Stud o3™ User Manual
Contents
1. File System FTP Root Folder GenefateOrderResult SDC Advanced SDC 3 e Ingest Service HL7 Service File System Order Results x ml gt Corepoint a Order Results x ml HL7 Messages Published to the subscribed devices Figure 13 1 Component Interaction 46 stryker SDC Advanced Ingest Service This is an application that will run on Server 1 and will support receiv ing data from the SDC Ultra 7 0 and future SDC devices It supports an enhanced workflow that allows for the guaranteed delivery of data as well as enhanced encryption algorithms SDC Basic Ingest Service This is an application that will run on Server 1 and will support receiving data from the SDC Ultra 6 0 and SDC HD 3 0 24 devices It supports receiving data along with meta data that can be encrypted through file transfer DICOM Services This is an application that will run on Server 2 and will support receiving DICOM studies from DICOM modalities and PACS applications using the DICOM communication protocol It processes these DICOM images and creates viewable images It also parses the DICOM headers and creates patient and case metadata similar to mimic the information as is sent from the SDC devices It then uses the file transfer protocol to send this data to the SDC Basic Ingest Service similar to a SDC device DICOM Receiver Services This is a sub component of DICOM Services described ab2. Figure 7 3 Add Favorites Folder Dialog Box 27 stryker 7 2 Renaming a Folder To rename a Favorites folder Rename Favorites Folder 1 Select the folder from the navigation win dow Current Name fGv_1 Enter New Name 2 Click on the Rename button in the naviga op r sn i 3 Enter the new folder name in the Rename Favorites Folder dialog box that appears 4 Click on the Submit button The folder will be renamed Figure 7 4 Rename Favorites Folder Dialog Box 7 3 Deleting a Favorites Folder To delete a folder from the Favorites menu select it and click on the Delete button The folder will no longer appear in the Favorites navigation window Com Note Deleting a favorites folder also severs the links to any cases saved in it 7 4 Adding a Case to the Favorites To add a case to a Favorites folder perform the following Add to Favorites Share Case 1 Click on the Add to Favorites button on the top left corner of the Viewer 2 An Add to Case Favorites dialog box will open Add Case to Favorites Add to Existing Folder ma a New Favorites Folder 3 The case can be added to an existing folder by selecting it from the drop down menu or to a new folder by typing a name into the New Favor ites Folder dialog box 4 Click on the Save button Figure 7 6 Add Case to Favorites Window 28 7 5 Moving a Case in Favorites To mo
3. Documents and Settings O POWER 5 40UPGRADE CD A A A B CONFIGS INSTALL PDB PLUGINS SCRIPTS UTILITIES E CHANGELOG E E VERSIONS 4 0 E VERSIONS 4 1 Q Program Files WINDOWS media_services on europe Z EH poe EE FE A A Video Formats asf avi m2p m2t m2ts mov mp4 mpeg mpg wmv Image Formats bmp gif jpeg jpg png Document Formats doc doc pdf txt Figure 6 3 Import Media Explorer 26 stryker 7 Favorite Cases The Favorite Cases option allows you to create links for cases to a Favorites folder for quicker easier access The Favorites folders can be found in the navigation window on the left side of the page Favorite cases can be saved to any created fold ers but will be saved to the Default folder unless otherwise specified 7 1 Creating a Favorites Subfolder To create a new subfolder 1 Click on the Add button located in the navigation window 2 Enter the name of the folder in the Add Favorites Folder dialog box that opens 3 Click on the Submit button The folder will now appear in the navigation window Default fav_1 fav_2 fav_3 Default Figure 7 1 Favorite Cases Cases a All Cases X Favorite Cases Default fav_1 fav_2 Default Figure 7 2 Add Button Add Favorites Folder Folder Name
4. Figure 11 8 Deleting a Connection 42 stryker 12 Troubleshooting Videos are choppy End user s system keeps buffering the video e Network failure Clear browser cache e System is low on resources e Server is low on resources User cannot view an exported video s from Studio3 Possible Cause Workstation does not have the Codec software must be compatible with the exported for proper codec software installed mat or original format of the video The popular codecs are Windows Media Player and Quicktime Workstation cannot open Microsoft PowerPoint after export Possible Cause Microsoft PowerPoint is not in Workstation may require the file to be opened from the Mi stalled on the workstation crosoft PowerPoint application Execute this by navigating to File then clicking on Open Install Microsoft PowerPoint The screen flashes Login Failed The dongle is no longer mounted The server should be checked by running the command lsusb at the command prompt This command lists the devices that are inserted into the USB ports The operating system could have an Execute the following entry missing from the fstab file 1 Navigate to etc and open the fstab file with Vim Editor Ensure that the following line is present usbfs proc bus usb usbfs defaults 00 At the command prompt type the following command to start the Aladdin AKSUSB daemon service Sles service aksusbd start SDC devi
5. Figure 8 Creating a Presentation Create New Presentation Presentation Name Start Date mm dd yy p Description Figure 8 Create New Presentation Window RZE Note For more information on viewing presentations see Section 9 8 4 Exporting Files Files on the Draft Board can be exported much the same way a case can be exported The main dif ference between the two types of files is that those on the Draft Board have been anonymized Also when cases are exported all of the associated files within it are exported where files on the draft board must be individually selected before exporting 31 stryker Se To export files from the Draft Board b8c10e8d 47ee b8c10e8d 47ee b8c10e8d47ee 01 25 2011 01 25 2011 w 1 Select the files to be exported by checking i Sai the blue box directly below them 2 Click the Export button An Export win dow will open 3 Click the Browse button to select destina tion to export the file s to using the Save box 4 To export the file as a presentation check the box 5 Click on the Export button A status bar will indicate the export prog ress Destination folder changed 7 Once the file has finished exporting click Figure 8 Export Dialog Box the Close button 8 5 Removing Files To remove a few files from the Draft Board without clearing it click in the blue box directly below the file and then click on the Remove but
6. 13 6 Video Stitching Formats 13 6 1 Input Formats _ Format Resolution FrameRate Aspect Ratio BitRate Audio 13 6 2 Output Formats Format Resolution FrameRate AspectRatio BitRate Audio MPEGI 352x240 29 97 1250Kbps MPEGI Layer2 MPEG2 720x480 29 97 8Mbps MPEGI Layer2 MPEG2 1280x720 30Mbps MPEGI Layer2 50 stryker All input formats will be converted into the output formats depending on the resolution of the input videos The video with the smallest picture size defines the output resolution If the height of the smallest video is smaller than 480 output format 1 will be used MPEGI SD If the height is 480 output format 2 will be used MPEG2 SD If the height is 720 or larger then output format 3 will be used MPEG2 HD 51 stryker 14 Maintenance 14 1 Linking Cases to the Correct User The Studio3 system will have a built in administrative user that will have access to all cases within the system If there is no surgeon information available when a case is imported into Studio3 the case will automatically be assigned to the system administrator The administrator must then log in and move the case to the respective surgeon or user for it to appear in their projects list SZ Note You must have administrator access to move a case To move a case 1 Login with the Studio3 admin account studio3admin Enter the password that is associated with this user 2 Click t
7. M2T Program Stream M2P MPG Transport Stream M2T MOV Program Stream M2P MPG Transport Stream M2T MOV Program Stream M2P MPG Transport Stream M2T Program Stream M2P MPG Transport Stream M2T MOV Program Stream M2P MPG Transport Stream M2T MOV Program Stream M2P MPG Transport Stream M2T MOV Program Stream M2P MPG Transport Stream M2T MOV Program Stream M2P MPG Transport Stream M2T MPG M2P M2T 48 stryker Resolution Scan Preview Generating Cut Possible From With MPEG 2 1280x720 I P 16 9 Program Stream M2P MPG M2P M2T 422PQHL MPG Transport Stream M2T Windows Media WMV7 WMA any any WMV N A 9 9 2 no loss less no voice 10 no profes sional WMV8 WMA any any WMV N A 9 9 2 no loss less no voice 10 no profes sional WMV9 WMA any any WMV N A 9 9 2 no loss less no voice 10 no profes ce o H 264 264 AVC up to High profile all Levels 5 24Mbps AAC or PCM Audio Quicktime no extended pro file 2 24Mbps AAC Audio MP4 no ex tended profile 2 24Mbps AAC or PCM Audio MPEG 4 MPEG 4 SVC any I P any MP4 AVI MOV N A MP4 AAC or PCM Audio 49 stryker 13 4 Supported Graphic Formats e BMP PNG e JPEG incl CMYK colorspace e GIF 13 5 Supported Audio Formats e WAV e MP3 e MP2 e MPA e M4A e PCM e WMA e OGG e AIF
8. and pause The iPad and iPhone ap plications are for viewing purposes only Annotations cannot be made and images and clips cannot be cap tured i44 gt i Iu Figure 11 6 Case Viewer 11 5 Configuring Connections Multiple network connections can be configured for the iPad and iPhone applications however con nections can only be made when the devices have WiFi connectivity 11 5 1 Adding Editing and Deleting Network Connections To add or edit a network connection 1 Press the Settings button at the bottom of the screen This will open the Settings page 2 Enter a connection name in the first field Item 1 3 Enter the IP address for the connection in the second field Item 2 4 Add a user name for the connection in the third field Item 4 5 Enter a password for the connection in the final field Item 5 6 To have the computer automatically re member the password select the On posi tion for this feature Item 6 Otherwise Figure 11 7 Network Connection Screen set it to the Off position 7 Press the Done button to add the connec tion Item 3 8 To delete an existing setting from this screen press the Delete Connection button 41 stryker To delete a network connection from the main Settings screen 1 Press the Settings button This will open the Settings screen 2 Select a network connection and then press the Delete button that appears Settings
9. Case information will be displayed as an overlay for a few seconds upon opening a case It can also be viewed by clicking on the Case Information link in the top right corner of the Viewer Figure 5 2 Case Information Drop Down Location 13 stryker 1 Favorites n Share A 2 Abel Abraham Procedure ENDO Surgeon Admin User Facility Cardio db4941652222 Date 02 09 2011 14 36 18 Referrer Corey Cochran Department Endo M 10 01 1975 Details General Surgery Specialty ENDO Station Station 3 Case Informatior Figure 5 3 Case Information Overlay The overlay presents you with the following case specific information Date the procedure was performed the procedure was per formed To close the overlay click on the Case Information link again 5 1 2 Setting a Case Thumbnail Any still image in a case can be used as its thumbnail To set a new thumbnail 1 Select either the Images or Captures tab Images 1 2 of 2 Figure 5 4 Image and Capture Tab Locations 14 2 Select an image from the images shown It will appear in the Viewer and a button to set it as the case thumbnail will appear in the top right corner 3 Click on the Use as Case Thumbnail but ton 4 A dialog box will appear confirming that the case thumbnail has been changed Click the OK button 5 2 Contents Tab stryker x Case Information Y Use as Case Thumbnail Figure 5 5 Thumbnail Link
10. Stitch Videos Button 30 3 The Stitch Videos dialog box will ap pear Rearrange the videos if desired and then click on the Stitch button The videos will be combined and will appear as one video on the draft board The original files will also be removed from My Studio once the stitch is complete 8 3 Creating Presentations stryker Rearrange Videos Figure 8 4 Rearrange and Stitch Videos Videos and images placed in My Studio can be combined into presentations To create a presentation 1 Select the videos and or images from the Draft Board by selecting the blue box be low the respective files 2 Click on the Combine Into a Presenta tion button The Create New Presentation window will open 3 In the Create New Presentation Window enter a presentation name 4 Enter a start date or select one using the calendar lookup button 5 Enter a brief description 6 Click on the Save button The files will be combined into a single presen tation and can be viewed in the Presentations subfolder m b8c10e8d 47ee 01 25 2011 pont b8cl0e8d 47ee 01 25 2011 00 02 41 00 02 33 03 02 2011 03 02 2011 yg b5c10e8d 47ee z yg b8c10e8d 47ee 01 25 2011 01 25 2011 A b8c1 0e8d 47ee 01 25 2011 R b8c10e8d 47ee 01 25 2011 Mp b8c10e8d 47ee 01 25 2011 Selected Items 2 Videos 2 Pictures 0 Other Combine into a Presentation
11. The user interface will work on workstations with the following minimum specification Pentium 4 2Ghz and higher 2GB RAM 13 2 Components Overview The figure below shows the interaction between the core components in the Studio3 product DICOM Services o lt gt Accepts DICOM on Port 104 DICOM Receiver Services GORE a System ae i i DICOM Header CO rocessing Services gt BOSS temporary DIOCM file Image Variants FTPs Case details xml Image Variants File System FTP Root Folder PET BAS Role SDC Basic Ingest Service SDC Ultra 5 umi gt Case Case 1 AA N Y FileWatchers ULTRAG Folder Path to the case metadata file which can have lt videos MPEG1 MPEG2 MPEG HD SDC Ultra6 p p Case Case images JPG BITMAP PNG reports patient information 1 N Media Server HD Folder Register SA BA SK WebService 1 0 Path to the case metadata file l which can have T videos MPEG1 MPEG2 MPEG HD a alias be images JPG BITMAP PNG reports Ua e ad patient information ormat Patient Information Case Information and link to open case Studio3 Web Interface
12. 10 stryker 6 addBton Saved Searches Drop Down Menu Eu Date Range Filter Buttons 9 Custom Date Range Filter From this screen you can perform a specific search using record specific items such as the patients last name doctors name procedure type etc or a specific date range Results can also be filtered further using the same set of sorting tools that are available in a basic search such as by name procedure or date To perform an advanced search 1 Select search criteria from the Search Criteria drop down menu Item 4 in Figure 4 6 2 Enter a search term into the corresponding box Item 5 and click on the Add button Item 6 The information will appear in the Search Criteria window Item 3 You may continue to add further search criteria by repeating this step Com Note To refresh the search results for new criteria click the Search button each time new criteria is entered 3 To begin the search click on the Search button All of the cases containing any similar informa tion will be displayed in the lower portion of the window 4 To clear all of the criteria either click on the X button next to the specific criteria or click on the Clear All button located below the Search Criteria window To search using a custom date range either manually enter the dates in the Custom Date Range fields or use the Calendar Lookup buttons to navigate to the specific dates and select them Search result
13. Note carry special meanings and should be carefully reviewed Note Special information to make maintenance easier or important information more clear To avoid potential serious injury to the patient the user must adhere to the following warnings 2 1 Warnings Read this manual thoroughly and be familiar with its contents prior to using this software 2 Be qualified medical personnel having complete knowledge of the use of this software 2 2 Notes Video being streamed is not HD quality 2 Deleting a folder that has content such as a Favorites folder or Presentations folder will de lete all of the content contained within the folder 3 Editing videos in Studio3 such as clipping and capturing does not affect the original video Cases combined using the Combine into Presentation feature will be exported into a Microsoft PowerPoint file In order to view the presentation PowerPoint must be installed on the local machine 2 3 Product Symbol Definition DIGITAL IMAGE STORAGE DEVICE Indicates the device is intended as a digital storage device stryker 3 Anatomy of the Login Screen 3 1 Logging into Studio3 To log into Studio3 enter your user name and password into their respective fields Items 1 and 2 in Figure 3 1 and then click on the Login button Item 3 to enter the Studio3 application OFS a Note Passwords are case sensitive RS Note If Studio3 is setup to integrate with your Active Directory
14. a CASE aa E Od OG EEA AE EEE EEEE EE 37 Pr on iPad and iP DONE SOA aa arie 38 Thi Logging into Studios OW iP aM G ROWO AO Ai ai 38 11 2 Using the Application on iPad wasiak oko 39 113 Openinga COSC anr A EEEE E E EEEE 40 11 4 Using the Case Viewer in iPad and iPhone sseoesssosossssoocessooocssooocesooocessoocoesosoceessoosesssoseeoo 40 11 4 1 Opening Videos and ClipS sesessseocesssoceessoocesssoccesococessooccesssoseessoosesososesssoosesssosesssoses 41 11 5 Configuring Connections a EE A aS A did 41 11 5 1 Adding Editing and Deleting Network Connections cccsssssccsssssccssssscssssscesssens 41 12 TTI ZUJ Z 43 D RUNG M1 Ae CANCE VN aaa GZ Aaaa da O LA 45 131 Hardwareand PIANO ssscesceccccecsccssscecacecasssvinsvasesctustissesnustsaiadasies seseusvaasestinetaveasconderassveass 45 2 Components OVENNIEW sss cess ce csc risser rerien aE sion No EET rE r EE a is 46 13 3 SK MediaServer Supported Video Codecs and File Formats ooooosooooooooooooooooooo000000000000 48 13 4 Supported Graphic FOVIM AUS ssssscescisccssscsccssssesseccecessveseussscisnssavecetacsnsssecanssacedeseusosssacsuesstcnssses 50 13 5 Supported Audio Formats ssssescesscessvestecosescsesvececsvecevenscacssseacccesceasssdansestssicasicesrsscnestecetssssess 50 1 0 Video Stiching FOGG OOOO i kai 50 13 01 NPOTOMMAO pevcecs oss chvcrcecetecesccivsar csi vecessxcessevedcxenvcoscovscaverssntessasssssactiectscuctivesrsenvobess 50 102 OUDOLTA sureres enin r
15. be viewed on the Images tab Figure 5 17 Images Tab 19 stryker 5 2 2 1 Setting a Case Thumbnail Images appearing either on the Images or Cap tures tab can be set as the Case Thumbnail To do this select an image and then click on the Use as Case Thumbnail button in the upper right corner of the video viewer Figure 5 18 Use as Case Thumbnail Button 5 2 3 Clips Clips are snippets created from a video in Studio3 on the Videos tab Videos on this tab function in the same way as those on the Videos tab They are given all of the same functionality see Section 5 2 1 5 2 4 Captures Captures are still images taken from a video in the Studio3 application Just as with images you can select an image to view it A capture can also be used as a Case Thumbnail see Section 5 2 2 1 Figure 5 19 Captures Tab 5 2 5 Reports Reports are files that have been uploaded to a patient case using Studio3 They can include Word docu ments PDFs text files etc FZ Note Reports can only be deleted by a system administrator To upload a report Contents Related Cases 1 From the Reports tab in the viewer click fick PR OE on the Add File button The file uploader will run and the Import Media window will open ae Figure 5 20 Add Report File Button 20 From the left side of the Import Media window navigate to the location of the file to be uploaded Once the file has been locat
16. stores the case in the database of the Media Server system Transcoder This is an application that will run on Server 1 It is called by SK WebService 1 0 de scribed above and will encode videos received as part of cases from various sources to make the videos viewable from an end user application Studio3 Web Interface This is a web application that will run on Server 1 It is used by end users to view archived cases perform edit operations share cases etc 47 stryker 13 3 SK MediaServer Supported Video Codecs and File Formats Codec Resolution Aspect Preview Generating Cut Possible Ratio From With MPEG MPEG 1 352x240 System Stream MPG MPEG 2 MP 352x240 LL MPEG 2 MP 352x288 LL MPEG 2 MP 640x480 I P ML MPEG 2 MP 720x480 I P ML 720x480 MPEG 2 MP 704x480 I P ML MPEG 2 MP 720x576 I P 4 3 or 16 9 ML 4 3 or 16 9 MPEG 2 4 3 or 16 9 422P ML 4 3 or 16 9 MPEG 2 720x576 4 3 or 16 9 422P ML MPEG 2 MP 704x576 ML 1440x1080 MPEG 2 MP 1920x1080 HL MPEG 2 MP 1280x720 HL 1920x1080 4 3 or 16 9 MPEG 2 MP H 14 MPEG 2 422P HL Program Stream M2P MPG Transport Stream M2T MOV Program Stream M2P MPG Transport Stream M2T MOV Program Stream M2P MPG Transport Stream M2T MOV Program Stream M2P MPG Transport Stream M2T MOV Program Stream M2P MPG Transport Stream
17. system you can enter your Active Directory credentials Stud zo Stryker Communications Figure 3 1 Login Screen User Name Field Password Field Log In Button stryker 4 Using the Application 4 1 Home Page Overview The Asset Finder page is the home screen for the Studio3 application From this page you can view and filter cases as well as access your surgical cases available in your project Stud iO stryker Communicatiolis stryker Cases My Studio Sh ired Settings Log Cat 7 1088 lightsource 1088 lightsou 1088 lightsource 01 27 2011 01 27 2011 01 27 2011 01 27 2011 lightsource samples samples samples 1188 lightsource Abel Abraham Doe All Cases 01 27 2011 02 09 2011 02 15 2011 02 16 2011 lightsource ENDO Knee Scope Knee Arthorscopy Figure 4 1 Home Screen 6 8 Date Range Filter S 9 Sort Filter Ihe Home Page as shown in Figure 4 1 is how the program appears upon login and is comprised of ten main features as listed in the table Each of these features will be described in greater detail throughout the manual stryker 4 2 Sorting Tools Cases can be sorted using any of the sorting buttons located on the upper right corner of the Cases tab Cases can be filtered in the Asset Finder by specifying a date range anywhere from the curr
18. type b Date the procedure was per formed c Associated procedure details Silene Cases a All Cases x Faworite Cases Import Media Patient Infor mation ase Infor mation Name Procedure Date of Birth Date February 23 2014 PID Details Gender Male gt Optional Information User aamin User admin 2 Facility stryker Communications Specialty Department Referrer Station Figure 6 2 Import Media Window 4 Enter the following in the Optional Information area if desired The surgeons Speciality The surgery Department moans s The surgery Station The doctor who referred the patient Select a user from the User drop down menu The Facility field is automatically populated and is not editable 23 stryker 5 Onceall of the required information has been entered the Next button at the bottom right corner of the screen will be activated and turn blue Click on it to con tinue The second Import Media window will open Use Windows explorer on the left side of the window to navigate to the file to be imported Select the file s to be imported Click on the button with the set of right arrows 9 Click the Next button 10 Click on the Start Importing button The file s will be imported 11 Refresh your browser to show the new content Import Media Ej Se Local Disk C 57478eef6e9805baaa1931508651ebcc 0 CACHE Q dell
19. Document Current File README txt Status Finished Please refresh your browser window to show new content Cancel Figure 5 23 Close Import Media Window 21 stryker 5 3 Related Cases Tab If there are two or more cases connected for a ot same patient in the Studio3 application a Related za 1 m FA Cases tab will become available murat oust oaaao ure_ ure_ By mousing over a related case you can choose to open it in the current window or in a side by side view with the current open case If both cases have video associated with them the videos will begin to play automatically The side by side viewer has all of the same func tionality as the single viewer Note There is only one close but ton Closing out of the win dow will close both viewers Figure 5 25 Side by Side Viewer 5 4 Draft Board Images and videos can be dragged from anywhere in the Contents tab and dropped into the Draft Board This feature is described in greater detail in Section 8 5 5 Sharing a Case The Share Case option allows you to share a case with other medical personnel either internally or externally To share a case 1 Click on the Share Case button in the top Seen eer left corner of the Viewer Figure 5 26 Share Case Button 22 stryker 2 A Share Case dialog box will open From here select the tab to share either internally or externally Share Case Intern
20. E E E E 50 eE E E E EA E TA E E A ETE E i 52 14 1 Linking Cases to the Correct User ssesessooocsssooccsssoocessoocesscoccssooocesoooceesooocesosocessssosesssoseeso 52 14 2 Rebooting the Studio3 System ssawki 53 14 3 Shutting Down the Studio3 System ssesssssosssoosessocessocessooessoosesoocesoocesoosessoosesoocessscssssssssse 53 14 4 CHECKING System Storag asa GAGA WEG GAGA 54 14 5 Automatic Systein BACKUPS sicesssisssssscoccosscucesionsensssesusstecdesssennedessadsaescenenseessasseasexssaentasvennes 55 E E E A E NN 56 E A E ihe E E A E E E GA A E E 57 stryker 1 Indications for Use The intended use of Studio3 is to provide for the storage of surgical videos images and related docu ments and allow physicians the capability to search and retrieve these assets for viewing The Studio3 product is indicated for use with the Stryker Endoscopy SDC Stryker Digital Capture product line The users of the Studio3 product are surgeons who would like to access stored videos or images that were previously recorded Studio3 is compatible with SDC Ultra 6 0 and higher as well as SDC HD 1 1 System Requirements For all devices accessing Studio3 via a wireless connection to include iPhone iPad and laptops using WiFi the performance of the client application is reliant on the quality of the network connection stryker 2 General Information Please read this manual and follow its instructions carefully The words WARNING and
21. Export window will open Figure 5 29 Export Button 23 stryker 2 Select the destination to export the case to by clicking on the Browse button and then navigating to the desired location using the Save dialog box 3 To save the case in a Preview format or scaled down version thereby creating a smaller file size select the Preview op tion To export the file in its native and full size format select the Original op tion To export the case into a PowerPoint Presentation click the box 4 Click on the Export button The status bar will indicate the progress of the export 5 Once the file has been exported click on the Close button Destinati Video f Preview Original Export as Powerpoint presentation Destinati Er Video Preview o riginal m Export as Powerpoint presentation Figure 5 31 Exported Case 24 stryker 6 Importing Cases To import a case into Studio3 1 Click on the Import button located at the top of the Cases navigation bar The Import Media window will open REF Note All fields with a star next to them are re quired 2 Inthe Patient Information Area enter the following a The last and first name of the patient b The patients birth date The patients ID number PID Choose the patients gender from the Gender drop down menu a9 3 Enter the following in the Case Information Area a The procedure
22. Ihe Contents tab contains five subtabs Videos Images Clips Captures and Reports Each of these tabs and their functions are described in greater detail in the sections that follow 5 2 1 Videos Ihe Videos tab displays all videos that exist for the selected case If there is a video in a case it will begin playing once the case is opened To view a video manually click on it once It will begin playing in the Viewer Note If there is no video for the case the Images tab will open and the first image will be displayed 5 2 1 1 Using the Viewer Once a video has been selected it can be played paused Item 1 Figure 5 6 reversed Item 2 or fast forwarded Item 6 by using the playback buttons on the video scroll bar Clicking on the fast forward or rewind but ton moves the video forward or backward respectively at a fixed interval Clicking and holding down on the button moves the video forward or backward continuously The navigation handle Item 3 can also be moved forward or backward along the time line Item 4 to view a specific area of the video The length of the video Item 8 and the current time marker Item 7 are located to the right of the navigation controls 00 00 90 00 00 24 Figure 5 6 Video Playback Features Play Pause Button Reverse Button Navigation Handle 6 Fast Forward Button 8 VideoLength 15 stryker To adjust the volume of the video select the speaker ico
23. It is recommended to perform periodic checks to ensure these backups are being properly executed 5 stryker 15 Stryker Limited Warranty Stryker warrants that the Software will operate in substantial conformance with its then current Docu mentation for a period of ninety 90 days after the Software is installed by Stryker Stryker agrees to correct or replace at no charge any nonconformity of which it receives notice during the warranty period 56 16 Contact Information Contact Stryker Customer Service with questions or concerns Stryker Communications 1410 Lakeside Parkway 100 Flower Mound TX 75028 Toll Free 877 789 7100 1 972 410 7100 For international service locations refer to the Stryker website at the following URL www stryker com stryker af stryker Joint Replacements Trauma Extremities amp Deformities Craniomaxillofacial Spine Biologics Surgical Products Neuro amp ENT Interventional Spine Navigation Endoscopy Communications Imaging Patient Care amp Handing Equipment EMS Equipment Stryker Communications wal 1410 Lakeside Pkwy Flower Mound TX 75028 t 972 410 7100 www stryker com
24. Pre sentations page and will appear as a case on the Cases page Document 22 Feb 2011 Figure 9 1 Converting a Presentation to a Case 9 2 Creating a Presentations Folder Folders can be created and then used to store presentations 33 stryker To create a new folder 1 Click on the Add button in the navigation area of the My Studio tab 2 Enter a folder name in the Add Presenta tion Folder dialog box that appears 3 Click on the Submit button The new folder will appear at the top of the fold ers list 9 3 Movinga Presentation My Studio Draft Board Presentations January 2011 Figure 9 2 Add Presentation Folder Add Presentation Folder Folder Name Figure 9 3 Add Presentation Folder Window A case can be moved from the main Presentations window and into a subfolder by doing the following 1 Select a case by clicking on the blue box directly below it 2 Click on the Move button at the bottom of the page 3 A Move Presentation dialog box will ap pear From here select an existing folder to move the presentation into or create a new folder by entering a new folder name in the Move to New Folder field 4 Click on the Save button PI Document 22 Feb 2011 pres_1 28 Jan 2011 Figure 9 4 Move Presentation The presentation will be moved to the selected destination 34 stryker 9 4 Deleting a Presentation To de
25. Studio Files in My Studio are sent from the Viewer Page Figure 8 1 My Studio Button on Viewer Page l Caution Moving cases to the My Studio draft board strips out all patient and case information 8 1 Viewing Videos in My Studio Videos and images placed on the draft board can be viewed by single clicking on them They will open in a playback viewer with the capability to play pause reverse and fast forward The volume can be adjusted up or down The video can also enter full screen mode Unlike the main viewer there are no controls for editing or creating captures or clips 8 2 Stitching Videos Videos in My Studio can be combined or stitched together using the Stitch Videos feature WARNING This feature must not be used for diagnostic purposes as cases from two ore more different patient s can be stitched together To stitch two or more videos REP E Cases My Studio Shared 1 Select the videos by clicking on the blue box directly below them The boxes will change from blue to orange with a check mark Draft Board 12 Items e e 00 00 10 7 00 02 41 00 02 33 b8c10e8d 47ee 01 26 2011 03 02 2011 03 02 2011 01 25 2011 Figure 8 2 Selected Video Files 2 Click on the Stitch Videos button at the bottom of the page R b8c10e8d 47ee fp 8c 10e80 47ee mm b8c10e8d 47ee mm bSc10e8d 47ee 01 25 2011 01 25 2011 01 25 2011 01 25 2011 Figure 8 3
26. Studio3 User Manual Case Information Stryker Communications stryker Settings Log Out vw 008953618 00 00 04 00 00 48 00 00 49 12 00 PM 00 02 39 12 05 PM 00 01 42 12 08 PM 00 00 52 12 10 PM September 2011 P16044 REV C www stryker com Studio3 User Manual This manual contains confidential information that shall not be disclosed or duplicated for any reason other than to use STRYKER Studio3 This restriction does not limit the right to use information con tained in this manual if it is obtained from another source without restriction The information subject to this restriction is contained in all pages of this manual September 2011 Stryker Communications All Rights Reserved Information in this document is subject to change without notice Stryker and Stryker logo are registered trademarks of Stryker Studio3 is a registered trademark of Stryker All Rights Reserved Stryker Studio3 User Manual P16044 REV C Contents 1 dications WII EEE 1 1 System ReQuiremeN S sss iGO Eko 2 General Information c cccccccsccscsccsccscosceccscescescccscsscescescscsscecescscsscescessaceucenes DN LELIWA WA ENY 2 3 Product Symbol Definition scssssscssssscssssccssssccssssssssessees 3 Anatomy of the Login Screen soon owa 3 1 L gging into StUdiOZ nec ia dia 4 Using the Application e sssesssessseessseesseess
27. al Search User 3 To share a case internally Admin User fadmin a Either select a user from the menu or Bridget orig perform a search and select a user earlier per SimpleUser SimpleUser b You can also choose to share the case Stryker User airyher R a s Stryker User Stryker with a whole community by selecting Tedrik tedrick the Share with community option ry Share with community 4 To share a case externally a Click on the External tab b Enter the email address of the person you would like to share the case with Figure 5 27 Share Case Dialog Box c Enter a message if desired Rz Note The use of the external share feature requires that the recipient have network access to the Studio3 server either via VPN or the Studio3 system being made publicly available on the internet 5 Once all users have been selected click on the Share button Or to exit out without sharing the case press the ESC key 6 A dialog box will appear informing you if the share was successful Click on the OK button to close the box Share Case case succesfully shared Figure 5 28 Successful Shared Case Dialog Box 5 6 Exporting a Case When exporting a case from the viewer all of the files contained in the case are exported This includes images videos clips captures and notes To export a case 1 Click on the Export button in the top left Add to Favorites Ly Share Case corner of the Viewer The
28. ce unable to send a study to Studio3 Possible Cause No local area network LAN Execute the Ping command on the SDC to check for correct available Network failure IP settings Incorrect settings populated on SDC device 43 stryker End Users are unable to share a case with external users via email address Possible Cause SMTP server settings are con Check SMTP settings and configure correctly figured incorrectly No SMTP server is configured in Administration settings System will not allow users to log on to multiple systems with the same credentials The application is functioning as designed The software will only allow one user to log into the sys tem at one time The end user must end the session 44 stryker 13 Technical Specifications 13 1 Hardware and Platform The Studio3 system shall be a two server solution Server 1 shall contain the basic Media Asset Man agement system and Server 2 shall contain medical integration functionality which shall allow the Studio3 to integrate with PACS and EMR systems through DICOM and HL7 using HL7 v2 standard The servers shall run on hardware that is certified for the operating systems chosen Server 1 shall have the following specifications 1 Operating system SUSE SLES 11 2 Database IBM DB2 Express C Database e Relational DB and XML data server e Daily database backup service 3 Application Platform JBOSS Application Server e Core API e Ent
29. ed select it and then click on the button with the ar rows pointing to the right to designate it for upload Alternatively to remove a file select it from the right side of the screen and then click on the arrows pointing to the left To select more than one file repeat the process Once all files have been selected click on the Next button The next window displays the number of images videos and documents set for upload To continue click on the Start Im porting button The status bar will display the progress of the upload Once the files have been uploaded the Start Importing button will change to Close Click on the Close button to exit the Import Media screen Refresh the page to view the uploaded files stryker r Import Media EJ 6 Local Disk C C POWER README txt CACHE dell Documents and Settings POWER HO 40UPGRADE CONFIGS INSTALL PDB PLUGINS H SCRIPTS UTILITIES E CHANGELOG e E VERSIONS 4 0 i E VERSIONS 4 1 Program Files WINDOWS Document Formats doc docx pdf txt Figure 5 21 Import Media Window a Import Media You are about to import 0 Images 0 videos 1 Document Current File Status Idle Figure 5 22 Upload Media Window Import Media You are about to import 0 Images 0 videos 1
30. eesssensseesseesssesnseessseeseeesseenseenseeessersseesss 4 1 Home Page Overview cccsssssssscssssssccsssssssccsssssscsssssssssesees 2 2 SOWING OOS ena GAGA GSA 4 3 Changing Asset Finder View 0000000000000000000000000000000000000 4 3 1 Thumonall ViICW a A GROW 4 3 2 EISE WIOW R E OG GA AA Navigating CASES oco GEAR Gabi 4 5 Searching for a Case or Patient ccccccsssssccsssssccssssccssssscsees 4 5 1 BASIC SEE ac 4 5 2 Advanced Search awionik 4 5 3 SAVING Se Moaea A es 4 5 4 Accessing Saved Searches sesssssoosessoocesssocesssoocesssosessose gt Using the Case VICWEN scxsaisicscutintasunevizsietinusbieedavdusasiisaterasesndshostasausnionaieintinsseadbeeds SA OD SWING CASO iscriere 5 1 1 Viewing Case Information ssccssssssssssssccssssscsssseesees 5 1 2 Setting a Case Thumbnail cssssccsssssssccsssssccssssseceeeees S2 COMON VAD sa succescssveavesctssescvsisdeasccssecsivisinisvusrenivunantcisciniins 5 2 1 NIOCOS Aa Gad RGG ONCE GAGA GA 5 2 2 BND AG OS OEG O OEG 5 2 3 CDS zero OGR E E 5 2 4 Captures EE AEO GOPS 5 2 5 REDON ES aaa GOA GWO GRA 53 Related Cases TaD siscsssesssavessussasvesestsssiseesscecavesssisnccussssvcasessecetens stryker stryker SA VANE BONG esee neern o EEE EEEE EE EEE E 22 S9 DUAN NING A CAS ania ii EETA EEEN 22 ETE Aa a kE e cpa te E Soa cies ee ta AEE EA E I ATE E E E A T AT 25 R E E E E E I he A EEE AE N body A A E EE A E 27 7 1 Creatin
31. ent date past 7 days or past 30 days using the buttons on this filter You can Figure 4 2 Date Range Filter view all cases regardless of date by selecting the All filter button Search results can also be limited to a date range using the date range filter Cases can also be sorted in alphabetical order by patient name procedure type or date range starting with the Name Procedure most recent by selecting the respective buttons Figure 4 3 Sorting Options vee Note These sorting features are available on every page displaying cases throughout the program 4 3 Changing Asset Finder View The Asset Finder can toggle between two different views with thumbnail being the default A list view is also available To change the view click one of View buttons 4 3 1 Thumbnail View The thumbnail view of cases provides an image taken from the specific case and provides general case information including the patients last and first name the date the surgery was performed and the name of the procedure 01 25 2011 01 25 2011 Figure 4 4 Case Thumbnail View Thumbnail View Button Case Thumbnail 4 3 2 List View The detail view displays cases in a list format and provides the following information regarding the case Stryker Communications Cases My Studio Shared Saved Searches More Search options Abel Abraham Procedure ENDO S
32. erprise JavaBeans function library e Apache Tomcat incl web server Server 1 shall have the following components installed Basic SDC Integration Service Advanced SDC Integration Service Video Server Web client application based on HTML and Java Server pages Preview clips generator Transcoding Flash compatible MP4 w H 264 video User rights management internal or LDAP read only access Web services SOAP JSON for data exchange with other applications FTP services for file exchange with other applications 50 1 7 AE M Two level off configuration e System level Linux by xml files e User management functional level WEB GUI with administration rights Server 2 shall have the following specifications 1 Operating system Windows Server 2008 2 Database SQL Server 2008 Express e Relational database e Daily database backup service 3 Application Platform IIS 7 e NET Framework 4 0 e Windows Communication Foundation NET Remoting 45 stryker Server 2 shall have the following components installed 1 DICOM Services 2 HL7 Services The server based applications will run on the following minimum hardware specification 1 quad core processor 8GB RAM 2X10K SAS drives 72 GB each mirrored This is the minimum specification for the server and should be scaled as needed based on system load number of devices sending data to the system and number of users viewing data using the system
33. g a Favorites Subfolder ssesessseessocecsoocessoecssoccssoocesoocessoocssoocesoocessocessoosssoosessoseso 27 Fk E E A EIAN A AA NA AN ANAT 28 7 3 Deleting a Favorites Folder esssosesssocsesssoceessoocesscsocecssoocesscocesssoocessoocessssocesssoseesssosesssoses 28 EA Addinga Case to the Favorites GOA Oi diana ii 28 TD MovingaCase in Favorites GJACO A 29 7 6 REMOVING a Case from Favorites ssesesseeessoccesocccssocessoccssoocesoocessocessoocsssocesoocessoocssoosesooseso 29 T A ges Le z ONZ AA R OOOO 30 8 1 VIEWING Videos IN MY Studio yno do AGE GEO GG ada 30 32 OUEKIKG VIGEO0S aan O OOOO AES 30 63 GEARING Presentations aw GEO EG E AA OCZ 31 64 EXDONI GNIIES ao ana GG ONE GO OOO AAA aii 31 63 Removing FeS ao GZGK O OOO AGO 32 8 6 Clearing the Draft Board ss sz AA GG A O AGE Oi ada 32 MOORONE PNIU Gs GER RGG EGER Oi Oi acid 33 9 1 Converting a Presentation to a Case ccssscccsssssrcccsssssccssssssccscsssssccssssssssssssssssssssssessssees 33 9 2 Creating a Presentations Folder essseooesssocecssoocessooccessoocessooccesosocessooosessoocesssoosesssosesssoses 33 9 3 Moving a Presentation eessseooessseoesssoocesssocecssoocessooocesococessoocoesssoceesooosesssocesssoosesssosesssoses 34 DA DEIGUING a PECSCNUALION accord 35 9 5 Renaming and Deleting Presentation Folders ccsscccssssssscssssssccscssssscssssssscssssssessesees 35 E E CENE EC AA T TE 37 UAE CAS PON E 37 BOD Unsnalha
34. he Move link under the cases menu Figure 14 1 3 Perform a search for the case that needs to be moved using the search box under the Choose Cases to Move side of the screen Enter any relevant case data into the search term field such as the patient name proce dure type etc Figure 14 1 Move Link 4 Press Enter or click the Search button This will bring up a list of cases that match the search criteria Figure 14 2 Choose Cases to move Choose user admin Search Patient name Armman Amy Surgeon Jim Marucci Admin User admin am Procedure Hip Procedure date 09 14 2010 Patient name Armman Amy Surgeon Jon Arndt Procedure Test Procedure date 12 21 2007 Figure 14 2 Searching for Cases and Users 5 Perform a search for the user to move the case to using the Choose User search box 6 Select a case or cases from the left side of the screen Note The user must know enough information about the actual case so they can prop erly execute a search to locate and move The studio3admin user will still be able to see the case after it is moved 7 Select a user from the right side of the screen 8 Click the Move button 52 stryker 14 2 Rebooting the Studio3 System While accessing the Studio3 server press any key to wake the SUSE Linux Enterprise Server 11 operat ing system At the command prompt type the following command to properly shut down the
35. is not directly over the annotation or it will not open 18 2 This will open the annotation text box From here make any necessary edits 3 To save your changes click the Update button 4 To close without saving press the red X 5 To delete the annotation altogether click Figure 5 15 Update Annotation the Delete button 5 2 1 5 Storyboard The Storyboard feature shows where any and all annotations have been created in a video clip To open the Storyboard click on the Storyboard button in the bottom right corner of the Viewer This will open a thumbnail view of the locations of all annotations in the video As shown in Figure 5 16 three annotations were made to this video as evidenced by the video markers Item 3 These markers correspond to the thumbnails in the overlay Item 2 Up to five thumbnails will be visible at a time To view additional thumbnails mouse over the left or right arrows to scroll in the desired direction Annotation Overlay To go directly to the area of video where the an Video Clips Video Markers If the scroll handle is placed adjacent to or on top of an annotation maker the annotation will appear as an overlay at the top of the video Item 1 Figure 5 16 Storyboard notation appears click on the thumbnail To close the Storyboard click on the red X of the Storyboard overlay 5 2 2 Images Images are still pictures taken during a procedure and can
36. lete a presentation select it by clicking in the blue box directly below it Click on the Delete button The presentation will be deleted pres_1 28 Jan 2011 Figure 9 5 Delete Presentation 9 5 Renaming and Deleting Presentation Folders Presentation folders can be renamed or deleted To rename a folder 1 Select the folder Draft Board 2 Click on the Rename button in the naviga ea tion area January 2011 Figure 9 6 Rename Folder Button 3 Enter the new name in the Rename Pre sentation Dialog box that appears Rename Presentation Folder 4 Click on the Save button Current Name January 2011 The folder will be renamed a Figure 9 7 Rename Presentation Folder Window 35 stryker To delete a folder select it and then click on the My Studio Delete button Draft Board Presentations If a folder is deleted all pre o o o January 2011 sentations within it are also deleted Edit Presentations Folder Figure 9 8 Delete Folder Button 36 stryker 10 Sharing Cases Cases can be shared between doctors and a selected hospital community using the sharing feature The Shared tab displays the cases that have been shared with you by all users Stryker Communications Cases My Studio Shared Shared f Shared with Me M View Results 1 2 of 2 m By everybody manan e Cases I ve Shared ff Community Cases Gra Smi
37. n in the bottom right corner and move the slider up or down To set the video to a full screen display click on the Full Screen button in the bottom right corner of the Viewer The video will enter Full Screen mode To exit Full Screen mode press the ESC key 5 2 1 2 Creating a Clip 00 00 00 00 00 24 Storybo rd Figure 5 7 Volume and Full Screen Buttons Sound Control Full Screen Button The Clip feature is used to cut out a user specified section of a video which would then be saved to the Clips tab of the Viewer To create a clip 1 Click on the Clip button Add to Favorites Share Case Figure 5 8 Clip Button 2 This will open the Clip Video feature Drag the start Item 1 Figure 5 9 and end Item 2 handles on the video navigation bar to the respective beginning and endpoints for the area to be clipped CSF Note The Start and End handles cannot overlap 3 Click on the Clip Video button Item 3 4 The video will be clipped and will appear on the Clips tab Figure 5 9 Clip Handles Start Handle End Handle Clip Video Button 5 2 1 3 Creating a Capture The Capture feature is used to create a still image capture from a video To create a capture Click on the Capture Button 2 This will open the Capture feature Drag the navigation handle to the desired loca tion on the video scroll bar 3 Click the Add Capture button The still image will be
38. n select a patient case to open and EF AD view by pressing on it PORE eae video Test Training Video Alligator Grasper Training Video Ablation of Endometriosis 4 Jane Doe 2 Port Hystorectomy Tara Smith Date Jan 31 2011 All Cases Doe Knee Scope Jane Doe Knee Scope at We John Smith Knee Arthroscopy SDC test SDC Test wo Daffy Duck Knee Daffy Duck Knee BOARD STRYKER ACL RECONSTRUCTION Abraham Abel ENDO All Cases Doe Knee Arthorscopy w w w w w w w w w w w w w w w w w A AEX Tara Smith Date Feb 18 2011 11 4 Using the Case Viewer in iPad and iPhone 8 11 PM Once a case has been selected it will open in the m L Patient Information Screen w Graham Katie Knee Arthroscopy Date Jan 25 2011 The top of the Viewer contains all of the patient midi information Item 1 including the patients o zak name surgery type date the surgery was per formed the doctor who performed the surgery and the number and types of files associated with the patient in this case Directly below the patient information thumb nails are shown for each video Item 2 image Item 3 and clip Item 4 taken during surgery Figure 11 5 Patient Information Screen 40 11 4 1 Opening Videos and Clips To open a video or clip press on the related thumbnail The video will open in the Viewer From this screen you can rewind fast forward
39. ng one general search criteria such as a patients first or last name or procedure type To perform a basic search enter your criteria into the Search Term box and press Enter or click the Cases Search button The cases appearing in the Asset Finder will be reduced to those matching any part of the search criteria A date range filter may also be applied To clear the search criteria click on the X but ton located within the search box Figure 4 4 4 5 2 Advanced Search To perform an advanced search click on the More Search Options link to the right of the Search Term box nal Search More Search options Results 1 20 of 53 Figure 4 5 Advanced Search Link My Studio Shared This will bring up the Advanced Search screen Ca es My Studio Shared Settings Log Out P i s E Saved Searches v Patient Last Name bs Enter Search Term x Basic Search E Custom Date Range Start Date 03 02 2011 End Date 03 02 2011 le 9 z Search Clear All 2 VIEW Results 1 20 of 53 sort Dy 5 2 Name Procedure Date nd gt oh H g 1088 lightsource 1088 lightsource 1088 lightsource 1088 lightsource 01 27 2011 01 27 2011 01 27 2011 01 27 2011 lightsource samples samples samples Figure 4 6 Advanced Search Screen Search Results Area Search and Clear All Buttons
40. ove which con trols the interaction with modalities and PACS applications and is responsible for receiving and storing DICOM images received through such communication DICOM Processing Services This is a sub component of DICOM Services described above which takes DICOM images stored by DICOM Receiver Services creates viewable images and metadata files out of such images and uses FTP to send these DICOM studies as cases to the SDC Basic Ingest Ser vice HL7 Services This is an application that will run on Server 2 and will support creating XML messages based on input that is received through a web service This will be used by the Media Server system to send a message for each case that is stored in the system This generated XML file can then be sent to any EMR application by a third party HL7 broker as needed CORE This is a web service application that will run on Server 2 and acts as the gateway for all ap plications on Server 2 to retrieve store data in a Microsoft SQL Server 2008 Express R2 instance that is hosted on this server BOSS This is a web service application that will run on Server 2 and acts as a gateway for all applica tions on Server 2 to retrieve store binary objects as byte arrays to a pre configured storage location SK WebService 1 0 This is a web service application that will run on Server 1 It receives a web ser vice call from the SDC Advanced Basic Ingest Service gets case folders as part of the call and
41. rch criteria into the Search Term box Item 1 using one of the the Date Range Selec tor Item 2 or using a specified date range Item 3 Using the Date Range Selector you can view cases uploaded in the past day 7 days 30 days or 60 days or you can choose to view all cases The date range below the Date Range Selector will automatically update based on the current day To search using the Date Range Selector move the button on the selector to one of the preset designations and then press the Search button To search results based on a custom date range 1 Press on the Date Range Picker The cus tom date range control option will open Figure 11 3 2 Press the From date button Item 1 and use the date scroll wheel to select the date from which you would like the search to begin 3 Press the OK button to enter the date range 4 Press the To date button Item 2 and use the date scroll wheel to select the date from which you would like to search to end 5 Press the OK button to enter the date range Press the Search button to begin the search stryker Feb 28 2011 Mar 30 2011 Search Powered b stryker December 3 2010 January 4 2011 February 5 2012 Figure 11 3 Date Range Control 39 stryker 11 3 Opening a Case 8 09 PM Once a date range has been selected and a search ae performed the Patient Finder will open From Studi Ww Daffy Duck Knee here you ca
42. s may be further refined by using the sorting buttons gt Note Switching from an Advanced to a Basic search will clear all criteria entered for an advanced search 4 5 3 Saving a Search Studio3 allows you to create and save searches for future use To save a search i My Studio Shared 1 Click the Saved Searches drop down m 2 Click on the link Create new search A More Search options Save Search dialog box will open Results 1 20 of 53 Figure 4 7 Saved Searches Drop Down Menu 11 stryker 3 Enter a name for the search in the Search Name box 4 Click the Submit button The search will be saved 4 5 4 Accessing Saved Searches Save Search Search Name Saved Searches Homera Jones Submit Cancel Figure 4 8 Save Search Box To access a saved search click on the Saved Searches drop down menu and select it from the list of available saved searches stryker 5 Using the Case Viewer 5 1 Opening a Case To open a case single click on it The case will be opened in the Viewer page RR Note Clicking outside of the viewer will close it and return you to the main page Abel Abraham Procedure ENDO Surgeon Admin User db4941652222 Date 02 09 2011 14 36 18 Referrer Corey Cochran M 10 01 1975 Details General Surgery Specialty ENDO 00 00 01 00 00 04 Figure 5 1 Viewer Page 6 Storyboard Button 5 1 1 Viewing Case Information
43. services and reboot the system sles service jboss stop sles service glassfish stop sles service db2 stop sles reboot ive authentication 59 48 2011 from chps440p 11919 endo strykercorp cor Broadcast message from root pts 0 Tue May 17 12 02 58 The system is going down for reboot NOW Figure 14 3 Reboot Command Prompt It is proper practice to shut down and reboot your Studio3 Servers at least every 6 months Ensure that no render jobs are in progress before doing so 14 3 Shutting Down the Studio3 System While accessing the Studio3 server press any key to wake the SUSE Linux Enterprise Server 11 operat ing system At the command prompt type the following command to properly shut down the services and reboot the system sles service jboss stop sles service glassfish stop sles service db2 stop sles shutdown now 3 stryker login as root Using keyboard interactive authentication Password Last login Tue May 17 09 16 13 2011 from chp8440p 11919 endo strykercorp com shutdown now Broadcast message from root pts 0 Tue May 17 09 The system is going down to maintenance mode NOW a A 4 4 4 Figure 14 4 Shutdown Command Prompt cz Note Itis proper practice to shut down and reboot your Studio3 Servers at least every 6 months Ensure that no render jobs are in progress before doing so 14 4 Checking System Storage To check system s
44. taken and added to the Captures tab Figure 5 10 Capture Button 5 2 1 4 Adding Annotations Multiple annotations can be added to a video and at any point BE Note Notes created through the SDC in the OR will appear automatically in videos being viewed using Studio3 These notes cannot be modified or moved however they can be deleted 17 stryker To add an annotation Add to Favorites _ d ShareCase 1 Click on the Add Annotation button 2 The Annotation box will open Drag the handle to the area of the video where the annotation will be added 3 Add the annotation in the box directly above the handle Drag the handle to specify the time to add annotation Enter the annotation here x 4 Click on the Add Annotation button OKA Add Annotation m a 00 00 02 Figure 5 12 Annotation Box An annotation marker will appear in the video time line as a yellow box Add to Favorites _ d ShareCase 00 00 01 00 00 04 To view an annotation use the scroll handle to go directly to the annotation marker or mouse over it to view a thumbnail Annotations will ap pear as an overlay at the top of the Viewer during oll video playback B sg B 00 00 01 00 00 04 Figure 5 14 Annotation Popup To edit or delete an annotation 1 Double click the annotation marker in the video navigation bar RZ Note Ensure that the video navigation handle
45. th Tara ham Katie 01 25 2011 02 18 2011 Knee Arthroscopy Figure 10 1 Shared Cases Tab Using the Shared navigation bar on the left side of the screen you can view cases that have been shared with you by other users cases that you have shared and cases that have been shared with the commu nity 10 1 Sharing a Case The Share Case feature is discussed in detail in Section 5 5 10 2 Unsharing a Case It is possible to unshare a case that has been shared with either another user or the community To do so click in the blue box below the case and then click on the Unshare button ae stryker 11 Studio3 on iPad and iPhone The Studio3 software can be used to view cases using an iPad or iPhone application Information can not be added and items cannot be edited This application is for view only purposes 11 1 Logging into Studio3 on iPad The login screen for Apple devices will appear similar to Figure 11 1 To login 1 Enter your user name 2 Enter your password CEF Note Passwords are case sensitive 3 Select a connection from the drop down menu Note For more information on connections see Section 11 5 4 Press the Log In button Figure 11 1 Apple Device Login Screen 38 11 2 Using the Application on iPad Upon logging into the application the Home Screen as shown in Figure 11 2 will appear From here you can search for a case by either entering sea
46. ton at the bottom of the page The files will be removed 8 6 Clearing the Draft Board To remove all files from the Draft Board click on the Clear Draft Board button in the top right corner of the page stryker All of the files will be removed from the Draft Settings Log Out P Board Figure 8 Clear Draft Board Button 32 stryker 9 Managing Presentations Presentations are created by merging video and image files together using the Draft Board ES Note For more information on how to create a presentation please refer to Section 8 3 To view a presentation single click on it It will open in a viewer window complete with full viewer functionality ver Note For more information on navigating the Viewer interface please refer to Section gt 9 1 Converting a Presentation to a Case Presentations can be converted to cases with the Presentations feature on the My Studio tab WARNING This feature must not be used for diagnostic purposes as cases from two ore more different patient s can be stitched together a Note Presentations do not have any patient information associated with them but do contain case descriptions As such when presentations are converted to cases they will not contain any patient data To convert a presentation 1 Select a presentation by clicking on the blue box directly below it 2 Click on the Convert to Case button The presentation will be removed from the
47. torage 1 Click on the Report link under the System Settings menu Figure 14 5 2 Select the type of report you wish to run by clicking in the respective box of the Report Types column Item 1 Figure 14 6 3 Click the Run Report button Item 2 Users Create Edit System Settings Email Miscellaneous Content List Figure 14 5 From mmidd yyyy Fal to mmi dd yyyy EFH ry Top users ry Top cases viewed ry Top videos played ry Cases received Run Report 2 Figure 14 6 Report Settings 4 The report will open in a compatible comma separated value csv file application such as Mi crosoft Excel The compatible application must be installed on the system that is attempting to run the report You can choose to open or save the file System storage can also be checked by running a command from the Linux command prompt 54 stryker At the prompt type the command below and the system will display the storage information for all attached drives sles df h login as root Using keyboard interactive authentication Password Last login Tue May 31 13 28 30 2011 from 10 26 0 11 aft h Filesystem Size Used Avail Use Mounted or Figure 14 7 System Storage Command Prompt 14 5 Automatic System Backups The Studio3 system is setup to perform daily system backups of the database and system configuration files that can be utilized in the event that a system restore is required
48. urgeon Admin User db4941652222 Date 02 09 2011 14 36 18 Referrer Corey Cochran M 10 01 1975 Details General Surgery Specialty ENDO Figure 4 5 Case Detail View Thumbnail of Patient s first and last Procedure type Surgeon the case name Patient number Date the procedure The doctor who re was performed ferred the patient Sex and birthdate Details of the proce The surgeon s specialty dure Filters may be used to sort cases 4 4 Navigating Cases The number of search results returned for a search is not limited The number of cases that appear on the page depends upon screen resolution If there are multiple results this will be indicated by the numbers that appear in the Results Navigation at the top of the page The current page is designated by the orange box around the number Figure 4 6 shows that there are three pages of cases with 20 results of 53 being shown on the current page Saved Searches Search Shared More Search options To view a different set of results click on the left or right arrows to go back or forward a page Results 1 20 of 53 respectively or click directly on the page number 21 3 gt Figure 4 6 Results Navigation 4 5 Searching for a Case or Patient There are multiple search features available to help locate specific patient records each of which is described in the sections that follow stryker 4 5 1 Basic Search A basic search can be performed usi
49. ve a case to or from a folder within Favor ites l Select the case by clicking in the blue box directly below the case The box will turn orange and have a check mark in it to indi cate it has been selected Click on the Move button In the Move Favorites dialog box that ap pears select an existing folder in which to move the case into by using the drop down menu or create a new folder by enter a new folder name in the Move to New Folder field 4 Click on the Save button The case will be moved into the selected folder 7 6 Removing a Case from Favorites stryker ith Tara 14 Feb 2011 Move Favorites Move to Existing Folder an m Move to New Folder Figure 7 8 Move Favorites Dialog Box To remove a case from any Favorites folder select it by clicking in the blue box directly below it and then clicking on the Remove from Favorites button The case will be removed 29 stryker 8 Using My Studio The My Studio tab is a draft board that contains videos images clips and captures that have been ures 2 Reports 0 ote Copy to My Studio placed on it from various cases Ihis feature is used to stitch multiple video files together export IN files and create presentations It is located on the My Studio tab and is also accessible from the Viewer page by clicking on the Go to My Studio 12 Item s on Draft Board button in the bottom right corner of the Viewer Go to My
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