displaying Patient Information at Examination Start for Selected Examination Protocol

Pages
To display patient information at examination start, select a page from the list
and check the “Patient information is always displayed at examination start.”
check box.

3. BASIC OPERATION
Importing Examination Protocol Pages

1. Close all the Examination and Review screens.
2. Select Load from the File menu. The Load dialog box opens.
3. Select a NeuroWorkbench setting file (extension: .MMS) or category setting

file (extension: .EP23C) and click the Open button.
Exporting Examination Protocol Pages

Saving All Examination Protocol Page Settings
1. Select “Save all settings” from the File menu. The Save As dialog box opens.
2. Enter the file name in the File name text box and click the Save button. The
file is saved as a NeuroWorkbench setting file (extension: .MMS).

3-2. NEUROWORKBENCH
Saving the Current Examination Protocol Page Settings

This function is not available on the Data Manager and Workbench page.
1. In the NeuroWorkbench main window, click the tab of the examination

protocol page to save. 3
3-2
2. Select “Save selected settings” from the File menu. The Save As dialog box
opens.
3. Enter the file name in the File name text box and click the Save button. The
file is saved as a category file (extension: .EP23C).

3. BASIC OPERATION
Setting the Current Menu as the Default

NOTE
There are no factory default menu settings. To restore the settings, save
the menu settings after you customize the menu settings.
You can use save the current examination protocol page and protocol button
settings as the default. Click the “Set this menu as default” button on the Edit
Menu dialog box.
If you enter a password at log in, the confirmation window opens. Enter the
password and click the OK button.
Restoring the Default Menu

NOTE
If there is no saved menu file, the menu settings cannot be restored. To
save the menu settings, refer to “Setting the Current Menu as the Default”
in this section.
To restore the default menu, click the “Initialize to default menu” button on the
Edit Menu window. For saving a new default, refer to “Setting the Current Menu
as the Default” in this section.
Restoring the Previous Examination Protocol Page and Protocol Button Settings
You can restore the previous examination protocol page and protocol button
settings. Select “Restore previous settings” from the File menu.

3-2. NEUROWORKBENCH
Setting Up Protocol Buttons

1. Select the protocol button from the list and click the “Use this protocol”
check box in the Protocol area.
3-2
2. Enter the protocol name and protocol sub title.

3. BASIC OPERATION
Selecting Examination Programs Assigned to a Protocol Button

You can add or remove examination programs from a protocol button with the
Settings window. The settings on the Settings window affects the settings on the
Edit Menu window.
Opening the Settings Window

Click the Settings button on the Edit Menu window. The Settings window opens.
Settings Window
To display the Name of the Protocol Button
Examination List Same as the text in the “Protocol:” text box on the Edit menu window.
when you click the
protocol button,
check this check box.
Comment for the

Protocol Button
To display exam Same as the text in the
comment as nerve “Sub Title” text box on
name, check this the Edit menu window.
check box.
Select the side.
Examination
Program List Use these buttons
to set measurement
settings, add or remove
examination programs,
Name of the change the order of the
examination program examinations in the
that is selected in the examination program
examination program list, and import or
list. export the settings of the
protocol button.
Comment for the

examination program
that is selected in the To automatically start the examination program,
examination program check this check box.
list.
To apply the settings on the Settings window, click the OK button.
To cancel changes on the Settings window, click the Cancel button.

3-2. NEUROWORKBENCH
Adding an Examination Program to a Protocol Button from a List of

Available Examination Programs
1. Click the Settings button on the Edit Menu window. The Settings window
opens.
3
2. Click the Add button on the Settings window. The “Select an examination”
window opens.
3-2
Select an examination window
List of protocol
button and
examination
programs
assigned to the
protocol button on
the main menu
(examination
protocol)
page of the
NeuroWorkbench
List of available
examination
programs in the
MEB-2300 EMG/
EP measuring
system
Click this button to Click this button to Click this button to

import an examination export an examination remove an examination
program to the list of program from the list of program from the list of
available examination available examination available examination
programs. programs. programs.
3. Select an examination program from either of the lists in the “Select an

examination” window.
4. Click the OK button on the “Select an examination” window. The

examination program selected in the “Select an examination” window is
added to the list in the Settings window.
5. To add more examination program, repeat steps 3 and 4.
6. If necessary, select an examination program in the Settings window and

change the Exam Name and Exam Comment.
7. Click the OK button on the Settings window to close the Settings window.

3. BASIC OPERATION
Removing an Examination Program from a Protocol Button

opens.
2. Select an examination program to remove from the list on the Settings

window.
3. Click the Delete button on the Settings window. The selected examination
program is deleted from the list on the Settings window.
Importing an Examination Program to a Protocol Button

To add examination programs to a blank protocol button or use the same
settings of an examination in another protocol button, import the settings of the
examination program.
opens.
2. Click the Import button on the Settings window. The Import window opens.
3. Select the folder in which examination program setting file (extension:

.xexm) is saved.
4. Select the file to import and click the OK button on the Import window. The
selected examination program appears on the list in the Settings window.
Exporting Examination Program Settings as a File

You can save the examination program settings including examination name and
comment. You can use the same examination program settings on another
MEB-2300 EMG/EP measuring system by copying this file to another
MEB-2300 EMG/EP measuring system and importing it. For importing the file,
refer to “Importing an Examination Program to a Protocol Button” earlier in this
section.
opens.
2. Select the examination program to export in the list of the Settings window.
3. Click the Export button on the Settings window. The Export window opens.
4. On the Export window, enter the file name and select the folder to save the
file.
5. Click the Save button on the Export window. The selected examination
program is saved as a file (extension: .xexm).

3-2. NEUROWORKBENCH
Editing the Protocol Button

Automatically Starting an Examination Program when a Protocol
Button is Clicked on the Main Menu Page of NeuroWorkbench
You can select the examination program that automatically starts when the 3
protocol button on the main menu page of NeuroWorkbench is clicked.
opens. 3-2
2. Select an examination program to automatically start when the protocol

button on the main menu page of the NeuroWorkbench is clicked.
3. Check the “Automatically open when this protocol starts” check box on the
Settings window.
The “*” mark appears beside the selected examination program.
Changing the Order of the Examination Programs in a Protocol

Button
You can also change the order of examination programs in a protocol button.
opens.
2. On the Settings window, select the examination program to change order

then click the Up or Down button on the Settings window.

3. BASIC OPERATION
Changing the Measurement Settings for an Examination Program

You can change the measurement settings for the examination programs from the
Settings window.
NOTE
Only the settings on the Measurement Setting window type 1 can be
changed from the Settings window. The settings on the Measurement
Setting type 2 window cannot be changed.
For Measurement Settings window type 1 and type 2, refer to Section 4 of the
MEB-2300 EMG/EP measuring system examination guide.
opens.
2. On the Settings window, select the examination program to change

measurement settings and click the Settings button. The Measurement
Settings window opens.
3. Change the measurement settings on the Measurement Settings window. For

details on the Measurement Settings window, refer to Section 4 of the
Editing the List of Available Examination Programs

Removing an Examination Program from the List of Available
opens.
window opens.
List of available
examination
programs
3. Select the examination program to delete in the list of available examination

programs on the “Select an examination” window and click the Delete
button on the “Select and examination” window. The selected examination
program is deleted.
3-2. NEUROWORKBENCH
Importing an Examination Program in the List of Available

opens.
3
window opens.
3-2
3. Click the Import button on the “Select an examination window”. The Import
window appears.
4. Select the examination program file (extension: .xexm) and click the
OK button on the Import Window. The Import window closes and a new
examination program is added in an examination category set in the
imported file.
Exporting an Examination Program in the List of Available

Examination Programs as a File
opens.
window opens.
List of available
examination
programs

3. BASIC OPERATION
3. Select the examination program to export in the list of available examination

programs on the “Select an examination” window and click the Export
button on the “Select an examination” window. The Export window appears.
4. On the Export window, enter the file name and select the folder to save the
file.
5. Click the Save button on the Export window. The selected examination
program is saved as a file (extension: .xexm).
Copying a Protocol Button

1. On the examination protocol page, right-click the protocol button to copy
and select Copy from the pop-up menu.
2. Right-click the protocol button to paste to and select Paste from the pop-up
menu.
Deleting a Protocol Button

1. Select the protocol button to delete in the Edit Menu window.

3-2. NEUROWORKBENCH
2. Click the “Delete this protocol” button in the Protocol area.
3-2
The confirmation message appears.
3. Click the Yes button. The selected protocol is deleted.
You can delete a protocol button by right-clicking the protocol button on the
examination protocol page and selecting Delete from the pop-up menu.
Importing a Protocol
In the Edit Menu window, select a protocol button in the list and click the
Import button in the Protocol area, or right-click the protocol button on an
examination protocol page. The Open dialog box opens.
Select a protocol file (extension: .XEBP) and click the OK button.

3. BASIC OPERATION
Exporting a Protocol
In the Edit Menu window, select a protocol and click the Export button
in the Protocol area, or right-click the protocol button on the examination
protocol page. The Save As dialog box opens.
Select the folder to save the protocol file and click the Save button. The
selected protocol is saved as a protocol file.
Initializing a Protocol Button

You can restore a protocol button to the user default settings.
NOTE
“Unused” protocol buttons cannot be initialized.
In the Edit Menu window, select a protocol button and click the “Initialize this
protocol” button in the Protocol area.
Or,
Right-click a protocol button and select “Initialize this protocol” from the
pop-up menu. The default settings are restored.

Section 3-3 Examination List
3
General..............................................................................................................................................................3-3.2
Examination List Window........................................................................................................................3-3.2
Examination Flow when Using the Examination List...............................................................................3-3.3
Opening the Examination List Window..............................................................................................................3-3.4 3-3
Starting Examination.........................................................................................................................................3-3.5
Adding an Examination......................................................................................................................................3-3.6
Adding an Examination to the Examination List Using the Settings of an Existing Examination............3-3.6
Copying the Current Examination Including Waveforms.........................................................................3-3.7
Adding Examinations Assigned to a Protocol Button to the Examination List.........................................3-3.7
Creating a Report..............................................................................................................................................3-3.9
Reviewing the Measurement Files Saved in the System.................................................................................3-3.10
Closing the Examination List Window..............................................................................................................3-3.11
Closing the Examination List for Currently Selected Patient.................................................................3-3.11
Closing the Examination List for All Patients.........................................................................................3-3.12

3. BASIC OPERATION
General
The Examination List window shows all the examinations for one patient and
lets you perform each examination for one examination protocol and create a
report after examinations. With the Examination List window, you can perform
all examinations from one window.
With the examination list, you can do the following.

• Start examination
• Change examination type
• Add another examination to the current examination list
• Manage the examination flow for several patients
• Create and save examination reports
• Display the measurement data saved in the system
Examination List Window

Examination list
The list is displayed for each
patient. You can display the list
for several patients at a time.
Examination program
List of the examination
programs for one patient.
Minimize button A mark is displayed
Minimizes the list to the bar beside examinations that
on the left of the screen. were already performed.
Close button
Closes the examination list
Add Examination button for the currently selected
Adds an examination patient.
program to the list.
Create Report button

Creates a report for the
currently selected patient.
Exit button
Closes all the examination
Open File button
windows and the
Opens the list for all data
examination lists for all
in the system.
the patients. Unsaved data
is automatically saved
when you click this button.

3-3. EXAMINATION LIST
Examination Flow when Using the Examination List

1. Select an examination program from the Examination List window.
2. When the selected examination is finished, select another examination

3
program from the Examination List window.
3. Repeat step 2 until all examinations are performed.
4. Create an examination report by clicking the Report button.

3-3
5. If necessary, do the following.
• Add another examination to the list
• Review the data saved in the system

3. BASIC OPERATION
Opening the Examination List Window
The Examination List window automatically opens when you click the protocol
button on the NeuroWorkbench main window.
During examination, you can operate the Examination List at any time by
pressing the Exam key on the control panel unit.
Exam key
NOTE
The Examination List automatically opens when the NeuroWorkbench is
started if you set “Show Examination List” in the Settings wizard to on. To
open the Settings wizard, select “Edit Menu” from the Edit menu on the
NeuroWorkbench main window and click the Settings button on the Edit
Menu dialog box.

Starting Examination
You can start examinations from the Examination List window. 3
1. Open the Examination List window.
2. If several patients are displayed in the Examination List window, open the
examination list for the patient by clicking the name of the patient.
3-3
Menu keys When using the control panel unit instead of the keyboard or mouse, press
the “← Menu →” keys to select the patient and press the Enter key to open
the examination list for the patient.
3. Click the examination to perform. The examination window for the selected
Enter key examination opens.
Arrow (Left/Right/ When using the control panel unit instead of the keyboard or mouse, press
Up/Down) keys the arrow key to select the examination and press the Enter key to open the
examination window.
4. Start the examination. For details on each examination program, refer to the
Enter key
3. BASIC OPERATION
Adding an Examination
You can add an examination to the list with the Add Examination button on the
Examination List window or the protocol buttons on the NeuroWorkbench main
window.
Adding an Examination to the Examination List Using the Settings of an Existing

Examination
Do one of the following to add a new examination with the same settings as an
existing examination.
• On the Examination List window, select an examination to use its settings

for the new examination and click the Add Examination button. A new
examination with the settings of the selected examination is added to the
examination list.
Arrow keys When using the control panel unit instead of the keyboard or mouse, press the
Menu keys
arrow keys to select an examination, press the “← Menu →” keys to select the
Add Examination button and press the Enter key to add an examination. A new
examination with the settings of the selected examination appears in the list.
• Or, right-click the examination to use its settings and select “Start a new
Enter key
examination with the settings of this examination” from the pop-up menu. A
new examination with the settings of the selected examination appears in the
list.

Copying the Current Examination Including Waveforms

To save the current examination including waveforms as another examination in
the examination list, right-click the examination in the list and select “Make a
copy of this examination” from the pop-up menu.
3
3-3
Adding Examinations Assigned to a Protocol Button to the Examination List

You can set the examinations that are assigned to protocol buttons in the
Examination List.
1. Open the Examination Protocol page of the NeuroWorkbench main window.
2. Click a protocol button to open the Examination List.
3. Select the patient block to add the examinations in the Examination List.
4. Click the protocol button on the Examination Protocol page of the

NeuroWorkbench main window. The examinations set on the selected
protocol button are added to the examination list for the currently selected
patient.
If the selected protocol is already in the Examination List, it cannot be

added.
Protocol button

3. BASIC OPERATION
When using the Control Panel Unit instead of the Keyboard or Mouse
Main Menu key Arrow (Left/Right/ 1. Press the Main Menu key to open the Examination Protocol page of the
Up/Down) keys NeuroWorkbench main window.
2. Press the Exam key to open the Examination List and confirm that the
desired patient block is selected on the Examination List.
Enter key 3. Click the Main Menu key again to open the Examination Protocol page of
the NeuroWorkbench main window.
4. Press the arrow keys to select the protocol and click the Enter key to add the
examinations to the Examination List.

Creating a Report
You can create a report from the Examination List window. 3
To create a report, click the Report button for the examination list in the
Examination List window. The NeuroReportGenerator window opens.
3-3
Menu keys When using the control panel unit instead of the keyboard or mouse, press the
“← Menu →” keys to select the Report button and press the Enter key to open the
Report window.
For details on NeuroReportGenerator window and how to create a report, refer to

Enter key the NeuroReport operator’s manual.

3. BASIC OPERATION
Reviewing the Measurement Files Saved in the System
You can review the measurement files saved in the system from the Examination
List window.
1. Click the Open File button on the bottom left of the Examination List
window. The File Open window opens.
2. Select the examination file to open and click the Open button. The selected
file opens.

Closing the Examination List Window
Closing the Examination List for Currently Selected Patient 3

1. Click the close button on Examination List window. A confirmation message
appears.
3-3
Menu keys
When using the control panel unit instead of the keyboard or mouse, press
the “← Menu →” key to select the close button and press the Enter key to
close the examination list.
Enter key 2. Click the OK button on the confirmation message window to close the
examination list.
the Enter key.

3. BASIC OPERATION
Closing the Examination List for All Patients

1. Click the Exit button on the bottom right on the Examination List window. A
confirmation message appears.
Menu keys
the “← Menu →” key to select the Exit button and press the Enter key to
close the Examination List window.
Enter key
2. Click the OK button on the confirmation message window to close the

examination list.
the Enter key.

Section 4 Workbench
General................................................................................................................................................................. 4.2
Examination Status.................................................................................................................................... 4.2
Explanation of the Main Window and Each Mode...................................................................................... 4.3
Schedule Mode................................................................................................................................ 4.3
Examination Mode........................................................................................................................... 4.3
Review Mode................................................................................................................................... 4.4 4
Patient List Mode............................................................................................................................. 4.4
Displaying Examinations by Workflow Status....................................................................................................... 4.5
Working with Examination Schedules.................................................................................................................. 4.6
Entering a New Schedule........................................................................................................................... 4.6
Editing a Schedule..................................................................................................................................... 4.7
Importing and Exporting Schedules........................................................................................................... 4.8
Importing a Schedule....................................................................................................................... 4.8
Exporting a Schedule..................................................................................................................... 4.10
Displaying a Schedule for a Specified Date............................................................................................. 4.12
Adding a Memo to a Schedule................................................................................................................. 4.13
Starting an Examination from a Schedule.......................................................................................................... 4.15
Changing the Workflow Status of an Examination.............................................................................................. 4.16
Filtering the Displayed Examinations................................................................................................................. 4.17
By Criteria................................................................................................................................................ 4.17
By Archive Status..................................................................................................................................... 4.19
By Selecting Patient................................................................................................................................. 4.20
Searching for a Patient....................................................................................................................................... 4.21
By ID, Patient Name and Date.................................................................................................................. 4.21
By Detailed Patient Information................................................................................................................ 4.21
Reviewing an Examination................................................................................................................................. 4.24
Editing Patient Information in the Database....................................................................................................... 4.25
Copying, Deleting and Archiving Files................................................................................................................ 4.26
Copying Files............................................................................................................................................ 4.26
Deleting Files............................................................................................................................................ 4.27
Archiving Files.......................................................................................................................................... 4.28

4. WORKBENCH
General
From the Workbench page, you can manage the entire examination workflow,
from scheduling an examination to ending and reviewing the examination.
Examination Status
The status of each examination is indicated by the following icons in the data list
of the Workbench page.
: Scheduled
: Ready to start (can be applied manually by right clicking the

examination)
: Now examining
: Reviewing (examination ended and now diagnosing)
: Completed (diagnosis ended)

(No icon): No status
Each file belongs to an examination. When the file rows are displayed in the data
list, icons are displayed beside each file.
: MEB data file
: Finalized NeuroReport file (red icon)
: NeuroReport file (blue icon)
: Exported NeuroReport file
The Workbench page has four modes.

• Schedule mode
• Examination mode
• Review mode
• Patient List mode
The available functions depend on the selected mode and user account.

4. WORKBENCH
Explanation of the Main Window and Each Mode

Schedule Mode
The Schedule mode is for entering and checking the examination schedule. All
examinations except examinations with “No status” are displayed in the data list.
You can enter, edit, import, export and check the examination schedule and add
descriptions for an examination schedule. You can also start an examination from
the data list.
Filter area
Refresh button
Mode text box Function buttons 4

Calendar
Data list
Weekly schedule
Schedule window
Option button
Examination Mode
The Examination mode shows examinations that are being performed.
Examinations with “Now examining” status are displayed in the data list. You
can also check the history of examinations and list all examinations for one
patient.
Data list
Refresh button
Mode text box Filter area
Function buttons
Patient list
Option button
Schedule window

4. WORKBENCH
Review Mode
The Review mode is for reviewing and diagnosing. Examinations in

“Reviewing” status are displayed in this mode. You can also check the history of
examinations and list all examinations for one patient.
Data list
Refresh button
Function buttons
Patient list
Option button
Schedule window
The examinations that are displayed in the Review mode can be changed by
changing user account settings. Refer to Section 3-2 “NeuroWorkbench”.
Patient List Mode
The Patient List mode shows all examinations. You can search examinations by
patient ID, patient name, examination date and detailed information. You can
also filter examinations by whether the examination is archived or not.
Data list
Refresh button
Search area Function buttons
Patient list
Option button

4. WORKBENCH
Displaying Examinations by Workflow Status
1. Click the arrow button beside the Mode text box and select a mode from the
list. All examinations for the selected mode are listed.
The following examinations are listed for each mode.

• Schedule mode: All examinations other than “No status”
• Examination mode: “Now examining”
• Review mode: “Reviewing”
• Patient list mode: All examinations
2. To display files for all listed examinations, click the Expand button on the
top right of the data list.
Expand button
Examination row
File row
To display details for a specified examination, click the “+” button beside the
examination.
“+” button

4. WORKBENCH
Working with Examination Schedules
Entering a New Schedule

You can enter the patient information, the instrument used for examination,
physician, and examination type with examination schedule.
1. Click the arrow button beside the Mode text box and select the Schedule
mode from the list.
2. Click the New Schedule function button. The Schedule window

appears below the data list.
Schedule window
Search buttons
Click this button to select

examination protocol.
3. Enter patient information and examination information. Patient ID, patient

name and Exam type are necessary to register the examination schedule to
the database.
If the patient ID or name already exists in a previous schedule in the

database, you can read the patient information from the previous schedule by
clicking the Search button beside the ID or Name text box.
4. Click the OK button.
• To clear all items in the schedule window, click the Clear button.
• To cancel entering the schedule, click the Cancel button.

4. WORKBENCH
Editing a Schedule
mode from the list.
2. Click the examination schedule to edit. The Schedule window appears below
the data list.
Selected examination
schedule
Schedule window
3. Click the Edit button at the bottom of the Schedule window.
4. Enter or change the Patient Data and Exam Data in the Schedule window
and click the OK button.

4. WORKBENCH
Importing and Exporting Schedules

You can import or export examination schedules and share the examination
schedule with instruments which are not connected to the network.
Importing a Schedule
mode from the list.
2. Right-click the blank area in the data list. A pop-up menu opens.
3. Click the “Import schedule” on the pop-up menu. The Import Schedule
window opens.
4. Click the “Browse...” button. The Browse for Folder window opens.
5. Select the schedule file to import and click the OK button. Repeat this step to
add more schedule files to the list in the Import Schedule window.

4. WORKBENCH
6. Check the schedule files to import in the Import Schedule window and
click the Start button. The schedule files with a check mark beside them are
imported.
Or,
mode from the list.
2. Click the New Schedule function button on the right column.

The Schedule window appears below the data list.
Schedule window
Import
schedule
button
3. Click the “Import schedule” button. The Import Schedule window opens.

4. WORKBENCH
5. Select the schedule file to import and click the OK button. Repeat this step to
add more schedule files to the list in the Import Schedule window.
6. Check the schedule files to import in the Import Schedule window and
click the Start button. The schedule files with a check mark beside them are
imported.
Exporting a Schedule
mode from the list.
2. Click a schedule to export. The selected schedule is displayed highlighted.
3. Right click the schedule. A pop-up menu opens.
To export two or more schedules, select all the schedules that you want to
export. You can select two or more schedules by clicking the schedule while
holding the Ctrl key on the keyboard.

4. WORKBENCH
4. Select “Export schedule” from the pop-up menu. The Export Schedule
window opens.
6. Select the folder to export the schedule and click the OK button on the
Browse for Folder window.
7. Check the list on the Export Schedule window and click the OK button. The
schedules with a check mark are exported.
You can check all schedules in the list by clicking the “Check all” button.
You can uncheck all schedules in the list by clicking the “Clear all” button.

4. WORKBENCH
Displaying a Schedule for a Specified Date

mode from the list.
2. Click the day in the calendar on the top left of the screen.
Calendar
The weekly schedule including the specified date is displayed in the weekly
schedule area below the calendar.
Weekly schedule
3. Check the schedule. The number after “AM” and “PM” is the number of
examinations scheduled in the AM and PM on that day.

4. WORKBENCH
Adding a Memo to a Schedule

mode from the list.
2. Click the day in the calendar on the top left of the screen.
The weekly schedule including the specified date is displayed in the weekly
schedule area below the calendar.
3. Double click the date on the weekly schedule area to add a memo. The
“Schedule Information” window opens.

4. WORKBENCH
4. Enter a memo, check the Attention or Lock check box if necessary, and click
the Update button.
Examples:
Normal Attention Locked

(yellow) (red)
If both the Attention and Locked check boxes are checked, the color of the
locked status is applied.
5. The memo entered in step 4 is displayed in the Weekly Schedule area.
First 19 characters of the memo are displayed in the weekly schedule area.

4. WORKBENCH
Starting an Examination from a Schedule
You can start an examination from the examination schedule in the data list.
When the measurement finishes, the measured data is displayed in the file row.
Examination row
File row
mode or Patient List mode from the list.
2. Select the examination from the data list.
3. Click the Examination function button. The Protocol buttons for

the selected examination appears.
4. Click the protocol button to start the examination.

4. WORKBENCH
Changing the Workflow Status of an Examination
NOTE
The workflow status can be changed only by a user who has permission
to change workflow status.
1. Right-click the examination to change workflow status. A pop-up menu

opens.
2. Select “Change workflow status” and select the workflow status from the sub
menu. The character “●” shows the current workflow status.

4. WORKBENCH
Filtering the Displayed Examinations
By Criteria
You can filter examinations in the data list by up to four criteria.
1. Click the arrow button beside the text box in the upper row of the Filter area
and select the filtering criteria from the pull-down list.
2. Click the arrow button beside the text box in the lower row of the Filter area
and select the keyword from the pull-down list.
The examinations which match all the specified criteria are displayed in the
data list.
To clear the filter items, click the arrow button beside the text box in the upper
row and select “None” from the pull-down menu.
Filtering Item List
Options
Item Displayed in the Description
Pull-down List
Archive Yes, No Whether archived in the database or not
Deleted Yes, No Whether archived file which is deleted from
the data list or not
Refer Dept. All referring Referring department
departments which
are registered in
database
Physician All physician Physician
names which
are registered in
database

4. WORKBENCH
Options
Item Displayed in the Description
Pull-down List
Exam. EMG/EP (2300), Examination type.
EEG, PSG, EMG/
EP, IOM To select the examinations performed using
the MEB-2300 EMG/EP measuring system,
select “EMG/EP (2300)”.
Status Complete Entire examination flow has been finished
Schedule Scheduled but not started examination yet
No Status The examination imported from another
network system and workflow status is not
assigned.
Offline Schedule Examination schedule imported from a
portable instrument.
Old Database Examination schedule imported from old-
version Access database.
Ready to Start Ready to start examination.
Now Examining Now examining.
Reviewing Examination was finished and not reviewed
yet.
Operator All operator Operator
names which
are registered in
database
Data Type Data, Report Data (file) type
Copied Yes, No Original file or copied file

4. WORKBENCH
By Archive Status
This function is available only in the Patient List mode.
1. Click the arrow button beside the Mode text box and select the Patient List
mode from the list.
2. Click the check box above the data list.

4
“Show un-archive data” check box:

Check this check box to display files which is not archived in the data
list.
“Show archive data which is not deleted yet” check box:
Check this check box to display the archived files which is not deleted
from the data list.

4. WORKBENCH
By Selecting Patient
This function is available in the Examination, Review and Patient List modes.
1. Click the arrow button beside the Mode text box and select the Examination,
Review or Patient List mode from the list.
2. Select a patient from the patient list area in the left bottom of the screen. All
examinations for the selected patient are displayed in the data list.
To display the examinations of all patients, select “Show All Patients” which
is the last item on the patient list.

4. WORKBENCH
Searching for a Patient
By ID, Patient Name and Date

This function is available only in the Patient List mode. To change the mode,
refer to “Displaying Examinations by Workflow Status” in this section.
mode from the list.
2. Enter keyword(s) and/or select date in the Search area.

Search area
3. Click the Search button. The search result is displayed in the patient list.
To clear the strings and date in the search area, click the Clear button.
By Detailed Patient Information

This function is available only in the Patient List mode. To change the mode,
refer to “Displaying Examinations by Workflow Status” in this section.
mode from the list.
2. Click the More button in the Search area. The detailed search area appears.
Detailed
search area

4. WORKBENCH
3. Enter the “Item 1” and/or “Item 2” text boxes in the Patient Search area.
i) Click the arrow button beside the text box in the top for each item and
select the search item.
ii) Enter a keyword or a range for the item selected in step i).
To hide the detailed search area, click the Less button on the search area.
Search Items
Item Name Description

ID Patient ID
Patient Name Patient name
Sex Select the gender from “Male”, “Female” and
“Unknown”.
Refer. Dept. Select a department which is registered in the database
from the pull-down list or enter keywords with the
keyboard.
In/Out Select the patient status from “In”, “Out” and
“Unknown”.
Birth date Birth date. Select dates from the calendar to specify the
search range.
Hand Select the dominant hand from “Right”, “Left”, “Both”
and “Unknown”.
Physician Select the physician who is registered in the database
from the pull-down list or enter a name with the
keyboard.
Operator Select an operator who is registered in the database
keyboard.
Exam. Select the examination type from “EMG/EP (2300)*”,
“EEG”, “IOM”, “EMG/EP” and “PSG”.
* To select examinations performed using the MEB-
2300 EMG/EP measuring system, select “EMG/EP
(2300)”.
Exam. No. Examination number
Protocol Title Select a protocol which is registered in the database
from the pull-down list or enter keyword with the
keyboard. (e.g. “SEP”, “ABR”)
Protocol Sub Title Select the description for protocol which is registered in
the database from the pull-down list or enter keywords
with the keyboard.
Status Select workflow status from the pull-down list.
Start The date when the examination was started. Select a
date from the calendar to specify the searching range.
OR No. Not used
Assistant Not used
Anesthesiologist Not used
Nerve Select a nerve which is registered in the database from
the pull-down list or enter the name with the keyboard.
Muscle Select a muscle which is registered in the database from
Side Select the measured side from the pull-down list or
enter keyword with the keyboard.
Comment (Tech) Comment of the technician. Enter keywords.

4. WORKBENCH

Surgical Procedure Not used
Comment
Diagnosis Comment Not used
Disk Volume Select the disk number which is registered in the
database from the pull-down list or enter keyword with
the keyboard.
Instrument Instrument used for measurement. Select the instrument
from “EEG”, “MEB” and “IOM”.
Machine The machine used for measurement. Select the machine
which is registered in the database from the pull-down
list or enter keyword with the keyboard.

4. WORKBENCH
Reviewing an Examination
You can review the measured data from the Workbench page of
NeuroWorkbench.
NOTE
To review examination files, the review program for the selected
examination is necessary. Install the review program before reviewing the
files.
1. Click the “+” button beside the examination to review. The files are
displayed below the selected examination.
“+” button
2. Select the file to review.
Examination
File
3. Click the Review function button. The examination program for

the selected file starts. For operations of each examination program, refer to
the MEB-2300 examination guide.

4. WORKBENCH
Editing Patient Information in the Database
NOTE
You cannot change patient information saved in the measurement file
(raw data) from NeuroWorkbench.
In the NeuroWorkbench Workbench page, patient information registered in the

database can be changed, but patient information saved in the measurement file
(raw data) cannot be changed.
To change patient information saved in the measurement file, open the file with 4
the examination program and change the information from the examination
program. Refer to Section 3 of the MEB-2300 examination guide for details.
1. Right-click an examination in the data list. The pop-up menu opens.
2. Select Edit from the pop-up menu. The Edit window opens.
3. Enter or change the patient information and click the OK button to close the
Edit window.
4. Click the Refresh button at the top left of the window to display the
latest information and check that the patient information is changed in the
data list.

4. WORKBENCH
Copying, Deleting and Archiving Files
NOTE
If you select a CD/DVD recorder as a target drive, the drive starts
formatting media before copying and it may take several minutes.
Copying Files
NOTE
When you copy a report that was created with NeuroReport, only finalized
reports and exported reports can be copied. For details, refer to the
NeuroReport operator’s manual.
You can copy the examination files from Workbench to another drive or disk.
1. Select the examination or file in the data list.
If an examination is selected, all files for the examination are copied. To

copy one file, click the Expand button to display files and select the file to
copy.
You cannot copy examinations which do not have files.
2. Click the Copy function button. The destination window opens.
Destination window

4. WORKBENCH
3. Select the destination drive and click the Add button.
Click this arrow button to show the

drive list.
4. Check the Copy List and click the Start button.
To cancel copying one of the files, select the file and click the Remove
button.
To cancel copying all files, click the Cancel button.
To register the examination and file to the database when copying, check the
“Add to database” check box.
5. Click the OK button on the confirmation message window to start copying.
Deleting Files
If an examination is selected, all files for the examination are deleted. To

delete one of the files, click the Expand button to display files and select the
file to delete.
2. Click the Delete function button.

4. WORKBENCH
3. If you entered a user account at log in, a confirmation window appears. Enter
the password and click the OK button.
If you do not use user accounts, a confirmation window appears. Click the
OK button.
The selected file is deleted.
Archiving Files
You can copy the examinations and files from the Workbench to another drive or
disk and register it in the database as archived file. You can trace the destination
of archived files from the Workbench page of the NeuroWorkbench even if you
delete the original files.
If a patient information is selected, all files for the patient are archived. To
archive one of the files, click the Expand button to display files and click the
file to archive.
You cannot archive examinations which do not have a file.

4. WORKBENCH
2. Click the Archive function button. The destination window

opens.
Destination window 4
3. Select the destination drive and click the Add button.
Click this arrow button to show

the drive list.
4. Check the Archive List and click the Start button.
To cancel archiving one of the files, select the file and click the Remove
button.
To cancel archiving all files, click the Cancel button.
5. Click the OK button on the confirmation message window to start archiving.

Section 5 Data Manager
General................................................................................................................................................................. 5.2
Explanation of the Main Window for Each Mode........................................................................................ 5.4
Database Mode................................................................................................................................ 5.4
File Mode......................................................................................................................................... 5.4
Explanation of Icons in the Data List................................................................................................ 5.5
Displaying Data.................................................................................................................................................... 5.6
Selecting the Data Source.......................................................................................................................... 5.6
Grouping Data by Patient or Examination.................................................................................................. 5.6 5
Displaying All Data for a Patient................................................................................................................. 5.7
Sorting the Data List................................................................................................................................... 5.7
Searching for a Patient......................................................................................................................................... 5.8
By ID, Patient Name and Date.................................................................................................................... 5.8
By Detailed Patient Information.................................................................................................................. 5.8
Filtering the Data List......................................................................................................................................... 5.10
Reviewing an Examination................................................................................................................................. 5.12
Handling Information in the Database................................................................................................................ 5.13
Printing the Patient Information and Data List.......................................................................................... 5.13
Backing Up the Database......................................................................................................................... 5.14
Restoring the Database........................................................................................................................... 5.15
Editing Patient Information in the Database............................................................................................. 5.16
Deleting an Examination.......................................................................................................................... 5.17
Adding a Memo to an Examination.......................................................................................................... 5.18
Managing Measurement Files............................................................................................................................ 5.19
Copying Files to Another Drive or Media.................................................................................................. 5.19
Moving Files to Another Drive or Media................................................................................................... 5.21
Archiving Files.......................................................................................................................................... 5.23
Adding an Examination in the Database.................................................................................................. 5.24
Deleting Files............................................................................................................................................ 5.25
Disk Management............................................................................................................................................... 5.26
Assigning and Changing a Disk Number.................................................................................................. 5.26

5. DATA MANAGER
General
The Data Manager page lets you manage patient information and measured data.
When you start an examination from the NeuroWorkbench, patient information

and examination information for the examination are automatically registered in
the database when the examination ends.
You can edit or delete patient information and examination information in the
database. You can also add measurement data to the database for examinations
that are not started from the NeuroWorkbench.
There are two modes: database mode and file mode.
Database mode is for managing examination and patient information that are
registered in the database. When you select examination and patient information
from the database, open the Data Manager in Database mode.
File mode is for editing measurement data and registering measurement data
from the hard disks and external media to the database regardless of whether the
measurement data is registered to the database. When you select examination and
patient information from a hard disk or external media, open the Data Manager
in File mode.
Database mode
• Displaying measurement data with the Review Program for each instrument
• Filtering the data list
• Searching for patient information
• Printing patient information and the data list
• Backing up patient information
• Restoring patient information
• Deleting patient information from the database
• Editing patient information
File mode
• Displaying measurement data with Review Program for each instrument
• Filtering the data list
• Searching for patient information
• Copying measurement data
• Moving measurement data
• Archiving measurement data
• Formatting disks and assigning disk numbers
• Deleting measurement data

5. DATA MANAGER
NOTE
• The measurement data acquired in another network is not registered
to the database by only reviewing the data. To add measurement data
acquired in another network, refer to “Adding an Examination in the
Database” in this section.
• Back up the database once a year to prevent data loss. If the hard disk
is damaged, you may lose important patient data.

5. DATA MANAGER
Explanation of the Main Window for Each Mode

Database Mode
Database mode shows only patient information and measurement data that is
registered in the database.
Data list
Refresh button
Mode text box

Filter area
Search area
Patient list
Option buttons
Function buttons
File Mode
File mode shows all measurement data in the selected drive.

Data list
Refresh button
Mode text box

Filter area
Search area
Patient list
Option buttons
Function buttons

5. DATA MANAGER
Explanation of Icons in the Data List
When the file rows are displayed in the file mode, icons are displayed beside
each file.
: MEB data file 5
: Finalized NeuroReport file (red icon)
: NeuroReport file (blue icon)
: Exported NeuroReport file

5. DATA MANAGER
Displaying Data
Selecting the Data Source

1. Click the arrow button beside the Mode text box to select the database, a
drive or a folder.
• When “Database” is selected, the data list is displayed in Database mode.
• When a drive or folder is selected, the data list is displayed in File mode.
NOTE
When you switch to Database mode or NeuroWorkbench is started in
Database mode, the data list is blank. Search for a patient or click the
Refresh button to display the data list.
2. Click the “Expand” button on the top-right of the data list to display the file
rows.
To display all files for an examination, click the + button beside the
examination on the list.
Examination row
File row
Grouping Data by Patient or Examination

In File mode, you can group the Data List items by patient ID and name or
display a list of individual files. Select the list mode in the List Mode area.
Individual: Displays all files in the selected drive.

Group by Patient: Displays data according to patient IDs and names.
5. DATA MANAGER
Displaying All Data for a Patient

Select a patient from the patient list. All examinations for the selected patient are
displayed in the data list.
If filter conditions are set, only the examinations that match the filter conditions
are displayed in the list. For filtering, refer to “Filtering the Data List” in this
section.
To display examinations for all patients, select “Show all patients” which is the
last item in the patient list.
To search for a patient in the patient list, refer to “Searching for a Patient” in this
section.
Sorting the Data List

Click the column heading of the item to sort the examinations. Each time you
click an item, the order toggles between ascending and descending.

5. DATA MANAGER
Searching for a Patient
By ID, Patient Name and Date

1. Enter keyword(s) and/or select date in the Search area.
Search area
To clear the search area, click the Clear button.
By Detailed Patient Information

1. Click the More button in the Search area. The detailed search area appears.
Detailed
search area
2. Enter the “Item 1” and/or “Item 2” text boxes in the Search area.
i) Click the arrow button beside the text box in the top for each item and
select the search item.
ii) Enter a keyword or a range for the item selected in step i).
To hide the detailed search area, click the Less button on the search area.
Search Items

ID Patient ID
Patient Name Patient name
Sex Select the gender from “Male”, “Female” and
“Unknown”.
Refer. Dept. Select a department which is registered in the database
keyboard.
In/Out Select the patient status from “In”, “Out” and
“Unknown”.

5. DATA MANAGER

Birth date Birth date. Select dates from the calendar to specify the
search range.
Physician Select the physician who is registered in the database
keyboard.
Operator Select an operator who is registered in the database
keyboard.
Exam. Select the examination type from “EMG/EP (2300)*”
“EEG”, “IOM”, “EMG/EP” and “PSG”.
* To select examinations performed using the MEB-
2300 EMG/EP measuring system, select “EMG/EP
(2300)”.
Exam. No. Examination number
Protocol Title Select a protocol which is registered in the database
from the pull-down list or enter keywords with the
5
keyboard. (e.g. “SEP”, “ABR”)
Protocol Sub Title Select the description for protocol which is registered in
the database from the pull-down list or enter keyword
with the keyboard.
Status Select workflow status from the pull-down list.
Start The date when the examination was started. Select dates
from the calendar to specify the search range.
OR No. Not used
Assistant Not used
Anesthesiologist Not used
Nerve Select a nerve which is registered in the database from
Muscle Select a muscle which is registered in the database from
the pull-down list or enter keyword with the keyboard.
Side Select the measured side from the pull-down list or
enter the name with the keyboard.
Technician Comment Comment entered in the Patient Information window.
Surgical Procedure Not used
Comment
Diagnosis Comment Not used
Disk Volume Select the disk number which is registered in the
database from the pull-down list or enter keyword with
the keyboard.
Instrument Instrument used for measurement. Select the instrument
from “EEG”, “MEB” and “IOM”.
Machine The machine used for measurement. Select the machine
which is registered in the database from the pull-down
list or enter keyword with the keyboard.

5. DATA MANAGER
Filtering the Data List
You can show only the examinations that meet the criteria in the data list. Up to
four criteria can be selected.
1. Click the arrow button beside a text box in the upper row of the Filter area
and select the filtering criteria from the pull-down list.
2. Click the arrow button beside the text box in the lower row of the Filter area
and select a keyword from the pull-down list.
Filtering items differ for Database mode and File mode.
The available filtering items are as follows.
Filtering Items for Database Mode
Options Displayed in
Item Description
the Pull-down List
Archive Yes, No Select data if it is archived in the
database or not.
Deleted Yes, No Select data if it is an archived file
which is deleted from the data list or
not.
Refer Dept. All refer departments Select data for specified referring
which are registered in department.
database
Physician All physician names Select data for specified physician.
which are registered in
database
Exam. EMG/EP (2300), EEG, Select data for specified examination
PSG, EMG/EP, IOM type.
To select the examinations performed

using the MEB-2300 EMG/EP
measuring system, select “EMG/EP
(2300)”.

5. DATA MANAGER
Item Description
the Pull-down List
Status Complete Entire examination flow is finished.
Schedule Examination scheduled but not started
yet.
No Status The examination is imported from
another network system and workflow
status is not assigned.
Offline Schedule Examination schedule is imported
from a portable instrument.
Old Database Examination schedule is imported
from an old version Access database.
Ready to Start Ready to start examination.
Now Examining Now examining.
Reviewing Examination was finished but not
reviewed yet. 5
Operator All operator names which Operator
are registered in database
Data Type Data, Report Data (file) type
Filtering Items for File Mode
Item Description
the Pull-down List
Exam. EMG/EP (2300), EEG, Examination type
PSG, EMG/EP, IOM
Data Type Data, Report, Clipped, Data (file) type
Slide

5. DATA MANAGER
Reviewing an Examination
You can review measurement data from Data Manager.
NOTE
When the system is connected to a network, there may be EEG files
and IOM files in the database, but you cannot review the EEG or IOM
examination files from the MEB-2300 EMG/EP measuring system. To
review the EEG and IOM files, a PC with an EEG review program or IOM
review program is necessary. For details, refer to the NeuroWorkbench
operator’s manual.
1. Click the “+” button beside the examination to review. The files are
displayed below the selected examination.
2. Select the file to review.
3. Click the Review function button. The examination program for

the selected file starts.
For operation of the examination program, refer to the MEB-2300

examination guide.

5. DATA MANAGER
Handling Information in the Database
Patient information, the measurement file path and status of the file can be saved
in the database. You can back up and restore the database, and edit and delete
patient information in the database. In Database mode, you cannot edit and delete
the measurement files and patient information contained in the measurement
files.
Printing the Patient Information and Data List

You can print the patient information and data list.
5
NOTE
The Windows default printer is used to print the list.
1. Click the arrow button beside the Mode text box and select Database from
the pull-down list.
2. Click the Print function button. The Print preview window opens.
3. Click the Print icon at the top left of the Print preview window.
4. Click the OK button to print the list.

5. DATA MANAGER
Backing Up the Database

You can back up the following items from the Data Manager:
• User account
• Patient information and the examination file path which is registered to the
database*
• Schedule
* You cannot back up the measurement files in Database mode.
the pull-down list.
2. Click the Database Backup function button. The Database

Maintenance window opens.
3. Click the arrow button beside the Target Database text box, select the
items to back up from the pull-down list and click the Backup button. A
confirmation message appears.
4. Click the OK button. The Backup window opens.
5. Select the folder or drive to save in and enter the file name.

5. DATA MANAGER
6. Click the Save button to save the database.
Click the Cancel button to cancel backup.
Restoring the Database

You can restore the database from the backup files.
NOTE
The current database is overwritten when you restore the database. Back
up the current database before restoring a previously saved database.
the pull-down list. 5
2. Click the Database Restore function button to open the Database

Maintenance window.
3. Click the arrow button beside the Target Database text box, select the item to
restore from the pull-down menu and click the Restore button. The Restore
Files window opens.
4. Select the files to restore.
5. Click the Open button to start restoring.

5. DATA MANAGER
Editing Patient Information in the Database

NOTE
You cannot change patient information saved in the measurement file
(raw data) in the Database mode.
In the Database mode, patient information registered in the database can be

changed, but patient information saved in the measurement file (raw data) cannot
be changed.
To change patient information saved in the measurement file, open the file with
the examination program and change the information from the examination
program. Refer to Section 3 of the MEB-2300 examination guide.
the pull-down list.
2. Right-click an examination in the data list. The pop-up menu opens.
3. Select Edit from the pop-up menu. The Edit window opens.

5. DATA MANAGER
4. Enter or change the patient information and click the OK button to close the
Edit window.
5. Click the Refresh button at the top left of the window to display the
latest information and check that the patient information is changed in the
data list.
Deleting an Examination
NOTE
In Database mode, you can delete only the patient information in the
database and measurement file path information in the database. You
cannot delete measurement files and patient information contained in the
measurement file. 5
the pull-down list.
2. In the data list, select the examination to delete.
When you select a file, only the file path information is deleted from the
database. The patient information for the file is not deleted.
3. Click the Delete function button. A confirmation message appears.
4. If the user account is not used, click the OK button.
If you enter a password at log in, enter the password and click the OK
button.
The selected information is deleted.

5. DATA MANAGER
Adding a Memo to an Examination

A memo can be saved with an examination in the database. This memo is only
displayed in the data list in the Database mode. It cannot be seen from the
measurement files in the drive.
the pull-down list.
2. Click the “+” button beside the examination.
3. Right-click a file to add a memo. The pop-up menu opens.
4. Select “Edit Memo” from the pop-up menu. The Memo window opens.
5. Enter a memo (up to 256 characters) in the text box and click the OK button.
6. Check that the memo is displayed in the Memo column in the data list.

5. DATA MANAGER
Managing Measurement Files
NOTE
If you select a CD/DVD recorder as a target drive, the drive starts
formatting media before copying and it may take several minutes.
Copying Files to Another Drive or Media

1. Click the arrow button beside the Mode text box and select the drive which
contains the file to copy. The file list opens in the File mode.
2. Select the file to copy from the data list.
If you select a patient, all files for the patient will be copied.
To copy one file, click the “+” button beside the examination and select the
file.
3. Click the Copy function button. A destination window appears

below the data list.
Destination window

5. DATA MANAGER
4. Click the arrow button beside the text box in the destination window and
select the target drive from the pull-down list.
You can also specify the folder to copy data by selecting “Browse” from the
pull-down list.
NOTE
If you select the folder which cannot be accessed from the network,
the data cannot be registered to the database. To register data to the
database, select the folder which can be accessed from the network.
• To add files to copy, select the files in the data list and click the Add button
in the destination window.
• To register the file to the database when copying, check the “Add to
database” check box. If you select the folder which cannot be accessed
from the network, you cannot register data to the database.
5. Click the Start button. A confirmation message appears.
6. Click the OK button to start copying.

5. DATA MANAGER
Moving Files to Another Drive or Media

NOTE
The instrument deletes the source files when moving files. Copy
important files to prevent accidental deleting.
contains the files to move. The file list opens in the File mode.
2. Select the files to move from the data list.

5
If you select a patient, all files for the patient will be moved.
To move one file, click the “+” button beside the examination and select the
file.
3. Click the Move function button. A destination window appears

Destination window

5. DATA MANAGER
To add files to move, select the files in the data list and click the Add button
in the destination window.
6. Click the OK button to start moving.

5. DATA MANAGER
Archiving Files
You can copy files to a removable media such as a CD-R, CD-RW, DVD-R and
DVD-RW disk drive for backup. The archive location of files that are copied
using the archive function can be checked in the data list in Database mode.
contains the files to archive. The file list opens in the File mode.
2. Select the files to archive from the data list.

5
If you select a patient, all files for the patient will be archived.
To archive one file, click the “+” button beside the examination and select
the file.
3. Click the Archive function button. A destination window appears

Destination window

5. DATA MANAGER
To add the files to archive, select the file in the data list and click the Add
button in the destination window.
6. Click the OK button to start archiving.
Adding an Examination in the Database

Even if an examination was acquired with an instrument that does not have
NeuroWorkbench and the examination was started from the Acquisition program,
you can add the examination to the database.
1. Click the arrow button beside the Mode text box and select a disk drive. The
file list opens in the File mode.
2. Select the examination to add to the database.

5. DATA MANAGER
3. Click the Add to Database function button. When the registration

is complete, a message opens.
4. Click the OK button to close the message window.
Deleting Files
NOTE
When an examination file is deleted, the patient information for the file is
also deleted. 5
contains the files to delete. The file list opens in the File mode.
2. Select the files to delete.
3. Click the Delete function button. A confirmation message appears.
Click the OK button to delete the files.

5. DATA MANAGER
Disk Management
Every disk must have a disk number. You can assign disk numbers in the File
mode of Data Manager.
• If the disk does not have a disk number, the disk number is automatically
assigned when the Acquisition program is started or waveforms are saved.
• For double-sided disks, each side of the disk must have a different disk
number.
• The disk number can be numbers and text.
Assigning and Changing a Disk Number

1. Click the arrow button beside the Mode text box and select a disk drive. The
file list opens in the File mode.
2. Click the Disk Volume function button to display the Disk

Number window.
3. Select the examination type and enter a disk number and comment.
• Click the arrow button beside the Drive text box to select a drive.
• The disk number is automatically assigned. To change the disk number,
enter a new number in the Disk Number text box.
• Enter a disk comment if necessary.
4. Write the disk number on the disk label.
5. Click the OK button to assign the disk number.
6. Eject the disk and attach the label to the disk.

Section 6 System Settings
General................................................................................................................................................................. 6.2
Changing the Settings in the User Define Dialog Box.......................................................................................... 6.3
Opening the User Define Dialog Box......................................................................................................... 6.3
Registering a User Name........................................................................................................................... 6.4
Changing the Muscle Names Displayed in the Muscle List Box on the EMG Findings Window................ 6.4
Changing the Nerve Names Displayed in the Nerve List Box on the Nerve Input Window........................ 6.6
Editing the Frequently Used EMG Findings in the EMG Findings Table Dialog Box.................................. 6.7
Editing the Frequently Used Names and Comments for Entering Patient Information and Examination
Information................................................................................................................................................. 6.9
Default Names and Comments...................................................................................................... 6.11 6
Selecting the Tool Buttons Displayed on the Examination Window.......................................................... 6.14
Customizing the Window.................................................................................................................................... 6.15
Setting the Report Format.................................................................................................................................. 6.17
Setting the System Settings............................................................................................................................... 6.18

6. SYSTEM SETTINGS
General
This section explains how to set the following items:

• Registering a user name, changing and adding muscle names, nerve names
using the User Define dialog box.
• Customizing the color of the waveforms and windows and the font using the
Window Properties dialog box.
• Setting or customizing the formats using the Edit Report Settings dialog box.
• Setting the common settings for the examinations using the System Settings
dialog box.

6. SYSTEM SETTINGS
Changing the Settings in the User Define Dialog Box
You can register and edit the following settings using the User Define dialog box.
• User name
• The position of the user name when you print the examination result in
Hardcopy mode
• The list of muscle names
• The list of nerve names
• The EMG finding table
• Frequently used phrases
• Tool buttons
Opening the User Define Dialog Box

6
On the NeuroWorkbench main window, click the User Define option button.
To close the User Define dialog box to save the settings, click the OK button.
To cancel changing, click the Cancel button.

6. SYSTEM SETTINGS
Registering a User Name

Type a user name with up to 40 characters in the Name on Print Out text box and
click the Header or Footer radio button to select the position for printing the user
name.
Changing the Muscle Names Displayed in the Muscle List Box on the EMG Findings
Window
You can change the muscle names displayed in the Muscle list box on the EMG
Findings window for the EMG, QEMG, SF EMG, and Macro EMG when the
Muscle box arrow or Muscle List button is clicked. Add the frequently used
muscle names into the Quick list.
Muscle List button is clicked: All the muscle names in the muscle list are
displayed.
Muscle box arrow is clicked: The muscle names selected in the Quick list are
displayed as a pull-down list.
To edit the muscle name list:
1. Click the Muscle Table button on the User Define dialog box. The Edit
Muscle Table dialog box opens.

6. SYSTEM SETTINGS
2. Change the muscle name list in the left list box.

i) Click the Upper Extremity, Lower Extremity or Head & Trunk button in
the Muscle Table area. The selectable muscle names appear in the left
list box.
ii) Click the muscle name in the left list box. The selected muscle name is
highlighted and appears in the Muscle name text box.
iii) Type in the new muscle name in the Muscle Name text box.
iv) Press the Enter key. The old muscle name is replaced with the new
muscle name and new muscle name appears in the left list box.
3. Add or remove a muscle name to/from the Quick list box. Up to 20 muscle
names can be added to the Quick list box.
To add the muscle name from the left list box to the Quick list box
i) Click the muscle name in the left list box. The selected muscle name is
highlighted.
ii) Click the Copy >> button. The selected muscle name is added to the
6
Quick list.
To remove a muscle name in the Quick list box

i) Click the muscle name in the Quick list box. The selected muscle name
is highlighted.
ii) Click the << Delete button. The selected muscle name is removed from
the Quick list.
4. Click the OK button. The changed settings are saved and the Edit Muscle
Table dialog box closes.
To restore the muscle list in the left list box and the Quick list box to the factory
default settings, click the Initialize button and then click the Yes button on the
confirmation message box.
To cancel changing, click the Cancel button. The changed settings are not saved.

6. SYSTEM SETTINGS
Changing the Nerve Names Displayed in the Nerve List Box on the Nerve Input Window
You can change the nerve names displayed in the Nerve list box on the Nerve
Input window when the Nerve box arrow or Nerve List button is clicked. You
can select the frequently used nerve names in the Quick list box.
Nerve List button is clicked: All the nerve names in the nerve list are
displayed.
Nerve box arrow is clicked: The nerve names selected in the Quick list are
displayed as a pull-down list.
1. Click the Nerve Table button on the User Define dialog box. The Edit Nerve
Table dialog box opens.
2. Change the nerve name list in the left list box.

i) Click the Upper Extremity, Lower Extremity or Head & Trunk radio
button in the Nerve Table area. The selectable nerve names appear in the
left list box.
ii) Click the nerve name in the left list box. The selected nerve name is
highlighted and appears in the Nerve name text box.
iii) Type in the new nerve name in the Nerve name text box.
iv) Press the Enter key. The old nerve name is replaced with the new nerve
name and new nerve name appears in the left list box.
3. Change the nerve name list in the Quick list box.

To add a nerve name from the left list box to the Quick list box
i) Click the nerve name in the left list box. The selected nerve name is
highlighted.
ii) Click the Copy >> button. The selected nerve name is added to the
Quick list.

6. SYSTEM SETTINGS
To remove a nerve name in the Quick list box

i) Click the nerve name in the Quick list box. The selected nerve name is
highlighted.
ii) Click the << Delete button. The selected nerve name is removed from
the Quick list.
4. Click the OK button. The changed settings are saved and the Edit Nerve
Table dialog box closes.
To restore the nerve list in the left list box and Quick list box to the factory
default setting, click the Initialize button and then click the Yes button on the
confirmation message box.
To cancel changing, click the Cancel button. The changed settings are not
saved.
Editing the Frequently Used EMG Findings in the EMG Findings Table Dialog Box
You can edit the frequently used EMG findings displayed in the EMG Findings
window. You can register up to 7 frequently used EMG findings for each item.
1. Click the EMG Findings Table button on the User Define dialog box. The
EMG Findings Table dialog box opens.

6. SYSTEM SETTINGS
2. Click the item in the Title box. The selectable EMG findings appear in the
Findings list box.
3. Click the Next Item button to select the EMG finding. The selected EMG
finding is highlighted and appears in the Findings text box. To type in a new
EMG finding in the Findings text box, select a blank.
4. Type the new EMG finding.
5. Press the Enter key on the keyboard. The changed or new EMG finding
appears in the list.
6. Click the OK button. The changed settings are saved and the EMG Findings
Table closes.
To restore the EMG findings to the factory default settings, click the
Initialize button.

6. SYSTEM SETTINGS
Factory Default Settings for Frequently Used EMG Findings
Title EMG findings

Ins. Act. Normal, Incr., Decr., Waxing, Waning
Fibs.
Pos. Wave
Fasc. 0, +1, +2, +3, +4
Myo. Disch.
Normal MUP
Poly N, +, ++, +++, ++++
Low Amp.
0, +1, +2, +3, +4
High Amp.
Dur. Normal, Long, Short
Recruit Full, Reduce, Discrete, No Act.
Int. Patt. Full, Reduce, No Act.
6
Editing the Frequently Used Names and Comments for Entering Patient Information
and Examination Information
You can edit the preregistered phrases such as the frequently used department
names, physician names, operator names and comments for entering the patient
information and examination information.
1. Click the Preregistered Items button on the User Define dialog box. The
Preregistered Strings dialog box opens.

6. SYSTEM SETTINGS
2. Click a title in the Title text box. The selectable names or comments appear
in the Items list box.
Title:
Department Note: Nerve conduction EMG Note: MUP
Physician Note: Somato sensory EMG Note: Maximum Activity
Examined by Note: Auditory EMG Note: Effort
Patient Status Note: Visual EMG Note: Others
Compliant/Symptom Note: Event related Menu Comment
Parts Note: Automatic EOG Note: EOG Site Info.
Medical history EMG Note: Insert Activity Micro-N Note: Micro-N Site Info.
Medication EMG Note: Spont. Activity R-R Int Note: R-R Int Site Info.
Annotation*
ABR Diag.
* Depends on the examination programs. You can set the phrases for the following
examinations.
Annotation Examination Annotation Examination

SEP Annotation SEP EMG Annotation EMG
SSEP Annotation SSEP QEMG
ECG-SEP Annotation ECG-SEP Macro MEG
ESCP Annotation ESCP MCS Annotation MCS
Electric Annotation Electric SCS Annotation SCS
ABR Annotation ABR Rep. stim Annotation Rep. stim
MLR Annotation MLR F-wave Annotation F-wave
SVR Annotation SVR H-reflex Annotation H-reflex
Ecoch G Annotation Ecoch G Blink Annotation Blink
Auditory Annotation Auditory ERP Annotation P300
Pattern-VEP Annotation Pattern-VEP CNV
Goggle-VEP Annotation Goggle-VEP MPCP
Flash-VEP Annotation Flash-VEP SSR Annotation SSR
ERG Annotation ERG Micro-N Annotation Micro-N
Visual Annotation Visual
EOG Annotation EOG
3. Click the Next Item button to select the name or comment. The selected
name or comment is highlighted and appears in the Items text box. To type
in a new name or comment in the Items text box, select a blank.
4. Type a name or comment to change or register the name or comment.
5. Press the Enter key on the keyboard.
6. Click the OK button. The changed settings are saved and the Preregistered
Strings dialog box closes.

6. SYSTEM SETTINGS
To restore the names and comments to the default settings, click the Initialize
button.
Default Names and Comments
Department Physician Examined by

6
Neurology (No settings defined) (No settings defined)
Rehabilitation
Orthopedics
Neurosurgery
Psychiatry
Pediatrics
Anesthesiology
Otorhinolaryngology
Ophthalmology
Obstetrics/Gynecology
Internal
Surgery
Emergency room
Patient Status Complaint/Symptom

Walking Numbness
Wheelchair Palsy
Stretcher Weakness
Calm Paresthesia
Manic Arthralgia
Disquiet Muscular Pain
Tense Chronic Pain
Anxious Acute Pain
Afraid Atrophy
Refusal Hypertrophy
Painful Tendon reflex
Excited Dysuria
Semi Cons (conscious) Dyschezia
No response Loss of sensation
Clear Cons (conscious) Hypalgesia
Sleeping Involuntary movement
Fugue CPK
Vegetative Dysbasia
Brain Death Fatigue
6. SYSTEM SETTINGS
Parts Medical History

Facial Fracture
Brachial Plexus Diabetes
Cervical Neuropathy
Thoracic Myopathy
Lumber Lesion
Sacral Entrapment
Anterior horn Radiculopathy
Posterior horn Hernia
Lumbosacral Plexus Scoliosis
Bilateral ALS
Unilateral Myasthenia Gravis
Upper limb Muscular dystrophy
Lower limb Birth disorder
Limb Head injury
Central Dementia
Peripheral Multiple sclerosis
Cerebrovascular
Alcoholic
Medication Nerve conduction

No Delayed latency
Yes Decreased amplitude
Steroids Terminal latency
Botulinum Toxin Waning
Vitamin B12 Waxing
Insulin No response
Anesthetic Carpal tunnel syn. (syndrome)
Hypotensive Cubital tunnel syn. (syndrome)
Antiepileptic Tarsal tunnel syn. (syndrome)
Tranquilizer Temporal dispersion
Gastrointestinal
Chloral
Barbital
Balance
Other
Somato sensory Auditory

CCT Hearing loss
Tinnitus
Dizziness
Tumor on brain stem
Meniere
Brain stem disorder
Sound threshold
Visual Event related Autonomic

(No settings defined) (No settings defined) (No settings defined)

6. SYSTEM SETTINGS
Insertion activity Spont. activity MUP

Normal No activity Normal duration
Increased Fibrillation Long duration
No activity Fasciculation Short duration
Myotonic discharge Normal amplitude
Complex rep. disch. High amplitude
Myokymic discharge Low amplitude
Grouping discharge Polyphasic
Clamp discharge Waning
Maximum activity Effort Others

Full recruitment Mild (No settings defined)
Reduced recruitment Moderate
Discrete activity Full
No activity
6
Normal amplitude
High amplitude
Low amplitude
Menu comment EOG Site Info. Micro-N Site Info.

Upper limb stim. (No settings defined.) (No settings defined.)
Lower limb stim.
Alternate stim.
Bilateral stim.
R-R Int Site info. Annotation ABR Diag.

(No settings defined.) (No settings defined.) Pass
Refer

6. SYSTEM SETTINGS
Selecting the Tool Buttons Displayed on the Examination Window

1. Click the Tool Button button on the User Define dialog box. The Edit Tool
Button dialog box opens.
2. To display a tool button on the examination window, check the check box
beside the tool button name. To hide the tool button on the examination
window, uncheck the check box beside the tool button name.
3. Click the OK button to save the settings. The Edit Tool Button dialog box
closes.
To cancel selecting, click the Cancel button.

6. SYSTEM SETTINGS
Customizing the Window
You can change the color of the waveforms and window, and font used in the
window.
1. On the NeuroWorkbench main window, click the Window Settings option

button. The Window Properties window opens.
2. Select the item from the Item box by clicking the Item window arrow button
and displaying the pull-down list.
The following items can be changed:

Measurement Settings at Acquisition Window: Font
Measure Window: Font
Measurement Settings Window: Font
Wave Window: Font, Font color
Wave Name in Wave Window: Font and font color of the
waveform name displayed
on a Wave Window

6. SYSTEM SETTINGS
Current Wave: Color and thickness of the waveform

Stored Wave: Color and thickness of the waveform stored in a
temporary memory
Wave to be Deleted: Color and thickness of the waveform to be deleted
Chosen Wave: Color and thickness of the currently selected
waveform
Edit Source Wave: Color and thickness of the waveform displayed on a
Processing Window before processing
Edit Result Wave: Color and thickness of the waveform displayed on a
Processing Window after processing
Rejected Wave: Color and thickness of the waveform removed from
reanalysis
Base Line: Color
Mark and Mark Label: Font and font color
Back Color of Wave Window:
Background color of the Wave Window
Grid of Wave Window: Grid color on the Wave Window
Stored Wave (NCS2 Left Side):
Color and thickness of the waveform stored in
a temporary memory. Only applied for the left
waveforms in the NCS2 examination.
Chosen Wave (NCS2 Left Side):
Color and thickness of the currently selected
waveform. Only applied for the left waveforms in
the NCS2 examination.
Stored Wave (NCS2 Right Side):
Color and thickness of the waveform stored in
a temporary memory. Only applied for the right
waveforms in the NCS2 examination.
Chosen Wave (NCS2 Right Side):
Color and thickness of the currently selected
waveform. Only applied for the right waveforms in
the NCS2 examination.
3. Change the settings using the following list boxes and buttons.
Font box: Selects the font.
Size box: Selects the font size.
B button: Displays characters in bold style.
I button: Displays characters in italic style.
Color: Selects the color for the waveforms or font.
Wave Width box: Selects the waveform thickness from 1 to 9.
4. To apply the current settings, click the Apply button.
5. Click the OK button to save the changed settings. The Window Properties
dialog box closes.
To restore the settings to factory default, click the Initialize button.

6. SYSTEM SETTINGS
Setting the Report Format
You can customize the report templates from the Edit Report Setting dialog box.
You can select the items contained in the reports and also items such as color,
font, font size.
For details on opening the Edit Report Setting dialog box and creating report
templates and reports, refer to the NeuroReport operator’s manual.

6. SYSTEM SETTINGS
Setting the System Settings
1. On the NeuroWorkbench main window, click the System Settings option

button. The System Settings window opens.
2. Change the settings. The following settings are available.

• AC Filter:
Select the AC line frequency for the AC filter. The default setting is 60 Hz.
• External Input Sensitivity (/div.):
Select the external instrument output sensitivity. The default setting is 1 V.
• Pulse:
Select the duration of the output trigger signal from the external
instrument. The default setting is 1 ms.
• Input Polarity/Output Polarity:
Select the polarity of the input and output trigger signal. The default
setting is Positive.
• Make backup file when [Store] key is pressed:
Select whether or not to automatically create a back up file when the Store
key on the control panel unit is pressed. You can restore the measurement
result from the back up file in case of PC unit trouble. The default setting
is “on”.

6. SYSTEM SETTINGS
• Show confirmation message at stimulation start:

Select whether or not to display a confirmation message box when the
Stim/Sweep key or Analysis key on the control panel unit is pressed. The
default setting is “off”.
You can also set this setting to off on the confirmation message box when
the Stim/Sweep or Analysis key is pressed by checking the “This message
will not be displayed next time” check box. If this setting is changed on
the confirmation message box, the confirmation message appears again
when another examination program is started.
• When Analysis key is pressed, show message if acquisition duration is
longer than stimulation duration:
When the number of stimulation signals is set to two or more, select
whether or not to display a confirmation message box when the Analysis
key on the control panel unit is pressed. The default setting is “on”.
You can also set this setting to off on the confirmation message box
when the Analysis key is pressed by checking the “This message will 6
not be displayed next time” check box. If this setting is changed on the
confirmation message box, the confirmation message appears again when
another examination program is started.
• Control panel sound off:
Select sound on or off when the key on the control panel unit is pressed.
The default setting is “off”.
• Round measurement result to one decimal place:
Displays measurement result rounded to one decimal place. The default
setting is “off”.
• Enable stimulation button on somato control box:
Select whether to enable the stimulation button on the somato control box.
The default setting is “on”.
• Display electric current on Intensity window:
Displays the measured electric current on the Intensity window. The
default setting is “off”.
• Hide the “Open File” button on the Examination List
Check this check box to hide the Open File button on the examination list.
• Change the function of the “Add Exam” button to make a copy
Check this check box to make a copy of the examination. Select the setting
to copy.
- Select default or current when adding an exam:
A message box for selecting the copying method appears every time you
click the “Add Exam” button on the examination list.
- Use default settings when adding an exam:
Adds an examination with the default settings when you click the “Add
Exam” button on the examination list.
- Use current settings when adding an exam:
Adds an examination using the settings of the currently selected
examination when you click the “Add Exam” button on the examination
list.

6. SYSTEM SETTINGS
• Display the protocol name on the Examination List:

Displays the protocol name on the examination list.
• Automatically close the Examination List when all the patient blocks are
closed:
Closes the examination list when all the patient blocks are closed.
• Hardcopy Mode:
Select hard copy mode from “Gray scale (normal)”, “Gray scale (reverse
color)”, “Gray scale (Absolute)” and “Color”.
• Internal Speaker Volume:
Select the volume of the internal speaker in the main unit from 100 to
1000% (in 100% step).
• Somato Control Box A Button Function/Somato Control Box B Button
Function:
Select the function of the somato control box A and B function button.
You can select “Not Used”, “Increase Duration”, “Decrease Duration”,
“Increase Stim Rate” or “Decrease Stim Rate”.
• Examination List Startup Display Type:
Select “Normal” or “Exam List bar”.
3. Click the OK button to save the settings. The System Settings dialog box
closes.
To cancel setting, click the Cancel button.

Section 7 Troubleshooting
System.................................................................................................................................................................. 7.3
Waveform Acquisition........................................................................................................................................... 7.4
Stimulation............................................................................................................................................................ 7.4
Printing................................................................................................................................................................. 7.5
Acquiring Clear Waveforms.................................................................................................................................. 7.6
AC Interference.......................................................................................................................................... 7.6
Spike Noise................................................................................................................................................ 7.7
Other Noise................................................................................................................................................ 7.8
Setting BIOS (Date and Time)............................................................................................................................ 7.10

7. TROUBLESHOOTING
When an error message is displayed on the screen or trouble occurs, take quick
action referring to the troubleshooting table. If there is any damage or the system
is suspected to be faulty, turn the power off, attach an “Unusable” or “Repair
request” label to the system and contact your Nihon Kohden representative.

7. TROUBLESHOOTING
System
Problem Possible Cause Action

When the main unit power The AC power cord of the power unit is not Connect the AC power cord correctly.
is turned on, the system connected to the power unit or AC outlet.
does not operate. The AC power cord or AC plug of the PC unit Connect the AC power cord correctly.
or main unit is not connected to the power
unit.
The PC unit power is off. Turn the PC unit power on.
When the power is turned The brightness or contrast of the display is not Adjust the brightness or contrast. Refer to
on, nothing is displayed appropriate. the operator’s manual of the PC unit or LCD
on the screen. display.
The power cord of the LCD display is not Connect the AC power cord of the LCD
connected to the power unit. display correctly.
The power lamp of the The power cord of the main unit is not Connect the power cord of the main unit to
main unit turns off right connected to the power unit. the power unit correctly.
after the power is turned
on.
7
When the PC unit power The backup battery of the PC unit is low. Contact your Nihon Kohden representative.
is turned on, Windows
does not start and a “Strike
F1 to continue, Press F2
to system setup” message
appears.
When the PC unit power is
turned on, Windows does
not start and an “Alert!
System Battery voltage is
low” message appears.
An examination program Twelve or more examination programs are Up to eleven examination programs can be
cannot be opened. opened. opened at the same time. Close unnecessary
examination programs.
The USB cable between the main unit and PC Connect the USB cable.
unit is not connected.
An examination program A screen saver program is active. Turn off the screen saver program.
does not operate correctly. Another Windows application program is Delete the application program.
installed and it conflicts with the MEB-2300
application program.
The USB cable is disconnected during Press the Ctrl + Alt + Delete key to open the
measurement. Task Manager, close the program and restart
the computer. Restarting the computer takes
several minutes.
The resume (sleep) mode is turned on. Set the resume (sleep) mode function to off.
To set the resume function, refer to windows
manual or Windows online help.
The mouse does not The mouse is not connected to the PC unit. Turn the PC unit power off, connect the
function. The mouse is not connected to the correct mouse cable to the PC unit correctly and then
USB connector on the PC unit. restart the PC unit.
The date and time is not The date and time setting is not correct. Set the correct date and time. Refer to the
correct. Windows online help.
The PC unit is not used for a long time and the Contact your Nihon Kohden representative.
backup battery of the PC unit is discharged.

7. TROUBLESHOOTING
Waveform Acquisition

The waveform is flat The input on/off key on the JB-206B or JB- Press the input on/off key to set it to on. The
or the amplitude is too 212B electrode junction box is set to off. input on/off lamp lights when it is set to on.
small. The input sensitivity is low. Change the input sensitivity.
The recording electrode and grounding Remove unnecessary paste around the
electrode are shorted by paste. recording electrode and grounding electrode.
“Input Select” on the amp setting is set to Set “Input Select” on the amp setting is set to
“EXT”. “JB”.
The waveform cannot be The input sensitivity is high. Change the input sensitivity.
returned to the baseline.
The waveforms cannot The amplitude of the waveform is too large. Select the low sensitivity.
be averaged by the Large artifact such as stimulation signal is Remove the artifact.
rejection function. superimposed on the waveform. Change the Reject Level setting or set it to off.
(Measurement Settings window → Acquisition
page)
Change the number of waveforms for average.
(Measurement Settings window → Acquisition
page)
The “Incorrect junction The connected electrode junction boxes cannot Use the JB-206B or JB-212B electrode
box is currently be used with this system. junction box.
connected. Input select
is set to OFF” message
appears.
For removing noise from the waveforms, refer to “Acquiring Clear Waveforms” in this section.
Stimulation

The message “The electric Unused channel is set to on. Set the unused channel to off.
stimulation unit (1, 2, 3 or 4)* is The stimulation electrode is not correctly Connect the stimulation electrode correctly.
overloaded.” appears. connected.
* 1, 2, 3 and 4 mean Somato 1, The felt pad of the surface stimulation Moisten the felt pad with a water or saline
Somato 2, Somato 3 and electrode is dry. solution.
Somato 4. The message The skin-electrode impedance is high. Apply the paste such as Skinpure to the
appears when the actual electric electrode attachment site. If the patient skin
current is not same as the preset is dry, applying moisturizer may decrease
electric current. the skin-electrode impedance.

7. TROUBLESHOOTING
Printing

The printer does not The power cord of the printer is disconnected. Connect the power cord correctly.
operate. USB cable of the printer is disconnected. Connect the USB cable correctly.
The printer does not Printer error. Check that there is no error message for the
operate correctly. printer. If there is an error message, refer to
the printer manual.
Toner is running out. Refer to the printer manual to replace the
toner.
It takes a long time to The printed waveforms have high sampling
—
print. rate.
The One Frame printing Screen Wave is selected on the Review Print Select One Frame on the Review Print
cannot be performed. dialog box. dialog box.
The number of saved waveforms exceeds the Refer to Section 9 of the Examination
limitation for the one frame printing. Guide for the number of waveforms which
can be printed.
The report cannot be NeuroReport is not installed. Install NeuroReport. 7
created.

7. TROUBLESHOOTING
Acquiring Clear Waveforms
AC Interference
50 Hz AC interference
Category Possible Cause Action

Grounding Incomplete grounding of the system and Securely ground all the ME devices connected
surrounding ME devices. to the patient with the equipotential grounding
method.
Electrode attachment An electrode lead makes loop and causes Bundle the electrode leads to reduce
electromagnetic induction. electromagnetic induction.
The skin-electrode contact impedance is high. Clean the electrode attachment site with a cotton
pad moistened with alcohol and apply the paste
such as Skinpure to the attachment site.
An electrode is not securely attached to the Securely attach the electrode with tape.
patient.
An electrode lead is faulty. Replace the electrode.
Noise from There is noise from the system (including the Keep the patient, electrode junction box and
equipment around main unit, PC unit, power unit, LCD display, electrode lead away from the system as much as
the patient printer or power cord). possible.
There is an equipment such as electric bed, • Disconnect the power cord of the equipment
electric blanket and humidifier. during measurement. (In some cases, turning
There is nearby medical equipment such as a the power off may not be enough.)
bedside monitor, artificial heart-lung machine, • Change the position of the electrode junction
infusion pump or ESU. box or electrode lead, turn them to other
direction or keep them away from the
equipment.
• Securely ground all the equipment with the
equipotential grounding method.
The bed has metal parts. Ground the metal parts of the bed to the
quipotential grouding terminal using an earth
lead.
There is a power cord, multiple portable socket Keep the power cord, multiple portable socket
outlet or AC outlet near the patient and bed outlet or AC outlet away from the patient and bed.
made of metal.
There is a power cord or AC outlet near the Keep the power cord or AC outlet away from the
patient, electrode junction box or the electrode patient and bed.
lead.

7. TROUBLESHOOTING

Other The patient is in contact with a metal object Keep the patient away from the metal object.
other than the system.
NOTE
• When the interference is small, you can remove the noise by clicking
the AC Interference button on the Tool bar.
• When using electric stimulation, make sure to set the AC filter to off
because the AC filter distorts acquired waveforms.
• The default filter frequency is 60 Hz. When using the system in a region
with 50 Hz AC power, set it to 50 Hz on the System Settings window.
Spike Noise
Noise from a fluorescent lamp

Fluorescent lamp Fluorescent lamps are nearby. Keep the patient away from the fluorescent
lamps or turn them off.
CRT Radiated noise from a CRT. • Turn the CRT to other direction or keep the
CRT away from the patient.
• Bundle the electrode lead wires together.
High-power consumption An X-ray system is nearby. X-ray systems use Use a different room where the system is
system high power which can cause interference. not interfered by a high-power consumption
equipment for measurement.

7. TROUBLESHOOTING
Other Noise
EMG interference

Bio-electrical signal EMG interference, especially neck and chin Have the patient relax. If necessary, secure the
interference EMG during evoked potential measurement patient’s head and have the patient close the
(The patient is not relaxed, is uncomfortable, eyes and slightly open the mouth.
feels cold or wants to go to the lavatory.) Adjust the pillow position or replace the
pillow.
ECG interference Increase the input sensitivity.
Increase the number of waveforms for
averaging.
Turn the patient’s neck slowly to find a position
where the ECG waveform disappears.
Stimulation artifacts The ground electrode is not attached correctly. • Check that the paste for the ground electrode
is enough.
• Change the ground electrode attachment site.
The skin-stimulation electrode contact Clean the electrode attachment site with a
impedance is high. cotton pad moistened with alcohol and apply
the Skinpure to the attachment site.
The stimulation electrode cable/cord and Arrange the cable position so that the
measurement electrode lead run parallel. stimulation electrode cable/cord and
measurement electrode lead do not run parallel.
The shield of the measurement electrode lead Replace the measurement electrode.
is broken.
When Fast Recovery (Measurement Settings window → Amp page) is set to on, the baseline
which is affected by stimulation artifact can be recovered quickly. However, when the input
sensitivity is high, the waveform 1 ms after stimulation may be distorted.
Noise from surrounding There is an equipment such as electric bed, • Bundle the electrode lead wires together.
devices electric blanket and humidifier. • Disconnect the power cord of the equipment
There is a medical equipment such as a during measurement. (In some cases, turning
bedside monitor, artificial heart-lung machine, the power off may not be enough.)
infusion pump or ESU. • Change the position of the electrode junction
box or electrode lead, or turn them to other
direction.
• Securely ground all the equipment with the
equipotential grounding method.

7. TROUBLESHOOTING

Baseline drift Low cut (Measurement Settings window → Select the proper Low cut frequency.
Amp page) is too low.
The electrode lead is moving due to Fasten the electrode lead near the electrode
ventilation of air conditioner or respiration. with tape or change the electrode attachment
site. (Sufficiently separate the stimulation cable
and measurement lead from each other.)
Sweat, especially frontal and occipital region Have the patient relax.
Adjust the air conditioner.
Electrostatic induction Keep the patient and system away from the
device which causes electrostatic induction.
The waveform around 50 The AC interference filter is turned on. Click the AC Interference button on the Tool
or 60 Hz is distorted. bar, or set AC Filter (Measurement Settings
window → Amp page) to Off.
The waveform around 1 Fast Recovery is set to on. Set Fast Recovery (Measurement Settings
ms after stimulation is window → Amp page) to off.
distorted.
ESU artifact An ESU is used. When the ESU is not used, disconnect the
power cord of the ESU during measurement.
(In some cases, turning the power off may not
be enough.) 7
Other The shielding effect of the shielded room is Check the equipotential grounding of the
not enough. system and shield room.
When the cause of the artifact is not found, change the stimulation rate in 0.1 Hz steps and
average the waveforms. This is useful to average out the artifact which appears periodically
and leave only evoked waveforms.

7. TROUBLESHOOTING
Setting BIOS (Date and Time)
The following message may appear when you start the system for the first time
or you have not used the system for long time with the power cord disconnected.
Message:
“Time-of-day not set -- please run SETUP program”
“Strike the F1 key to continue, F2 to run the setup utility”
If these messages appear, set the BIOS by the following procedure.
1. Press the F2 key on the keyboard to open the BIOS Settings window.
2. Set the date and time by following the instructions on the BIOS Settings
window.
3. To close the BIOS Settings window, press the Esc key on the keyboard.
Windows restarts automatically.
4. Confirm that Windows starts normally and the system operates properly.
NOTE
When the messages above appear, the remaining power of the internal
battery in the PC unit is low. If the messages above appear, replace
the internal battery. To change the internal battery, contact your Nihon
Explanation of the Internal Battery and the BIOS Settings

When the power cord is disconnected from the AC outlet for a long time, the
internal battery becomes empty and it make the BIOS settings initialized. If the
BIOS settings are initialized, you cannot start Windows.
If you start the PC unit for the first time or if you store the system with the power
cord disconnected from the AC outlet, the messages above may be displayed
every time you start the PC unit of the system. If this happens, set the BIOS
again and replace the internal battery as soon as possible.

Section 8 Maintenance
Periodic Inspection............................................................................................................................................... 8.2

Check Items when Turning the Power On and Off...................................................................................... 8.2
Cleaning, Disinfecting and Sterilizing the System Components........................................................................... 8.4
Cleaning..................................................................................................................................................... 8.4
Disinfecting and Sterilizing......................................................................................................................... 8.5
Cleaning, Disinfecting and Sterilizing the Electrode and Cables.......................................................................... 8.6
Electrode Leads and Extension Cables..................................................................................................... 8.6
Needle Electrode........................................................................................................................................ 8.6
Disk Electrode and Collodion Electrode..................................................................................................... 8.7
Grounding Electrode.................................................................................................................................. 8.8
Skin Surface Stimulation Electrode............................................................................................................ 8.9
Surface Electrode..................................................................................................................................... 8.10
Somato Control Box................................................................................................................................. 8.11
8
ERG Contact Lens Electrode................................................................................................................... 8.11
LED Goggles, Headphone and Earphones.............................................................................................. 8.12
Active Electrode Cable............................................................................................................................. 8.12
Repair Parts Availability Policy........................................................................................................................... 8.13
Disposal.............................................................................................................................................................. 8.13
Disposing of Disposable Products............................................................................................................ 8.13

8. MAINTENANCE
Periodic Inspection
If the periodic inspection is not performed, degradation or loss of function may

go unnoticed and lead to misdiagnosis.
Service personnel should perform the periodic inspection at least once every
year. Make sure that the system operates properly and replace the consumables.
If you found abnormalities as a result of inspection and the system is suspected

to be faulty, attach an “Unusable” or “Repair request” label to the system and
contact your Nihon Kohden representative. For inspection, refer to the Service
Manual.
CAUTION
When maintaining a locally purchased unit such as an LCD display
or printer that has a cover which can be opened, do not touch the
patient while also touching inside the unit. Failure to follow this
instruction may result in electrical shock by leakage current to the
patient and operator
NOTE
Do not disassemble the system when checking the system or performing
maintenance.
Check Items when Turning the Power On and Off

Before turning the power on
• Power cords and ground lead are properly connected.
• Electrode junction box, constant current stimulation unit, somato control box,
personal computer, foot switch, headphone, LED goggles and/or display for
stimulation are properly connected to the main unit.
• Mouse and printer are properly connected to the personal computer.
• Enough clean electrodes.
• Enough EEG paste.
• Enough recording paper.
• Enough CD/DVD disks.
When the power is turned on

• No fire, smoke or smell.
• No electrical shock when touching the instrument.
• System is not too hot.
• System does not affect surrounding equipment.
• All operation indicators light.
• There is no error message on the screen or malfunction.
• The screen display (such as brightness, contrast, color, no distortion) is correct.
• The date and time on the screen is correct.
• The mouse operates correctly.
• All keys on the keyboard operate properly.

8. MAINTENANCE
• All keys and controls on the operation panel operate correctly.

• All programs operate correctly.
• All settings (such as montage and amplifier setting) are correct.
• Calibration waveform is properly displayed and recorded:
- No noise on the calibration waveform.
- Amplitude of the calibration waveform is correct.
• The measured waveform is properly displayed (not flat).
• Auditory stimulators operate correctly.
• Visual stimulators operate correctly.
• Electrical stimulators operate correctly.
• Monitored waveform sound is correct.
• All storage devices (hard disk drive and removable media) operate correctly.
• All storage media have enough space to save measured data files (hard disk
drive and removable media).
• Magneto-optical disk is not write-protected.
• Printer operates correctly (paper feed, printed character, intensity, no
jamming).
• Optional equipment operates correctly.
• External equipment operates correctly.
• No leakage current. 8
Before turning the power off

• The measured data has been saved.
• The disk access lamp of the PC unit is off.
• There was no abnormality during operation.
• System is not dirty, damaged or in contact with liquid.
• Power cord and cables are not damaged.
• No key on the keyboard is broken.
• No electrode is dirty or damaged.
• No electrode lead is frayed or damaged.
Storage
• If the system got wet, wipe and dry it completely.
• The units such as somato control box, LED goggles, headphone and foot
switch are put back to their original position.
• There are enough paper and toner for the printer.
• All the units are turned off.
• There is no chemical or liquid near the system.
• The system is stored in a proper environment.

8. MAINTENANCE
Cleaning, Disinfecting and Sterilizing the System Components
The following procedures are applied only for Nihon Kohden products. If you
use products other than Nihon Kohden, refer to the manual for the product.
Cleaning
CAUTION CAUTION
Before maintenance, cleaning or disinfection, turn Do not use volatile liquids such as thinner or
the system power off and disconnect the power benzine, because these will cause the materials
cord from the AC socket. Failure to follow this to melt or crack.
instruction may result in electrical shock and
system malfunction.
CAUTION CAUTION
The system components are not waterproof. Do After cleaning, make sure that the system
not let any water get inside them. components are completely dried.
CAUTION
To prevent water from entering the system
component, use a slightly moist, well-wrung cloth
with neutral detergent or tap water for cleaning
the panel.
NOTE
The system is not waterproof. Make sure that no fluid gets into the
system. If the system gets wet, wipe the liquid immediately. If any liquid
gets inside the system, stop using the system and contact your Nihon
After use, clean the surface of the system component with a soft cloth moistened
with neutral detergent diluted with water, and wipe with a dry cloth.
To remove any attached paste from a system component, immediately wipe the
paste off the component with a wet cloth before the paste dries.

8. MAINTENANCE
Disinfecting and Sterilizing
CAUTION CAUTION
Do not sterilize the system components. Do not disinfect and sterilize the PC unit and the
printer.
CAUTION CAUTION
Follow the instructions of the disinfectant’s Wipe the system components and completely dry
manual. them after disinfecting them with spray.
CAUTION
Never use ultraviolet sterilization because this
may cause the materials to deform, crack or
discolor.
To disinfect the exterior surface of the system components:

1. Wipe them with a non-abrasive cloth moistened with any of the disinfectants
8
listed below. Use the recommended concentration.
Disinfectant Concentration (%)

Chlorhexidine gluconate solution 0.5
Benzethonium chloride solution 0.2
Glutaraldehyde solution 2.0
Benzalkonium chloride 0.2
Alkyldiaminoethylglycine hydrochloride 0.5
2. Wipe them with a slightly moist, well-wrung cloth with water. Use another
cloth that you use in step 1.
3. Wipe them with a dry cloth.

8. MAINTENANCE
Cleaning, Disinfecting and Sterilizing the Electrode and Cables
The following procedures are applied only for Nihon Kohden products. If you
use the products other than Nihon Kohden, refer to the manual for the product.
Electrode Leads and Extension Cables
CAUTION CAUTION
To prevent the vinyl lead wire cover from Use ethylene oxide gas according to sterilization
hardening, do not clean the electrode lead and procedures if sterilization or disinfection is
extension cable with alcohol. necessary.
Wipe the electrode lead and extension cable with a wet cloth cleaned with invert
soap and water, and dry them completely to prevent the metallic parts from
rusting.
A broken lead wire cannot be repaired. If there is a possibility of discontinuity

in an electrode lead, check the electrode lead with a multimeter. Replace the
electrode with a new one if a discontinuity is found. When disposing of the
electrode with a broken lead wire, follow your local laws for disposing of
medical waste.
Needle Electrode
WARNING WARNING
To prevent infection, discard needle electrodes To prevent infection, autoclave the needle
after using on a contagious patient (e.g. electrodes before and after use.
hepatitis). Discard electrodes according to your
local regulations.
CAUTION CAUTION
The disposable needle electrodes are single use Before disposing of the needle electrode, check
only. Do not reuse even after sterilization. with your local solid waste officials about proper
disposal.
After use, disconnect the needle electrode from the extension cable. Use the
cotton moistened with alcohol to wipe blood off the electrode. Autoclave the
electrodes with the tip of the needle covered with the protective tube.
Clean and gas-sterilize the extension cable.

8. MAINTENANCE
Autoclave (Needle Electrode)

Sterilizing conditions
Temperature: 121˚C (245˚F)
Pressure: 100 kPa (1 kgf/cm2)
Period: 30 minutes
Gas-sterilizer (Extension Cable)

Sterilizing conditions
Gas: Ethylene oxide gas
Period: 30 minutes with 100% ethylene oxide gas
60 minutes with 50% ethylene oxide gas
120 minutes with 25% ethylene oxide gas
Disk Electrode and Collodion Electrode

Cleaning
CAUTION
Do not wipe an electrode lead or cord with alcohol. If the electrode is
wiped with alcohol, the lead or cord vinyl cover will harden. 8
Disk electrode for evoked
potential NOTE
Do not clean the electrodes with hot water or chlorine bleach.
1. Remove the disk electrode from the site holding the electrode part. To
prevent the internal wire from breaking, do not pull or bend the lead or cord.
Disk electrode for EEG 2. Soak the electrodes in running water for a while, and clean them gently with
the running water.
NOTE
To remove any attached paste from the electrodes, immediately wipe
Collodion electrode for the paste off the electrodes with a wet cloth before the paste dries.
evoked potential The dried paste hardens, becomes difficult to remove and damages
the electrodes.
3. Wipe the electrodes with a dried cloth.
4. Wipe the surface and terminal of the electrodes with a cotton moistened with
alcohol and then dry the electrodes.
5. Wipe the electrode lead or cable with a cotton moistened with water or
lukewarm water.
NOTE
If there is a possibility of discontinuity in an electrode lead, check the
lead continuity with a multimeter. Replace the electrode with a new one if
discontinuity is found. When disposing of the electrode with a broken lead
wire, follow your local laws for disposing of medical waste.

8. MAINTENANCE
Disinfection and Sterilization

If necessary, disinfect or sterilize the electrodes using ethylene oxide gas or
invert soap and water.
CAUTION
The sterilizer temperature must not exceed 70°C (158°F). The
electrode(s) may deform or melt above this temperature.
Use ethylene oxide gas according to the sterilization procedure if sterilization (or
disinfection) is necessary.
NOTE
Do not autoclave or disinfect the electrodes using cresol or
glutaraldehyde. It damages the electrodes.
Grounding Electrode
Strap Type Electrode (for Wrist or Ankle)
Cleaning
Clean the strap electrode with water, remove the paste from the electrode and
keep it dry and clean.
CAUTION
Do not leave the strap type ground electrode in water or
physiological salt solution. It will rust and correct measurement
cannot be performed.
Disk Type Electrode

Cleaning
Remove the paste with a cotton moistened with water or lukewarm water, then
clean the surface and terminal of the electrode with a cotton moistened with
alcohol and dry it completely.
NOTE
• Do not clean the electrodes with hot water or chlorine bleach.
• To remove any attached paste from the electrodes, immediately wipe
the paste off the electrodes with a wet cloth before the paste dries. The
dried paste hardens, becomes difficult to remove and damages the
electrodes.

8. MAINTENANCE

CAUTION
NOTE
Do not autoclave or disinfect the electrodes using cresol or
Skin Surface Stimulation Electrode

Cleaning 8
NM-410S/420S
1. Remove the two felt pads from the electrode and clean the electrode with
water or lukewarm water.
2. Keep the electrode and felt pads dry and clean.
NOTE
electrodes.
NM-422B/430S/450S
Immediately wipe the electrodes with clean cloth after use.
NOTE
• Do not use any liquid to clean the electrodes because it may damages
NM-430S the electrodes.
the paste off the electrodes with a cloth before the paste dries. The
electrodes.
NM-450S

8. MAINTENANCE

NM-410S/420S/422B/450S
CAUTION
NOTE
Do not autoclave or disinfect the electrodes using ethanol, cresol or
NM-430S
If necessary, sterilize the electrodes using ethylene oxide gas.
CAUTION
NOTE
Surface Electrode
Cleaning
1. Soak the electrodes in running water for a while, and clean them with water
or lukewarm water to remove the paste from the electrodes.
2. Wipe the electrodes with a cloth and dry them completely.
NOTE
electrodes.

8. MAINTENANCE

CAUTION
NOTE
Somato Control Box
CAUTION CAUTION 8
Do not use water to clean the somato control box Do not connect/disconnect the somato control
because it contains electrical parts. box cord when the power of the instrument is on.
CAUTION
If the somato control box gets wet, stop use and
1. Wipe the paste off with a dry cloth or paper.
2. Keep the somato control box dry and clean.
ERG Contact Lens Electrode

The following procedures based on handling of the KE-L and KE-S contact lens
electrodes that are provided by Nihon Kohden. For details on handling contact
lens electrodes, also refer to the manual of the contact lens electrodes.

8. MAINTENANCE
Disinfection
Disinfect the contact lens electrodes using ethylene oxide gas, glutaraldehyde
solution, Hibitane solution or ethanol.
If you use ethylene oxide gas, make sure that no water is on the contact lens
electrodes before disinfection and then disinfect the contact lens electrode under
50°C (122°F) environment. For other conditions, refer to the manual of the
ethylene oxide gas sterilizer.
If you use glutaraldehyde solution or Hibitane solution, immerse the electrodes

in the solution for a while, remove the paste from the electrode and rinse the
electrodes in sterilized water, tap water or distilled water.
If you use ethanol, wipe the contact electrodes with the cotton moistened with
ethanol.
NOTE
Do not immerse the contact lens electrodes in ethanol because this may
deform the contact lens.
LED Goggles, Headphone and Earphones
1. Wipe the LED goggles, headphone and earphones with a cloth moistened
with ethanol.
2. Keep the LED goggles, headphone and earphones dry and clean.
Active Electrode Cable
CAUTION CAUTION
Do not use water to clean the active electrode If the active electrode cable gets wet, stop using
cable because it contains electrical parts. it and contact your Nihon Kohden representative.
1. Wipe the paste off with a dry cloth or paper.
2. Keep the active electrode cable dry and clean.

8. MAINTENANCE
Repair Parts Availability Policy
Nihon Kohden Corporation (NKC) shall stock repair parts (parts necessary to
maintain the performance of the instrument) for a period of 8 years (PC unit: 4
years) from the date of delivery. In that period NKC or its authorized agents will
repair the instrument. This period may be shorter than 8 years (PC unit: 4 years)
if the board or part necessary for the faulty section is not available. After 4 years,
if the PC unit becomes faulty, replace it with a specified one.
Disposal
CAUTION 8
Dispose of Nihon Kohden products according to your local laws and
your facility’s guidelines for waste disposal. Otherwise, it may affect
the environment. If there is a possibility that the product may have
been contaminated with infection, dispose of it as medical waste
according to your local laws and your facility’s guidelines for medical
waste. Otherwise, it may cause infection.
For detailed information about disposal, contact your Nihon Kohden

representative.
Disposing of Disposable Products

Follow your local laws for disposing of medical waste.

Section 9 Reference
Specifications....................................................................................................................................................... 9.2
Amplifiers.................................................................................................................................................... 9.2
Acquisition.................................................................................................................................................. 9.2
Display........................................................................................................................................................ 9.3
Stimulator Common Functions................................................................................................................... 9.3
Power Requirements.................................................................................................................................. 9.5
Environment............................................................................................................................................... 9.5
Safety......................................................................................................................................................... 9.5
Dimensions and Weight.............................................................................................................................. 9.6
Electromagnetic Compatibility.................................................................................................................... 9.6
Electromagnetic Emissions........................................................................................................................ 9.7
Electromagnetic Immunity.......................................................................................................................... 9.7
Recommended separation distances between portable and mobile RF communications equipment
and the MEB-2300A/K................................................................................................................................ 9.9
System Composition for EMC Test............................................................................................................. 9.9
9
Reference for the Electrical Stimulator............................................................................................................... 9.10
Current Density of the Stimulation Electrode........................................................................................... 9.10
Relationship of the Preset Intensity and the Impedance for Electric Stimulation..................................... 9.11
Standard Accessories........................................................................................................................................ 9.12
Options and Consumables................................................................................................................................. 9.13
Options..................................................................................................................................................... 9.13
Consumables........................................................................................................................................... 9.15

9. REFERENCE
Specifications
Amplifiers
Number of channels: 6, 12
Number of breakout boxes: Up to 2
Input impedance: 200 MΩ ±20% (Differential mode),
200 MΩ ±20% (When the active electrode cable is used, differential mode),
≥ 1000 MΩ (Common mode)
Noise: < 0.6 µVrms at 1 Hz to 10 kHz,
< 1.1 µVrms at 1 Hz to 10 kHz (When the active electrode cable is used)
Common mode rejection ratio: ≥ 106 dB (Balanced mode),
≥ 90 dB (Balanced mode, when the active electrode cable is used),
≥ 112 dB (Isolation mode)
Sensitivity: 1, 2, 5, 10, 20, 50, 100, 200, 500 µV/div, 1, 2, 5, 10 mV/div ±5%
Low-cut filter: 0.01, 0.02, 0.05, 0.1, 0.2, 0.5, 1, 2, 5, 10, 20, 30, 50, 100, 200,
500 Hz, 1, 2, 3 kHz (±20%)
High-cut filter: Channel 1 and 2: 10, 20, 50, 100, 200, 500 Hz, 1, 1.5, 2, 3, 5, 10, 20 kHz
(±20%)
Channel 3 to 5: Upper limit 10 kHz at −12 dB/oct (±20%)
Channel 6 to 10: Upper limit 5 kHz at −12 dB/oct (±20%)
Channel 11 and 12: Upper limit 3 kHz at −12 dB/oct (±20%)
AC interference notch filter: 50 or 60 Hz (Rejection ratio: < 1/20)
Reset: Available
Rectification: Off, Half, Full
Skin-electrode contact impedance check:
2, 5, 10, 20, 50 kΩ indication
Amplitude calibration: 1, 10, 100 µV, 1, 10 mV (within ±5%)
Acquisition
A/D converter: 18 bits

Time base modes: Individually selected for each channel (up to 12 channels)
Monitor time base: 5, 10, 20, 30, 50 ms/div, 0.1, 0.2, 0.5, 1 s/div (within ±5%)
Data points: 2048/20 div
Conversion speed: 5 µs/1 ch, 10 µs/2 ch, 20 µs/3 and 4 ch, 50 µs/5 to 10 ch, 100 µs/11 and 12 ch
Analysis time base: 0.1, 0.2, 0.5, 1, 2, 3, 5, 10, 20, 30, 50 ms/div, 0.1, 0.2, 0.5, 1 s/div (within ±5%)
Or,
0.1 to 0.9 ms in 0.1 ms steps (within ±5%)
1 to 99 ms in 1.0 ms steps (within ±5%)
100 to 1000 ms in 0.01 s steps (within ±5%)
Delay time: −10 to 10 div in 1 div steps
Or,
0 to 500 ms in 0.1 ms steps
Number of averages: 1 to 9999
Artifact reject inhibit range: ±1 to ±5 div in 0.1 div steps, Off
Waveform storage capacity: Depends on the hard disk free space of the PC unit

9. REFERENCE
Display
Display size: 22 inches (wide screen)

Resolution: 1680 lines × 1050 dots
Number of examination windows:
Up to 12
Waveform display mode: Monitor (free run), Sweep (trigger), Average
Cursor: Two vertical or horizontal lines for time or amplitude measurements,
One vertical line for mark set
Scale: 5, 10, 15, 20 div
Grid: Line, dot, off
Stimulator Common Functions
Triggers
Number of channels: 6
Trigger mode: Recurrent, Random, Foot switch, Single stimulation, Signal 1 to 5, Somato 1,
Somato 3, External 1 to 6
Trigger wave mode: Single, Double, Train
Stimulation rate: With the list box:
0.1 to 0.9 Hz in 0.1 Hz steps, 1 to 10 in 1 Hz step, 13, 15, 17 Hz, 20 to 100 Hz in
10 Hz steps (within ±5% of the preset value × 0.95)
With the keyboard: 9
0.1 to 100 Hz in 0.1 Hz steps (within ±5%)
Delay time: With the list box:
0 to 9 ms in 1 ms steps, 10 to 90 ms in 10 ms steps, 100 to 900 ms in 100 ms
steps, 1 to 10 s in 1 s step
With the keyboard:
0 to 10 s in 0.01 ms steps
Electric Stimulators
Number of channels: 2 (monophasic/biphasic stimulation, high current stimulation)
Output mode: Constant current
Output current: Monophasic/biphasic stimulation
0 to 100 mA (load resistance: 1 kΩ, step can be selected from 0.05, 0.1, 0.2, 0.5,
1 mA)
High current stimulation
0 to 200 mA (load resistance: 1 kΩ, step can be selected from 0.05, 0.1, 0.2, 0.5,
1 mA)
Range of load resistance: R = V/I (0 Ω ≤ R ≤ 50 kΩ)
R: load resistance
V: internal voltage
(V=200: monophasic stimulation, V=120: biphasic stimulation)
I: stimulation intensity
Stimulation pulse duration: 1, 0.5, 0.3, 0.2, 0.1, 0.05, 0.03, 0.02, 0.01 ms
0.1 ms to 1 ms: within ±10%
0.05 ms: within ±20%
0.03 ms or less or when stimulation intensity is set to 2 mA or less:
The stimulation pulse duration must not exceed the selected stimulation pulse
duration setting.

9. REFERENCE
Number of outputs on the stimulation pod: 5

Output current measurement function: Available
Biphasic stimulation mode: Positive, negative, bipolar, alternate
Temperature measurement: 0 to 45°C (32 to 113°F) ±0.1°C (0.18°F)
Auditory Stimulators
Examination side: Left, Both, Right
Stimulation waveform: Click, Tone burst
Stimulation phase (polarity): Condensation (positive), Rarefaction (negative), Alternating
Stimulation intensity: 0 to 135 dB SPL (within ±2 dB)
Contralateral white noise masking:
−10, −20, −30, −40, −50 dB or off (within ±5 dB)
Click pulse duration: 0.1, 0.2, 0.3, 0.5, 1 ms (within ±5%)
Tone burst frequency: With a list box:
125, 250, 500, 1 k, 1.5 k, 2 k, 3 k, 4 k, 6 k, 8 kHz (within ±5%)
With a keyboard:
50 Hz to 10 kHz (within ±5%)
Plateau time of tone burst: With a list box:
0, 1, 2, 5, 10, 20, 50, 100, 200, 500, 1000 ms (within ±5%)
With a keyboard:
0 to 1,000 ms in 1 ms steps (within ±5%)
Rise/fall time of tone burst: With a list box:
0.1, 0.2, 0.3, 0.5, 1, 2, 3, 10 ms (within ±5%)
With a keyboard:
0.1 to 3000 ms in 0.1 ms steps (within ±5%)
Visual Stimulators
Stimulation modes: Pattern reversal, LED goggles, External visual stimulation
Pattern reversal
Field format: Full, left, right, upper, lower, upper left, lower left, upper right and lower right
field
Patterns: Checkerboard, horizontal bars, vertical bars
Number of horizontal divisions:
4, 8, 16, 32, 64, 128
Brightness: More than 80 cd/m2
LED goggles
Side: Left, Right, Both
Printer
Printing mode: Hard copy, Review
External Units
External input: 8 ch, 0.2, 1 V/div
External output: 8 ch 1 V/div (5 kHz at 1 ch, 200 Hz at 8 ch)
Line I/O: Available
Trigger input: 6 ch
Amplitude: more than 4 V (positive)
less than 0.5 V (negative)

9. REFERENCE
Available for pulse whose duration is more than 10 µs

Either positive and negative can be selectable
Trigger output: 6 ch
Amplitude: 5 V (positive)
less than 0.5 V (negative)
Pulse duration: 1, 5, 10 ms
Either positive and negative can be selectable
Response switch: When closed, operates at low level
Digital input: When closed, operates at low level
6 ch
Amplitude: less than 0.5 V (negative)
Available for pulse whose duration is more than 1 ms
Power Requirements
Line voltage and frequency MEB-2300A (DC-230BA):

100 to 120 V and 220 to 240 V ±10%, 50/60 Hz ±1%
MEB-2300K (DC-230BK):
100 to 120 V and 220 to 240 V ±10%, 50/60 Hz ±1%
When using the optional KD-030AJ/AK cart or SC-230B/BK power unit
KD-030AJ, SC-230B:
100 to 120 V ±10%, 50/60 Hz ±1%
KD-030AK, SC-230BK: 9
220 to 240 V ±10%, 50/60 Hz ±1%
Power input: SC-230B/SC-230BK power unit: 1250 VA
DC-230BA/BK main unit: 75 VA
Environment
Operating
Temperature: 10 to 35°C (50 to 95°F)
Humidity: 30 to 80% (noncondensing)
Atmospheric pressure: 700 to 1060 hPa
Storage and transport

Temperature: −20 to +65°C (−4 to +149°F)
Humidity: 10 to 95%
Atmospheric pressure: 700 to 1060 hPa
Safety
Safety standard: IEC 60601-1: 1988

IEC 60601-1 Amendment 1: 1991
IEC 60601-1 Amendment 2: 1995
IEC 60601-1-1: 2000
IEC 60601-2-40: 1998
IEC 60601-1-2: 2001
IEC 60601-1-2 Amendment 1: 2004
EN 60601-1: 1990 (for MEB-2300K only)
EN 60601-1 Amendment 1: 1993 (for MEB-2300K only)
EN 60601-1 Amendment 2: 1995 (for MEB-2300K only)
EN 60601-1-1: 2001 (for MEB-2300K only)

9. REFERENCE
EN 60601-1-2: 2001 (for MEB-2300K only)

EN 60601-1-2 Amendment 1: 2006 (for MEB-2300K only)
EN 60601-2-40: 1998 (for MEB-2300K only)
CAN/CSA C22.2 No.601.1-M90 (for MEB-2300A only)
CAN/CSA C22.2 No.601.1S1-94 (for MEB-2300A only)
CAN/CSA C22.2 No.601.1B-90 (R2002) (for MEB-2300A only)
CAN/CSA C22.2 No.60601-1-1-02 (for MEB-2300A only)
Type of protection against electric shock: Class I
Degree of protection against electric shock
Type BF applied parts: Electrode jacks and/or electrode lead jacks on the electrode junction box,
SOMATO, AUDITORY, GOGGLE, thermistor probe
Type B applied parts: Response switch
Degree of protection against harmful ingress of water
Protected against the effect of temporary immersion in water (IPX8):
Electrical switch in the foot switch (1 meter under water for 24 hours)
Protected against vertically falling water drops (IPX1):
Foot switch unit
Non-protected (IPX0): Other parts
Degree of safety of application in the presence of a flammable anaesthetic mixture with air, oxygen or nitrous oxide:
Not suitable for use in the presence of a flammable anaesthetic mixture with air, oxygen or nitrous oxide
Mode of operation: Continuous operation
Dimensions and Weight
Main unit: 390 (W) × 55 (H) × 304 (D) mm, 3.2 kg
Electrode junction box: 180 (W) × 56.5 (H) × 234.5 (D) mm, 1.5 kg
Constant current stimulation unit: 56.5 (W) × 190 (H) × 240 (D) mm, 1.0 kg
Somato control box: 37 (W) × 62 (H) × 21 (D) mm, 0.16 kg
Control panel unit: 253 (W) × 36 (H) × 193 (D) mm, 1.0 kg
SC-230B/SC-230BK power unit: 230 (W) × 100 (H) × 300 (D) mm, 13.8 kg
Multi interface box: 160 (W) × 24 (H) × 120 (D) mm, 0.8 kg
KD-030A cart: 598 (W) × 1144 (H) × 853 (D) mm, 60.0 kg
Electromagnetic Compatibility
IEC 60601-2-40: 1998

IEC 60601-1-2: 2001
IEC 60601-1-2 Amendment 1: 2004
ANSI/AAMI/IEC 60601-1-2: 2001

9. REFERENCE
Electromagnetic Emissions
The MEB-2300’s essential performances in EMC standard satisfy the following criteria.
This MEB-2300A/K is intended for use in the electromagnetic environment specified below.
The customer or the user of the MEB-2300A/K should assure that it is used in such an environment.
Emissions test Compliance Electromagnetic environment – guidance

The MEB-2300A/K uses RF energy only for its internal function.
RF emissions
Group 1 Therefore, its RF emissions are very low and are not likely to
CISPR 11
cause any interference in nearby electronic equipment.
RF emissions Class B
CISPR 11 Class A*
The MEB-2300A/K is suitable for use in all establishments,
Harmonic emissions
Class A including domestic establishments and those directly connected
IEC 61000-3-2
to the public low-voltage power supply network that supplies
Voltage fluctuations/ buildings used for domestic purposes.
flicker emissions Complies
IEC 61000-3-3
* When using two displays.
Electromagnetic Immunity
The MEB-2300’s essential performances in EMC standard satisfy the following criteria.
This MEB-2300A/K is intended for use in the electromagnetic environment specified below. 9
The customer or the user of the MEB-2300A/K should assure that it is used in such an environment.
Electromagnetic environment –
Immunity test IEC 60601 test level Compliance level
guidance
Electrostatic discharge ±6 kV contact ±6 kV contact Floors should be wood, concrete or
(ESD) ±4 kV contact* ceramic tile. If floors are covered
IEC 61000-4-2 ±8 kV air ±8 kV air with synthetic material, the relative
humidity should be at least 30%.
Electrical fast transient/ ±2 kV for power supply ±2 kV for power supply Mains power quality should be that
burst lines lines of a typical commercial or hospital
IEC 61000-4-4 ±1 kV for input/output ± 1kV for input/output environment.
lines lines
Surge ±1 kV differential mode Mains power quality should be that
±1 kV differential mode
IEC 61000-4-5 ±2 kV common mode ±2 kV common mode of a typical commercial or hospital
environment.
Voltage dips, short <5% UT (>95% dip in UT) <5% UT (>95% dip in UT) Mains power quality should be that
interruptions and voltage for 0.5 cycles for 0.5 cycles of a typical commercial or hospital
variations on power environment.
supply input lines 40% UT (60% dip in UT) 40% UT (60% dip in UT) If the user of the MEB-2300A/K
IEC 61000-4-11 for 5 cycles for 5 cycles requires continued operation during
power mains interruptions, it is
70% UT (30% dip in UT) 70% UT (30% dip in UT) recommended that the MEB-2300A/K
for 25 cycles for 25 cycles be powered from an uninterruptible
power supply.
<5% UT (>95% dip in UT) <5% UT (>95% dip in UT)
for 5 s for 5 s
Power frequency 3 A/m 3 A/m Power frequency magnetic fields
magnetic field should be at levels characteristic
(50/60 Hz) of a typical location in a typical
IEC 61000-4-8 commercial or hospital environment.
NOTE: UT is the AC mains voltage prior to application of the test level.
* For PC unit: The compliance level differs because the PC unit complies with CISPR 24. The keyboard and mouse might
stop operating momentarily when the PC unit or the cart receives static electricity.

9. REFERENCE
IEC 60601 test

Immunity test Compliance level Electromagnetic environment – guidance
level
Portable and mobile RF communications equipment
should be used no closer to any part of the MEB-
2300A/K, including cables, than the recommended
separation distance calculated from the equation
applicable to the frequency of the transmitter.
Recommended separation distance
Conducted RF 3 Vrms 3 Vrms d = 1.2 P

IEC 61000-4-6 150 kHz to 80
MHz
Radiated RF 3 V/m 1 V/m*1 d = 3.5 P 80 MHz to 800 MHz

IEC 61000-4-3 80 MHz to 2.5 80 MHz to 2.5 GHz
GHz (EP measurement d = 7.0 P 800 MHz to 2.5 GHz
setting)
3V/m d = 1.2 P 80 MHz to 800 MHz

80 MHz to 2.5 GHz
(EMG measurement d = 2.3 P 800 MHz to 2.5 GHz
setting)
where P is the maximum output power rating of the
transmitter in watts (W) according to the transmitter
manufacturer and d is the recommended separation
distance in meters (m).
Field strengths from fixed RF transmitters, as determined

by an electromagnetic site survey*2, should be less than
the compliance level in each frequency range*3.
Interference may occur in the vicinity of equipment

marked with the following symbol:
NOTE 1: At 80 MHz and 800 MHz, the higher frequency range applies.
NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and
reflection from structures, objects and people.
*1 There is more noise interference in EP measurement than in EEG measurement because the high-cut frequency is high.
However, 1 V/m is applied because evoked potential waveforms are averaged.
*2 Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land
mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with
accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey
should be considered. If the measured field strength in the location in which the MEB-2300A/K is used exceeds the
applicable RF compliance level above, the MEB-2300A/K should be observed to verify normal operation. If abnormal
performance is observed, additional measures may be necessary, such as re-orienting or relocating the MEB-2300A/K.
*3 Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 1 V/m for EP measurement.
Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m for EMG measurement.

9. REFERENCE
Recommended separation distances between portable and mobile RF communications equipment and
the MEB-2300A/K
The MEB-2300A/K is intended for use in an electromagnetic environment in which radiated RF disturbances are
controlled. The customer or the user of the MEB-2300A/K can help prevent electromagnetic interference by maintaining a
minimum distance between portable and mobile RF communications equipment (transmitters) and the MEB-2300A/K as
recommended below, according to the maximum output power of the communications.
Separation distance according to frequency of transmitter (m)

Rated maximum output
power of transmitter 80 MHz to 800 MHz 800 MHz to 2.5 GHz
150 kHz to 80 MHz
(W) d = 1.2 P d = 2.3 P
d = 1.2 P
(d = 3.5 P )* (d = 7.0 P )*
0.01 0.12 0.12 (0.35)* 0.23 (0.70)*
0.1 0.38 0.38 (1.1)* 0.73 (2.2)*
1 1.2 1.2 (3.5)* 2.3 (7.0)*
10 3.8 3.8 (11)* 7.3 (22)*
100 12 12 (35)* 23 (70)*
For transmitters rated at a maximum output power not listed above, the recommended separation distance d in meters (m)
can be estimated using the equation applicable to the frequency of the transmitter, where P is the maximum output power
rating of the transmitter in watts (W) according to the transmitter manufacturer.
* EP measurement (1 V/m)
NOTE 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and
reflection from structures, objects and people.
9
System Composition for EMC Test

The MEB-2300A/K EMG/EP measuring system is tested to comply with IEC 60601-1-2: 2001, Amendment 1: 2004 with the
following composition. If any part which is not specified by Nihon Kohden is used, the EMC specifications may not comply.
Units Cable length

MEB-2300A/K EMG/EP measuring system —
JB-206B/212B electrode junction box 5m
Electrode leads 1.5 m
DR-531B-14 headphone 3m
LS-102J LED goggle 3m
Display for pattern reversal 3m
Trigger BNC 3m
External speaker 2m
JB-101B breakout box 5m
BM-230B active electrode cable 1.8 m
MS-230B constant current stimulation unit 2m
RY-230B somato control box 2.8 m
RY-482B foot switch 2.8 m
NM-420S surface stimulation electrode 2.2 m
JS-101B stimulation pod 5m
Thermistor probe 3.5 m
JW-230B connection cable (for SEN-4100) 2m
JJ-230B multi interface box 1m
External analog input/output 1.5 m
Digital input/output 3m
Line in/external speaker 2m
Response switch 4.9 m
BM-411B connection cable (for SEN-4100) 5m
NM-413B stimulation electrode (for SEN-4100) 1.5 m

9. REFERENCE
Reference for the Electrical Stimulator
Current Density of the Stimulation Electrode
CAUTION
The current density from the electric stimulator can exceed
2 mA rms/cm2 depending on the dimensions of the electrode, pulse
width, intensity and frequency of stimulation. If the electric stimulator
is used in the setting of over 2mA rms/cm2 of current density, it may
cause skin burn.
High current density at the stimulation electrode causes high temperature that
might cause burn.
The current density when using disk electrodes is calculated by the stimulation
intensity and frequency as follows.
When using the NM-420S surface stimulation electrode
2 mA rms/cm2 Operating Area

9. REFERENCE
When using the RY-230B somato control box
2 mA rms/cm2 Operating Area
Relationship of the Preset Intensity and the Impedance for Electric Stimulation
9
Though the electric stimulator is designed to output a setting current regardless
of the skin-electrode impedance, if the skin-electrode impedance is extremely
high, the electric stimulator cannot output the set current and the system shows a
message “Electrical stimulator (XX) is overloaded (XX: stimulator number)”.
The skin-electrode impedance must be kept lower than the impedance calculated
by the following expression so that the electric stimulator output the set current.
Impedance (Ω) = 200 (V)/Preset intensity (A)
When the skin-electrode impedance exceeds 50 kΩ, the electric stimulator

cannot output the set current.
Impedance
(kΩ)
Preset intensity
(mA)

9. REFERENCE
Standard Accessories
NOTE
When ordering the following accessories or consumables, specify the
supply code. When the supply code is not provided with the item, specify
the model or code number.
No. Description Qty Supply Code Model/Code No.

1 Power cord UL (for USA and Canada) 1 L943 YZ-001A1
2 Power cord N (for Europe) 1 L936 YZ-001A3
Protective earth cable
3 1 L912 —
(except for USA, Canada and Europe)
4 USB cable 1 — 584351
5 Fuse (32 mA) 1 — 654998
6 Foot switch 1 — RY-482B
7 System program 1 — QP-250BK
8 Operator’s manual 1 — 0614-902246H
9 Examination guide 1 — 0614-902255G
10 Service manual 1 — 0634-900433B
11 NeuroReport operator’s manual 1 — 0614-901158A
Mouse pad (except for USA, Canada and
12 1 — 6123-902759
Europe)
3 4 5
6 7 12
Accessories for CC-230B PC Unit
Description Qty
PC holder
Adhesive tape 4

9. REFERENCE
Options and Consumables
Options
For Stimulation and Measurements
NOTE
When ordering the following options, specify the supply code in [ ]. When the supply code is not provided with
the option, specify the model or code number.
Active electrode cable, BM-230B Somato control box, RY-230B Multi interface box, JJ-230B
Breakout box, JB-101B Stimulation pod (High), JS-101B Earphones, YE-103J
Headphones, Headphones (for child), Ear pieces (20 pcs/package)

DR-531B-14 [Y849A] DR-531B-15 [Y849B] YZ-002A3 (large) [Y855A]
YZ-002A4 (medium) [Y855B]
YZ-002A5 (small) [Y855C]
YZ-002A6 (extra small) [Y855D]
Sound conducting tubes (10 pcs/

package), YZ-002A7 [Y855E]
Band width: 110 mm

Band width: 160 mm Pad size: 70 × 70 mm
Pad size: 117 × 92 mm
Extension cord for headphones Extension cord for LS-102J

and earphones, BM-701B LED goggles, BM-702B LED goggles, LS-102J
[K635A] [K635B]

9. REFERENCE
Electric stimulator, Display for stimulation,

Flash stimulator, SLS-3100
SEN-4100A/J/K VD-403B
LCD filter kit [Y856]

(included with the VD-403B display)
• 2 LCD filters
• 14 pcs of double-sided tape
MEB-SEN connection cable, Thermistor probe,

Response switch, 277825C
JW-230B 409J [P242C]
Hyper isolation transformer

(HIT-100), QW-100Y
For Installation
• KD-030AJ cart (with 100 to 120 V isolation power unit)
• KD-030AK cart (with 220 to 240 V isolation power unit)
• SC-230B power unit (100 to 120 V isolation power unit)
• SC-230BK power unit (220 to 240 V isolation power unit)
• KC-001A cart (when you mount two LCD displays on the KD-030A cart)
• KH-122A LCD stand (when you mount two LCD displays on the KD-030A
cart)
• KH-230B arm
• KH-231B arm
• DI-230B holder (when you mount the electrode junction box on the KC-001A
cart)
• DI-410B holder (for mounting the SEN-4100 electric stimulator on the
KD-030A cart)
• YZ-001A1 power cord UL (for USA and Canada, supply code: L943)
• YZ-001A3 power cord N (for Europe, supply code: L936)
• YZ-001A8 system power cable (50 cm)

9. REFERENCE
Consumables
NOTE
When ordering the following consumables, specify the supply code.
Concentric Needle Electrode
Model Supply Code Description

NM-121T H630 20 mm long, 0.45 mm diameter, 4 electrodes/set
Bipolar Needle Electrode

Disposable Needle Electrode

NM-030T H680A 30 mm long, 0.45 mm diameter, 25 electrodes/set 9
NM-050T H680B 50 mm long, 0.45 mm diameter, 25 electrodes/set
Monopolar Needle Electrode

Monopolar Needle Electrode (Teflon Coating)

NM-715S H666 15 mm long, 0.30 mm diameter, 5 electrodes/set
Single-fiber Electrode

NM-640T H660 30 mm long, 0.45 mm diameter
Macro EMG Electrode

NM-130S H650A Concentric, 30 mm long, 0.45 mm diameter
NM-640S H661 Single-fiber, 30 mm long, 0.45 mm diameter

9. REFERENCE
Finger Electrode

NM-450S 2 m lead
Black
5 1
-
NM-450S H653 4 2 +
3
E
Red
Connection diagram
0.3 m lead
NM-451B
Black
-
NM-451B H659
+
Red
Connection diagram
Surface Stimulation Electrode

NM-410S
For child, 4 mm diameter, 10 mm distance,

NM-410S H635
2 m lead, with 2 bands and 10 felt pads
For adult, 8 mm diameter, 23 mm distance,

NM-420S 2 m lead, with 2 bands and 10 felt pads
5 1 -
NM-420S H636 4 2 +
3
E Black
Connection diagram
For adult, 8 mm diameter, 23 mm distance,

2 m lead, stainless steel, with 2 bands
5 1 -
NM-422B H639 4 2 +
3
E Black
Connection diagram
NM-430S Variable distance type, 2 m lead

5 1 -
NM-430S H637 4
3
2 +
E
Connection diagram
Felt Pads
Supply Code Description

H646 For NM-420S, 100/package
H647 For NM-410S, 100/package

9. REFERENCE
Ground Electrode
For adult wrist

NM-501B H662 Electrode strap length: 45 cm
Lead length: 1.5 m (with plug)
NM-501B
For adult ankle
For child wrist
NM-505B
Electrode strap width: 16 mm
NM-505B H664A Electrode strap length: 310 mm
Lead length: 0.3 m
Electrode strap width: 20 mm

NM-506B H662A Electrode strap length: 450 mm
Lead length: 0.3 m 9
NM-550B
Disk type electrode

NM-550B H658
NM-551B
Disk type electrode

NM-551B H658A
Lead length: 0.3 m (with DIN connector)
ERG Contact Lens Electrode

KE-L H831 Lens diameter 12 mm, Lead length 500 mm
KE-S H832 Lens diameter 10.5 mm, Lead length 500 mm
NCS Electrode (disposable surface electrode for deriving signals)

NM-317Y3 H690 Lead length 200 mm
NM-319Y H691 Lead length 200 mm

9. REFERENCE
Surface Electrode
NM-312S
NM-312S H634 1.4 m
NM-315S H638 2.3 m
Disk Electrode
NE-132B H852A 1.5 m, 5 electrodes/set, 2 pins
NE-142B H854 0.5 m, 5 electrodes/set, 2 pins
NE-113A H503A 1.5 m, 26 electrodes/set, 1 pin
NE-136B NE-114A H503B 0.5 m, 26 electrodes/set, 1 pin
0.3 m, 3 electrodes/set, 1 pin
NE-136B H528
Can also be used for stimulation
Collodion Electrode (DIN)

NE-134A H526 1.5 m lead, 12 electrodes/set
NE-136A H527 0.7 m lead, 12 electrodes/set
For collodion, locally purchase.
EEG Needle Electrode

NE-224S H537A 1.5 m lead, 20 electrodes/set

9. REFERENCE
Extension Cable
BM-121S BM-121S K611 For concentric needle electrode and single 1m
fiber electrode
Mark
5 61
-
BM-115S K623 4 2
3
+ 1.8 m
E
Connection diagram
BM-211S K612 For bipolar needle electrode 1m

Mark
5 61
4 2
BM-215S K624 3 1.8 m
Connection diagram
BM-800S For monopolar needle electrode NM-715S/

BM-800S K620 1m
730S/830S/850S, with 6-pin connector
For concentric/single-fiber macro EMG
BM-840S K619 1m
electrode with 6-pin connectors
For disposable electrode. One end has an
alligator clip for clamping electrode hook.
BM-501B K621 1.5 m
The other end has a DIN connector for
connecting the electrode junction box.
For disposable electrode. One end has
an alligator clip for clamping electrode 9
BM-502B K622 hook. The other end has a DIN connector 1.5 m
for connecting the electrode junction box.
Shielded wire.
For NM-317Y3 NCS electrode, with 6 pin
BM-001B K625A 1.5 m
connector
For NM-319Y NCS electrode, with 6 pin
BM-002B K625B 1.5 m
connector
Electrocochleogram Silver Ball Electrode

0.6-1 mm diameter ball, 115 mm lead,
YZ-0073 H850
10 electrodes/set

Manufacturer
NIHON KOHDEN CORPORATION NIHON KOHDEN ITALIA S.r.l.
1-31-4 Nishiochiai, Shinjuku-ku Tokyo 161-8560, Japan Via Fratelli Bronzetti 28, 24124 Bergamo, Italy
Phone + 81 3- 5996 -8036 Phone + 39 035-219543
Fax + 81 3- 5996- 8100 Fax + 39 035-232546
NIHON KOHDEN UK LTD

North and South America Trident Court 118, 1 Oakcroft Road
Chessington, Surrey KT9 1BD, UK
Phone + 44 20-8391-6800
NIHON KOHDEN AMERICA, INC. Fax + 44 20-8391-6809
15353 Barranca Parkway, Irvine, CA 92618, U.S.A.
Toll-free +1-800-325-0283
Phone +1 949- 580 -1555
Fax +1 949- 580 -1550
Asia
NIHON KOHDEN LATIN AMERICA S.A.S SHANGHAI KOHDEN
Carrera 16 No.93A-36 Of. 802. Bogota D.C., Colombia MEDICAL ELECTRONIC INSTRUMENT CORP.
Phone + 57 1-300-1742 567 Huancheng Bei Road
Fax + 57 1-300-1825 Shanghai Comprehensive Industrial Development Zone
Shanghai 201401, China
NIHON KOHDEN DO BRASIL LTDA. Phone + 86 21-5743-6998
Rua Diadema, 89, 1º andar, conjuntos 11 a 17, bairro Mauá Fax + 86 21-5743- 6939
no Município de São Caetano do Sul, Estado de São Paulo
CEP 09580-670, Brasil NIHON KOHDEN SINGAPORE PTE LTD
Phone + 55 11-3044-1700 1 Maritime Square, #10-34 HarbourFront Centre
Fax + 55 11- 3044- 0463 Singapore 099253
Phone + 65 6376-2210
Fax +65 6376-2264
Europe
NIHON KOHDEN INDIA PVT. LTD.
European Representative 308, Tower A, Spazedge, Sector 47, Sohna Road
Gurgaon-122 002 Haryana, India
NIHON KOHDEN EUROPE GmbH Toll-free +91 1800-103-8182
Raiffeisenstrasse 10, D-61191 Rosbach, Germany
Phone + 91 124-493 -1000
Phone +49 6003- 827- 0
Fax + 91 124-493 -1029
Fax +49 6003- 827- 599
NIHON KOHDEN MIDDLE EAST FZE

NIHON KOHDEN DEUTSCHLAND GmbH JAFZA One Tower A, 19th floor, Office No. 1912
Raiffeisenstrasse 10, D-61191 Rosbach, Germany
P.O. Box 261516, Jebel Ali Free Zone, Dubai, U.A.E
Phone +49 6003- 827- 0
Phone + 971 4- 884-0080
Fax +49 6003- 827- 599
Fax + 971 4- 880-0122
NIHON KOHDEN FRANCE SARL NIHON KOHDEN KOREA, INC.

8, rue Francois Delage, 94 230 Cachan, France
5F Miso Bldg.
Phone + 33 1-49- 08 -05 -50
890-47 Daechi-dong, Gangnam-gu, Seoul, 135-280 Korea
Fax +33 1-49- 08- 93 -32
Phone + 82 2-3273-2310
Fax + 82 2-3273 -2352
NIHON KOHDEN IBERICA S.L.
C/Ulises 75A, E-28043 Madrid, Spain
Phone + 34 91-7-161080
Fax + 34 91- 3- 004676
Contact information is accurate as of January 2016. Visit www.nihonkohden.com for the latest information.
The model and serial number of your instrument are identified on the rear or bottom of the unit.
Write the model and serial number in the spaces provided below. Whenever you call your representative concerning
this instrument, mention these two pieces of information for quick and accurate service.
Model Serial Number
Your Representative

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OPERATOR’S MANUAL

EMG/EP Measuring System MEB-2300

First Edition: 05 Jun 2009

If you have any comments or suggestions

The contents of this manual are subject to change without notice.

Section 1 General.................................................................................... 1.1 4

Section 2 Installation.............................................................................. 2.1

Operator’s Manual MEB-2300 C.1

Warnings and Cautions for Installation............................................................................. 2.5

C.2 Operator’s Manual MEB-2300

Installing the System Program.................................................................... 2.28 1

Operator’s Manual MEB-2300 C.3

Changing the Stimulation Duration (Electric Stimulation Only)..........................3-1.18

Section 3-2 NeuroWorkbench................................................................................. 3-2.1

C.4 Operator’s Manual MEB-2300

Limiting the Applications..........................................................................3-2.19 1

Section 3-3 Examination List.................................................................................. 3-3.1

Operator’s Manual MEB-2300 C.5

Examination Flow when Using the Examination List...........................................3-3.3

Section 4 Workbench.............................................................................. 4.1

C.6 Operator’s Manual MEB-2300

Section 5 Data Manager......................................................................... 5.1 1

Section 6 System Settings..................................................................... 6.1

Operator’s Manual MEB-2300 C.7

Setting the Report Format.............................................................................................. 6.17

Section 7 Troubleshooting..................................................................... 7.1

Section 8 Maintenance........................................................................... 8.1

Section 9 Reference................................................................................ 9.1

C.8 Operator’s Manual MEB-2300

Electromagnetic Emissions.................................................................................... 9.7 1

Operator’s Manual MEB-2300 C.9

2. When installing or storing the instrument, take the following precautions:

5. To Shutdown After Use

7. The instrument must not be altered or modified in any way.

8. Maintenance and Inspection

In the USA and Canada other warranty policies may apply.

ii Operator’s Manual MEB-2300

3. Effect of direct or indirect electrostatic discharge:

6. Use with other equipment:

7. Use of unspecified accessory, transducer and/or cable:

Operator’s Manual MEB-2300 iii

9. Measurement with excessive sensitivity:

10. Use with radiation therapy equipment:

The CE mark is only applied to the MEB-2300K EMG/EP Measuring System.

iv Operator’s Manual MEB-2300

Warnings, Cautions and Notes

Operator’s Manual MEB-2300 v

Symbol Description Symbol Description

Alternating current Equipotential ground terminal

Fuse Input connector

Output connector USB connector

Attention, consult operator’s manual Line out

Line in Foot switch

Trigger pulse Response switch

Type B applied part Pattern reversal

Goggles Type BF applied part

Headphone connector Power on

Power off Serial number

vi Operator’s Manual MEB-2300