Grass ®

Beehive Horizon
Long-term Monitoring
with AURA Amplifier System

USER &
SERVICE MANUAL

Release I

Phone 401.773.2600 • Fax 401.732.7097 • Technical Support 877.472.7779 • E-mail [email protected]

Web site: www.natus.com Manual Part Number M640J04

Publisher’s Notice

Natus Medical Incorporated

DBA Excel-Tech Ltd. (XLTEK)
2568 Bristol Circle
Oakville, ON L6H 5S1
Canada
phone: +1 401.773.2600
fax: +1 401.732.7097
toll-free: 1.877.472.7779 (USA only), 1.855.554.3184 (Canada only)
email: [email protected]
www.natus.com

EUROPEAN AUTHORIZED REPRESENTATIVE:

Natus Europe GmbH
Robert-Koch-Str. 1
82152 Planegg
German

0086
© Copyright 2014 by Natus Neurology Incorporated

All rights reserved. This manual contains proprietary information, which is protected
by copyright and may not be copied in whole or in part except with the prior written
permission of Natus Neurology Incorporated. The copyright and the foregoing
restrictions on the copyright use extend to all media in which this information is
preserved.

This copy of the User Manual shall be used only in accordance with the conditions
of sale of Natus Neurology Incorporated or its distributors. Natus Neurology
Incorporated makes no representations or warranties of any kind whatsoever with
respect to this document. Natus Neurology Incorporated disclaims all liabilities for loss
or damage arising out of the possession, sale, or use of this document.

Trademarks

AURA®, Comet-PLUS®, EC2®, FASS®, Grass®, Neurotrac®, Panorama®, SzAC®, TWin®,

and TREA® are trademarks of Natus Medical Incorporated.

CompactFlash® is a trademark of SanDisk Corporation.

Windows® is a trademark of Microsoft Corporation.
Xpod™ is a trademark of Nonin Medical, Inc.

Other brand and product names are trademarks or registered trademarks of their
representative holders.

Printed in the United States of America

Important

This manual is subject to periodic review, update, and revision. Customers are
cautioned to verify that the manual’s information applies to the software and hardware
present in the equipment.

This product performs as described in this manual, and in accompanying labels and/
or inserts, when assembled, operated, maintained, and repaired in accordance with the
instructions provided.

This product must be cleaned and checked periodically. Do not use a defective product.
Parts that are broken, missing, worn, or contaminated should be replaced immediately.
If repair or replacement becomes necessary, call or write to request service advice from
Grass.

This product must not be altered without the prior written approval of
Grass. The user of this product shall have the sole responsibility for any malfunction
that results from improper use, faulty maintenance, improper repair, unauthorized
service, or alteration by anyone other than Grass.

The safety, reliability, and performance of this device can only be assured under the
following conditions:
• If the device has been used according to the accompanying
operating instructions.
• If changes or repairs have been carried out by Grass.
• If it is used in buildings having ground equalization wiring that complies with
relevant UL, CSA, IEC or other local standards and regulations.
Regulatory Notices

This device has been designed and certified to comply with the requirements of the
international standard EN60601-1 and EN60601-2-26, EN60601-1-2, and EN60601-1-1
the United States standard UL2601-1, and the Canadian standard CAN/CSA22.2
No.601.1.

0086
The device is classified:
CLASS I, Type BF
100-250 VAC, 50/60 Hz, 80 VA

The above classification is based on the condition that this device is installed and
configured according to the instructions supplied. In order for the complete system to
maintain compliance with the relevant standards, the host computer must be approved
to the IEC950 standard.

Equipment Classifications

Shock Prevention: Class 1

Degree of Protection Against Harmful Ingress of Water: Ordinary Equipment, IPX0

Degree of Safety in the Presence of Flammable Anesthetic Mixture with Air or

with Oxygen or Nitrous Oxide: Equipment not suitable for use in the presence of a
flammable anesthetic mixture with air, oxygen, or nitrous oxide.

Mode of Operation: Continuous

 Warnings

Electric Shock Hazard

Warning: Connect the Base Station Power Supply only to a three-wire,
grounded, hospital-grade receptacle. The three-connector plug must be
inserted into a properly wired three-wire receptacle.
If a three-wire receptacle is not available, a qualified electrician must
install one in accordance with the governing electrical code.
Warning: Do not use extension cords or adaptors of any kind. The power cord
and plug must be intact and undamaged.
Warning: The appliance coupler (AC Cordset) is the means for disconnecting the
Base Station from the power mains.
Warning: Measure the system’s leakage current after completion of installation,
after disconnect/reconnection of parts of the system, and at regular
periodic intervals. For instructions on how to perform this test please
contact Grass Technical Support.
Forward and reverse polarity: 500 microamperes maximum.
Warning: Conductive parts of electrodes and their connectors are not to contact
other conductive parts and earth.
Warning: Connecting other medical equipment, such as a cardiac pacemaker or
other electrical stimulators, simultaneously to the same patient may
constitute a safety hazard.
Warning: This equipment generates, uses, and can radiate radio frequency
energy and, if not installed and used in accordance with the instruction
manual, may cause harmful interference to radio communications.
There is no guarantee that interference will not occur in a particular
installation. If this equipment does cause harmful interference to
nearby devices, which can be determined by turning the equipment off
and on, the user is encouraged to try to correct the interference by one
or more of the following measures:
• Reorient or relocate the receiving device / antenna
• Increase the separation between the equipment and receiver
• Connect the equipment into an outlet on a circuit different from that
to which the receiver is connected.

Explosion Hazard
Warning: Do not use this system in the presence of flammable anesthetics or
other flammable substances.
Patient Safety
Warning: The patient should be disconnected from the AURA system when high
frequency surgical equipment is used.
Warning: Do not connect or use the Battery Charger Power Supply in the
presence of the patient.
Warning: This system should not be used in place of electrocardiograph for vital
signs monitoring.
Warning: Use only by or on the order of medically-trained personnel.
Warning: MRI diagnostic imaging is not recommended with this
device in use.
Warning: Read manual before using.
Warning: Protect from exposure to liquids. If the Amplifier unit is exposed
to liquids during recording, discontinue use by disconnecting the
electrodes at the Pin Jack Adaptor and turning the Amplifier unit
power off. Resumption of recording is to be performed only by
qualified personnel.
Warning: AURA contains no user serviceable parts.

Intended Use

The AURA amplifier system is intended for recording routine EEG and EEG associated
with long term monitoring for epilepsy.

This device is intended to be used only by physicians, technicians, or other medical

professionals that are trained in electroencephalography.

Caution

Federal law restricts this device to sale by or on the order of a licensed

physician (or properly licensed practitioner).

Use only the Nonin Xpod device as an optional pulse oximeter.

Use only accessories and electrodes identified for use with this device
(see instructions for the electrodes that are being used).

Disconnect power supply before servicing.

The AURA should be disconnected before using a defibrillator.

 Table of Contents
1. Specifications & Symbols Glossary . ................................................ 1-13
Specifications.................................................................................................... 1-13
External Battery (optional)..................................................................... 1-14
RPSAS40 Medical-grade Power Supply.................................................. 1-15
System Transport or Storage Specifications. ......................................... 1-15
Glossary of Symbols. ....................................................................................... 1-16
2. Introduction......................................................................................... 2-17
Product Description........................................................................................ 2-17
Features............................................................................................................. 2-20
Functional Components.................................................................................. 2-20
Standard System Components. ....................................................................... 2-22
Optional System Components......................................................................... 2-22

3. Installation........................................................................................... 3-23
Setting Up for Operation................................................................................ 3-23
Installation...................................................................................................... 3-24
Step 1: Installing Cabling. ....................................................................... 3-26
Step 2: Installing the Network Interface Card
for Associated Computers. ....................................................................... 3-26
Step 3: Setting up the RPSAS40 Regulated Power Supply.................... 3-26
Power Supply Line Voltage................................................................. 3-26
Step 4: Setting up the Base Station.......................................................... 3-26
Step 5: Connecting the Tether Cable...................................................... 3-27
Step 6: Connecting Amplifier Unit Inputs. ............................................. 3-28
Step 7: Connecting Other Equipment to the Base Station. .................. 3-28
Host Computer Setup....................................................................................... 3-29
AURA IP Address Setup. .......................................................................... 3-29
Subnet Mask Setup. ................................................................................... 3-30
AURA Version........................................................................................... 3-30
Network Interface Card (NIC) IP Address Setup........................................ 3-30

Beehive Horizon LTM with AURA Amplifier System ix

 4. Operation............................................................................................... 4-33
Base Station...................................................................................................... 4-33
Menu System. ............................................................................................. 4-34
Indicators................................................................................................... 4-36
Amplifier Unit. ................................................................................................. 4-36
Power Buttons.................................................................................................. 4-36
Indicators................................................................................................... 4-37
Green LED............................................................................................ 4-37
Combination Green & Yellow LEDs.................................................. 4-37
Yellow LEDs........................................................................................ 4-37
CompactFlash Card.................................................................................. 4-38
Calibration....................................................................................................... 4-39
Electrode Impedance Test............................................................................... 4-40
Event Pushbutton............................................................................................ 4-40
Optional Photic Stimulation.......................................................................... 4-41

5. Extended Ambulatory Recording...................................................... 5-43

Optional External Battery Pack................................................................... 5-43
Indicators................................................................................................... 5-44
Charging the External Battery Pack..................................................... 5-44
Amplifier Unit & Optional External Battery Pack Connection............... 5-46
Amplifier Unit Indicators......................................................................... 5-47
Connection Interruptions........................................................................ 5-47
Extended Ambulatory Recording................................................................... 5-48
Start Ambulatory Recording................................................................... 5-48
Stop Ambulatory Recording .................................................................... 5-49
Reading Ambulatory Data. ...................................................................... 5-49

6. Accessories & Replacement Parts..................................................... 6-51

Accessories & Replacement Parts.................................................................. 6-51
Monitors (options)........................................................................................... 6-52
Expansion Kits to 64-, 96- & 128-Channel Systems (optional).................... 6-52
Video/Audio Equipment (options).................................................................. 6-52
Cables/Adaptors............................................................................................. 6-54
Carts & Mounting Brackets. ......................................................................... 6-54
Photic Stimulators (optional)........................................................................ 6-55
Alarm Systems & Room Selection (optional)................................................ 6-55

x Table of Contents
 7. Maintenance. ........................................................................................ 7-57
Maintenance. ................................................................................................... 7-57
Calibration................................................................................................. 7-57
Cleaning..................................................................................................... 7-58
Electrodes............................................................................................ 7-58
Storage & Transportation. ...................................................................... 7-58
End-of-Life Disposal. ................................................................................ 7-58

8. Troubleshooting Guide....................................................................... 8-59

A. Appendix A.............................................................................................A-61
Connector Pin-outs........................................................................................ A-61
Ethernet Cable, Cross-over.................................................................... A-61
Ethernet Cable, Patch............................................................................. A-61

Beehive Horizon LTM with AURA Amplifier System xi

xii Table of Contents
 1 Specifications & Symbols Glossary

Specifications
Amplifier ������������ Grass AURA system
32 referential EEG inputs (AC), 2 reference input,
2 patient ground (with PJAAD Pin Jack Adaptor)
8 DC inputs, non-isolated (not with BHHN-P)
AC Input
Signal Range ����� Referential AC channels: 4 mV peak to peak full-scale
Differential DC voltage tolerance: 500 mV maximum
DC Input
Signal Range ������ ±2.5 volts
Input
Characteristics ���� 12 Megohm impedance, all inputs including reference
All referential AC inputs electrically isolated from
earth ground
Frequency Response 0.5 Hz to 100 Hz, -3 dB
0.1 to 100 Hz recoverable with TWin software
Amplification (gain) � AC channels: 1000 ±2%
Vertical Resolution �� 16 bits (0.06 µV/bit)
Sampling Rate ������� 400 samples/second/channel
Data stored at 200 or 400 samples/sec, user definable
via host computer
CMMR �������������� >100 dB, all AC channels, at 50/60 Hz
Noise ��������������� <2 µV peak to peak referred to input
Impedance Test Mode Referential inputs only: 30 Hz square wave; range,
1 kohms to 100 kohms, 10%
Calibration Signal ��� Referential inputs only: 500 µV peak to peak ±2%;
10 Hz square wave
Patient Bias Current � Maximum: <4 nA
Typically: 300 pA
Event Input ��������� 2 pushbutton patient signaling inputs (1 on base
station, 1 on amplifier for use with 1 event pushbutton)

Beehive Horizon LTM with AS40 Amplifier System 1-13

 Photic �������������� 1 photic (flash unit) control line
Oximeter ������������ 1 input (SpO2/Heart Rate)
Connectivity
to Host PC �������� Standard Ethernet, TCP/IP protocol
Power �������������� Medical-grade Power Supply
Physical Size ������� Amplifier Unit approximately:
3.5” W x 5.9” H x 1.0” D (8.9 cm x 14.9 cm x 2.5 cm)
Weight: 10 ozs. (280 g)
Base Station approximately:
7” W x 7.5” H x 2.7” D (17.8 cm x 19.1 cm x 6.9 cm)
Weight: 2.3 lbs. (1.04 kg)
CompactFlash Card approximately:
1.4” W x 1.7” H x 0.1” D (36 mm x 43 mm x 3 mm)
Weight: 0.4 ozs. (10 g)
Software ������������ Powerful and user-friendly TWin record, review and
analysis EEG/LTM software, SzAC Seizure/Spike
Analysis software, Panorama Digital Video/Audio
software
Operating System ��� Windows® 7
Regulatory ���������� AURA System: certified to
UL60601-1, CSA22.2 No.601.1
IEC 60601-1:1988 +A1:1991 +A2:1995,
IEC 60601-1-1, IEC 60601-2-26 (1994),
IEC 60601-1-2 (2001), Marked for ETL & CE to EC
MDD (93/42/EEC)

External Battery (optional)

External Battery ����� Capacity: 24 hours
Charging: Built-in charger (requires external
power supply)
RPS-21794 Power Supply:
Input: 100-240 VAC, 47-63 Hz, 0.7 A
Output: 24 VDC, 1.0 A maximum
Agency Approvals: UL listed, TUV approved
Physical Size ������� Battery Pack approximately:
3.5” W x 5.9” H x 1.0” D (8.9 cm x 14.9 cm x 2.5 cm)
Weight: 11 ozs. (308 g)

1-14 Chapter 1 Specifications & Symbols Glossary

 RPSAS40 Medical-grade Power Supply
Input ���������������� 100 to 250 VAC
Line Frequency: 47 to 63 Hz
Ambient Operating Temperature: 0 to 40°C
IEC320 Power Inlet, Removable 8-foot (2.4 m)
Hospital-grade Cordset
Output �������������� +12 VDC Regulated, 1.2 Amperes maximum
Short Circuit Protected
Line/Load Regulation: ±5% Overall
Output Cable: 6 foot (1.8 m)
Agency Approvals ��� Conforms to UL2601-1 and certified to
CAN/CSA C22.2 No.601.1,
Certified to IEC60601-1 and TUV601.1 approved
Physical Size ������� 3” W x 1.89” H x 4.75” L (7.6 cm x 4.8 cm x 12 cm)
Weight: 1 lb. (0.45 kg)

System Transport or Storage Specifications

Ambient Temperature
Range ������������ -40° C to +70° C
Relative Humidity
Range ������������ 10% to 100%, including condensation
Atmospheric
Pressure Range ��� 500 hPa to 1060 hPa

(All specifications subject to change without notice.)

Beehive Horizon LTM with AS40 Amplifier System 1-15

 Glossary of Symbols

Direct Current
Courant Continu

Alternating Current
Courant Alternatif

On (only for a part of equipment)

Marche (seulement pour une partie de l’appareil)

Off (only for a part of equipment)

Arret (seulement pour une partie de l’appareil)

ATTENTION: Consult Accompanying Documents

ATTENTION: Consulter les documents annexes

Protective Earth
Terre de Protection

Type BF Equipment
Équipement de type BF

Dangerous Voltage
Tension Dangereuse

Equipotentiality
Equipotentialite’

1-16 Chapter 1 Specifications & Symbols Glossary

 2 Introduction

Product Description
The Beehive Horizon is a 40-channel system designed specifically for recording
Long-term EEG. The system features a compact, wearable 32-channel AURA
Amplifier Unit and a Base Station that can be mounted in a variety of locations.
An 8-input DC module is also included with the system. With the optional
external battery, the AURA Amplifier can be used for 24 hours of ambulatory
recording. Options are available to upgrade the Beehive Horizon to 64 or
128 AC channels. The Beehive Horizon Portable has 32 channels.

The host computer receives data according to a specific protocol.

Grass TWin® LTM software is used on the host computer to receive and
process the data. The TWin software is powerful and easy to use, providing
data acquisition, recording, and review capabilities in one flexible package.
SzAC Automatic Spike Seizure Analysis software for proven on-line event
recognition is also included. Intuitive editing tools streamline the process of
identifying EEG/Video events for further analysis and archiving.
Grass Panorama Digital Video/Audio recording system, is included. Choose
from a variety of camera options. Beehive Horizon offers the widest range of
accessories and options designed specifically for the epilepsy monitoring unit,
including Nurse Alarm Systems and more.

By combining over 75 years of neurophysiological amplifier experience with

the latest digital design techniques, the Beehive Horizon continues with the
quality, reliability, and simplicity that have made Grass famous in the field of
neurophysiology.

Beehive Horizon LTM with AURA Amplifier System 2-17

 The Beehive Horizon systems provide
for patient safety isolation, signal
conditioning (physiological signal
amplification and filtering), and
digitization. Communications with a
host computer are accomplished using
TCP/IP protocol over an Ethernet
network or dedicated cable. A host
computer, using the appropriate
software, sets the sample rate, starts
and stops the data transmission,
monitors the digital data, and stores it
to hard disk.

The Amplifier unit is enclosed in a

plastic housing 3.5” W x 5.9” H x 1.0” D
(8.9 cm x 14.9 cm x 2.5 cm) in size. It is
Figure 2-1: Amplifier Unit
small and light enough to be worn
comfortably. It can be configured for
up to 32 referential electrode inputs,
an associated reference electrode input,
and a patient ground input.

A patient pushbutton is supplied (CAB-21778-02). Electrical isolation exists

inside the Amplifier unit and the cables meet patient isolation requirements.

The Amplifier unit is typically tethered to the Base Station, which streams data
to a host computer. However, the Amplifier unit is also capable of operating
untethered. When untethered, the Amplifier unit will run off an internal
battery and save data on a CompactFlash memory card. AURA is capable
of over 2 hours of untethered recording. If there is an immediate need to
download and review the data stored on the CompactFlash memory card, the
CF can be removed from AURA and the data can be downloaded quickly via
a USB CompactFlash Reader. With AURA, the patient can travel from their
patient room to a day room. When the patient arrives at the day room, AURA
simply needs to be plugged into any base station located in that room. Our
TWin recording software will recognize that the patient has switched to a new
base station, and tethered recording will resume again.

When tethered, the Amplifier unit connects to the Base Station via a single
cable that carries power and data through a proprietary serial interface. Battery
charging circuitry is built into the unit. Electrical isolation exists inside the
Amplifier unit and this cable meets patient isolation requirements.

The Amplifier Unit can also be used for 24-hour ambulatory monitoring when
connected to the optional external battery.

2-18 Chapter 2 Introduction

 Figure 2-2: Base Station

The Base Station is enclosed in a plastic housing 7” W x 7.5” H x 2.7” D

(17.8 cm x 19.1 cm x 6.9 cm) in size. It can be attached to a cart arm, mounted
on a wall next to a patient bed, or sit flat on a tabletop. An integrated pulse
oximeter connection is built into the unit that supports an optional, tethered
Nonin Xpod™ Pulse Oximeter.

An intuitive user interface with LCD screen is present with the base station.
From the base station itself, the technologist is able to implement such features
as electrode impedance checking, amplifier calibration, and photic stimulator
control. Also from the LCD display it is possible to obtain information such
as connection status to the host computer. Menu selections can be made for
configuring the unit and communicating with the host computer.

Power is supplied to the Base Station through a rear side connector that
attaches to the RPSAS40 Medical-grade Power Supply (+12 VDC).
A 36-pin connector is also located on the rear side and allows for the connection
of the CAB-21648-10 patient pushbutton and CAB-21617 pushbutton adaptor
cable. Two Auxiliary DC inputs are available for recording external voltage
sources. All other connections (Ethernet, oximeter, photic stimulation control,
etc.) are also located on the rear side of the Base Station.

Beehive Horizon LTM with AURA Amplifier System 2-19

 Features
• Compact design that is rugged, lightweight and easy to use
• On-board analog to digital conversion for artifact-free recordings
• 32 AC channels and 8 DC channels (not in BHHN-P)
• Easily connect to any PC with the on-board Ethernet connection
• On-board impedance checking, calibrations, and photic control at the
amplifier system
• Easy-to-use TWin LTM software
• Built-in SzAC automatic seizure/spike analysis
• Built-in Panorama digital video with highly-efficient Grass MPEG4
compression for 640 x 480 NTSC (768 x 576 PAL) resolution
• Quick disconnect cable

Functional Components
The Beehive Horizon system consists of the following main functional
components:
• AURA Amplifier unit with CompactFlash card and reader
• PJAAD Pin Jack Adaptor
• Base Station
• RPSAS40 Medical-grade Power Supply
• Isolated Medical-grade Power System
• Auxiliary DCM8 DC Input Module (not in BHHN-P)
• Optional External Battery
• Software including: TWin LTM, SzAC automatic
seizure/spike analysis, Panorama digital video
• Latest high-performance PC-based acquisition
system, network ready

The Amplifier unit is used for EEG applications and

provides for 32 referential inputs for signal conditioning,
digitization, and data transfer. The Amplifier unit typically Figure 2-3:
Amplifier Unit
operates tethered to the Base Station, but it can also
operate untethered, saving data to CompactFlash card. An
internal battery supplies power when untethered. GND R R GND
01 02 Sp1 32
P3 P4 Pg2 31
The PJAAD Electrode Board/Pin Jack Adaptor provides T5 T6 Pg1 30
recessed male terminal connectors for connecting T3 T4 A2 29
electrodes. Labels are used to indicate electrode inputs. C3 C4 A1 28
F7 F8 PZ T2
Two sets of labels are supplied. One with international
F3 F4 CZ T1
10-20 and the other with numeric nomencalture. Fp1 Fp2 FZ Sp2

Black Button

Figure 2-4: PJAAD

Pin Jack Adaptor

2-20 Chapter 2 Introduction

 Press the small black button on the side of the PJAAD to retract the latch when
attaching/detaching the PJAAD to/from the Amplifier unit. The switches on
the back of the PJAAD should all be set to Enable. In the Disable position,
the channel is connected to GND. Connecting the channel to GND reduces
crosstalk of noise introduced into open inputs. The Disable position also allows
you to set-up channels for use with respiration belts, thermocouples, etc.
without having to use jumpers.

The Base Station converts data

from the Amplifier unit to network
protocols for transfer to a host
computer via a dedicated Ethernet
cable or network connection.

The auxiliary DC Input Module,

DCM8, is a small plastic enclosure
with eight non-isolated 3.5 mm input
jacks for DC inputs and one 3.5 mm
input jack for an event pushbutton.
Four of the DC inputs are
single-ended and four are differential
to allow for the greatest flexibility Figure 2-5: Base Station
when connecting auxiliary device
outputs. The optional Nonin Xpod AUXILIARY DC INPUT MODULE

Pulse Oximeter can be connected 1 5

EVENT

directly to the Base Station. 2 6

3 7

Grass® DCM8
4 8
SINGLE ENDED DIFFERENTIAL

Figure 2-6: DCM8 DC input Module

Beehive Horizon LTM with AURA Amplifier System 2-21

 The RPSAS40 Regulated Power
Supply module provides low-voltage
(+12 VDC) to power the Base Station. RPSAS40
Only certified Grass regulated power REGULATED
POWER SUPPLY

supplies can be used with the Beehive P/N RPSAS40

XXXX

Horizon system. YYYYYYYYYYYYY

RELIABLE GROUNDING FA
CH
AR
G
REQUIRES S E
TR T
HOSPITAL GRADE IC
KL
AC RECEPTACLE E

The optional external Battery Pack Natus Medical Incorporated

Excel-Tech Ltd. (XLTEK)
2568 Bristol Circle

is used in ambulatory recording

Oakville, Ontario FAULT
L6H 5S1 Canada POWER

Made in USA

applications. It provides 24 hours of

Label P/N: HLB-21618 Re v. 04

power. The Amplifier unit operates

while connected to the optional Figure 2-8: Optional
external Battery via a booster cable. External Battery Pack
The battery contains a built-in charger
Figure 2-7: RPSAS40
that can be used with an external Power Supply
power supply.

For more information regarding the compatibility of a device with the Horizon
system, please contact Grass Technical Support Department.

Standard System Components

The following components are included in each Beehive Horizon system.
• AURA Amplifier unit with CompactFlash card and reader
• PJAAD Pin Jack Adaptor
• Pouch for AURA Amplifier
• Base Station
• DCM8 DC Input Module (not in BHHN-P)
• RPSAS40 Medical-grade Regulated Power Supply
• Isolated Medical-grade Power System
• Network Cabling Kit (Base Station to Host)
• Tether Cable
• Latest high-performance PC-based acquisition system, network ready

Optional System Components

Refer to Chapter 6 Accessories & Replacement Parts, for a list of optional
system components.

2-22 Chapter 2 Introduction

 3 Installation

Setting Up for Operation

The Beehive Horizon is is designed to be located in the vicinity of the test
subject, but with the ability to allow patient mobility for periods of time. The
Amplifier unit can be placed inside a pouch worn by the patient.

The Amplifier unit is worn by the patient and is typically tethered to the Base
Station. However, the Amplifier unit is also capable of operating un-tethered.
When un-tethered, the Amplifier unit will run off an internal battery and save
data on a CompactFlash® memory card.

The Base Station itself, and the associated power supply, can be attached to a
cart or stand for routine EEG studies, Long-term Monitoring and Video EEG
with optional mounting brackets. Grass provides a full line of mobile carts and
mounting brackets. Please consult Grass Customer Support for further details.

Take care to locate these components away from dirt, dust, high temperatures,
and liquid spill hazards. Avoid locating the unit where the power switches or
controls or cables could be bumped inadvertently.

Optionally, the Beehive Horizon can be used for un-tethered ambulatory

recordings. The Amplifier unit and optional external Battery Pack are placed
inside a pouch worn by the patient. Data is saved on a CompactFlash®
memory card.

Beehive Horizon LTM with AURA Amplifier System 3-23

 Installation
Refer to the interconnection diagram (Figures 3-1a and 3-1b) for connection
details and cable part numbers. To install the Beehive Horizon systems,
proceed with the following steps.

Step 1: Installing Cabling

Step 2: Installing the Network Interface Card for Associated Computers
Step 3: Setting up the RPSAS40 Regulated Power Supply
Step 4: Setting up the Base Station
Step 5: Connecting the Tether Cable
Step 6: Connecting Amplifier Unit Inputs
Step 7: Connecting Optional Equipment to the Base Station

3-24 Chapter 3 Installation

 Electrode Board/Pin Jack Adaptor
PJAAD
Optional Xpod TM
Pulse Oximeter

Tether Cable
CAB-22255 Amplifier Unit Event Pushbutton
CAB-21778-02

Event Button
CAB-21648-10

Tether Cable
CAB-22256
Base Station
AUXILIARY DC INPUT MODULE

1 5
EVENT

2 6
DCM8
DC Input 3 7

Module DCM8 RPSAS40 Regulated

SINGLE ENDED DIFFERENTIAL
Power Supply AC Power To Grounded
Line In Wall Outlet

CON-20486 To PC
Networking Ethernet
Cable Connector Card
Event Pushbutton
CAB-21648-10 or
CAB-21617
CAB-20576-03
Ethernet Cross-over
Cable
CAB-21064 or
Ethernet Patch
Cable
To Ethernet Hub or Switch

Figure 3-1a: Beehive Horizon System setup

Electrode Board/Pin Jack Adaptor

PJAAD
Optional Xpod TM
Pulse Oximeter

Tether Cable
CAB-22255 Amplifier Unit Event Pushbutton
CAB-21778-02

Tablet PC
Power Switch Video
Camera
Tether Cable
CAB-22256
Base Station

RPSAS40 Regulated
Power Supply AC Power
Line In
USB Ports

AC Power Line (in rear)

Foam Panel
Power Supply (enclosed)

Do not open. No user To Tablet PC

serviceable parts inside NIC

CAB-20576-1
Null Ethernet
Base Station Cable

Figure 3-1b: Beehive Horizon Portable System setup

Beehive Horizon LTM with AURA Amplifier System 3-25

 Step 1: Installing Cabling

Grass recommends that all network, video, or intercom cabling, and any other
cabling for auxiliary instrumentation be run by qualified personnel under
hospital supervision and according to local standards and regulations.

Use an approved isolation transformer when interconnecting multiple pieces

of equipment to the Beehive Horizon system to avoid summation of leakage
currents. The use of an isolation transformer reduces the leakage current to that
of the isolation transformer. If an isolation transformer is to be used it should
be EN60601-1 approved and rated for 115-240 VAC, 50/60 Hz, 600-800 VA.

Step 2: Installing the Network Interface Card

for Associated Computers

The Beehive Horizon system may be supplied with a network interface card for
computers associated with the Beehive Horizon system. Follow the instructions
that are supplied with this card to install and test the interface card before
connecting to the Beehive Horizon system.

Step 3: Setting up the RPSAS40 Regulated Power Supply

Select an appropriate location that will allow for ventilation around the unit
and the outlet to be within safe reach of the Base Station. The power cable
should be run so as it will be out of the way and not be a tripping hazard.
(The Beehive Horizon Portable has the power supply already installed in the
carry case. )

Power Supply Line Voltage

The RPSAS40 will operate with line voltage within the range of 100 to
250 volts, covering both 115 and 230 volts operation with no user intervention.
The proper hospital-grade AC power cord is required.

Step 4: Setting up the Base Station

The Base Station can be located remotely from or locally to the host computer.
Depending on the setup, the network cable required will be either a Cross-over
or Patch 10BaseT, category 5, Ethernet cable. (The Beehive Horizon Portable
has the Base Station already installed in the carry case.)

3-26 Chapter 3 Installation

 If a direct connection is used, a single Cross-over cable is required
(CAB-20576-03). If going through a dedicated hub or switch, a patch cable is
required (CAB-21064-050 or CAB-21064-010). A Networking Cable Connector
(CON-20486) is also provided. Select the appropriate cable and connect the
Base Station to the host computer.

Step 5: Connecting the Tether Cable

A tether cable is used to connect the Amplifier unit to the Base Station. Connect
one end of the tether cable to the Base Station by inserting the connector into
place. See Figure 3-2. Connect the other end of the tether cable to the Amplifier
unit. To disconnect the tether cable, pull on the outer sleeve of the connector to
unlock it from the unit.

Figure 3-2: Base Station & Amplifier Unit connection

Beehive Horizon LTM with AURA Amplifier System 3-27

 Step 6: Connecting Amplifier Unit Inputs

Attach the electrodes, via Electrode Board/Pin Jack Adaptor, and Patient Event
Pushbutton to the Amplifier unit.

To Event Button To Electrode Board/

Pin Jack Adaptor

Figure 3-3: Amplifier Unit input connections

Step 7: Connecting Other Equipment to the Base Station

Attach any additional equipment such as the Event Button, DC Input Module,
or optional Photic Stimulator, or Nonin Xpod™ Pulse Oximeter.

Note that waveforms from AUX 1 and AUX 2 DC input ports, the Nonin Xpod™
Pulse Oximeter, and Photic Stimulator marker, are only recorded when the
Amplifier unit is tethered to the Base Station.

Figure 3-4: Base Station connections

3-28 Chapter 3 Installation

 Host Computer Setup
Power up the Base Station and enter a valid IP address for the unit. Computers
associated with the Beehive Horizon system should have the recording
application software installed and configured to work with this IP address to
control the Base Station. See below for more information.

If Grass TWin software is used on the host computer, refer to the TWin
software manual for details on the operation of the system. A system
calibration and test recording should be preformed following the instructions
supplied in the TWin manual.

AURA IP Address Setup

This section will provide instructions on programming the IP address of the

Beehive Horizon system. If applicable, it is possible choose an IP address that is
consistent with the existing networking scheme of the hospital.

1. Make sure the Base Station is powered on.

2. On the Base Station, push the MENU button four times to display the
Set IP Address option, and then press the ENTER button.
3. Use the left and right buttons to toggle to the next numeric entry.
4. Use the up and down buttons to change the numeric value.
An example IP address is: 192.168.123.201
5. When the IP address is finished, push the ENTER button to accept
the entry.

Note: If the MENU button is pressed while changing the IP address, the
modifications will not be saved.

Beehive Horizon LTM with AURA Amplifier System 3-29

 Subnet Mask Setup

This section will provide instructions on programming the Subnet Mask of the
Beehive Horizon system.

1. Make sure the Base Station is powered on.

2. On the Base Station, push the MENU button five times to display the
Set Subnet Mask option, and then press the ENTER button.
3. Use the up and down buttons to change the numeric value.
An example Subnet Mask is: 255.255.255.000
4. When the Subnet Mask is finished, push the ENTER button to accept
the entry.

AURA Version

To check the version of the AURA amplifier before connection to application

software on the host computer:

1. Make sure the Base Station is powered on.

2. On the Base Station, push the MENU button six times to display the
AURA Version option, and then press the ENTER button.
3. The version of firmware and software will be displayed.

Network Interface Card (NIC) IP Address Setup

This section will provide instructions on configuring computers associated
with the Beehive system. The IP address used for this section is different than
the one entered in the previous section. If applicable, it is possible to choose an
IP address consistent with the existing networking scheme of the hospital.

1. From the Windows task bar, select Start > Settings > Control Panel.
2. Double-click on the Network and Dial up Connections icon.
3. In the Network and Dial up Connections window, double-click on the icon
that represents your NIC. This may be listed as Local Area Connection.
4. In the Status window, click on the Properties button.
5. Highlight Internet TCP/ICP protocol by clicking on it once, then click
Properties. The Internet Protocol (TCP/IP) Properties window will appear.

3-30 Chapter 3 Installation

 Figure 3-5: Internet Protocol (TCP/IP) Properties window

6. Select Use the following IP address.

7. Enter an IP address that fits within the same series as the AURA.
Remember, the IP address here cannot be the same as the one used in
the AURA IP Address. An example IP address is: 192.168.123.199, or
192.168.123.222.
8. It may be necessary to change the Subnet mask to 255.255.255.0.
9. Click OK when finished.
10. Close all windows and reboot the computer.

Beehive Horizon LTM with AURA Amplifier System 3-31

3-32 Chapter 3 Installation
 4 Operation

The Beehive Horizon requires a host computer with appropriate software to be

attached via a network cable to setup the system parameters. This section is an
overview of the controls, indicators, and other features available for use.

Base Station
The controls available on the Base Station include the DC power switch on the
rear and eight keys associated with the LCD.

There are eight push buttons, or keys, for interacting with the Base Station
and the host computer. Some of the selections in the menu require the host
computer to be connected to the Base Station.

Figure 4-1: Base Station Front Panel Controls

Beehive Horizon LTM with AURA Amplifier System 4-33

 Menu System

The following list describes each key on the Base Station and a brief description
of its use.

MENU key toggles through the menu items or backs out

of a menu selection back to the previous level. While in a
submenu or selection the MENU key can be used to cancel
and return back to the main menu.

Provides a shortcut to turn on/off the photic trigger

without going through the menu selection process.

The left/right arrows are used to navigate through a

submenu list.

The up/down arrows are used to scroll through status

information such as electrode impedance results.

The ENTER key selects the item to execute or proceeds

to a submenu.

E-TEST provides a shortcut to turn the electrode

test function on without going through the menu
selection process.

The following menu options are available:

Set Photic Allows the photic trigger frequency to be set. The

left/right arrows can be used to toggle through trigger
frequency selections: 1 to 35 Hz. The ENTER key turns on
the trigger output, ENTER again turns it off. The key
jumps to the photic on/off selection using the last trigger
frequency selected.

Sequence Reports communication errors with the data transfer.

4-34 Chapter 4 Operation

 Oximeter Display* Displays the current readings of the optional Nonin Xpod™
Pulse Oximeter on the LCD.

Set IP Address** Allows an IP address for the device to be entered. Used to

set the IP address of the Base Station. The left/right keys
activate the number in IP address to be changed and the
up/down keys increment/decrement the active number.
ENTER accepts the IP address.

Set Subnet** Allows a subnet for the device to be entered.

AURA Version** Displays the version numbers of the connected AURA

amplifier unit and TWin software.

Check Impedances* Requests the host computer monitoring software to

perform an electrode test and return the results for display.
Z limit impedance selections include: 0.1, 0.5, 1, 2, 5, 10, 20,
100 kohm.

Press ENTER to select and use the left/right keys in the

Z limit selection menu. ENTER to execute the request.
Use the up/down keys to scroll through the results
returned from the application software on the host
computer. MENU returns to the main menu item list.

E-TEST key executes a request to the application software

on the host computer to perform an impedance test using
the last Z limit selected. Press ENTER to begin calibration.

Warning: The electrode impedance test should not be used with

intra-cranial electrodes.

Calibrate* Requests the host computer monitoring software to

perform a calibration for each channel.

* Only available when connected to application software on host computer.

** Not available when connected to application software on host computer.

Beehive Horizon LTM with AURA Amplifier System 4-35

 Indicators

In the LCD display on the Base Station if Idle is displayed, TWin is

connected to the Base Station, but the AURA amplifier is not connected. If
Stream is displayed, both TWin and the AURA amplifier are connected to the
Base Station.

A power indicator is located above the LCD and is green when the Base
Station power is on. The LCD displays the menus, electrode impedance results,
connection status, and any error messages that may occur.

Additionally, two indicator lights are used by the Ethernet connection on the
back of the Base Station. The green light indicates the Base Station is attached to
an active node, and the yellow light indicates communication activity over the
connection.

Amplifier Unit
The controls on the Amplifier unit are
used to turn the power on and off.

Power Buttons

Turns the Amplifier unit

power off. The button must
be held for ten to twenty
seconds to turn the power off.
This feature helps ensure the
power is not turned off accidentally.

In error conditions, it may be necessary

to hold the Power Off button in for a
minimum of 30 seconds to turn off the
Amplifier unit power.
Figure 4-2: Amplifier Unit Controls

Turns the Amplifier unit

power on.

4-36 Chapter 4 Operation

 Indicators Green

There are five LED indicator lights on the

Amplifier unit. One green indicator light provides
information about the functional status of the
Amplifier unit. Four yellow indicator lights Yellow
Yellow44
provide information about the battery and Yellow11
Yellow
CompactFlash memory status.

Green LED
Steady Amplifier unit is functioning.
Flashing Slow
(about 1/sec) Amplifier unit is functioning and writing to a
CompactFlash card.

Combination Green & Yellow LEDs

Green Flashing Fast
(about 4/sec) &
#4 and #2 On Amplifier unit is functioning and updating the
CompactFlash file system. This is most commonly
seen prior to the amplifier turning off via the Power
Off button.
Green Off &
#4 and #2 On Amplifier unit error. Contact Grass Technical Support
Department.
All Indicators Off Amplifier unit is not functioning or is off.

Yellow LEDs
#4 Flashing Battery is fully charged.
#2 or #3 Flashing Battery is moderately charged.
#1 Flashing Battery is very low.
All Off Battery is discharged or missing.
All Flashing Memory Warning: CompactFlash card is missing (after
power on), or full (after write).
Three Flashing
(#1, #2, #3 ) Memory Warning: The CompactFlash card is not ready
for writing data. This could be caused by Patient/
Record ID not matching the previously stored values
(often caused by inserting a card from a different
patient), an incorrect format, or a faulty card. Correct
this by entering (or re-entering) the correct patient
information or by inserting the correct CompactFlash
card. Note that entering patient information may
overwrite the patient information currently stored
on either the CompactFlash card, or the memory in

Beehive Horizon LTM with AURA Amplifier System 4-37

 the AURA, or both. This may be exactly the desired
result and is expected in normal operation. The 3
flashing LEDs just inform the user that writing to the
CompactFlash will not be possible until the formatting
or patient information has been properly set up, or
warn that the wrong CompactFlash card may have been
inserted into the AURA. If entering the proper patient
information does not correct the problem, try another
CompactFlash card or contact Grass Technical Support.

CompactFlash Card

The Amplifier Unit saves data on a CompactFlash memory card. CompactFlash

is an industry standard removable storage media.

Bottom View

Figure 4-3: CompactFlash Card

The CompactFlash card slides into the drive of the Amplifier unit. The top of
the card must face the top of the Amplifier unit to be oriented properly for
insertion. To remove the card, simply pull it out of the drive.

Note: Do not pull the CompactFlash card out of the Amplifier unit if the
green LED is flashing (at any speed). The flashing greeen LED indicates
that Amplifier unit is still writing to a CompactFlash card or updating
the CompactFlash file system. Wait for the green LED to glow steadly
before removing the CompactFlash card.

4-38 Chapter 4 Operation

 Electrode Board/Pin Jack Adaptor

PJAAD Electrode Board/Pin Jack Adaptor must be attached to the Amplifier

unit. To attach the PJAAD, press it into position as indicated in Figure 4-4.
To remove it, press the small button on the side of the pin jack adaptor. This
button is highlighted in the diagram.

Figure 4-4: Electrode Board/Pin Jack Adaptor

Calibration
The Beehive Horizon system includes a built-in calibration signal generator
and the means to connect this generator to the amplifier inputs at the first stage
preamplifier. The generator outputs a 5 Hz, 500 µV peak-to-peak square wave.
Gain calibration and correction is critical to the accurate creation of montages
from the referentially recorded data.

It is recommended that a calibration procedure be performed prior to every

recording as standard practice.

Calibration controls are only available in the application software. However

a request can be sent from the Base Station via a menu item to have the
application software automatically perform a calibration.

Refer to the instructions for calibrating the amplifier hardware in the TWin
software manual for more details. Typically calibration involves starting
the recorder software, putting the Beehive Horizon into calibration mode,
recording a segment of the calibration signal then confirming the peak-to-peak
value of the AC calibration signal. This data is then used to automatically
generate a list of correction values for both offset and gain.

Beehive Horizon LTM with AURA Amplifier System 4-39

 Electrode Impedance Test
The Beehive Horizon system includes a built-in electrode test circuit that tests
the impedance of each electrode, including the reference. This function can be
executed from either the application software or at the Base Station itself. The
E-TEST key on the Base Station calls this function and the results are displayed
on the LCD, based on the preferences set in the application software. If the
application software is not present this function cannot be selected.

Warning: The electrode impedance test should not be used with

intra-cranial electrodes.

Event Pushbutton
An Event Pushbutton can be used to signal the recording software for event
marking or to start a recording session. The state of this pushbutton is reported
in every scan of data in one of the status bits.

Two types of Event Pushbuttons are supplied with the Beehive Horizon.

Model CAB-21778-02 Event Pushbutton has a twist-on connector to directly

connect to the Amplifier Unit. If the Event Pushbutton is used, remove the
nut from the threaded connector on the Amplifier unit before connecting the
Event Pushbutton.

Figure 4-5: Event Pushbutton Connection

Model CAB-21648-10 Event Pushbutton can be plugged directly into the DC

Input Module, or Base Station with the appropriate connector (CAB-21617) for
use if tethered in-lab recording is desirable.

The pushbutton and cabling can be unplugged and removed without affecting
the normal operation of the system.

4-40 Chapter 4 Operation

 Optional Photic Stimulation
The Beehive Horizon includes a built-in counter output for controlling/
triggering a single photic stimulator flash unit. Stimulation protocols can only
be setup and executed by the application software on the host computer. See
the TWin software manual for details. Individual frequencies can be selected
and executed via the Set Photic menu option.

To turn the photic on/off the key can be used.

Beehive Horizon LTM with AURA Amplifier System 4-41

4-42 Chapter 4 Operation
 5 Extended Ambulatory Recording

With the optional rechargeable, external Battery Pack, the Amplifier unit can be
used for 24-hour, out-of-lab epilepsy monitoring.

In Extended Ambulatory Recording Mode, the Amplifier unit operates for

approximately 24 hours on optional external battery power while recording
28 channels to a removable, high capacity CompactFlash card.

Optional External Battery Pack

The optional external Battery Pack provides the capability for 24-hour
ambulatory recording by supplying power to the Amplifier unit while the
patient is away from the lab. It connects to the Amplifier unit with the booster
cable (#26832000).

The unit is enclosed in a plastic housing

approximately 3.5” W x 5.9” H x 1.0” D
(8.9 cm x 14.9 cm x 2.5 cm). Similar in
size and shape to the Amplifier unit,
the external Battery Pack is small and
light enough to be worn comfortably
in the patient-worn pouch (32760100).

The external Battery Pack contains FA

CH
AR
G

built-in charging capabilities. The

S E
TR T
IC
KL

battery is charged by applying power

E

from the 24 VDC power supply. FAULT

POWER

Figure 5-1: External Battery Pack

Beehive Horizon LTM with AURA Amplifier System 5-43

 Indicators

There are four indicator lights on the optional external Battery Pack.

FAST Yellow LED indicates the external Battery

Pack is being charged in Fast mode.

TRICKLE Yellow LED indicates the external Battery

Pack is being charged in Trickle mode.

FAULT Orange LED indicates an error in the

external Battery Pack. Contact
Grass-Telefactor Technical Support to
resolve this issue.

POWER Green LED indicates charging power

is available.

Charging the External Battery Pack

A 24-volt power supply (RPS-21794) is provided with the external Battery Pack.
This power supply is used to charge the battery. A fully charged battery will
provide approximately 24 hours of ambulatory recording time.

Caution: Do not attempt to interchange the external Battery Pack

Charger Power Supply with the Base Station Power Supply. The
connectors are not compatible and should not be forced.

Warning: Do not connect or use the Battery Charger Power Supply in the
presence of the patient.

5-44 Chapter 5 Ambulatory Recording

 To charge the optional external Battery Pack, move the switch on the side of the
Battery pack to the CHG (charge) position. Then connect the RPS-21794 Power
Supply to the External Battery.

External Battery

Switch - Side View Switch - CHG Selected

CH
AR
FA G

CHG USE
E
TR ST
IC
KL
E

FAULT
POWER

RPS-21794
To Grounded AC Power Power Supply
Wall Outlet Line In

Figure 5-2: Charging the External Battery Pack

Supply power to the battery for four hours. While the external Battery Pack
is charging, the indicators will light to provide status information. These
indicators are only used during the charging process.

No Lights Battery not connected to charger.

POWER Green only — Battery is fully charged.
POWER & FAULT Green & Orange — Indicates an error in the external
Battery Pack. Contact the factory to resolve this issue.
POWER & FAST Green & Yellow — Battery is charging in Fast mode. Fast
mode is the first step in the charging process. It charges
at a rapid rate.
POWER & TRICKLE Green & Yellow — Battery is finished charging in
Fast mode, and is now charging in Trickle mode.
Trickle mode is the second step in the charging process.
It charges at a very slow rate to keep the battery
charged at capacity.

Beehive Horizon LTM with AURA Amplifier System 5-45

 Amplifier Unit & Optional External Battery Pack
Connection
The booster cable is used to connect the Amplifier unit to the external
Battery Pack. Figure 5-3 illustrates the connection between the Amplifier unit
and external Battery Pack.

Event Pushbutton
CAB-21778-02

Electrode Board/
Pin Jack Adaptor
Switch - Side View PJAAD

CHG USE

External Amplifier
Battery Unit
Switch - USE Selected

CH
AR
FA G
TR ST E
IC
KL
E

FAULT
POWER

Booster Cable 26832-000

Figure 5-3: Battery Connection for Recording

Move the switch on the external Battery Pack to the USE position. Then
connect the external Battery Pack to the Amplifier Unit.
Switch - Side View
Note: The USE/CHG switch must be in the USE position to
perform 24-hour ambulatory recordings. CHG USE

The Electrode Board/Pin Jack Adaptor and Event Pushbutton are also used
during ambulatory recording. Switch - USE Selected

CH
AR
FA G
E
TR ST
IC
KL
E

FAULT
POWER

5-46 Chapter 5 Ambulatory Recording

 Amplifier Unit Indicators

When the Amplifier unit is connected to the optional external Battery Pack, the
internal battery in the Amplifier unit will constantly be charged by the external
Battery Pack. During this process, yellow LED indicators on the Amplifier unit
will flash in continuous order.

Connection Interruptions

The design of the optional external Battery Pack and Amplifier unit allows
temporary disconnection of the external Battery Pack without interruption
of recording.

If the external Battery Pack and Amplifier unit become disconnected during
ambulatory recording, the battery in the Amplifier unit will become the
primary power source and recording will continue.

The Amplifier unit internal battery is constantly charged while the external
Battery Pack is connected. Therefore, if the external Battery Pack is
disconnected, the Amplifier unit battery will typically contain a full charge. The
charge level of the Amplifier unit while not connected to the external Battery
Pack is indicated by the yellow LEDs. When fully charged, the Amplifier unit
battery will provide approximately two hours of power.

When the external Battery Pack is reconnected to the Amplifier unit, the
external Battery Pack will become the primary power source. It will also charge
the battery contained in the Amplifier unit. The yellow LEDs on the
Amplifier unit will flash in continuous order to indicate that the Amplifier unit
battery is charging.

Beehive Horizon LTM with AURA Amplifier System 5-47

 Extended Ambulatory Recording
In Extended Ambulatory Recording Mode, the Amplifier unit can operate for
approximately 24 hours on external battery power while recording 28 channels
to a removable, high capacity CompactFlash card.

During Ambulatory recording, use caution to avoid contact with the Amplifier
unit Off button. If the Off button is held for more than 10 seconds and the
Amplifier is writing to the CompactFlash card, the Amplifier will stop taking
in data and begin closing the file (as evidenced by the fast flashing of the green
LED). It will shut down when it is finished. Writing to the CF will resume when
the Amplifier unit is turned back on.

The following components are needed for ambulatory recording:

• External Battery Pack — A fully 4-hour charged external Battery Pack
will be needed to provide 24 hours of ambulatory recording power.
Obtaining a full 24 hours of recording requires the user to verify a full
charge on the internal amplifier battery in unison with a fully-charged
external battery pack.
• Amplifier Unit with CompactFlash Card — The Amplifier unit will
be used to record the signals to the high capacity (2 GByte)
CompactFlash card.
• Base Station — The Base Station is used to configure the Amplifier unit.
• Host Computer with TWin Software — The computer and TWin
software is used to initiate remote recording and review recordings.
Make sure that the AURA24 option is enabled in TWin’s View >
Settings > AURA Settings.
• Electrodes, Electrode Board/Pin Jack Adaptor, Event Pushbutton,
etc. — These components will be used to connect the patient input
signals to the Amplifier unit.

Start Ambulatory Recording

The process for starting ambulatory recording is similar to standard recording

and requires the following steps:
1. Insert an AURA usable CompactFlash card into the Amplifier unit. See
Chapter 4, Figure 4-3: CompactFlash Card.
2. Connect the patient electrodes to the Amplifier unit via the Electrode
Board/Pin Jack Adaptor. See Chapter 4, Figure 4-4: Electrode Board/Pin
Jack Adaptor.
3. Configure the Amplifier unit using the Base Station and associated TWin
host software. See Chapter 4, Operation.
4. Initiate recording using the TWin Recording feature.

5-48 Chapter 5 Ambulatory Recording

 5. Disconnect the Amplifier unit from the Base Station. Waveforms will
cease to display in the TWin waveform area.
6. Connect the Amplifier unit to a fully-charged external Battery Pack.
Make sure the external Battery Pack is switched to the USE position.

Warning: The Amplifier unit must not be exposured to liquids. If the

Amplifier unit is exposed to liquids during unsupervised
ambulatory recording, the patient should stop the recording by
disconnecting the electrodes at the Electrode Board/Pin Jack
Adaptor and turning the Amplifier Unit power off. Resumption
of recording is to be performed only by qualified personnel.

Stop Ambulatory Recording

To stop ambulatory recording press and hold the Off button on the
Amplifier Unit until the green LED begins flashing rapidly. The LED will
continue flashing for about 30 seconds and then the Amplifier will turn off.
If the Amplifier unit will not respond properly, holding the Off button for at
least 45 seconds will force the unit to power off.

Reading Ambulatory Data

The process for reading ambulatory data requires a computer with a

CompactFlash card reader and software that can open the data files on the
card. The Base Station cannot be used to “upload” the data to the computer.

When the extended ambulatory recording process is complete, the resulting

data files will be stored on the CompactFlash card in the Amplifier unit. The
data is stored using a specific protocol.

Grass TWin software can be used on the host computer to read the file and
process the data. TWin software is powerful and easy to use, providing data
acquisition, recording, and review capabilities in one flexible package.

Remove the CompactFlash card from the Amplifier unit. See Chapter 4,
CompactFlash Card, Figure 4-3. Then insert it into the CompactFlash card
reader on the computer. Although TWin software can read directly from the
CompactFlash card, it is recommended that data files be copied to a different
medium such as the computer’s hard disk for further review and analysis.

Beehive Horizon LTM with AURA Amplifier System 5-49

5-50 Chapter 5 Ambulatory Recording
 6 Accessories & Replacement Parts

Accessories & Replacement Parts

Part Number Description
CAB-21778-02 Event pushbutton (for Amplifier Unit), 2-foot (0.6 m)
CAB-21648-10 Event pushbutton, 10-foot (3 m) cable length, other
lengths available
CAB-21617 Event button to Base Station adaptor, used to connect
optional CAB-21648-10 directly to the Base Station when
the DCM8 DC Input Module is not available,
1’ (0.3 m) cable length

ACS-21651 Dedicated Ethernet Card for Base Station connection

for use with a PC

IPS115 Isolated power system, 115-volt operation only

IPS230 Isolated power system, 230-volt operation only
RPSAS40 AURA regulated power supply
RPS-21794 Optional Charger power supply

PJAAD Electrode Board/Pin Jack Adaptor

14193102 2 GByte CompactFlash Card
32760000 Pouch for AURA Amplifier

ACS-22001 500 GByte External Hard Drive

DCM8 DC Input Module

42745100 Optional External Battery Pack

32760100 Optional Pouch for AURA Amplifier & External Battery Pack

Beehive Horizon LTM with AURA Amplifier System 6-51

 Monitors (options)
Part Number Description
FPM-15 15” flat-panel/LCD monitor, 1024x768 resolution
FPM-22 22” flat-panel/LCD monitor, 1920x1080 resolution
FPM-24 24” flat-panel/LCD monitor, 1920x1200 resolution
ACS-21789 Flat-panel/LCD monitor wall-mount bracket

Expansion Kits to 64- & 128-Channel Systems (optional)

Part Number Description
LTM64-UPGRD64 64-Channel Expansion/Upgrade, AURA-LTM64 (1-64ch)
LTM64-UPGRD128 128-Channel Upgrade, AURA-LTM64 (65-128ch)

Video/Audio Equipment (options)

Part Number Description
Cameras:
VCP-2 Portable Color/Black & White auto-switching video
camera, NTSC (includes monopod/adaptor)
VCP-5 Portable Sony Ipela Dome Camera, auto-switching Color/
Black & White, pan/tilt/zoom, software controlled, NTSC
(includes monopod/adaptor)
VCS-6 Panasonic Dome Camera, ceiling mounted, auto-switching
Color/Black & White, pan/tilt/zoom, Grass software
controlled, NTSC
VCS-6-KIT Software control for Color/Black & White, auto-switching
ceiling mounted pan/tilt/zoom dome camera (camera
purchased separately)
ACS-21714 Wall Mounting Bracket for VCS-6
VCS-7 Sony Ipela Dome Camera, ceiling mounted, auto-switching
Color/Black & White, pan/tilt/zoom, software controlled,
NTSC

6-52 Chapter 6 Accessories & Replacement Parts

 Accessories:
VQS-2 Color quad Multiplexer
VQS-8 Color 9-input Multiplexer
ACS-21429 1-channel remote KVM Extender dual-access kit, 500-foot
(150 m) distance, includes extender and remote (monitor
required for remote location)
ACS-21431 4-channel VGA Extender
ACS-21433 Long-range Receiver for use with ACS-21431, 820-foot
(246 m) (monitor required for remote location)
ACS-21764 4-way Audio/Video Distribution Amplifier
IRL-1 Infrared illuminator with bracket to mount on to camera
or wall, 115 V
IRL-1-220 Infrared illuminator with bracket to mount on to camera
or wall, 220 V
ASK-4TB KIT Two-way talk/listen audio system
ARM-LH3-40 Photic/Camera mounting arm
VSW-2 Video/Audio Matrix Switcher, 5 Channels

Cables/Adaptors
Part Number Description
CAB-21615-5 DCM8 to Base Station patch cable, 5-foot (1.5 m) cable
CAB-21610-10 Auxiliary DC, 3.5 mm to 3.5 mm, 10-foot (3 m) cable
CAB-21612-20 Auxiliary DC, dual 3.5 mm to dual 3.5 mm,
20-foot (6 m) cable
CAB-21616-10 Phono to 3.5 mm 10-foot (3 m) cable. Used to connect
the CAB-21648 event button to the DCM8 (included with
CAB-21648)
CAB-21617 Event button to Base Station adaptor, used to connect an
event button directly to the AS40 when an optional
DCM8 DC Input Module is not available,
1-foot (0.3 m) cable length
MCB-21678-03 AC Cordset IEC320, 3-foot (0.9 m) cable
MCB-20018 Hospital-grade AC cordset, USA, 6-foot (1.8 m) cable
26832000 Booster cable. Used to connect optional External Battery to
Amplifier unit.
CAB-20576-1 Null Ethernet cable, 1-foot (0.3 m) cable
NET-CKIT Network Cabling Kit includes:
CAB-21064-010 Ethernet cable, patch. Used to connect Base Station to Host
via a hub/switch, 10-foot (3 m) cable
CAB-21064-025 Ethernet cable, patch. Used to connect Base Station to Host
via a hub/switch, 25-foot (7.5 m) cable
CAB-20576-03 Ethernet cable, cross-over. Used to directly connect Base
Station to Host, 3-foot (0.9 m) cable
CON-20486 Ethernet cable connector. Used to daisy chain two Ethernet
cables (RJ45 connectors) together.

Beehive Horizon LTM with AURA Amplifier System 6-53

 Carts & Mounting Brackets
Part Number Description
IT9 Mobile Rack Cart with drawer for full size keyboard,
for use with a desktop PC
LH3-KIT1 Mobile Mounting Stand for Base Station, RPSAS40, Photic
Stimulator & Flashlamp with integrated medical-grade
power strip
ARM-AS40-QR Adjustable Quick Release Arm for mounting the Base Station
on a Mobile Cart
AS40WMB Base Station wall-mount bracket
AS40WMB-QR Base Station with quick release wall-mount bracket
GRS-8399 DCM8 wall-mount bracket
ACS-22237 Travel Cart for the Beehive Horizon Portable

Photic Stimulators (optional)

Part Number Description
PS60/LED Photic Stimulator Kit includes LED unit, adaptor box and
cables (requires RPSAS40, IPS115 or IPS230 power supply)
32795400 LED Photic Stimulator (only)
PS40/R Photic Stimulator, rackmount version (115 V, 60 Hz),
includes flash lamp and PS-CKIT cable kit
PS40/R-220 Photic Stimulator, rackmount version (230 V, 50 Hz),
includes flash lamp and PS-CKIT cable kit
PS40/C Photic Stimulator, table-top version (115 V, 60 Hz),
includes flash lamp and PS-CKIT cable kit
PS40/C-230 Photic Stimulator, table-top version (230 V, 50 Hz),
includes flash lamp and PS-CKIT cable kit
CAB-21689-10 Photic Stimulator cable, 10-foot (3 m) cable
ARM-LH3-40 Adjustable arm for holding flash lamp
LH3-40 Floor stand flash lamp holder
FLC-40/B Flash lamp only
PST-2100 Spare replacement flash lamp bulb

6-54 Chapter 6 Accessories & Replacement Parts

 Alarm Systems & Room Selection (optional)
Part Number Description
NSA-PC Multi-bed Nurse Station Alarm System for audio/visual
indication of patient events includes latest high-performance
PC, PC speakers, 15” flat-panel monitor and NSA software

Oximeter (optional)
Part Number Description
XPOD Nonin Xpod™ Pulse Oximeter, 80” (2 m) length cable
8000J Adult Flex Sensor, straight, 3’ (1 m) length cable, includes
a package of 25 8000JFW FlexiWrap® Sensor Wraps
8000JFW FlexiWrap® Sensor Wraps, package of 25
8008J Infant Flex Sensor, straight, 40” (1 m) length cable, includes a
package of 25 8008JFW FlexiWrap® Sensor Wraps
8008JFW Infant FlexiWrap® Sensor Wraps, package of 25
7000A Adult Finger Flexi-form Disposable Sensors,
40” (1 m) length cable, package of 10
7000P Pediatric Finger Flexi-form Disposable Sensors,
40” (1 m) length cable, package of 10

Beehive Horizon LTM with AURA Amplifier System 6-55

6-56 Chapter 6 Accessories & Replacement Parts
 7 Maintenance

Maintenance
There is no routine maintenance required for the Grass Beehive Horizon/
AURA systems and accessories other than normal periodic checks for unusual
wear, cable abrasion, and routine cleaning.

Calibration

The Beehive Horizon/AURA includes a built-in calibration signal source

for verifying proper operation and to simplify cross-channel gain correction
and offset adjustment. The calibration mode should be used to periodically
generate a list of correction factors for use during the display and processing
of the signal data. Refer to the appropriate recording software instructions
for details.

Beehive Horizon LTM with AURA Amplifier System 7-57

 Cleaning

Perform cleaning as needed.

Warning: Electric Shock Hazard. Before cleaning the AC power supply or

any AC line powered equipment, always turn off the power and
disconnect the power cord from the AC power supply.

Cautions
• Do not autoclave or pressure sterilize the BHHN/AURA system.
• Do not soak or immerse the BHHN/AURA system in any liquid.
• Do not gas sterilize the BHHN/AURA system.
• Do not use petroleum based or acetone solutions, or other harsh
solvents to clean the BHHN/AURA system.

To clean the BHHN/AURA system, use a soft cloth dampened with mild soap
and water solution. To disinfect the Amplifier unit use 70% isopropyl alcohol.
Be sure that the components are unplugged before cleaning and that the
components are completely dry before use.

Electrodes
Refer to the cleaning instructions supplied with the electrodes for details on
cleaning, disinfection, and/or sterilization.

Storage & Transportation

For storage and transportation, it is recommended that the system and its
accessories be within the temperature range of -40 to 70° C, 500 to 1060 hPa,
and 10 to 100% RH, including condensation. When returning from temperature
extremes, allow the system to stabilize to room temperature before use.

End-of-Life Disposal

When disposing of the Beehive Horizon/AURA system components at the

end of life, it is recommended that federal, state and local laws be followed for
proper disposal of printed circuit boards, lithium-polymer batteries, and
plastic parts.

Never incinerate or dispose of lithium rechargeable battery cells into fire.

For disposal of non-Grass accessories, please follow the instructions included

with these items.

7-58 Chapter 7 Maintenance

 8 Troubleshooting Guide

Symptom Probable Cause Solution

Base Station power light Base Station Power Turn on Base Station
not on switch off

Base Station power Check that the DC power plug is

cable not plugged in fully inserted and the locking ring is
fully hand tight

RPSAS40 AC cord not Check the RPSAS40 AC cord

plugged in fully

No patient signals Amplifier unit not Check Amplifier unit is seated properly
present plugged in fully

Base Station Ethernet cable not Check Ethernet cable connections on

unresponsive plugged in both ends

IP address incorrect Verify AS40 IP address at the unit and

in the recording software is correct

No pulse or oximeter Oximeter not plugged Check cable connections of the XPOD
readings from the XPOD into Base Station or at both the Base Station and sensor.
or incorrect readings sensor not plugged in

Sensor placement on Verify sensor is placed on patient in the

patient incorrect proper orientation and the disposal
adhesive secures it to the finger

AUX inputs 1 & 2 on Cables are not plugged Verify cabling connections
Base Station are not in fully
present in recording
software

Beehive Horizon LTM with AURA Amplifier System 8-59

 Symptom Probable Cause Solution

Photic unit not Photic flash unit not Verify photic cabling for both power and
functioning plugged in or photic not the flash unit
powered up

Photic sync in not Verify connection to the Base Station

connected to Base and the sync in of the photic
Station photic out

Keys on Base Station Power not on Turn on power to Base Station

not functional
Recording software Check recording software status
locked out

E-TEST key onBase Recording software not Start recording software

Station not functional running
Bad E-TEST results Poor electrode Check electrode application and reapply
application if needed

Pin Jack Adaptor unit Check Pin Jack Adaptor unit is seated
not plugged in properly
Poor signal quality Poor electrode Check electrode application and reapply
application if needed

Pin Jack Adaptor not Check Pin Jack Adaptor unit is seated
plugged in properly

Interference Locate and remove sources of

interference

8-60 Chapter 8 Troubleshooting Guide

 A Appendix A

Connector Pin-outs
Ethernet Cable, Cross-over
Used to connect Base Station directly to the Host computer.

Connector type: RJ45

Pin 1 = Pin 3
Pin 2 = Pin 6
Pin 3 = Pin 1
Pin 4 = Pin 4
Pin 5 = Pin 5
Pin 6 = Pin 2
Pin 7 = Pin 7
Pin 8 = Pin 8

Ethernet Cable, Patch

Used to connect Base Station and Host computer through a dedicated network-
ing hub/switch.

Connector type: RJ45

Pin 1 = Pin 1
Pin 2 = Pin 2
Pin 3 = Pin 3
Pin 4 = Pin 4
Pin 5 = Pin 5
Pin 6 = Pin 6
Pin 7 = Pin 7
Pin 8 = Pin 8

Beehive Horizon LTM with AURA Amplifier System A-61

A-62 Chapter A Connector Pin-outs