Posts Tagged ‘polysomnography’

Crystal PSG Software: What’s In It For Me, The Sleep Tech?

Friday, August 27th, 2010

It was before I became an employee here, that I first used CleveMed’s Crystal PSG software. I was a sleep tech working third shift at the time, and had very little tolerance for device-software-malfunctions in the wee hours of the morning. Understandably so, right? I thought their wireless PSG hardware was pretty cool; allowing the patient to move quite a bit freer than anything else I had used, but what was in it for me, the sleep tech? This blog is my answer to that question.

Interestingly enough, sometime later I joined CleveMed as their sleep application specialist. My input (as a sleep tech and a former customer), was considered an integral part of product development. More importantly, the customers’ input is routinely considered and often taken right into development. For the sleep tech who has never used Crystal PSG software before, I offer a brief overview in this blog. I also want to highlight a few features in Crystal PSG that I particularly appreciate, (hope other techs might benefit from this as well).

The Crystal PSG software offers a complete and user-intuitive software package for managing patient sleep data with data acquisition, scoring, and reporting. I like that it has a quick and easy system setup, as well as simple (as in convenient) patient and study management. Crystal PSG can be used with any of CleveMed’s PSG systems or SleepScout portable sleep monitor, so the same program and database can be used for multiple products.

In addition to the wireless capability, here’s my list of "what’s in it (Crystal PSG) for me the sleep tech"

  • Split Night Studies AHI on the fly is easily visible for the first two hours (or any time selection)
  • Labeling score channels is smoothly done through the montage editor.
  • Have excessive EKG artifact from a greenhorn tech? Not a problem with CleveMed’s "EKG removal tool".
  • Find navigating through the backdoors of your computers to find specific studies and patients difficult? Use CleveMed’s "archive tool".
  • Sleep study crashed on you midway and needs to pieced back together? Well…Try one of these options… either pull the study off of the SD card (backup data storage) located directly inside your patient unit OR use the intuitive merge utility to bring partial studies into one record.
  • I want to hear what my fellow-sleep-techs (who are probably reading this with your 6th cup of coffee) think of this, so write me back!

    “Wireless” Polysomnography?!

    Tuesday, November 24th, 2009

    Patient being hooked-up with electrodes for a wireless polysomnography on the Sapphire PSG sleep diagnostic system

    Hook-up of electrodes for a wireless polysomnography on the Sapphire PSG sleep diagnostic system

    At first glance, what do you see in this photo of my friend?

    Wires. This struck me as odd (very odd), because my friend was undergoing a wireless polysomnography (sleep test used in sleep disorder diagnosis). To be fair, I already knew that a wireless polysomnography did not mean a polysomnography without wires/electrodes on the patient, nevertheless, I could not help but react at how the term "wireless polysomnography" did not match what I was seeing!

    In this article, I want to briefly discuss:

  • A typical polysomnography (PSG)
  • Wireless polysomnography (what makes it wireless while I am seeing all those wires)
  • Some benefits of wireless PSG
  • Polysomnography:

    The patient is hooked-up with sensors to monitor body functions like heart rhythm, brain, eye, and muscle movement, etc during sleep. The sensors plug into a patient-unit also called the jackbox. The jackbox connects to an amplifier, which then connects to the wiring system. The entire sleep lab is hard-wired so that the PSG data travels through the cables from the patient room into the control room, where a sleep technician can monitor the PSG data on a computer.

    Wireless Polysomnography:

    The patient is hooked-up with the standard sensors. The sensors plug into a patient-unit (which integrates the jack-box and amplifiers). The patient-unit wirelessly transmits data to a receiver in the control room where the sleep technician can monitor the PSG data on a computer. But why is this a big deal?

    Benefits of wireless PSG

    While wireless polysomnography is not flawless, it offers distinct advantages:

  • Un-tethered patient - convenient:
    During a typical polysomnography, the patient will need assistance from the technician to unplug the jackbox from the amplifier every time he/she needs to use the restroom or get a drink of water during the night. A wireless polysomnography allows for easy mobility since the patient-unit is not tethered to the wiring cables of the control room.
  • No hard wiring – cost effective:
    Wireless PSG completely eliminates the cost of running cables throughout the facility with its ability to transmit data through multiple walls. Also, there are typically fewer components with wireless devices and lower risk of individual component failure.
  • Portable PSG – cost-effective, convenient:
    With wireless polysomnography, the entire PSG system can be packed into a brief-case of sorts. Setups outside of the lab become more feasible. For example, mobile diagnostic studies in hotels (which is more cost-effective than a sleep lab set-up), hospitals, nursing homes, or patient homes mean that a comprehensive sleep diagnostic service can come to the patient instead of the patient coming to the lab for a PSG. This cuts transportation costs which can be significant for patients who cannot travel unassisted.
  • Expanding the reach of sleep services:
    Overcrowded sleep labs will only have to deal with more complex patients who require in-lab testing, while other patients can be tested off-site. Each patient population can then receive a faster diagnosis and therefore faster treatment initiation, cutting out the need for long waits or investing in additional beds for the sleep lab.
  • Same Space: Multi-purpose. With Sapphire PSG

    Thursday, October 8th, 2009
    Night @ Room 101: Sapphire PSG collects sleep data in Sleep Lab

    Night @ Room 101: Sapphire PSG collects sleep data in Sleep Lab

    Day @ Room 101: Sapphire PSG (Full PSG Sleep System) easily tucked away during the day.

    Day @ Room 101: Sapphire PSG (Full PSG Sleep System) easily tucked away in a supply shelf during the day.

    They do say a picture is worth a thousand words! So here, I posted two doodles to better illustrate the following point: Sapphire PSG has successfully aided facilities in becoming multi-purpose spaces, since it’s small and can be easily stored away when not in use.

    For example, a night-time sleep lab space can be used as a daytime clinic in the same facility.

    PS: Doodling is fun!

    7 Reasons why Sapphire PSG
    is your ideal PSG system

    Wednesday, September 30th, 2009

    Sapphire PSG™ is a wireless, Type I, 22-channel, full PSG sleep platform from CleveMed, and here’s why you should care.

    1. Wireless: This complete sleep study system is small and wireless, and fits in a portable brief-case of sorts. This saves a lot of time and lab set-up costs, because it operates wirelessly, and the facility won’t have to be expensively hard-wired with cables. (It’s also more convenient for the patient who need not be tethered to the acquisition system)
    2. Expanding the reach of sleep services: If you are unsure how the sleep market changes will affect your sleep business, Sapphire PSG™ can be used for traditional in-sleep-lab full PSG studies, as well as, remotely attended, or unattended (full PSG) sleep studies in the home, nursing homes, hotel-based-labs, hospital sleep labs, etc.
    3. Accommodating multi-purpose facilities: Sapphire PSG has successfully aided facilities in becoming multi-purpose spaces, since it small and can be easily stored away when not in use. For example, a night-time sleep lab space can be used as a daytime clinic in the same facility.
    4. Sapphire PSG uses state-of-the-art, wireless hardware with two frequency options (902-928 MHZ or 2.4-2.485 GHz.) built into the system; you can choose the model that best suits your environment.
    5. Reliable Data Storage: Sleep study data is wirelessly transmitted from the patient unit at very high speeds, and stored on the computer unit and as well as removable SD memory card in the patient unit.
    6. Meets AASM guidelines: Six of the 22 channels are EEG channels.
    7. DreamPort is a recently launched accessory to the Sapphire PSG system. Now sleep technicians can take full PSG to the patient wherever they are located (especially if they can’t make it to the sleep lab), and remotely attend/monitor patients over the internet.