CamNtech MotionWatch 8, MotionWare User Manual

MW8 & MotionWare User Guide: Issue 1.2.1 Page 1

The MotionWatch 8
and MotionWare

User Guide

Document Reference: 30147
Version: 1.2.1
Date of current version: 30/03/2017

The MotionWatch is a Class I Medical Device (EU)

Document revision history located at end of document

MW8 & MotionWare User Guide: Issue 1.2.1 Page 2

MotionWatch Regulatory Information

Medical Device Directive (European Union)

The MotionWatch is a Class I Medical Device conforming to the
essential safety & health requirements and provisions of EC Council
Directives 93/42/EEC, Annex VII. An EC declaration of Conformity will
be provided upon request.

US FDA status

The MotionWatch is FDA cleared for prescription use only with FDA

510(k) number K132764.

Health Canada

The MotionWatch is licensed for clinical use in Canada with HC
license number 94219.

Australian TGA

The MotionWatch has been cleared by the Australian TGA and is
listed on the ARTG with ref no: 219452

Australian Sponsor: Please note that the sponsor should be
contacted ONLY to report adverse events – all sales and support
issues must be directed to CamNtech in the UK.

Emergo Australia
Level 20
Tower II, Darling Park
201 Sussex Street
Sydney, NSW 2000
Australia

Manufacturer:

CamNtech Ltd
Upper Pendrill Court
Papworth Everard
Cambridgeshire
CB23 3UY, UK

Tel: [phone]
Fax: [phone]
Email: [e-mail]
Web: www.camntech.co.uk

MW8 & MotionWare User Guide: Issue 1.2.1 Page 3

IMPORTANT SAFETY INFORMATION

WARNINGS

 Coin cell battery – potential swallowing hazard for small

children!

 Not Defibrillation proof.
 Not indicated for use on areas of broken or irritated skin.
 Devices removed from subjects must be considered to be

contaminated – see APPENDIX C.

Safety Classification Information:

 MotionWatch is INTERNALLY POWERED EQUIPMENT.
 MotionWatch mode of operation is CONTINUOUS OPERATION.

 MotionWatch is for PRESCRIPTION USE ONLY (R

x

Only) - USA.

Device and Packaging Symbols and Markings:

MEANING

SYMBOL

DESCRIPTION

General Warning

Potential hazard - refer to the warnings in
the instructions for use (i.e. this user
guide).

Consult Instructions

for Use

This symbol indicates that important
operational information is contained in the
user instructions (i.e. this user guide).

Ingress Protection

Rating

IPX7

The MotionWatch is suitable for temporary
immersion in water (up to 1 hour at 1m).

Serial Number

This number provides a unique
identification for a particular device. Always
quote this number when seeking technical
assistance.

Catalogue Number

This number identifies this particular variant
of the product range.

Manufacturer and Date

of Manufacture

This symbol is accompanied by a date in
the format yyyy-mm which indicates when
the device was manufactured. The symbol
is also accompanied by the address and
contact details of the manufacturer

Electrical Safety

Classification

The MotionWatch is a TYPE B APPLIED
PART.

FOR FURTHER HANDLING & ENVIRONMENTAL INFORMATION PLEASE

REFER TO APPENDIX C

MW8 & MotionWare User Guide: Issue 1.2.1 Page 4

Contents

IMPORTANT SAFETY INFORMATION .................................................................... 3

WARNINGS ....................................................................................................... 3

Safety Classification Information: ............................................................... 3

Device and Packaging Symbols and Markings: .......................................... 3

1 Introduction to the MotionWatch System ....................................................... 8

1.1 An Overview of the MotionWatch System .................................................. 8

Components Required for a System .......................................................... 8

The MotionWatch ....................................................................................... 8

Opening the MotionWatch Casing .............................................................. 9

Closing the MotionWatch Casing ............................................................. 10

1.2 Indications For Use .................................................................................. 10

1.3 Contraindications ..................................................................................... 10

1.4 Required Skills, Training & Knowledge of Intended Users........................ 11

1.5 General Description of Use ...................................................................... 11

2 Installing the MotionWare Software .............................................................. 12

2.1 System Requirements .............................................................................. 12

2.2 Installing the Software .............................................................................. 12

2.3 Updating the Software ............................................................................. 13

2.4 Installing the USB Drivers ................................................................ ........ 13

2.5 Software Serial Number ........................................................................... 14

2.6 Running the Software – Main Screen ....................................................... 14

2.7 MotionWare Settings ................................................................................ 15

View or Enter Software Serial Number ..................................................... 15

Set Institution Name................................................................................. 15

Warn of Firmware Updates ...................................................................... 15

Default Action for Recent items ................................................................ 16

Automatically show the MotionWatch Manager… .................................... 16

Updates ................................................................................................... 16

Save Settings and Exit ................................................................ ............. 16

2.8 Bulk Export .............................................................................................. 16

2.9 Updates ................................................................................................... 16

Checking for Updates .............................................................................. 16

Automatically Check for Updates ............................................................. 17

3 The MotionWatch Manager ............................................................................ 18

3.1 MotionWatch Current Set-up .................................................................... 18

3.2 Applying a New Set-up ............................................................................ 19

Immediate or Delayed Start ................................ ................................ ..... 19

Recording Mode ...................................................................................... 20

Body Position ........................................................................................... 20

Epoch ...................................................................................................... 20

Light Recording ........................................................................................ 20

Recording Lengths ................................................................................... 20

Battery Life Gauge ................................................................................... 21

Battery Life .............................................................................................. 22

Compress Data ................................ ................................ ........................ 22

Disable Marker Button ............................................................................. 22

Recommended Setup for Sleep Recording .............................................. 22

Recommended Setup for Daytime Activity Recording .............................. 22

MW8 & MotionWare User Guide: Issue 1.2.1 Page 5

4 Downloading Data .......................................................................................... 23

4.1 MotionWatch Download ........................................................................... 23

4.2 Saving MotionWatch Data........................................................................ 23

4.3 Shutdown after Download ................................ ................................ ........ 24

4.4 Join Files ................................................................................................. 24

5 Preparing to Analyse Data ............................................................................. 25

5.1 Selecting Recent Recordings ................................................................... 25

5.2 Managing Recent Recordings .................................................................. 25

5.3 Browse for Recordings ............................................................................. 26

5.4 Import Legacy Recordings ................................ ................................ ....... 26

5.5 The MotionWise Window ......................................................................... 28

5.6 The MotionWise Graphs .......................................................................... 29

5.7 MotionWise Graph View Options ............................................................. 29

Row Length ............................................................................................. 29

Row Height ................................ ................................ .............................. 30

Start Rows at ........................................................................................... 30

Horizontal Scale ....................................................................................... 30

Finer Detail Grid Lines ............................................................................. 30

Annotations .............................................................................................. 30

5.8 Printing the MotionWise Graphs............................................................... 30

5.9 Selecting the Analysis Period ................................................................... 30

Select Any ............................................................................................... 31

Select Days ............................................................................................. 31

Select All .................................................................................................. 31

5.10 Saved Periods and Longer Periods .......................................................... 31

5.11 Editing Data ............................................................................................. 32

5.12 Generating Reports.................................................................................. 33

Include Recording Properties ................................................................... 33

Include Markers ....................................................................................... 33

Include Sleep Analysis ................................................................ ............. 33

Transpose Table ...................................................................................... 34

Copy with Rounded, Formatted Values .................................................... 34

Print in Landscape ................................................................ ................... 34

Copy Results Tables (for spreadsheet) .................................................... 34

Copy to Word Processor .......................................................................... 34

Save as (PDF, RTF, DOC, ODT)… .......................................................... 34

Print Preview............................................................................................ 34

Print ......................................................................................................... 35

Filter Visible Columns .............................................................................. 35

5.13 Daylight Saving Adjust ............................................................................. 35

5.14 Restore original download........................................................................ 36

6 Sleep Analysis ................................................................................................ 37

6.1 Introduction .............................................................................................. 37

6.2 Sleep Analysis Statistics .......................................................................... 37

6.3 Saving or Removing Analysis Statistics ................................................... 39

6.4 Adjusting Analysis Threshold ................................................................... 39

6.5 Exporting Sleep Analysis Results ............................................................. 40

6.6 Printing Sleep Analysis Results................................................................ 40

6.7 Sleep Summary Table ............................................................................. 40

7 NPCRA Analysis ................................ ................................ ............................. 42

7.1 Introduction .............................................................................................. 42

MW8 & MotionWare User Guide: Issue 1.2.1 Page 6

7.2 Reference ................................................................................................ 42

7.3 Analysis ................................................................................................... 42

7.4 Non-Parametric Variables ........................................................................ 43

7.5 Exporting NPCRA Analysis Results ......................................................... 44

7.6 Printing NPCRA Analysis Results ................................ ............................ 44

7.7 Save NPCRA Analysis Period .................................................................. 44

8 24 Hour Average Plot ..................................................................................... 45

8.1 Select Data for Analysis ........................................................................... 45

Smoothing Period .................................................................................... 45

Daytime Period ........................................................................................ 45

Activity Average ....................................................................................... 45

Day/Night Average Ratio.......................................................................... 45

Fitted Cosine Peak................................................................................... 45

9 Nap Analysis ................................................................................................... 46

9.1 Overview .................................................................................................. 46

9.2 Select Data for Analysis ........................................................................... 46

9.3 Select Nap Activity Threshold .................................................................. 46

9.4 Select Min Nap Length ............................................................................. 46

9.5 Select Max Nap Length ............................................................................ 47

9.6 Analysis Results ...................................................................................... 47

9.7 Export Nap Periods .................................................................................. 47

10 Day Activity Analysis ..................................................................................... 48

10.1 Overview .................................................................................................. 48

10.2 Day Analysis ............................................................................................ 48

Selecting Days ................................................................ ......................... 49

Highlighted Activity Graph ........................................................................ 49

Summary Activity ..................................................................................... 49

Definition of Results ................................................................................. 49

10.3 Set Calibration ......................................................................................... 50

10.4 Weekly Summary ..................................................................................... 53

Selecting a Week ..................................................................................... 53

Weekly Summary Graph .......................................................................... 53

Weekly Summary Totals .......................................................................... 54

10.5 Totals & Averages.................................................................................... 55

Weekly Totals .......................................................................................... 55

Day of Week Averages ............................................................................ 55

11 Cloud Data Management (CDM) .................................................................... 57

11.1 Overview .................................................................................................. 57

11.2 HQ / Management Site Computer Configuration ...................................... 57

Create Encryption Keys ........................................................................... 57

Enter Login Information ............................................................................ 58

Sync Folder ............................................................................................. 59

11.3 Syncing with Cloud .................................................................................. 59

11.4 Branch Configuration File......................................................................... 60

11.5 Branch Site Computer Configuration ........................................................ 62

Loading a Configuration File .................................................................... 62

Auto-Upload ............................................................................................. 63

Clear Settings .......................................................................................... 63

11.6 Synchronising Recordings with the Cloud ................................................ 63

Appendix A - Maintenance and Utilities ............................................................... 65

MW8 & MotionWare User Guide: Issue 1.2.1 Page 7

A1 - The Utilities Tab ........................................................................................ 65

A2 - Firmware Update ................................................................ ...................... 66

A3 - Shutdown Options ..................................................................................... 66

A4 - Test Watch................................................................................................ 67

A5 - Changing the Battery ................................................................................ 67

A6 - Waterproof Seal ........................................................................................ 68

A7 - MotionWatch Strap ................................................................................... 68

A8 – Alternative Mountings ............................................................................... 69

Appendix B – FAQ & Troubleshooting ................................................................ 70

Appendix C – Safety & Environmental Information ............................................ 71

C1 - Decontamination ....................................................................................... 71

C2 - Battery ...................................................................................................... 71

C3 - Warnings – General ................................................................ .................. 71

C4 - Disposal at End of Life .............................................................................. 71

C5 - EMC Declaration and Guidance ................................................................ 72

Electromagnetic Emissions ...................................................................... 72

Electromagnetic Immunity ........................................................................ 73

C6 - Applicable Standards: ............................................................................... 74

Appendix D – Technical Specifications ............................................................... 75

Specifications ................................ ................................................................ ... 75

Operating & Storage Conditions ....................................................................... 75

Accelerometer Processing ................................................................................ 76

Tri-Axial Mode Data Processing ....................................................................... 77

Appendix E – Utilities ............................................................................................ 78

E1 – CSV Import Utility ..................................................................................... 78

Step 1 – Export the CSV .......................................................................... 78

Step 2 – Convert the CSV Data ............................................................... 78

Step 3 – Load the AWD File ..................................................................... 79

MW8 & MotionWare User Guide: Issue 1.2.1 Page 8

1 Introduction to the MotionWatch System

1.1 An Overview of
the MotionWatch
System

The MotionWatch is a compact, lightweight, body-worn
activity monitoring device that may be used to document
physical movement associated with applications in
physiological monitoring. The device is intended to monitor
limb or body movements during daily living and sleep. The
MotionWatch can be used to assess activity in any
instance where quantifiable analysis of physical motion is
desired. MotionWare allows for the set-up, download and
analysis of data captured with the MotionWatch. The
MotionWatch also incorporates a light sensor to record
luminous intensity (lux) of white light and an event marker
button. Utilizing the latest low-power MEMs technology,
the MotionWatch provides a convenient, flexible platform
for Actigraphy studies of all sizes. See Appendix D –
Technical Specifications for Technical and operational
specifications.

Components Required for a System

A MotionWatch system consists of 2 elements:

 One or more MotionWatch devices.
 PC based MotionWare Software providing set-up,

download and analysis functions.

Note that no reader or interface is required – the
MotionWatch has a direct USB connection.

The MotionWatch

Light sensor

Status Indicator

Event Marker Button

MW8 & MotionWare User Guide: Issue 1.2.1 Page 9

Opening the MotionWatch Casing

The MotionWatch utilises a novel ‘twist-lock’ casing which
provides a waterproof seal for the electronics and USB
connection while facilitating easy access to the battery.
To open the casing, grasp the front of the watch by the two
finger grips and rotate anti-clockwise by approximately
15 degrees to release.

WARNING!

DO NOT ATTEMPT TO FORCE OPEN/CLOSED THE
MOTIONWATCH CASING WITHOUT TWISTING TO
UNLOCK/LOCK. DOING SO WILL DAMAGE THE
CASING AND INVALIDATE THE WARRANTY!

Now gently lift out the front section of the casing…

Then turn over to access the USB connection…

USB Connection

MW8 & MotionWare User Guide: Issue 1.2.1 Page 10

When the MotionWatch is connected for the first time, the
USB drivers will automatically be installed (see Section 2.4
Installing the USB Drivers).

Closing the MotionWatch Casing

The casing must be closed with the parts correctly aligned.
To aid with alignment, coloured indicators have been
provided as shown in the figure below:

With the indicators aligned, drop the top part of the casing
into the lower part and then turn clockwise by

approximately 15 degrees to close.
WARNING!

DO NOT ATTEMPT TO FORCE OPEN/CLOSED THE
MOTIONWATCH CASING WITHOUT TWISTING TO
UNLOCK/LOCK. DOING SO WILL DAMAGE THE
CASING AND INVALIDATE THE WARRANTY!

1.2 Indications For
Use

The MotionWatch is a compact, lightweight, body-worn
activity monitoring device that may be used to document
physical movement associated with applications in
physiological monitoring. The device is intended to monitor
limb or body movements during daily living and sleep. The
MotionWatch can be used to assess activity in any
instance where quantifiable analysis of physical motion is
desired.

1.3 Contraindications

The MotionWatch is indicated for use on healthy,
undamaged areas of skin. Where the patient has a history
of skin irritation, a device should be worn for a brief period
to test for skin irritation prior to commencing any recording.
Any device in close contact with the skin can trap sweat or
moisture and cause redness or slight skin irritation. If this

Alignment Indicators

MW8 & MotionWare User Guide: Issue 1.2.1 Page 11

occurs, remove the watch and do not wear it for 2-3 days
to allow the irritation to clear.

1.4 Required Skills,
Training &
Knowledge of
Intended Users

It is intended that the device be administered only by duly
qualified health care professionals, researchers and or
trained nursing staff, possibly in a hospital environment.

1.5 General
Description of
Use

The MotionWatch contains a miniature accelerometer to
allow measurement and recording of physical movement of
the wrist which provides a close correlation to whole body
movement. The data are sampled at 50Hz and processed

into ‘epochs’ of user selectable length. These data are

stored into an internal non-volatile memory and then
downloaded for analysis at the end of the study period.

Data recorded by the MotionWatch may be downloaded
and analysed off-line using the MotionWare Software
Package.

MW8 & MotionWare User Guide: Issue 1.2.1 Page 12

2 Installing the MotionWare Software

2.1 System
Requirements

The MotionWare software is supplied on a CD-ROM or
USB Memory Stick containing all of the components
required to install the software package. The following are
the minimum requirements of a host PC for installing the
MotionWatch software:

 Windows XP, Vista, Windows 7 or 8, 32 or 64bit

operating systems

 IBM compatible 2GHz + processor speed

recommended

 100 MB hard disk space
 One free USB port
 A CD-ROM or DVD drive for software installation
 Graphics SVGA(1280 x 1024) recommended

In general, a faster processor will provide superior
performance.

2.2 Installing the
Software

Place the CD ROM into the drive (or insert the USB stick
into a free port); the MotionWare software installation
menu should start automatically as shown below:

If it does not start automatically (this functionality has
sometimes been disabled for security reasons) you will
need to browse with Windows Explorer to view the CD
ROM or USB stick then double-click on the file

‘SplashScreen.exe’.
Click on the ‘Install MotionWare PC Software’ option.

Follow the installation wizard’s onscreen prompts until the
installation is complete. It is recommended that you install

MW8 & MotionWare User Guide: Issue 1.2.1 Page 13

the software in the default location. The operation of this
software on a remote server is not guaranteed as network
settings vary considerably. The MotionWare software
requires the Microsoft .Net Framework to be installed; the
installation wizard will check and install this if required.
This may result in a protracted installation procedure.

For USB driver installation see Section 2.4 Installing the
USB Drivers below.

2.3 Updating the
Software

If you are updating or reinstalling the software you should
first remove the old version. The installation has to then
be restarted by removing and re-inserting the CD ROM or
by double-clicking on the ‘SplashScreen.exe’ file.

2.4 Installing the
USB Drivers

This section on installing drivers only applies to new
installations.

 The MotionWatch utilises generic Windows USB
drivers which are provided as part of the Windows
operating system.
 To install the drivers, attach the supplied USB cable to
a free USB port and connect to the MotionWatch.
 Depending upon the version of Windows, a sequence
of messages similar to that shown below will be displayed
at the bottom of the screen:

If prompted, you may be required to restart the PC.

The driver installation is now complete.

MW8 & MotionWare User Guide: Issue 1.2.1 Page 14

2.5 Software Serial
Number

Double clicking on the MotionWare icon on the desktop will
start the software. The software will run for a 30 day
evaluation period and then the software serial number will
be required. If you do not already have a serial number
you will need to register the software. Click the ‘Get Serial
Number’ button to link to the CamNtech website and
register the software (note: you will need the reference
number supplied on the CD or media).

When you have received your serial number, enter the 8
digits and then click the ‘Apply Serial Number’ button.

2.6 Running the
Software –
Main Screen

Double clicking on the MotionWare icon on the desktop will
start the software. If a MotionWatch is connected it will be
automatically detected and the MotionWatch Manager
screen will be displayed. The front screen of the software
with no MotionWatch connected will be similar to that
shown below:

MW8 & MotionWare User Guide: Issue 1.2.1 Page 15

2.7 MotionWare
Settings

Click on the Settings button on the start-up screen to
open the MotionWare settings Window:

View or Enter Software Serial Number

Click this button to open the serial number entry window,
see section 2.5 above

Set Institution Name

You may also choose to enter an institution name in the
settings window, which will then be included near the top
of all printed reports. This may be desirable if you wish to
hand the actogram or other reports directly to participants
after use.

Warn of Firmware Updates

New firmware (software that is programmed into the
MotionWatch) is sometimes provided within the software

update. Check the ‘Warn if new firmware available’

selection to be automatically notified if new firmware is
available.

It is recommended to check and update the MotionWatch
firmware following a software update – see Appendix A2 ­Firmware Update

MW8 & MotionWare User Guide: Issue 1.2.1 Page 16

Default Action for Recent items

Choose whether to open the data with either Sleep
analysis or Daytime Activity Analysis upon double click in
the recent items list.

Automatically show the MotionWatch Manager…

Controls whether or not to automatically show the
MotionWatch Manager Window when a MotionWatch is
connected to the computer.

Updates

See section 2.9.

Save Settings and Exit

Click the ‘Close’ button to save the new settings – note
that a check for updates will be immediately performed if
the selection is checked. Click the close [x] icon at the top
right to close the window without saving the settings.

2.8 Bulk Export

This function allows you to export the raw data from every
motion file in a directory into corresponding csv files. It
may be useful if you wish to analyse the data yourself
rather than using the MotionWare software. You may
choose the directory to target using either the directory
browser window, or the file browser to choose an example
from that directory.

2.9 Updates

Checking for Updates

Your web login information is required before updates can
be downloaded. To do enter this information, open the
Settings window ( Settings), and enter your user name
and password in the specified fields. Click the Save &
Close button to save the information.

To check for updates, click on the menu button and
select the Check for Update menu item, or alternatively
click the Check for Update button on the Settings
window.

If a new version is available following dialogue will be
shown:

MW8 & MotionWare User Guide: Issue 1.2.1 Page 17

Click the Yes button to start the download. This will
produce the following window:

When the download has completed, click the Exit & Run
Update button to close the application and initiate the
installer.

Automatically Check for Updates

Tick this checkbox if you would like the application to
automatically check for new versions once a day.

MW8 & MotionWare User Guide: Issue 1.2.1 Page 18

3 The MotionWatch Manager

3.1 MotionWatch
Current Set-up

With the MotionWare Software already started, connect a
MotionWatch to the USB cable; the watch will
automatically be detected and the ‘MotionWatch Manager’
screen will be displayed as shown below:

If a MotionWatch is connected but the above screen is not
shown, click on the ‘Use MotionWatch’ button on the front
screen.

The MotionWatch Manager screen is automatically closed
when the MotionWatch is disconnected.

The MotionWatch setup options will be explained in detail
in the following section.

3 MAIN OPTIONS:

Setup Watch: click to start a new

MotionWatch setup (Section 3.2)

Read Data: click to download the data from
the MotionWatch (Section 4.1)

Exit: Close the MotionWatch Manager
window.

CURRENT SETUP INFORMATION

Details of the current set-up stored in the
MotionWatch.

UTILITIES TAB

Click to view/edit advanced functions
(Appendix A)

MW8 & MotionWare User Guide: Issue 1.2.1 Page 19

3.2 Applying a
New Set-up

Click the ‘Setup Watch’ button, the new setup tab is
activated and the settings may now be edited:

Immediate or Delayed Start

Select ‘Immediate Start’ to ensure that the MotionWatch
begins recording straight away. The start date and time are
taken from the PC clock so please ensure that this is

correct. A delay of up to 2 minutes is added to the current

time and the recording will start on a complete minute. If
for example the set-up is applied at 16:46:27, the delay will
be one minute and 33 seconds and the recording will begin
at 16:48:00.

Select ‘Delayed Start’ to show the start date/time controls.
This option allows the recording to be delayed for up to 30
days into the future. Use the date, hours and minutes
controls to select the required start date and time.

NOTE: Applying a new set-up to the MotionWatch will
result in the loss of any existing stored data or set-up
information – please ensure that any required data has

been downloaded first. Click the ‘Cancel Setup’ button

to return to the current setup tab without applying the
new setup.

User ID: Enter characters to identify the

subject/patient/study.

Full Name: [optional] Enter characters to identify

the patient/study. Note that the maximum length is
64 characters shared between user ID and Full
Name.

Gender: Use the dropdown to select M, F or X (if

gender is to be undisclosed).

Date of Birth: Use the date control to enter the

date of birth of the subject.

Start Date & Time: Select delayed start to begin

a recording up to 30 days in the future. Immediate
start will begin in 1-2 minutes after disconnection.

Recording Mode: Use the drop down control to

select the recording mode.

Light Recording: Check the box to enable light

recording.

Compress Data: Check the box to compress the

activity data (see below).

Body Position: Choose the mounting location of

the MotionWatch.

Epoch: Use the drop down to select the required

recording epoch.

Recording Length: Shows the expected

maximum length of the recording based upon the
chosen settings.

Battery Life: Indication of approximate battery life

remaining in % and colour coded battery gauge.
Hover over with the mouse for more information.

MW8 & MotionWare User Guide: Issue 1.2.1 Page 20

Recording Mode

The MotionWatch offers the following recording modes:

 MotionWatch Mode 1 – This is an epoch based

recording mode designed to produce similar
behaviour to legacy Actiwatch and similar products,
using a single axis algorithm and peak detection.

 Tri-Axial Mode 3 – This is an epoch based

recording mode that uses all three of the
accelerometer axes to produce a vector magnitude
result per epoch. This mode is used for recording
daytime activity when the watch can be mounted at
other locations on the body (See body position
below). Note that this mode will shorten the battery
life as there is more data processing.

Body Position

For daytime activity analysis it is recommended to note the
location upon the body where the MotionWatch is
mounted. The physical mounting position will have an
effect upon the data (e.g. data from the wrist will differ from
that recorded at the waist). This is an optional field that
does not affect the data processing.

Epoch

The epoch is the duration for which the MotionWatch will
accumulate samples before storing the result in memory.
For example, using a 1 minute epoch, one result will be
stored in memory every one minute. The MotionWatch
offers the following epoch length options:

 1 Second
 2 Seconds
 5 Seconds
 15 Seconds
 30 Seconds
 60 Seconds

Note: the algorithms used for sleep analysis are validated
using a 30 second epoch.

Light Recording

The MotionWatch has a built in ambient light sensor. Light
recording may be enabled or disabled by checking or

unchecking the ‘Record light’ checkbox during setup.

When enabled the MotionWatch will store light values in
lux at the same epoch as the activity samples. The light
sensor records white light with a response optimised to
match the human eye. The light is sampled once per
second and averaged over the epoch. The results are
stored as lux values.

Recording Lengths

The MotionWatch calculates and displays the expected
recording length as the settings are changed. The
recording mode, epoch, light settings and compression will

MW8 & MotionWare User Guide: Issue 1.2.1 Page 21

all affect the maximum recording length. The following
table summarises the (rounded) recording lengths for each
setting.

Recording lengths for MotionWatch Mode

Epoch

(Seconds)

Activity

Only (days)

Activity &

Light (days)

Activity

Compressed*

1

3

1.5

6

2

6 3 12

5

15 8 30

15

45

23

90

30

91

46

120

60

120

91

120

*see below for details of data compression

Note that for Tri-Axial Mode, the maximum recording time
is limited to 90 days due to battery life.

Battery Life Gauge

The MotionWatch Manager screen shows the battery life
gauge to provide an indication of remaining battery life
using a colour coded bar. The bar will change colour to
provide a clear indication of battery status as the battery
becomes depleted. The battery life gauge has the following
indications:

Green 60% to 100% 72 to 120 days (MW Mode)
54 to 90 days (Tri Mode)

Yellow 40% to 59% 48 to 71 days (MW Mode)
36 to 53 days (Tri Mode)

Orange 20% to 39% 24 to 47 days (MW Mode)
18 to 35 days (Tri Mode)

Red 0% to 19% 0 to 23 days (MW Mode)

0 to 17 days (Tri Mode)

When the battery life falls below 15%, the gauge will flash
and an additional message will be displayed in the status
area (as shown above).

ALWAYS REPLACE THE BATTERY IF THE RECORDING
IS LONGER THAN THE EXPECTED BATTERY LIFE.

If set-up is attempted with a short battery life, an additional
warning message will be displayed.

MW8 & MotionWare User Guide: Issue 1.2.1 Page 22

Battery Life

The MotionWatch uses a standard non-rechargeable
CR2032 coin cell which is easily replaced by the user
(Appendix A5 - Changing the Battery). The MotionWatch
incorporates smart battery monitoring to measure actual
device usage and battery voltage to calculate an expected
life remaining. Typically the expected battery life will be 4
months (MotionWatch Mode), 3 Months (Tri-axial Mode)
and the battery life indication will provide a percentage of
life remaining. Hovering over the battery life in either the
current or new setup screens will show the expected
battery life in days in the information pane of the
MotionWatch Manager.
The MotionWatch monitors several parameters to
automatically detect when a new battery is fitted.
The watch will shut down when the battery is depleted –
light recording will cease before activity recording.
The MotionWatch requires some time to shut down fully
when the battery is removed. Always wait at least 1 minute
before inserting the new battery.

If the battery is replaced but the battery life indicator is not
updated to 100%, click on the ‘new battery’ button under
the Utilities tab to reset it manually.

Compress Data

It is possible to compress the activity data to allow longer
recordings at shorter epochs. The light data is not
compressed. The function uses a logarithmic compression
which provides lower accuracy with higher values
(quantized data). At low levels, the accuracy is not affected
hence for sleep analysis the compression function will
have minimal effect upon data. Note that the validations
were performed without data compression.

Disable Marker Button

Select to disable the marker button.

Recommended Setup for Sleep Recording

The recommended settings for sleep recording are:

 MotionWatch Mode 1
 30 second epoch

These are the settings with which the validation studies
were performed. It is possible to use other settings if
required including tri-axial mode.

Recommended Setup for Daytime Activity Recording

The recommended settings for daytime activity recording
are:

 Tri-Axial Mode 3
 Any epoch

Also set the body position during set-up so that this is
noted within the data.

MW8 & MotionWare User Guide: Issue 1.2.1 Page 23

4 Downloading Data

4.1 MotionWatch
Download

From the MotionWatch Manager Window click on the
‘Read Data’ button. The download will begin and the
progress notification will be displayed…

If the data download is not required, click the cancel button
and the operation will be aborted.

When the all data has downloaded (full memory will take
less than 1 minute) the ‘Save Recording…’ dialog will open
to allow the data to be saved.

Note that the recorded data in the MotionWatch is not

erased after download; It is only erased when the watch is

set up again.

4.2 Saving
MotionWatch
Data

Upon completion of the download, the ‘Save Recording…’

dialog will open automatically to allow the data to be
saved.

This window allows the destination for the file save to be
specified. Type the name of the file as required and click

MW8 & MotionWare User Guide: Issue 1.2.1 Page 24

the ‘Save’ button. The file will be saved in the default

*.MTN format. If you do not wish to save the file, click the
‘Cancel’ button to return to the MotionWatch Manager.

Note that the MotionWatch Manager will not automatically
close when the MotionWatch is disconnected if data has
been downloaded and not saved. This serves as a
reminder to save the data; you may manually close the
window if the data is not required.

4.3 Shutdown after
Download

The MotionWare software defaults to shut-down the
MotionWatch into sleep mode to save the battery following
download. Data will NOT BE LOST but the watch will
cease recording. It is possible to disable this function such
that the MotionWatch will continue to record following
download and disconnection (see Appendix A3 - Shutdown
Options).

NOTE! The MotionWatch cannot record movement data
whilst connected to the PC. If a continuous recording is
desired then the watch should be removed from the USB
cable and returned to the subject as promptly as possible.

4.4 Join Files

It is possible to join (Concatenate) two MotionWatch
recordings to create a single recording. The recordings
must contain the same user details/setup and be
concurrent.

1. Load the first data file for sleep analysis by
selecting from the list of recent recordings or by
browsing for Motion file.

2. From the ‘file’ menu select ‘Join…’

3. In the file dialogue, browse and/or select the
second motion file that is to be joined to the first.

4. A save dialogue will open to allow the file name
and location for the joined file to be specified.

5. Click save to save the new file – both original files
will be kept unless the joined file is given the same
name (an overwrite warning will be given in this
case).

6. The new joined file may now be loaded from the
recent recordings list.

7. Any gap between the two recordings will show as
‘missing data’ and will be marked in grey.

MW8 & MotionWare User Guide: Issue 1.2.1 Page 25

5 Preparing to Analyse Data

5.1 Selecting Recent
Recordings

When data is saved following download, the file
automatically appears in the ‘Recent Recordings’ list on
the front screen of the software. The recent recordings list
provides a quick access method to the most recently
opened or downloaded files.

It is possible to adjust the recording for daylight saving –
see section 5.13 below for more information.

Click once on a file in the list to select it; more details of
the file are displayed in the information pane below. The

file can be opened after selection by clicking on the ‘Open
selected recording’ button. Alternatively, double clicking on

the file will open the file directly (choose which analysis
type to open with double click in MotionWare Settings).
Right click on the file for more options.

5.2 Managing Recent
Recordings

If the recent recordings list becomes full or cluttered, it is
possible to remove entries from the list or to fully delete the
related file. To manage the recent recordings, right click on
the required file name in the list to show a pop-up menu
with the following options:

 Open in Sleep Analysis
 Open in Day Analysis

Recent Recordings: Click an item to
view the file details in the information
pane then open by clicking the Open
Selected Recording button.
Alternatively, double click an item to
open directly.
Where a file is a legacy file-type, this
will be shown in the list entry.

Open in Sleep Analysis: Click to
open the item selected in the Recent
Recordings list with Sleep Analysis.

Information Pane: Provides more
detail about the selected recording.

Open in Day Analysis: Click to open
the item selected in the Recent
Recordings list with Daytime Activity
Analysis.

Browse for Motion File: Opens file
manager dialog to select a file.

MW8 & MotionWare User Guide: Issue 1.2.1 Page 26

 Properties
 Remove From List
 Delete File
 Clear Recent Items List

Select ‘Remove from list’ to keep the file on the disk but

remove it from the list; the file will not be deleted. Select
‘Delete File’ to remove from the list and delete the file from
the disk. A warning message will be displayed before the
file is permanently deleted.

Select ‘Clear Recent Items List’ to remove all files from the

list – the files will not be deleted.
Clicking ‘Properties’ allows the recording details to be

viewed.

5.3 Browse for
Recordings

It is also possible to locate and load recordings that do not
appear in the Recent Recordings list. From the main

screen, click on the ‘Browse for Motion File’ button to open

a standard Windows File dialogue. Use the folder controls
to browse to the location of the required files. Note that the
default file format is .MTN (depicting MoTioN) and this type
of file will be displayed automatically. It is possible to
change the file-type filter to browse for other file types (see
below).

5.4 Import Legacy
Recordings

As certain legacy products (such as CamNtech Actiwatch)
used an open file format, it is possible to import existing
.AWD format files. To import a legacy file, follow the
instructions to browse for a file in Section 5.3 above and
then change the file-type filter to ‘Actiwatch (*.AWD)’:

The table below lists the compatibility with various
Actiwatch model data:

Actiwatch Model

Compatibility

Actiwatch 7

Y

Actiwatch 4

Y

Actiwatch Light Plus

Y

Actiwatch Mini

Y

Actiwatch Spectrum

Y1

Actiwatch 2

Y1

CamNtech will give consideration to adding import functionality
for unsupported/unlisted actigraphs where customers have large
existing data sets and where such data can be converted.

1. It is not possible to directly open this type of file but it is
possible to export data from the Actiware Software in

MW8 & MotionWare User Guide: Issue 1.2.1 Page 27

.csv format and then use the csv import utility to re­save the data in compatible format (see Appendix E1 –
CSV Import Utility).

MW8 & MotionWare User Guide: Issue 1.2.1 Page 28

5.5 The
MotionWise
Window

When a recording is opened the MotionWise window is
displayed:

The MotionWise window provides a multiple-day, single or
double plotted motion graph (actogram) within a flexible,
scalable and scrollable window. The MotionWise window is
the key tool for the selection of data for more detailed
analysis. The top region of the window provides summary
patient information. The entire window may be stretched
and dragged by manipulating the corners of the window.
The window can also be maximised to fill the full screen by
using the window control.

Scroll through the days by using the slider control at the
right hand side of the screen or by using the mouse scroll
wheel.

MW8 & MotionWare User Guide: Issue 1.2.1 Page 29

5.6 The
MotionWise
Graphs

For each day containing data, a graph similar to that
shown below will be displayed.

5.7 MotionWise
Graph View
Options

The Actogram view can be adjusted for different purposes
using the window below. This is found under the ‘Options’
item in the ‘View’ menu. The Actogram will adjust to give
immediate feedback after you have changed any of the
options.

Row Length

Select 24 or 48 hour graphs to show single day or double
day plotted graph respectively. Each row of the graphs will
then correspond to the length chosen, but the change
forwards between rows will be 24 hours in both cases.

Reduce

Activity

Scale

Reduce

Light

Scale

Increase

Activity

Scale

Increase

Light

Scale

Activity Plot

(Black)

Light Plot

(Yellow)

Event Marker

(Blue)

No Data

(Grey)

MW8 & MotionWare User Guide: Issue 1.2.1 Page 30

Row Height

Using this slider, you can adjust the heights of each row of
the Actogram to show lots of detail on each graph, or very
compressed rows to present a longer time period
onscreen. Note that the range available here depends on
the setting of the ‘Horizontal scale’ below.

Start Rows at

The MotionWise graphs default to a plot start time at the
start of the recording. However, when comparing data
between multiple users, it can be useful to have a fixed
start time for the plots. So you can select either to always
start from the beginning of the recording, or enter a fixed
time in the text box.

Horizontal Scale

Using this option, you can choose to show self-contained
graphs with a horizontal scale on each row, or close-fitted
graphs with no horizontal axis on each. In the latter case, a
time scale is added at the top and bottom of the actogram
instead.

Finer Detail Grid Lines

Show or hide the light grey hourly grid lines on the graphs
(these will also depend upon the resolution of the monitor
or printer).

Annotations

The marker lines or highlighted periods on the graph can
be shown at full graph height or just at the top of the graph.
This can help to make the graph more clear when there
are many marker events and selected periods.

5.8 Printing the
MotionWise
Graphs

You may produce a printed copy of the MotionWise graphs
covering all days of data, by selecting the ‘Print preview”

option from the ‘File’ menu. This preview allows you to

view and step through all of the report pages using the
‘Prev’ and ‘Next’ buttons.

The printed Actogram can be adjusted similarly to the on
screen Actogram by clicking the ‘Actogram Options’
button. This includes an additional setting to include or
exclude a list of the recording properties with the Actogram
printout.

5.9 Selecting the
Analysis
Period

There are three main selection options which may be
chosen by use of the control buttons in the MotionWise
window:

MW8 & MotionWare User Guide: Issue 1.2.1 Page 31

Select Any

The ‘Select Any’ option provides a flexible means of

selecting any analysis period between your chosen start
and end points.

In the MotionWise window, choose the period of data for
analysis by pointing at the start point, hold down the left
mouse button and then drag to select the period required.
The selected period is highlighted and the Analysis window
is automatically displayed. The figure below shows a single
overnight period selected:

It is possible to select a very short period (i.e. a few
minutes) to several days using this method. By dragging
off the bottom or top of the MotionWise graph area, the
window will automatically scroll to allow selection of days
that are not currently displayed.

Select Days

The ‘Select Day(s)’ option will select a period starting and
ending at midnight on the chosen day(s). To make a
selection, point anywhere within the graph on the day of
interest, hold down the left mouse button and then drag to
select the day(s) required. Drag across multiple graphs to
select several days and drag off the bottom or top of the
MotionWise graph area to automatically scroll while
selecting.

Select All

The ‘Select All’ option allows a one-click selection for all
days of data ready for a multiple day analysis such as
NPCRA.

5.10 Saved Periods
and Longer
Periods

The Analysis functions allow the selected periods to be
saved. These periods will remain highlighted in the
MotionWise Window and the analysis can be quickly re­opened by clicking anywhere in the highlighted region. If
the saved period is longer than 24 hours (i.e. for an
NPCRA analysis) then the highlight is not shown in the
graph. These longer saved periods may be chosen from
the ‘Long periods’ menu in the MotionWise Window.

MW8 & MotionWare User Guide: Issue 1.2.1 Page 32

5.11 Editing Data

It is possible to edit periods where there is believed to be
some problem with the recorded data to change or remove
the activity during that period. This may be necessary
where for example the watch was not worn for a period, or
where it is believed an activity gave particularly misleading
activity counts for analysis purposes. The Edit function
may be accessed by selecting a period for analysis in the
manner described in Section 6 Sleep Analysis, then
selecting the Edit analysis function from the list in the
bottom-left of the window.

After selecting the Edit tool, it is possible to fine tune the
time period for the edit either by dragging the ‘Start’ and
‘End’ bars on the graph, or by changing the text boxes
containing times below the graph.

Next you must choose to change either the ‘Activity’ or
‘Light’ channel as appropriate. Note that marking missing
data will cause both to be considered as missing.

The data samples within the selected period can be
changed in four different ways:

 Missing data – this will set the data as missing,

where the period is shown with a grey background,
and analysis functions which take an average will
ignore the missing samples.

 Fixed value – this will set the data samples (either

activity or light) to the value entered in the box.

 Average of – this will set the data samples to either

the average of the entire day (including the
selected period), or the average of the day
excluding the selected period. The day is taken as

MW8 & MotionWare User Guide: Issue 1.2.1 Page 33

the 24-hour period between midnights which
contains the start time of the edit.

 Original data – because all of the data and changes

are contained as an audit log within the motion file,
this option allows you to restore the original values
first recorded before any edit took place.

If the last part of the recording is marked as “Missing data”,

then this will also reduce the length of the printed
Actogram to avoid printing unnecessary missing days.
This is particularly useful if the watch has been left
recording invalid data for some time after being worn, but
before download. In this case, simply select all of the time
after the valid recording and mark it as missing data. This

can be restored at any point using the “Original data”

option above.

5.12 Generating
Reports

In the MotionWise window select ‘Tools -> Report’ to open
the report generator window.

This tool provides a number of flexible reporting options
which are discussed in more detail below.

Include Recording Properties

Select this option to include the User ID, Gender, DOB,
Device information and start time within the report.

Include Markers

Select this option to include a date/time stamped listing of
marker events within the report.

Include Sleep Analysis

Select this option to include full Sleep Analysis results for
all saved analysis periods within the report (see Section 6
Sleep Analysis).

MW8 & MotionWare User Guide: Issue 1.2.1 Page 34

Transpose Table

Select this sub-option to swap the row/column layout of the
report.

Copy with Rounded, Formatted Values

This sub-option applies to data exported via the clipboard
only. When selected, the results will contain rounded
values with periods formatted as hours and minutes. When
un-selected, the results will be exported as un-rounded
values and periods will be formatted in seconds. The latter
option is useful when importing data into external
packages for further analysis.

Print in Landscape

This option swaps the default (portrait) report format to

landscape orientation. This can be useful to best ‘fit’ the

report to the page. This option only applies to printed
reports.

Copy Results Tables (for spreadsheet)

Having selected the required report options, click the ‘Copy
Results Tables’ button to export the data. The data may
now be imported into external software (e.g. a
spreadsheet) for further analysis or formatting.

Copy to Word Processor

Places the selected results and actograms for all days onto
the clipboard formatted to paste directly into a word
processor. This facilitates rapid production of custom
reports.

Save as (PDF, RTF, DOC, ODT)…

The selected results and actograms for all days are saved
into your selected file format. Choose the document type in
the ‘Save as type…’ dropdown, choose from the following
options:

 RTF – Rich Text Format – open in most word

processors.

 PDF – Portable Document Format – open in Adobe

Acrobat Reader.

 DOC – Microsoft Word Document.
 ODT – Open Document – use with Open Office.

Enter a file name/location to save the file. These options
facilitate rapid production of custom reports.

Print Preview

Having selected the required report options, click the ‘Print
Preview’ button to view the report on screen before

printing.

MW8 & MotionWare User Guide: Issue 1.2.1 Page 35

The print preview window has a number of formatting and
zoom options. There is also a ‘Print’ button in the menu to
allow printing without the need to close the window.

Print

Having selected the required report options, click the ‘Print’

button to send the report to the printer. A standard printer
dialogue will be displayed allowing the target printer
options to be selected.

Filter Visible Columns

It is possible to further
customise the parameters that
will be included in the report.

Click on the ‘filter visible
columns’ button for either the

marker or sleep analysis data.
A window containing a checklist
of parameters will be displayed
(sleep parameters are shown in
this example). Ensure that the
required parameters are
checked for inclusion in the
report.

5.13 Daylight
Saving Adjust

If a clock change is detected (daylight saving) during a
recording, a message will be displayed upon first opening
of the recording:

 Select ‘Yes’ to apply a daylight saving adjustment

to the data. This will default to the local regional

MW8 & MotionWare User Guide: Issue 1.2.1 Page 36

settings of the computer (typically add or remove 1
hour of data at 2am.) This can be undone – see

5.14 below.

 Select ‘No’ to ignore the daylight saving adjustment

(Adjustment can be applied later if required)

It is possible to apply the daylight saving adjustment by

clicking on the ‘Tools’ menu then selecting ‘Daylight

Savings Adjust’. The following window will be displayed:

The adjustment values can be changed here if required
and then be applied to the data by clicking ‘Apply now’.

5.14 Restore original
download

To reverse (undo) any daylight saving adjustment or any
other edits or any saved analysis, first close the recording
and then re-open it.

Next select ‘Restore original download’ from the ‘Tools’

menu.
A warning will be displayed as follows:

Click ‘Ok’ to restore the original download or cancel to

keep the adjusted data. Note that all edits have been made
to the data, will be lost (including any saved sleep periods
or analysis).

MW8 & MotionWare User Guide: Issue 1.2.1 Page 37

6 Sleep Analysis

6.1 Introduction

The Sleep analysis function is designed to provide a
number of objective sleep measures from overnight
actigraphy data. It can be easily applied either to normal
overnight periods, or used to examine any sleep period
from an altered phase recording such as a shift worker.
First select a region using the MotionWise window
(see Section 5.9 Selecting the Analysis Period above)
which includes a short period of daytime activity at the start
and end. The detailed analysis window will be displayed
and may initially default to the summary function. To select
Sleep Analysis, choose ‘Sleep’ from the Analysis Function
options at the left of the screen. The detailed Sleep
Analysis window will be displayed:

It is now possible to drag the ‘Lights Out’ and ‘Got Up’
markers to the appropriate positions in the data, and the
thinner red markers inside which denote ‘Fell Asleep’ and
‘Woke Up’ will be automatically adjusted from the
combination of your markings and the activity data. All of
these four times are also displayed in the information box
below the graph.

6.2 Sleep Analysis
Statistics

Once the desired sleep region is selected, the software will
automatically perform a categorisation of each epoch of

the period between ‘Fell Asleep’ and ‘Woke Up’ as either
‘Sleep’ or ‘Wake’, and also as either ‘Mobile’ or ‘Immobile’,

MW8 & MotionWare User Guide: Issue 1.2.1 Page 38

and use these results to provide a number of measures
from the period. These are described below:

 Time in bed: The total elapsed time between the ‘Lights

Out’ and ‘Got Up’ times.

 Assumed sleep: The total elapsed time between the ‘Fell

Asleep’ and ‘Woke Up’ times.

 Actual sleep time: The total time spent in sleep according

to the epoch-by-epoch wake/sleep categorisation.

 Actual sleep (%): Actual sleep time expressed as a

percentage of the assumed sleep time.

 Actual wake time: The total time spent in wake according

to the epoch-by-epoch wake/sleep categorisation.

 Actual wake (%): Actual wake time expressed as a

percentage of the assumed sleep time.

 Sleep efficiency (%): Actual sleep time expressed as a

percentage of time in bed.

 Sleep latency: The time between ‘Lights Out’ and ‘Fell

Asleep’.

 Sleep bouts: The number of contiguous sections

categorised as sleep in the epoch-by-epoch wake/sleep
categorisation.

 Wake bouts: The number of contiguous sections

categorised as wake in the epoch-by-epoch wake/sleep
categorisation.

 Mean sleep bout: The average length of each of the sleep

bouts.

 Mean wake bout: The average length of each of the wake

bouts.

 Immobile mins: The total time categorised as Immobile in

the epoch-by-epoch mobile/immobile categorisation.

 Immobile time (%): The immobile time expressed as a

percentage of the assumed sleep time.

 Mobile mins: The total time categorised as mobile in the

epoch-by-epoch mobile/immobile categorisation.

 Mobile time (%): The mobile time expressed as a

percentage of the assumed sleep time.

 Immobile bouts: The number of contiguous sections

categorised as immobile in the epoch-by-epoch
mobile/immobile categorisation.

 Mean immobile bout: The average length of each of the

immobile bouts.

 Immobile bouts <=1min: The number of immobile bouts

which were less than or equal to one minute in length.

 Immobile bouts <=1min (%): The number of immobile

bouts less than or equal to one minute expressed as a
percentage of the total number of immobile bouts.

MW8 & MotionWare User Guide: Issue 1.2.1 Page 39

 Total activity score: The total of all the activity counts

during the assumed sleep period.

 Mean activity /epoch: The total activity score divided by

the number of epochs in the assumed sleep period. Note
that this result will be expected to scale depending on the
length of the epoch.

 Mean nonzero activity per epoch: The total activity score

divided by the number of epochs with greater than zero
activity in the assumed sleep period. Note that this result
will be expected to scale depending on the length of the
epoch.

 Fragmentation Index: The sum of the ‘Mobile time (%)’

and the ‘Immobile bouts <=1min (%)’. This is an indication
of the degree of fragmentation of the sleep period, and can
be used as an indication of sleep quality (or the lack of it).

 Threshold: The threshold used for analysing movement

data. The MotionWatch was validated with a threshold of
20, but this may be chosen differently depending on the
population.

 Rest per 24h (%): The percentage of epochs in a 24 hour

period which would be counted as sleep if the whole period
were analysed as night time. The period runs for 24 hours
from midday to midday around the “To Bed” time of the
analysis.

6.3 Saving or
Removing
Analysis
Statistics

With the analysis for the period complete, the analysis may
be saved by clicking on the ‘Save Sleep Period’ button.
The detailed analysis window will close automatically and
the analysis period will remain highlighted in the
MotionWise window. To re-open the saved analysis,
simply click anywhere on the highlighted region in the
MotionWise window.

If the saved analysis is no longer required, click on the
‘Delete Sleep Period’ button in the sleep analysis screen to
remove it.

6.4 Adjusting
Analysis
Threshold

The threshold used for sleep analysis can be adjusted
under the ‘Options’ button. Note that the MotionWatch
system has been validated with a threshold of 20, so this
should normally be the default choice.

MW8 & MotionWare User Guide: Issue 1.2.1 Page 40

6.5 Exporting
Sleep Analysis
Results

The ‘Copy Results’ button and ‘Epoch Results’ or
‘Statistics’ options will allow you to transfer either the

detailed epoch-by-epoch results or the overall statistics
easily into a spreadsheet program or similar. Simply click
the button, transfer to a spreadsheet window on your
computer, and use the normal Windows paste function to
create a table of your results.

6.6 Printing Sleep
Analysis
Results

Click on the ‘Print Preview’ button to preview the report
and click on the ‘Print’ button to send the report to the

printer.

6.7 Sleep
Summary
Table

From the MotionWise window, select ‘Sleep Summary
Table’ from the ‘Tools’ menu. This window provides a

summary of the saved Sleep analysis periods.

Furthermore, it is possible to edit the ‘lights out’ and ‘got
up’ times within this window using patient provided

information (i.e. a sleep diary).

To enter data, highlight the required time and then type in
the data in HH:MM format.

Click on ‘Save Changes’ when complete and the analysis

periods will be automatically highlighted in the MotionWise
window. Click on any highlighted period to open Sleep

MW8 & MotionWare User Guide: Issue 1.2.1 Page 41

Analysis. This will perform the analysis on the visible data.
After checking the data and results for any anomalies, you
must then re-save the sleep period to capture the night’s
results for the report output.

MW8 & MotionWare User Guide: Issue 1.2.1 Page 42

7 NPCRA Analysis

7.1 Introduction

Traditional analysis of circadian rhythms has attempted to
fit physiological indicators to a Cosine waveform shape
(Cosinor analysis). Activity-rest data do not typically fit well
with this type of analysis, hence the MotionWare software
provides the function of Non-Parametric Circadian Rhythm
Analysis (NPCRA). With this approach, we do not assume
that the data fit any pre-defined distribution. The method
used is to analyse full-days of data over several days to
determine some useful variables which are explained in
more detail below. Studies have shown that the non­parametric variables are a valuable indicator of rhythm
disturbances caused by disease or aging and their
associated treatments.

7.2 Reference

The NPCRA analysis is based upon the work of Dr. Eus
Van Someren at the Netherlands Institute for Brain
Research [e-mail]
The original paper published by Dr. Van Someren is:

Van Someren, E J W, DF Swaab, C C Colenda, W
Cohen, W V McCall, and P B Rosenquist. Bright

Light Therapy: Improved sensitivity to its effects on
rest-activity rhythms in Alzheimer patients by
application of nonparametric methods.

Chronobiology Int. (1999) 16 (4) 505-518.

7.3 Analysis

NPCRA analysis requires complete data from as many full
days as possible. It is not recommended to attempt
analysis with less than 7 days of data and best results are
obtained with 14 or more days.

To select the analysis days, use the ‘Select All’ button in

the MotionWise screen to automatically select all available

days. Alternatively, use the ‘Select Days’ or ‘Select any’

tools to specify the analysis period (see Section 5.9
Selecting the Analysis Period).

Note also that the analysis is sensitive to periods of
inactivity when the MotionWatch has not been worn.

Having selected the analysis period, the analysis window
will be displayed. Select ‘NPCRA’ from the sidebar
functions.

MW8 & MotionWare User Guide: Issue 1.2.1 Page 43

7.4 Non­Parametric
Variables

The NPCRA window provides a table of resulting Non­Parametric variables with the following meanings:

IS (Interdaily Stability): quantifies the degree of regularity

in the Activity-Rest pattern with a range of 0 to 1 where a
value of 0 indicates a total lack of rhythm and a value of 1
indicates a perfectly stable rhythm.

IV (Intra-Daily Variability): quantifies the degree of

fragmentation of activity-rest periods. Typical healthy
subjects will show a single prolonged activity period and a
single prolonged rest period per 24 hour cycle. Certain
physiological conditions may lead to multiple short-length
periods of activity-rest within any 24 hour period. The
variable has a theoretical range of 0 to 2 with higher values
indicating higher fragmentation. Typical values for healthy
subjects will be below 1.

L5 (Least 5) Average: all days of data are overlaid and

averaged in 24-hour periods. The L5 average provides the
average activity level for the sequence of the least five
active hours. This value provides an indication of how
restful (inactive) and regular the sleep periods are.

L5 Start Hour: Indicates the onset of the L5 sequence and

provides an indication of the phase of the most restful
hours.

M10 (Most 10) Average: all days of data are overlaid and

averaged in 24-hour periods. The M10 average provides
the average activity level for the sequence of the highest
(most) ten active hours. This value provides an indication
of how active and regular the wake periods are.

MW8 & MotionWare User Guide: Issue 1.2.1 Page 44

M10 Start Hour: Indicates the onset of the M10 sequence

and provides an indication of the phase of the most active
hours.

RA (Relative Amplitude): First we calculate the Amplitude

(AMP) which is the difference between the average activity
level in the M10 and that in the L5 periods. To remove
sensitivity to overall activity level, we then calculate the RA
by dividing the AMP by the sum of the L5 and M10. The
variable has a theoretical range of 0 to 1 with higher values
indicating a rhythm with higher amplitude.

7.5 Exporting
NPCRA
Analysis
Results

The ‘Copy Statistics’ button will allow you to transfer the
overall statistics easily into a spreadsheet program or
similar. Simply click the button, transfer to a spreadsheet
window on your computer, and use the normal Windows
paste function to create a table of your results.

7.6 Printing
NPCRA
Analysis
Results

Click on the ‘Print Preview’ button to preview the report
and click on the ‘Print’ button to send the report to the

printer.

7.7 Save NPCRA
Analysis
Period

Click on the ‘Save Period’ button to save the selected

analysis. Long periods are not highlighted in the
MotionWise window as they would hide shorter periods

and become confusing. Instead use the ‘Longer periods’

menu from the MotionWise window to select any saved
periods greater than 24 hours.

MW8 & MotionWare User Guide: Issue 1.2.1 Page 45

8 24 Hour Average Plot

8.1 Select Data for
Analysis

From the MotionWise window, use the ‘select days’ option
to choose a range of days or use the ‘select all’ option to

analyze all days. The analysis window will open
automatically; if not already selected, select ‘24h Average’
from the analysis functions side bar. A screen similar to
that shown below will be displayed.

Smoothing Period

The smoothing period allows a time constant to be applied
to the plotted data which is useful when analyzing for
trends. The period may be selected between no smoothing
and 60 minutes.

Daytime Period

It is possible to specify the start and end of the daytime
period to be used for the analysis. This will affect the
daytime and nighttime average values accordingly.

Activity Average

The data per epoch for each day are day totalized and
averaged over the number of days in the analysis. The
average activity in the daytime and nighttime periods are
then calculated and displayed. Note MW counts are
MotionWatch counts.

Day/Night Average Ratio

This is the daytime activity average / nighttime activity
average.

Fitted Cosine Peak

A cosine is fitted to the averaged data and the time of day
where the cosine peak occurs is displayed.

MW8 & MotionWare User Guide: Issue 1.2.1 Page 46

9 Nap Analysis

9.1 Overview

The Nap analysis function allows detection of periods of
inactivity that could be attributed to daytime napping or
micro-sleeps. The function provides user adjustable
parameters for duration and threshold to detect the
potential naps.

9.2 Select Data for
Analysis

From the MotionWise window, use the ‘select any’ option

to a period of data to analyze – this will typically be during
the normal active daytime period. The analysis window will
open automatically; if not already selected, select

‘Napping’ from the analysis functions side bar. A screen

similar to that shown below will be displayed.

9.3 Select Nap
Activity
Threshold

The ‘Napping activity level (/epoch)’ is used to set the

activity threshold for nap detection. The activity level in
every epoch within the specified period must be less than
or equal to the entered value for the period to be scored as
a nap. For example, if the threshold is set to 10, the period
will be scored as a nap if every epoch <=10 counts.
Change the threshold value by typing the number of
counts.

9.4 Select Min Nap
Length

Set the minimum period of inactivity required to be scored
as a nap. The value should be typed in the format
hh:mm:ss. Periods shorter than the selected value will not
be scored as a nap period.

MW8 & MotionWare User Guide: Issue 1.2.1 Page 47

9.5 Select Max Nap
Length

Set the maximum period of inactivity required to be scored
as a nap. The value should be typed in the format
hh:mm:ss. Periods longer than the selected value will not
be scored as a nap period.

9.6 Analysis
Results

The analysis window will show the number of potential
naps detected. The analysis graph will display the potential
nap periods as green highlighted areas.

9.7 Export Nap
Periods

To export the nap analysis details, click on the ‘Export Nap

periods’ button. The nap analysis details will be copied to

the clipboard which may then be pasted into Excel or
similar for further analysis.

MW8 & MotionWare User Guide: Issue 1.2.1 Page 48

10 Day Activity Analysis

10.1 Overview

The day activity analysis function provides an overview
and summary of the activity levels of the wearer during the
daytime. It is intended to assist in monitoring of the amount
of time spent active on a daily or weekly basis, and the
approximate intensity of that activity.

To use the Day Analysis function, single click to select a
recording from the recent files list and then click the “Day
Activity Analysis” button.

10.2 Day Analysis

Once the recording has been opened with the daytime
analysis function, the Day Analysis window will show as
below. It allows you to step through every day of the
recording and see the highlighted activity periods and daily
summary data.

MW8 & MotionWare User Guide: Issue 1.2.1 Page 49

Selecting Days

To select which day of the recording to view, note the
sequence of small day graphs across the top of the Day
Analysis window. You can click on any of these to view
that day in more detail below. You can also scroll this
selection to view more days later in the recording. Days
which contain some moderate or vigorous activity are
highlighted with the “M” or “V” stamp respectively on the
quick selection view.

In addition, the left and right arrows to the right of the day
calendar, as well as the directional keys on the keyboard
can be used to step through all days of the recording.

Highlighted Activity Graph

The main activity graph in the Day Analysis window
highlights periods of constant activity – those where higher
levels of movement are maintained for 10 minutes or more.
You can control whether moderate and vigorous periods
are highlighted in this way using the View menu of this
window.

Summary Activity

Below the main activity graph, a bar chart summarises the
amount of time spent in constant activities of vigorous,
moderate or low intensity alongside sedentary time. The
table of results below this includes both the constant totals
drawn in the bar chart and highlighted on the activity graph
(where only 10 minute or greater periods are counted), and
the total times in each category (where every epoch is
counted).

Definition of Results

The following tables describe the criteria used when
categorising time expenditure:

Vigorous Activity
Time

The total amount of time when
the activity count exceeds the
‘Vigorous’ calibration threshold.

Moderate Activity
Time

The total amount of time when
the activity count is greater than

or equal to the ‘Moderate’

calibration threshold and is less
than ‘Vigorous’ threshold.

Low Activity Time

The total amount of time when
the activity count is greater than

or equal to the ‘Sedentary’

calibration threshold and is less
than ‘Moderate’ threshold.

Sedentary Activity
Time

The total amount of time when
the activity count is greater than
zero and is less than the
‘Sedentary’ threshold.

MW8 & MotionWare User Guide: Issue 1.2.1 Page 50

Empty Time

The total amount of time when
the recording did not take place
– such as at the start or end of
the recording (for example the
difference between 00:00 and
the start time or the end time and
24:00).

Non-zero Time

Any data within the recording
with a count value above zero.

Zero Time

Any data within the recording
with a count value of zero.

If the ‘Show Only Continuous Activity’ option is checked
under the ‘View’ menu, ‘Vigorous Activity Time’ and
‘Moderate Activity Time’ are replaced with:

Continuous Vig.
Activity

As ‘Vigorous Activity Time’, but

only when the amount of time is
10 minutes or more.

Continuous Mod.
Activity

As ‘Moderate Activity Time’,

but only when the amount of
time is 10 minutes or more.

10.3 Set Calibration

It is possible to set the calibration for the intensity of
activity used in classification. This can be done by clicking
the Tools menu on the Day Summary and selecting the
“Set Calibration” function.

The analysis function uses a calibration to derive reference
thresholds for vigorous, moderate, low and sedentary
activity types. These values differ from patient-to-patient
depending on their capabilities, so it is desirable to perform
a calibration for each patient or recording (where
applicable).

The best way to calibrate a recording is to arrange for the
patient to perform a brisk walk (3-4 mph) for at least 5
minutes. This should take place at the start, or at the end
of a recording to ensure that it is easily identifiable when
selecting it in the calibration window [1].
The calibration period can be selected by either clicking
the highlighted period in the activity graph [2], or by
selecting a reported period in the detected periods list [3].
The selected period will use an average of the activity
counts found within the period to produce the moderate
threshold. This value will also be used to derive the
vigorous and sedentary thresholds. The low threshold
accounts for any values found between the sedentary and
moderate thresholds.

The entire recording will be analysed to detect any bouts of

activity which are longer than 5 minutes and who’s activity

MW8 & MotionWare User Guide: Issue 1.2.1 Page 51

counts are within an acceptable range. These can be
selected as alternative calibration values but they may not
reflect the values of a brisk walk and should be used with
caution. Calibration periods can also be selected manually
by dragging the mouse cursor over a period on the activity
graph, or by entering fixed values in the thresholds fields

[4].

[1] Calibration Window

[2] Detected Calibration Period

[3] Detected Calibration List

[4] Threshold Fields

MW8 & MotionWare User Guide: Issue 1.2.1 Page 52

Definition

Physical activity includes everyday activity such as walking and cycling to get
from A to B, work-related activity, housework, DIY and gardening. It also
includes recreational activities such as working out in a gym, dancing, or
playing active games, as well as organised and competitive sport. (See the

Chief Medical Officers' [CMOs'] report.)

National recommendations

The CMOs' current recommendations for physical activity (see UK physical

activity guidelines) state that:

 All adults aged 19 years and over should aim to be active daily.
 Over a week, this should add up to at least 150 minutes (2.5 hours) of

moderate intensity1 physical activity in bouts of 10 minutes or more.

 Alternatively, comparable benefits can be achieved through 75 minutes of

vigorous intensity2 activity spread across the week or combinations of
moderate and vigorous intensity activity.

 All adults should also undertake physical activity to improve muscle strength

on at least 2 days a week.

 They should minimise the amount of time spent being sedentary (sitting) for

extended periods.

 Older adults (65 years and over) who are at risk of falls should incorporate

physical activity to improve balance and coordination on at least 2 days a
week.

 Individual physical and mental capabilities should be considered when

interpreting the guidelines, but the key issue is that some activity is better
than no activity.

1 Moderate-intensity physical activity leads to faster breathing, increased heart

rate and feeling warmer. Moderate-intensity physical activity could include
walking at 3–4 mph, and household tasks such as vacuum cleaning or
mowing the lawn.

2 Vigorous-intensity physical activity leads to very hard breathing, shortness of

breath, rapid heartbeat and should leave a person unable to maintain a
conversation comfortably. Vigorous-intensity activity could include running at
6–8 mph, cycling at 12–14 mph or swimming slow crawl (50 yards per
minute).

NICE Public Health Guidance 44, 2013

MW8 & MotionWare User Guide: Issue 1.2.1 Page 53

10.4 Weekly
Summary

The Weekly Summary window can be opened through the
Tools menu of the Day Analysis window. It shows a graph
of the wearer’s activity levels over a single week at once:

Selecting a Week

The available weeks can be scrolled through in the first
graphic of the Weekly Summary window. Use the scroll bar
at the right to move through the weeks and click on the
one of interest. Alternatively, you can scroll through the
weeks using the up and down arrows to the right of the
week calendar, or by using the directional keys on the
keyboard.

Note that using the Options menu, the weeks can be
chosen to begin either on Monday (Calendar Week), or on
the first day of the recording (Consecutive Week).

Weekly Summary Graph

The main graph in the Weekly Summary window shows
the time spent in different constant intensity levels on each

MW8 & MotionWare User Guide: Issue 1.2.1 Page 54

day of the selected week. You can see both how the time
each day compares to the target time illustrated by the
black line, and how it varies across the week. For instance,
the graphic above clearly shows that whilst the target for
moderate activity was missed during most of the week, the
wearer was then very active on Saturday. The View menu
can be used to turn on and off the highlighting of Low,
Medium and Vigorous levels.

Weekly Summary Totals

Below the summary graph, a bar chart illustrates the total
amounts of time spent in each of Vigorous, Moderate and
Low activity, and Sedentary time. Along with the graph
above, this will be updated as the weeks of the recording
are stepped through. The bar graph also shows the target
black line, controlled by the weekly exercise target figure
below it.

MW8 & MotionWare User Guide: Issue 1.2.1 Page 55

10.5 Totals &
Averages

The Totals & Averages window can be opened through the
Tools menu of the Day Analysis window. This window is
designed to illustrate the variation of activity over the full
length of the recording. The upper graph shows the
changes between weeks, and the lower graph shows the
average variation within weeks.

Weekly Totals

The upper graph of the Totals & Averages window shows
the total time spent in different activity bands over the
weeks of the recording. In the example shown, the
recording spanned over 6 weeks and showed relatively
steady levels apart from an increase in week 4 and a lower
total in week 6. It is easy to see both the absolute level
versus the target black line (set at the bottom of the
window), and the variation between weeks.

Day of Week Averages

The lower graph of the Totals & Averages window is
produced by averaging each weekday across all weeks of

MW8 & MotionWare User Guide: Issue 1.2.1 Page 56

the recording. This shows up any variation caused by
weekly patterns of behaviour. In the example shown the
wearer is clearly far more active on Saturday than on an
average weekday, but there is more variation within those
also.

Note that both graphs can be affected by the View and
Options menus. The View menu controls whether
highlights are shown for each of the intensity levels. The
Options menu controls whether the discrete weeks are
considered to always start on a Monday (Calendar Week),
or on the first day of the recording (Consecutive Week).

MW8 & MotionWare User Guide: Issue 1.2.1 Page 57

11 Cloud Data Management (CDM)

11.1 Overview

Our CDM system allows you to securely manage
recordings from multiple sites. It is available as an
additional service which you may add to your account at
any time. Please contact us to find out more information.

The system uses a HQ and Branch model, where the
Branch site(s) will upload their data to our cloud server,
and the HQ site(s) will download the data from our cloud
server.

All data is encrypted using the encryption keys created at
your HQ management site, and is completely secure when
distributed from Branch to Cloud to HQ.

Note: CamNtech has no access to your raw data or
encryption keys at any time.

11.2 HQ /
Management
Site Computer
Configuration

To set up your software as a HQ site, click the HQ
Manager button on the main window to open the HQ

window as shown below.

Create Encryption Keys

Before any data is transferred over the internet, it must be
encrypted with keys specific to your project. This function
will allow you to create and store those keys. Click on the

MW8 & MotionWare User Guide: Issue 1.2.1 Page 58

HQ Configuration menu and click the Manage
Encryption Keys menu item.

Before any branch can be configured, you must click on
the link to Create New Encryption Keys. Do this now.

When prompted, you should create backup copies of the
encryption keys to keep in order to prevent loss of data. If
you lose the encryption keys, you will lose access to all of
your data encrypted with them. CamNtech will not be able
to help you read your encrypted data – we do not have
copies of your keys.

Close the Encryption Keys window after creating your new
keys.

Enter Login Information

You will have been provided with your HQ login
information by CamNtech as part of your purchase. To use
this, first click on HQ Configuration  Login
Information.

MW8 & MotionWare User Guide: Issue 1.2.1 Page 59

Enter all of the fields and click on the Save button. This will
allow the software to connect to the data server as
necessary.

Sync Folder

You must also select a folder for the software to store data
on the HQ computer. Click on HQ Configuration  Set
Local Sync Folder in the menu to do so. This folder will
contain all data transferred from the branch sites.

After configuring all of the items above, you may click on
Sync  Sync Now. This should produce no new data in
the list, but no error messages either. This is because
there is no data available yet on the server. Your HQ
system is now configured.

11.3 Syncing with
Cloud

To sync with the Cloud, click the Sync Now menu item in
the Sync menu.

New recordings will be downloaded and decrypted, with a
corresponding entry added to the recordings list as shown
below:

MW8 & MotionWare User Guide: Issue 1.2.1 Page 60

These recordings can be opened by selecting them in the
recordings list and clicking the Sleep Analysis / Day
Analysis options.

11.4 Branch
Configuration
File

A configuration file is used to automatically configure your
branch computer(s) to sync recordings with the cloud. The
configuration file is created by your HQ site computer and
contains information such as login details and public
encryption key.

Note: a single configuration file can be used on more than
one computer per site but we would recommend using one
configuration file per geographical location.

To create a new configuration file, click the Branch
Configuration menu found on the HQ Manager window,
and the click the Create New Configuration File menu
item. The following window will be shown:

MW8 & MotionWare User Guide: Issue 1.2.1 Page 61

Overview of fields:
Site Name: provide a name for the site which the

configuration file will be used on.
Site Code: provide a site code used to identify the site’s

recordings when data is synchronised with the HQ site.
Recordings Folder Location: this is location of the

Recordings Folder Name (see below) on the branch
computer where the encrypted recordings will be stored
after they have been downloaded from a MotionWatch.

Recordings Folder Name: this is the name of the folder
inside the Recordings Folder Location where the encrypted
recordings will be stored after they have been downloaded
from a MotionWatch.

Destination File Preview: shows the combined
Recordings Folder Location and Recordings Folder Name
and the folder structure within it.

Configuration File Name (without extension): provide a
file name for the configuration file without an extension.

Configuration File Save Folder: click the Browse… link
to specify a folder to save the configuration file to.

After providing the necessary information, click the Save
button to save the configuration file and create the branch
account on the cloud server.

MW8 & MotionWare User Guide: Issue 1.2.1 Page 62

At this stage, you should transfer the configuration file to
your branch site(s) using your own delivery method (such
as secure email).

11.5 Branch Site
Computer
Configuration

Ensure you have created a configuration file as discussed
in section 11.4.

Loading a Configuration File

Open the Cloud Data Configuration window from the
main window (Menu  Cloud Data Configuration).

MW8 & MotionWare User Guide: Issue 1.2.1 Page 63

To load a configuration file, click the Browse… button and
select your configuration file using the file selection
dialogue.

The configuration information will be loaded and a
configuration file and login check will be performed. A
green tick will be shown next to the Configuration File
field and one will be shown next to the Login Check field if
these checks succeed.

Auto-Upload

The Auto-Upload feature automatically uploads new
recordings to the cloud immediately after they have been
downloaded from a MotionWatch.

To turn the feature on or off, click the On/Off buttons.

Clear Settings

To clear the currently loaded configuration information,
click the Clear Settings button at the bottom of the
window.

11.6 Synchronising
Recordings
with the Cloud

If you are using the Auto-Upload feature, recordings will
automatically be uploaded to the cloud after they have
been downloaded from a MotionWatch.

MW8 & MotionWare User Guide: Issue 1.2.1 Page 64

If previously downloaded recordings were not uploaded
(such as loss of Internet connection), you can manually
sync them by clicking the Sync Now button on the
Settings menu (Main Window  Menu  Sync Now).

The sync indicator will show on the Main Menu:

Clicking this indicator will open the Sync Status window:

MW8 & MotionWare User Guide: Issue 1.2.1 Page 65

Appendix A - Maintenance and Utilities

A1 - The Utilities
Tab

The MotionWatch manager has an additional tab called

‘Utilities’, click on this tab to display a window similar to the

following:

This screen shows some technical information about the
MotionWatch:

 Bootloader Ver: This is the version number of part

of the embedded operating software that allows the
MW8 to be updated remotely.

 Firmware Ver: This is the version number of the

main operating software for the MW8.

 Serial Number: The watch serial number
 Battery voltage: Typically this will show a value

above 3.0V for a new battery and will decline
gradually over the usage period.

 Reset Count: Used as debug information – the

number of unexpected reset events.

 Run Time: amount of run time since last battery

change – should reset to zero when a new battery
is fitted.

 Battery Fitted Date: the date that the watch

battery was fitted.

MW8 & MotionWare User Guide: Issue 1.2.1 Page 66

A2 - Firmware
Update

The MotionWatch has the ability to be re-programmed
when new features become available. It is always
recommended that the most up-to-date firmware and PC
software are used to avoid possible conflicts and data loss.
To check for an update, select the ‘Utilities’ tab then click
on the ‘Check for Update’ button. The software will provide
a confirmation if an update is available for the
MotionWatch.

To update the firmware, ensure that the MotionWatch is
connected and then click on the ‘Update Firmware’ Button.
Take note of the warning message and click OK if you
wish to proceed.

IMPORTANT: All data and settings will be destroyed by

the firmware update process. Please ensure that any data
has been downloaded before commencing.

WARNING! Do not interrupt the firmware update process –

doing so may damage the MotionWatch which will then
require factory re-programming.
A progress bar will indicate the update progress (this will
take a few seconds).
The MotionWatch will then automatically disconnect, apply
the firmware, then re-connect. The MotionWatch Manager
window will be temporarily closed during this period and
will automatically re-load and show a verification message
upon completion.

Depending upon the type of update, it may be necessary
to manually re-set the MotionWatch. If the MotionWatch
Manager does not re-load automatically, disconnect the
Watch, remove the battery for at least 1 minute, re-fit and
re-connect the USB. The verification message should then
be shown.

A3 - Shutdown
Options

The MotionWatch has a low power shutdown function
which will help maximise the life of the battery. In the
utilities windows, there are two options as follows:

 Auto Shutdown After Download: this option

allows the MotionWatch to shutdown automatically
following download. Data in the watch will NOT be
lost but the watch will stop recording. When not
selected, the MotionWatch will continue to record
until its memory is full and then shutdown.

 Shutdown Watch: Allows the watch to be

shutdown manually. Click this button to ensure the
watch will be shut down when disconnected from
the USB cable.

MW8 & MotionWare User Guide: Issue 1.2.1 Page 67

A4 - Test Watch

These functions are not required in normal use of the
MotionWatch. Do not use unless instructed to do so by a
CamNtech representative.

A5 - Changing the
Battery

The MotionWatch has been designed to facilitate quick
and simple battery changing.

 The change the battery, open the MW8 casing as

described in Section 1.1 An Overview of the
MotionWatch System to expose the USB
connection and battery.

 Do not connect the USB cable!

 Using a suitable tool, carefully push the battery out

from the holder towards the USB connector.

 Grasp the battery and withdraw it completely from

the holder.

 Wait at least 1 minute or press the marker button

3 times then place a fresh CR2032 battery into the

holder (ensuring correct orientation!) and push
back until fully home.

Note: Data will NOT be lost by removal of the battery.

Observe the LED on the front of the MotionWatch, the
correct start sequence is indicated as follows:

 LED stays on for 4 seconds.
 LED goes off for 8 to 12 seconds.
 LED flashes once.

MW8 & MotionWare User Guide: Issue 1.2.1 Page 68

This sequence is critical to the correct watch operation – if
the LED does not flash, remove the battery and repeat the
process.

The MotionWare software will automatically detect that a
new battery has been fitted and display a warning

message requesting confirmation. Select ‘Yes’ and the

software should display 100% in the battery life indication.
If the new battery is not detected it is possible to use the

‘new battery’ button in utilities. Note that there are two

levels of warning message. Do not use this option if a new
battery has NOT been fitted – the watch may stop
prematurely with no warning and the battery life indicator
will be incorrect.

A6 - Waterproof Seal

The MotionWatch relies upon a rubber O-ring seal around
the top face of the lower part of the casing. The seal
should be periodically checked to ensure that it is correctly
seated, clean and not damaged. (note that some silicone
grease residue will be apparent – do not remove this).
Periodically apply a small amount of silicone grease to
ensure the seal remains supple.

A7 - MotionWatch
Strap

The MotionWatch is supplied as standard with an extra­long moulded silicone watch strap. The strap is fitted with
two standard 12-14mm watch spring bars. These bars are
spring loaded to allow fitting and removal from the watch
casing (see photo).

To remove the Strap: Use a flat bladed tool to gently

depress one end of the spring bar by levering against the
side of the casing. Take care not to damage the
MotionWatch casing.

To Fit a Strap: Push the spring bar into the hole through

the strap then place one end of the spring bar into one
hole in the watch casing. Gently depress the exposed end
of the spring bar and then slide into the hole in the casing;
a positive ‘click’ will be heard.

MW8 & MotionWare User Guide: Issue 1.2.1 Page 69

Replacement straps and alternative straps are available
from CamNtech.

It is possible to use any standard watch strap with a 12 to
14mm shoulder with the MotionWatch.

A8 – Alternative
Mountings

The MotionWatch may be worn at locations on the body
other than the wrist. A range of elasticated straps is
available to allow location on the waist, ankle, thigh or
upper arm. There are also special straps for mounting on
the feet for use with PLMS analysis. These mountings
require the removal of the watch strap and the use of
special Velcro mounting tabs. These attach using the
same spring bars as the watch straps (see photos).

Fitted to Waist Strap with Adaptor

Velcro Mounting Tabs Fitted

MW8 & MotionWare User Guide: Issue 1.2.1 Page 70

Appendix B – FAQ & Troubleshooting

What does ‘No data integrity

check’ mean?

The data is protected by a security key which is generated when
the data is originally downloaded. Any changes to the data after
the download (e.g. data corruption, tampering, editing, daylight
saving adjustment) will result in the data integrity check failure. If
a deliberate change has been made, the warning can be safely
ignored. The original data can be restored if required following
any deliberate edit.

Will I lose my data if I fit a new
battery?

The MotionWatch uses non-volatile memory so any data stored
will not be lost if the battery is removed or replaced. Note that
the MotionWatch will automatically shut down when the battery
voltage is low to prevent erroneous data. Always try to download
data BEFORE fitting a new battery. If this fails, fit a new battery
and then download immediately to prevent data loss.

The MotionWatch is not
recognised or will not
communicate:

Ensure that the battery has sufficient charge. If the battery has
run down, the watch will not be recognised when attached to the
USB port. Disconnect from the USB and remove then
refit/replace the battery (see maintenance section for details of
battery changing). Wait at least 1 minute before re-fitting the

battery and observe the correct start-up sequence.

 Some types of Micro USB cable will not make a positive

connection – please use the cable supplied.

 Occasionally the cable connector may become damaged

or worn – try a new USB cable.

The software offers to update
the MotionWatch firmware –
what does this mean?

The MotionWatch Software is shipped with the latest device
operating firmware. If the software detects that any MotionWatch
has older firmware, it will inform you that an update is available.
It is recommended that firmware updates are applied to ensure
that you benefit any improvements to the device (see
maintenance section for details of battery changing).

What are the potential effects
of Electromagnetic
interference?

The MotionWatch system was designed to minimise the effects
of external EMI upon the device and to minimise the effect upon
the environment from the device. The system conforms to the
appropriate standards with respect to EMI performance (see
Appendix C5 - EMC Declaration and Guidance). In cases
where strong EMI does affect the MotionWatch, the device will
recover with no user intervention.

Can I change the Watch Strap?

Yes – see Appendix A7 - MotionWatch Strap above.

MW8 & MotionWare User Guide: Issue 1.2.1 Page 71

Appendix C – Safety & Environmental Information

C1 - Decontamination

 Devices used in the field must be considered to be

contaminated.

 Returned devices must be cleaned with alcohol wipes to

minimise any potential contamination. The operator
should use gloves to handle such devices before and
during de-contamination.

C2 - Battery

 The device is battery operated and operates at voltages

below 5V DC; there is hence no risk from electric shock.

 The battery is user replaceable (refer to Appendix A5 -

Changing the Battery).

 The battery is a standard Coin Cell type CR2032.

Always ensure that the battery used conforms to the
safety standard EN60086-4:2007.

 Battery is a swallowing hazard for small children –

do not leave small children unattended when the
device casing is open. Take care when handling and
disposing of coin cell battery.

C3 - Warnings –
General

 The MotionWatch is NOT defibrillation proof.

C4 - Disposal at End
of Life

Waste Electrical & Electronic Equipment (WEEE) The EU
requires, under the Waste Electrical and Electronic
Equipment Directive 2002/96/EC that manufacturers
and/or distributors of Electronic and/or Electrical
Equipment manage and pay for the collection and further
handling of WEEE products, as well as provide WEEE­related information to their customers. CamNtech has
taken the following approach to complying with this
Directive:

 CamNtech has registered with an approved producer

compliance scheme (PCS) in accordance with the
requirements of the WEEE Directive.

 CamNtech will provide free recycling for all of its WEEE

products when returned to CNT.

 CamNtech WEEE products will be designed with

recycling, reuse and waste management as a
consideration.

 CamNtech WEEE products will be labelled or stamped

with the WEEE marking in accordance with European
Standard EN 50419

MW8 & MotionWare User Guide: Issue 1.2.1 Page 72

C5 - EMC
Declaration and
Guidance

The following tables provide a declaration of compliance and
user guidance regarding Electromagnetic compatibility of the
MotionWatch system.

Electromagnetic Emissions

Guidance and Manufacturers Declaration –

Electromagnetic emissions

The MotionWatch is intended for use in the electromagnetic
environment specified below. The customer or the user of the
MotionWatch should assure that it is used in such an
environment.

Emissions
Tests

Compliance

Electromagnetic
environment ­guidance

RF
Emissions

CISPR 11

Group 1

The MotionWatch uses
RF energy only for its
internal function.
Therefore, its RF
emissions are very low
and are not likely to
cause any interference
in nearby electronic
equipment.

RF
Emissions

CISPR 11

Class B

The MotionWatch is
suitable for use in all
establishments,
including domestic
establishments and
those directly
connected to the public
low-voltage power
supply network that
supplies buildings used
for domestic purposes.

Harmonic
Emissions

EN61000-3­2

Not

Applicable

Voltage
Fluctuations
/ flicker
emissions

EN61000-3­3

Not

Applicable

MW8 & MotionWare User Guide: Issue 1.2.1 Page 73

Electromagnetic Immunity

Guidance and Manufacturers Declaration – Electromagnetic Immunity

The MotionWatch is intended for use in the electromagnetic environment specified below.
The customer or the user of the MotionWatch should assure that it is used in such an
environment.

Immunity Test

IEC 60601 Test
Level

Compliance

Level

Electromagnetic
environment - guidance

Electrostatic
Discharge (ESD)

IEC 61000-4-2

+/-6kV Contact

+/-8kV Air

+/-6kV
Contact

N/A (#1)

Floors should be wood,
concrete or ceramic tile. If
floors are covered with
synthetic material. The
relative humidity should be
at least 30%.

Electrical Fast
Transient/burst

IEC 61000-4-4

+/-2kV for
power supply
lines

+/-1kV for
input/output
lines

+/-2kV for
power supply
lines

+/-1kV for
input/output
lines

Mains power quality should
be that of a typical
commercial or hospital
environment.

Surge
IEC 61000-4-5

+/-1kV
differential
mode

+/-1kV common
mode

N/T (#2)

N/T (#2)

Voltage dips, short
interruptions and
voltage variations on
power supply input
lines

IEC 61000-4-11

<5% UT
(>95% dip in

UT) for 0.5

cycle.
40% UT

(60% dip in UT)
for 5 cycles.

70% UT
(30% dip in UT)
for 25 cycles.

5% UT
(95% dip in UT)
for 5 seconds.

N/T (#2)

N/T (#2)

N/T (#2)

N/T (#2)

Power frequency
50/60Hz magnetic
field

IEC 61000-4-8

3 A/m

3 A/m

Power frequency magnetic
fields should be at levels
characteristic of a typical
location in a typical
commercial or hospital
environment.

NOTE - UT is the a.c. mains voltage prior to application of the test level.

#1: Test not applied because contact discharge could be applied to all

points.

#2: Not tested because the 2 operating modes where essential operation is
important do not have a mains connection.

MW8 & MotionWare User Guide: Issue 1.2.1 Page 74

C6 - Applicable
Standards:

The appropriate clauses of the following standards have been used as
a means of demonstrating compliance.

Standard

Description

EN60601-1:2006

Medical electrical equipment – Part 1: General requirements for
basic safety and essential performance.

EN60601-1-2:2007

Medical electrical equipment – Part 1-2: Collateral standard:
Electromagnetic compatibility – Requirements and tests.

See Appendix C for declaration and guidance

EN60601-1-11:2010

Medical electrical equipment – Part 1-11: Collateral standard:
Requirements for medical electrical equipment and medical
electrical systems used in the home healthcare environment.

EN60601-1-6:2010

Medical electrical equipment – Part 1-11: Collateral standard:
Usability

EN62304:2006

Medical device software – Software life-cycle processes

MW8 & MotionWare User Guide: Issue 1.2.1 Page 75

Appendix D – Technical Specifications

Specifications

Functional Specifications

Size mm:

36(l) x 28.2(w) x 9.4(d) excluding strap

Weight:

9.1 grams (including battery, excluding strap)

Sensor:

Tri-axial, MEMs technology. 0.01g to 8g range, 3 – 11Hz

Battery:

CR2032 Lithium Coin Cell

Battery Life:

4 Months run time*; simple user change

Memory:

4Mbits non-volatile (120 days recording @ 1min epoch ­uncompressed)

Waterproof:

IPX7 - up to 1 hour at 1m (suitable for swimming)

Marker button:

Yes – with visual feedback

Epoch:

1, 2, 5, 15, 30, 60 seconds

Comms:

Direct USB, Plug & Play drivers, Micro USB cable.

Download:

All data in 50 seconds approx.

Strap:

Bespoke XL 12mm silicone (245mm overall length) or 12mm
nylon

Light Sensor

Type:

Digital – human eye response optimized.

Range:

Automatic ranging; 0 to 64000lux

Resolution:

0.25lux (0-1000 lux range)

1.00lux (1000-4000 lux range)

4.00lux (4000-16000 lux range)

16.0lux (16000 – 64000 lux range)

Sampling:

1 sample per second – averaged over epoch

*Applies to MotionWatch Mode, Tri-Axial Mode is 3 Months.

Operating & Storage Conditions

Complies with the requirements of EN60601-1-11:2010

Operating

Storage

Temperature

+5°C to + 40°C

-25°C to +70°C

Relative Humidity

0 to 93%

0 to 93%

Atmospheric Pressure

70kPa to 106kPa

70kPa to 106kPa

MW8 & MotionWare User Guide: Issue 1.2.1 Page 76

Accelerometer Processing

Raw acceleration measurements are processed by the on-board software of the
MotionWatch to produce a quantitative measure of the activity during each epoch.
This is a four stage process which is applied to the accelerometer data:

1. The channel perpendicular to the watch is separated and subjected to the
bandwidth filtering specified above (3-11Hz).

2. The peak acceleration (either positive or negative) during each second is
recorded.

3. This is compared to a minimum “not moving” threshold of approximately 0.1g.
Values below this threshold are ignored to simplify the final activity graph.

4. The result from each second is summed over the epoch and scaled to
produce a standard result in controlled jig testing. This value is then recorded
as the MotionWatch count for the epoch.

This process is illustrated in the diagram below, showing the acceleration waveform
over two epochs, each containing two seconds of data.

+35

+40

-25

-30

one second

First 2 second epoch

35 + 40 = 75

Second 2 second epoch

25 + 30 = 55

75 MW counts

55 MW counts

Sensitive in this

direction

MW8 & MotionWare User Guide: Issue 1.2.1 Page 77

Tri-Axial Mode Data Processing

This is similar to above except all three axes are utilized to form counts based upon a
peak vector magnitude.

1. The X, Y and Z axes are sampled with filtering at 3-11Hz.

2. The peak X2 + Y2 + Z2 value is found per second.

3. The square root of the sum of squares is calculated and added to the epoch
sum.

4. This is compared to a minimum “not moving” threshold of approximately 0.1g.
Values below this threshold are ignored to simplify the final activity graph.

5. The values are scaled to produce a ‘Tri-Axial count’ for the epoch.

The diagram below shows the X, Y, Z orientation relative to the watch casing:

MotionWatch XYZ axes: Tri-Axial mode

Z Axis

Y Axis

X Axis

MW8 & MotionWare User Guide: Issue 1.2.1 Page 78

Appendix E – Utilities

E1 – CSV Import
Utility

To allow import of data recorded with the Actiwatch Spectrum
or Actiwatch 2, a CSV import utility is provided. Three steps
are required to import the data:

1. Export the data in CSV format from the Actiware
Software.

2. Load the CSV into the utility and perform the
conversion.

3. Load the resulting AWD file into MotionWare.

Step 1 – Export the CSV

 In the Actiware Software, select new analysis and then

click the Actogram button to show the graph of the
required data.

 Next set up the Actiware report generation (you should

only need to do this once).

 From the tools menu, select ‘options’ and then click on

the export tab. Ensure that the ‘full header’ and ‘epoch-
by-epoch list’ options are checked.

 Now click the ‘data list’ tab and ensure that the ‘activity’

option is checked.

 Click OK to save and close the options window.
 From the main file menu, select the ‘export…’ option –

ignore the ‘reminder’ pop-up.

 You can now choose the file name and location and

then save the export data as a csv file.

Step 2 – Convert the CSV Data

 Run the CSV_Import utility from the MotionWare start

menu:

 Click on the ‘Load CSV file’ button.

MW8 & MotionWare User Guide: Issue 1.2.1 Page 79

 Browse to locate the CSV file saved in step 1 and click

‘Open’

 The user ID, Gender etc. from the exported CSV file

should be displayed.

 Confirm that the recording details are correct in the

display.

 If the details are not correct, the export may not be in

the correct format – please ensure the correct settings
were applied in Actiware for CSV export.

 Click ‘Save AWD’ to generate the output file.

Step 3 – Load the AWD File

 Use the MotionWare software to browse for the AWD

file created in step 2. (Note you will need to change the
‘file type’ to .AWD to see the files):

 Load the AWD file
 The data may now be analysed and re-saved as

required.

MW8 & MotionWare User Guide: Issue 1.2.1 Page 80

Document Revision History

Issue
From

Issue

To

Date

Description

Initiator

0.0

1.0

28/05/12

First draft Issue

HS

1.0

1.1

30/05/12

First Issue

HS

1.1

1.2

01/06/12

Added Utilities Tab information to section 8

HS

1.2

1.3

24/08/12

Added MotionWise view menu options + minor tweaks & additions

HS

1.3

1.4

10/10/12

Corrected MotionWatch counts mode

TE

1.4

1.5

07/01/13

Removed warning regarding use with pacemakers (section 10.5)

HS

1.5

1.0.12

06/03/13

Added 24 hour average graph, recent file management, csv import, moved
safety info to front, moved rev history to back, changed issue no to match
software.

HS

1.0.12

1.0.13

12/03/13

Added description of accelerometer processing, added details of auto-check
for updates, added details of strap fitting.

TE/HS

1.013

1.0.13a

19/04/13

Changed FW update details

HS

1.0.13a

1.0.13b

30/05/13

Added details of ‘Longer periods’ menu and saved period functionality

HS

1.0.13b

1.0.14

22/06/13

Added battery gauge details.

HS

1.0.14

1.0.19

23/09/13

Added battery life update button details and details for minor revs.

HS

1.0.19

1.0.20

22/11/13

Updated software registration section

HS

1.0.20

1.0.20a

04/12/13

Added Australian Sponsor Details

HS

1.0.20a

1.0.20b

10/12/13

Updated indications for use to align with FDA submission

HS

1.0.20b

1.0.22

14/01/14

Updated screenshots and added instructions for new View options and Editing
Data

TE

1.0.22

1.0.22a

31/01/14

Updated battery replacement procedure in section A5

HS

1.0.22a

1.0.27

24/04/14

Changed Battery Life, added section for nap analysis

HS

1.0.27

1.0.27a

25/06/14

Corrected battery gauge info, corrected sleep epoch r ecommendation

HS

1.0.27a

1.1.2

30/09/14

Added new reporting options and data compression details.

HS

1.1.2

1.1.5

22/10/14

Added Daytime Analysis section

TE

1.1.5

1.1.9

11/03/2015

Tweaked Day Analysis section, added updated screenshots and calibration i nfo

DW

1.1.9

1.1.15

28/05/15

Added Tri-mode, mounting locations + straps and misc. software revisions

HS

1.1.15

1.1.15a

07/07/15

Corrected email contact for E Van Someren in NPCRA section

HS

1.1.15a

1.1.20

17/11/15

Updated battery life info and battery fitted date to coincide with V1.1.20 SW

HS

1.1.20

1.1.21

13/01/16

Added ‘Definition of Result’ sub section which describes each day analysis

result in detail.

DW

1.1.21

1.1.25

29/06/16

Updated for V1.1.25 software and V03.20 firmware release

HS

1.1.25

1.1.25a

22/09/16

Added coin cell warning, updated accelerometer processing and CSV export
sections.

HS

1.1.25a

1.1.25b

01/11/16

Added join files, daylight saving and restore data instructions

HS

1.1.25b

1.1.39

07/02/17

Updated descriptions of Zero/Non-zero data.

DW

1.1.39

1.2.1

30/03/17

Updated Day Analysis section, added CDM section

DW