Vesticam Support - Vestibular video frenzel goggles. HiNTS exam. Dizziness & vertigo diagnosis. BPPV.

CLINICAL FAQ

Do I need a room dedicated to using the IR goggles?

Vesticam is completely portable and does not require a special examination room set up. It can be shared between clinicians, taken into different treatment areas, and be used with ease during home visits.

If used with an android phone, the recording device can be slipped into a supplied lanyard and attached to the patient. The entire Vesticam unit can then be kept in place while your patient changes position, moves from chair to treatment area, or even walks or jogs during assessments.

Unlike other IR goggles requiring a laptop, Vesticam is suitable as a recording device for modified rotary chair testing. This link shows how to screen cast an android phone so you can see eye movement on your phone and computer simultaneously. Screen casting

The camera lead can also be extended by 2m so the device will sit on a chair or table beside the treatment space.

What about patient comfort?

We know your patient comfort is important.

We have used the best quality and most comfortable goggles available as a foundation for our Vesticam unit. They are easily adjustable and allow your patient to breath normally through nose and mouth without adding extra pressure to their face.

The Vesticam goggles unit sits close to the face and weighs only 110g…..about the same as a small light straw hat. Unlike other IR goggles it won’t significantly alter cervical proprioceptive input, or make your patients feel even more out of balance!

We believe it is the lightest and most comfortable simple IR goggle available.

What is the mechanism for adjusting and focussing the camera?

That’s our secret! Vesticam’s innovative and patented 5 way adjustment system allows the goggles 22 mm of interpupiliary range so they can be effortlessly fitted to both children and adults. The same system is used to focus the camera.

What tests can I use Vesticam goggles for?

We want to support you to provide safe and effective treatment and management for your patients. For this reason we recommend that only trained clinicians use any IR video goggles.

Vesticam helps support your clinical judgement.

Vesticam IR goggles make the following clinically and academically accepted vestibular tests easier to apply:

Saccade and smooth pursuit observation. Simply take off the eye patch to allow fixation.
Gaze evoked nystagmus testing (with and without fixation).
Head Impulse Test (Note: eye movement and audio are recorded, however no trace is currently available)
Head shaking test with fixation denied
Mastoid vibration testing
Hallpike Dix and Horizontal roll tests (for BPPV)
Emory Clinical Vestibular Chair testing (particularly relevant for children). *
Valsalva and bedside Tullios and Tragal pressure tests (with or without fixation)
Head in prone positional testing,
and also for

Recording of nystagmus during acute episodes of Meniere’s Disease or vestibular migraine.

* This link shows how to screen cast the android phone so you can see eye movement on your phone and computer simultaneously. Screen casting

Do you train clinicians?

At Vesticam we are happy to train you in the use of our goggles. Vesticam goggle patient set up is quick and simple, and Vesticam comes with an easy to use, pre-installed app on our supplied device. You can check our quick use guidelines, detailed instructions for use, and set up videos. We can also skype or come to you for training sessions if needed.

We recommend that only trained clinicians use IR video goggles. Please check further down the page to find out where you can train in Vestibular therapy in Australia.

Tips for recording eye movement vidoes

Speaking while recording can assist you with recording verbal consent and naming vestibular tests.

For example, you can start recordings with: “(patient’s name), are you happy for me to record this test”. While recording, you can also provide a commentary of tests, movements, positions and observations of your patient.

Do you have an internal fixation light?

With its simple, separate, clip on eye patch, Vesticam can record eye movement with or without fixation. Remove the eye patch to allow fixation.

Vesticam also comes with an internal fixation light. This provides fixation at the flick of a switch!

Want to upgrade your existing goggles? Contact us on info@vesticam.com

Monocular or binocular?

Vesticam is available as either a monocular or binocular device.

The camera on Monocular Vesticam IR video goggles can be easily swapped from one eye to the other, but you can only see one eye at a time. This means that they not suitable for viewing disconjugate eye movements.

Binocular Vesticam IR video goggles use the same goggles platform but have a second camera unit and allow for a room camera. Binocular goggles require use of a computer and especially configured software (binocular viewing will not work with the Vesticam app on an android phone). Binocular goggles can be used for viewing of disconjugate eye movement.

Binocular Vesticam units can also be used for monocular viewing on an android phone if you wish. They can be purchased with an android recording device and a smaller, portable case for added versatility.

You can upgrade your existing Monocular Vesticam unit by adding a second camera unit, extra cables and adapters, and relevant computer software. Ask us if you are interested in binocular video frenzels.

TECHNICAL FAQ

What is the Vesticam App and what other apps are pre-installed on the Vesticam Android Recorder?

If you have purchased an Android Recording Device through Vesticam the Vesticam App will be already installed and tested.

Click here to preview the Vesticam App.

Click here to see the other android apps already installed on a supplied Vesticam Android Recorder.

How do I update my Vesticam App or install other useful apps?

Your   Vesticam   Compatible   Recorder   (Android   Device)   comes   with   the   Vesticam   App   already
installed   and   tested.

Install   the   Vesticam   App   on   your   Android   Device   if:
● you   want   to   upgrade   to   a   newer   version   of   the   Vesticam   App
● you   want   to   run   the   Vesticam   App   on   your   own   Android   Device.
Note:   Not   all   Android
phones   are   compatible   with   Vesticam.   Please   contact   Vesticam   support   if   needed.
● your   Android   Device   is   not   recognising   the   camera   and   is   disconnecting.   Reinstalling   the
Vesticam   App   might   resolve   this   issue.

Reinstalling the app is very easy and only takes a few minutes! Find out how here: Installing Vesticam App version 4

This link also includes information on other useful apps eg: “Simple Metronome” and “Airmore”

I have recorded a patient video. Where is it?
If you are using the Vesticam app, recorded videos are stored in the Vesticam image library by patient ID/test/ clinician and also by date and time. Just click on the “Image library” button and you’ll find your patient video. You can search for patient name, test or clinician using the search icon.

Press play to view. Press the 3 dots in the top right hand corner of the “Play” screen to play at ½ speed; rename; send or delete.

Videos & images you record with a Vesticam Android Recorder (Android Phone) are also stored on Internal storage in the “Vesticam\Videos” folder and “Vesticam\Images” folder.

It is important to take the time to transfer these files to your computer or cloud storage, and delete the videos stored on your phone.

Why?
- To serve as a backup in the event of loss or failure of the mobile device
  Prevent clutter and filling up your internal storage – this can eventually slow down recording and playback.
- Videos can be linked to patient records and can be convenient to view, share and store on your PC, Mac, EMR network, or cloud storage.
If you are using a computer directly, you will need to find your computer’s usual video storage folder. Vesticam provides limited support for use of goggles directly with a computer.

How can I organize my patient videos into folders on my android recording device

Vesticam videos are automatically saved to internal storage on your Compatible Recorder Android phone (in \Internal storage\Vesticam\videos). They are labeled by patient ID/ test info/ clinician info, and date and time. You can search for any of these details (eg: all videos for Smith J) using the search button on the app.

The Vesticam App also allows you to view, rename and delete video recordings at any stage, including from the video library.

If you work in a busy Vestibular clinic with different clinicians using the same set of goggles, you may wish to group patient videos into separate folders on your android device. This might assist organisation of your records.

Setting up and renaming of folders is not available in the Vesticam App. The Photo App on the android device allows you to rename the “videos” folder to a more meaningful description (eg: by clinician or patient).

This is an optional process.

How to use Photo App to group Vesticam videos into folders.

STEP 1:    Open Photo App on the Android phone/Vesticam Compatible Recorder

STEP 2:    Select Menu (top left hand corner)

STEP 3:    Select “Device folders”

STEP4:     Select “Videos”

STEP 5:    Select the three vertical dots (top right hand corner)

STEP 6:    Rename device folder….

              Change the name from “Videos” to “YYYY.MM.DD.Patient Name.Clinician Initials”

              For example …. “2023.06.11.Fred.Smith(SD)” …

All recordings in “Videos” have now been moved to “2023.06.11.Fred.Smith(SD)”.

The Vesticam App will recreate the videos folder and continue to add new recordings into the videos folder.

Note: Renamed folders are not viewable in the Vesticam App. To view videos in renamed folders on your Vesticam Compatible Recorder/ Android Phone, you need to use the Photos App.

Renamed Folders can be copied to another storage device.

When transferring from the Phone, the videos will be found here….

\Vesticam Compatible Recorder\Internal storage\Vesticam\2023.06.11.Fred.Smith(SD)

How do I transfer videos from the android device to other storage (to share/ backup/archive)?

To ensure the security of your patient eye movement video recordings, please follow your required patient EMR pathways. You can transfer/copy the video files saved on the Vesticam android device to your organization’s required location.

There are 4 ways to transfer patient videos (mp4 files) from your Vesticam Android Device. Click here for summary

Or go to pages 11-15 of the Vesticam user manual for details.

How do I name and rename a video in the Vesticam app?

The default naming for video recordings is YEAR-MM-DD-HH-MM-SS.mp4, (where MM is the month, DD is the date, HH is the hour, MM is the minute and SS is the seconds). For added efficiency the last file label saved always auto-fills the label boxes.

After you stop a recording in Vesticam app, you will be prompted to SAVE or DELETE the recorded video.

If you chose to SAVE, touch the screen on each box to label your patient video file with: patient ID, Test information (eg: HST, DHT etc), and Clinician info (this could be location or name).

Clinicians can label patient video files at any time, including before recording, by pressing the “pencil” / EDIT icon.

How do I email videos or share them to Dropbox/Goggle Docs etc ?

You can email short videos using the SHARE icon on your app. Remember that Gmail has a file attachment limit of 25mb (approximately 1.5 minutes of video recording).

The SHARE icon also allows sharing to Dropbox and Goggle docs etc

How many recordings fit on my Android Recording Device?

The video size for Vesticam recordings varies, but is approximately 15mb per minute.

Therefore a patient video recording of 5 minutes will result in a 75mb mp4 video file.

Vesticam Support estimate that a 32GB Android Recording Device (with 20GB of available space) has the capacity for 500- 1000 video recordings!

Can I set up my Android Recording Device to automatically backup to cloud storage?

Yes! Patient Video’s can be set up to automatically upload to the Google photos library in your Google Cloud Drive.

To enable this service, you need to turn Back up & Sync ON in the Photos App. , on your Android Device/phone,

Turn “Back up & Sync” ON – for automatic upload of Vesticam Videos on your Android Phone to Google Photos/Cloud Storage. You only need to set this once.

Open Photos App on the Android Device/Phone

Select Menu (top left hand corner)

Select “Device folders”

Select “Videos” …. ie. where Vesticam Videos are saved

Note: If this folder does not appear, you will need to open the Vesticam App and record one test video.

Turn ON “Back up & sync”

With Back up & sync ON, and WiFi connected, your saved Vesticam Videos will now be automatically uploaded to Google Photos in the cloud (via the Google Account that has been pre-setup o

STEP 1 . Access “synced” videos …. On your computer, sign into https://photos.google.com/ using your supplied google account. EXAMPLE LOGIN: vesticam10345@gmail.com …. Temporary Password = temp345abcd <

STEP 2. Once logged into “Google Photos”, you can play, rename, organise and download your videos.

Sync. Warning: The Back up and sync is TWO WAY…. Deleting Patient videos on either the Android Device/Phone OR in Google Photos (via your Google Account) WILL DELETE THE PATIENT VIDEOS PERMANENTLY.

Regarding STEP 1. above…

Each Vesticam Unit is shipped with a unique Google Account Login (gmail email address) & Temporary. Your Google Account Login/email address & Temporary password are…

·        provided via email (For Vesticam Unit Serials numbers from #100001 to 100100)

·        stored on the Android device/Phone, in the bottom left hand corner of the home screen, in the “Vesticam Info.” folder. Select “Notes” refer “Google Account Temporary Password” (For Vesticam Unit Serials numbers 100101 and beyond)

·        Available on email request to support@vesticam.com

**** GOOGLE ACCOUNT PASSWORD CHANGE****

Change the temporary password supplied to your own “new” confidential password.

To do this

1)      login into your Google Account via https://accounts.google.com/servicelogin

2)      Go to Personal Info, then select PASSWORD.

3)      Setup your own “new” confidential password.

4)      Also update other personal info and account recovery email & mobile.

Note: Your “new” password will also need to be entered on your Android Device/phone.

How do I access automatically backed up videos on any device?

If you have set up your unit to automatically back up, simply sign into https://photos.google.com/ using your unique Google account.

Once logged into “Google Photos”, you can play, rename, organise and download your videos on any device.

I don’t want cloud storage or back up to the cloud. How do I stop it?

From #10100 Vesticam no longer supplies units which automatically sync. If you have a model #10100 or later you can set up your recording device to sync and automatically back up at anytime (see User Manual and FAQ above).

If you have a Vesticam model pre#10100, you can disable the automatic backup/sync at any time, and in just a few minutes.

Turn “Back up & Sync” OFF – to stop automatic upload of Vesticam Videos to Google Photos/Cloud Storage.

Note: You only need to set this once.

Open Photos App on the Android Device/Phone

Select Menu (top left hand corner)

Select “Device folders

Select “Videos” …. ie. “Videos” is the folder where Vesticam Videos are saved. Note: If this folder does not appear, you will need to open the Vesticam App and record one test video.

Turn OFF “Back up & sync”

With Back up & sync OFF, your saved Vesticam Videos will need to be transfer manually (eg. via Cable) to your Computer/Network

Can I record from the Vesticam IR Goggles using my PC Laptop or Mac?

Yes. As an alternative, you may choose to record by connecting your Vesticam goggles directly to your PC Laptop or Mac. We supply a micro-USB to Type A USB in addition to a micro-USB to Type C adapters for connecting the camera to your PC, Mac or computer.

The Vesticam Camera comes with a 0.9 m cable. If you choose to use your PC Laptop or Mac for recording, you can use the additional 2 m light weigh and high speed extension cable supplied for extra length. This allows you to have your laptop on a nearby desk or chair when your patient is on a treatment couch. Not all cable extensions are suitable to transmitting data at the required speed and quality.

Extra high speed, compatible male usb to female usb cable extensions are available for purchase through our website.

Getting Started

Check that the PC Laptop or Mac meets the requirement of having a built in camera and being able to record and play sound and video.

RECORDING/PLAYBACK PC (Windows 10)

Use the USB convertor plug (provided) to connect the micro USB plug (on the Vesticam camera). Now connect the USB convertor to your PC USB port. Open “Camera” software (Windows 10)

Use “Change Camera” to switch to the USB camera (ie. not “Main Camera” and not “Front-facing Camera” but “USB 2 HD Camera”).

Once you have switched to USB camera, you are able to preview and record from the Vesticam camera.

Recordings are saved in “Camera Roll” [eg. C:\Users\\Pictures\Camera Roll]

Saved images (mp4) can be played, renamed, shared, backed up.

RECORDING/PLAYBACK MAC

From Launch Pad open “Photo Booth” software (MacOS 10.x)

In Photo Booth select the “Film” icon in the to “Record a movie clip” (located in the bottom left of screen). You will see the preview from the inbuilt face camera.

Use the USB convertor plug (provided) to connect the micro USB plug (on the Vesticam camera).

NOW connect the USB convertor to your PC/Mac USB port.

The Vesticam camera should now be previewing. Record from the Vesticam camera by selecting the Red Video icon.

Recordings are saved in “Photo Booth”

Saved images (mp4) can be played, shared, or use File> Export to rename or copy to another folder.

Can I use the Vesticam IR goggles unit with my own mobile phone?

Vesticam is designed for android mobile phones, however only some devices allow use of a USB camera or have the quality audio and image required for video recording. The android phone supplied with Vesticam comes with software pre-installed, is fast, has good quality screen image, and good quality sound for recording.

Vesticam does not work with iPhones.

If you wish to set up Vesticam on your own mobile phone please contact support@vesticam.com

Please note that we only provide ongoing support for our app on our supplied viewing device/phone. We do not provide ongoing support for the Vesticam app on other devices.

Can I use the Vesticam App on other devices?

Vesticam is designed to be primarily a portable IR video google. The Vesticam App is for use on an android phone. The Vesticam App will not work on a computer, tablet or iPhone.

Please note that we only provide ongoing support for our app on our supplied viewing device/phone. We do not provide ongoing support for the Vesticam app on other devices.

REGULATORY AND OTHER FAQ

How should Vesticam IR video goggles be cleaned?

Vesticam is classified as a non-critical, low risk medical device (ARTG class 1) which can be used in contact with intact skin (same category as stethoscopes, BP cuffs, and head and chin rests as used by optometrists).

It must be clean, and sections in contact with patients’ skin must undergo low/intermediate level disinfection.

These guidelines are aimed at providing information to assist Vesticam IR video goggle users in minimising the risk of transmission of infection. Persons proposing to use Vesticam IR video goggles for medical purposes must rely on their own medical and legal judgment. Vesticam IR video goggle users are solely responsible for implementing and following standard cleaning and infection control pathways as recommended by their association and/or workplace.

Use of PPE and general environmental cleaning is not included in this manual and is the responsibility of the user.

For “Cleaning and Avoiding Contamination” guidelines click HERE

For “References for cleaning technique guidelines” click HERE

Help!! My funding body needs more information about Vesticam and IR video goggles.

Below are links to more information which might be useful for your organization’s funding body.

Information for your funding body

Evidence of Clinical Feasibility

ARTG certificate

Vesticam Flyer (PDF format)

Don’t hesitate to let us know if you need any other information

(e: info@vesticam.com)

Where is my legal, safety and regulatory information?

Right here:
www.vesticam.com/terms-conditions-privacy

What about security?

If you choose to use the allocated goggle account please reset your allocated Vesticam Google account password so that no one else has access to your videos.

You can also change the preset Vesticam goggle account to another existing or new account if you wish.

If you choose not to connect your Vesticam compatible device to WiFi or allowed your app to sync with goggle photos, your video recordings will only be on your recording device, and you will need to upload files manually to your hard drive or PC.

I’m from a country other than Australia. Can I purchase and use Vesticam IR goggles?

Vesticam is approved for use in Australia and New Zealand. If you are from New Zealand please contact us for more information about your local distributor.

Special conditions may apply if you purchase Vesticam as an international clinician.

Other international clinicians may be required to:

Use the goggles “For Research or Education Purposes Only”

Be responsible for paying any customs/duties/taxes/import fees required by your country

Recognise that there may be limitations and delays related to time differences

Take responsibility for shipping costs

Vestibular Competency Courses & Further Education

Click here for list

https://www.australian.physio/pd
The Australian Physiotherapy Association offers advanced training and collegial support for vestibular physiotherapists.

https://www.vestibulareducationaustralia.com.au
Vestibular Education Australia create vestibular courses (including competency-based courses) to provide participants with the latest evidence, practical skills and knowledge.

https://www.uprightphysiotherapy.com.au/vestibular-rehabilitation
Providing a range of vestibular courses and collegial support.

https://vestibularcourses.com.au/
Teaching at your local facility and tailoring the course content to meet unique health service needs.

http://dizzyday.com/avesta/
Australian Vestibular Association (AVESTA) Is an informal association of vestibular rehabilitation practitioners in Australia offering information and access to further vestibular education. Follow the link to access their great newsletter.

https://www.archealth.com.au
Vanessa Simpson provides specialised and tailored post graduate vestibular practical and theory based development courses which cover a range of vestibular pathologies and treatment techniques. For more information on these courses, please contact Vanessa on 0412316022, or vanessa@archealth.com.au

https://www.brainhubacademia.com.au/online-courses/ Brain Hub Academia offers the ability to participate and learn in an online environment with elearning modules.

Trouble Shooting

Camera not connecting

If, when you open the Vesticam App and select “View from Camera”, the camera displays nothing on the screen, then your camera is not connecting properly.

Recommendation A:

Shutdown the Vesticam App. To exit the App and close the background session: Select the Two Squares in the bottom right hand corner of the screen (Bottom left on Samsung devices). Now select the X (top right hand corner of the Vesticam panel). This will close the Vesticam App.

Disconnect and then reconnect the Camera to the Vesticam Compatible Recorder (Android Device)

Open the Vesticam App and select “View from Camera”.

Note: This notification (below) will appear whenever you connect camera to phone.

“Allow the app Vesticam to access the USB device?” Select OK

Ticking “Use by default for this USB device” is not required.

Recommendation B:

Shut down apps and power off your device, then restart.

Recommendation C:

Uninstall then reinstall the Vesticam app.

If the issue persists, please contact support@vesticam.com
We want your goggles to work for you!

Ensuring light-tightness

The swimming goggles on which the Vesticam system is assembled have been carefully selected to provide the best possible light seal and to fit a wide range of face sizes and shapes.

Your goggles are tested and adjusted to prevent light leakages.
The gaskets (seals) on the face plates are checked for evenness.

The three faceplate screws are carefully set to provide the correct tension between faceplate and cylinder/eye patch pieces.

If there is any light leakage, try these steps:

Adjust the goggles with your patient so they are comfortable, secure and firm.

Reposition the cylinder into place, remembering you may need to press the cylinder against the gasket to ensure a light tight fit.

Reposition the Eye Patch into place, remembering you may need to press the Eye Patch against the gasket to ensure a light tight fit.

If there is any light leaking into the goggles at this point, gently move the goggles on your patients face to eliminate any gaps between face and goggles.

If there is still light leakage, it may be necessary to adjust the screws holding the cylinder and eye patches in place. These screws are very sensitive to adjustment and will only need a 1/8^th turn with a small Philips head screw driver. Remember that the cylinder and eye patches should not be forced, but may require firm posterior (towards the goggles) pressure to be able to slide over the gasket.

If this does not work please contact support@vesticam.com. We want your goggles to work for you!

Android phone freezing

Power off and restart your Vesticam Compatible Recorder (Android Device). Then try again.

Note: If your unit froze, the audio will continue to record, but the video recording will only be saved up to the point before the freeze.

If this does not work, you may need to uninstall then reinstall the Vesticam app.

If the issue persists, please contact support@vesticam.com
We want your goggles to work for you!

Can’t find what you’re after?

Contact us

Quick Set Up

User Manual

Tech System Requirements

CLINICAL FAQ

TECHNICAL FAQ

Getting Started

RECORDING/PLAYBACK PC (Windows 10)

RECORDING/PLAYBACK MAC

REGULATORY AND OTHER FAQ

Vestibular Competency Courses & Further Education

Trouble Shooting

Can’t find what you’re after?