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Smith & Nephew 640 Image Management System

1. 5 Component List 5 Front Panel 4 24 rei ae 6 Rear Panel ceiver pads ER us 7 8 Keyboard rey idegi 9 Touchpad 0 000 9 System Installation Overview 0 0 eee 10 Recommended System Configuration 11 Step A Attaching Cables 12 Cable Configuration 13 Step B Attaching HERMES Digital O R Control Center 14 Step C Attaching the Windows Compatible Printer 14 System Operation Overview sido er nei 15 Network Connection 15 Auto Login 0000 15 System Tools Login 15 Login Type 1er tete 15 Basic Operation 15 Turning Power On 15 Using the 640 Image Management System Screens 16 17 Using the Pointing Devices and Function Keys 0 17 18 Using the Touchpad 18 Shutting the System Down 18 Patients and Procedures 19 Procedure States 20 Adding a New Procedure 20 Changing a Current Procedure 21 Deleting a Procedure 21 Magesa che te p gta E acetic as 22 Setting Video Options 22 23 Capturing Images 23 2 Recording Video 24 Reviewing Images and Video Clips 24 Adding Text Notes 25 Save and Reports 26 Saving Procedures 26 2
2. 36 Tables 1 Guidance and Manufacturer s Declaration Electromagnetic UMY ss oo Sele bate oy 39 40 2 Guidance and Manufacturer s Declaration Electromagnetic Emissions 0000 41 3 Guidance for Separation Distances 42 Smith amp Nephew 640 Image Management System Operations Service Manual 1061407 Rev F Preface Indications for Use Contraindications Product Description Preface This manual contains general information together with setup operation and maintenance instructions for the Smith amp Nephew 640 Image Management System It is essential that all materials in this manual be read and understood before any attempt is made to operate or maintain the system Indications for Use To capture intraoperative still and motion images Contraindications None known Product Description The 640 Image Management System is designed to be used to capture intraoperative still and motion images using the camera system front panel keyboard or using optional voice activated or touch panel control via the HERMES Digital O R Control Center Images are then stored as standard image file formats on transportable media or exported to an Ethernet network for long term archival retrieval or printing using third party image application software or the Smith amp Nephew DORAWEB Surgical Documentation System Smith amp Nephew 640 Image Management System Operations Service Manual 1061407 Rev F Wa
3. If the test is successful a dialog box will display Click OK to close the box Click Quit to end the configuration and close the dialog box Stop and restart 640 service in order for changes to take effect See Windows 2000 administrator documentation for information on starting and stopping Windows services Smith amp Nephew 640 Image Management System Operations Service Manual 1061407 Rev F 33 System Operation Configuring the 640 Image Management System The System Configuration dialog screen provides control over many options of the 640 system that allow the user to customize it to best fit his her needs Changes made in this dialog take effect after the user presses OK and restarts the system The Policies tab contains three settings groups to control system behavior In the System Identification group set the customer name to the name of the medical institution you want to appear on the 640 System reports set the system name to something that will uniquely identify which 640 System produced a report or set of images In Policies System Identification Customer name Smith amp Nephew Startup and Login Options Data Systems and Devices System name fori YGA monitor Yes amp No Startup login C Yes No Logintype Simple C Windows Password peo Confirm password o WARNING You must have a YGA monitor connected to login to the 640 System if Startup login and VGA i monitor are Yes Miscellan
4. If the print button is grayed out the printer is not available for printing e g turned off or disconnected 6 The Cancel Printing button allows the user to cancel printing in process This button is activated only after the Print button has been depressed and printing is in process 7 Print Copies list bar allows the user to select the number of copies to print 8 Click OK to close the Report dialog box Auto Print The Auto Print function checkbox selection tells the 640 System if the user wants to print a page of images in the selected layout immediately after enough images have been captured to fill a page As an example if the 2x3 format is selected and the Auto Print checkbox is checked the 640 System will print out a single page of images when six images have been captured It will print another single page when six more images have been captured The Print button will be disabled when Auto Print is checked It can be enabled by unchecking Auto Print In the Report dialog the Procedure Selected and All radio button selections will be grayed out when the Auto Print checkbox is checked since these procedure buttons are not relevant for auto printing if the auto print box is unchecked then all three Procedure radio buttons are activated Report Report Options Procedure s Current C All C Selected Print Copies fiz Image Layout ED EE Iv Pictures Notes Auto Print Cancel P
5. Recording Video Video clips are recorded in MPEG or MPEG2 format depending on the video options settings Refer to the Setting Video Options section for more information To record a video clip for the current procedure 1 On the 640 System screen click Record 9 During recording the Stop button will turn red indicating that recording is in progress In addition the CAPTURE light on the front panel will illuminate and the Tally Light on the surgical display will also illuminate if the Tally Light cable is connected Note The Record button will be grayed out if there is no current procedure or if the system does not detect a video input signal Note If a video clip becomes as large as the maximum MPEG size set on the video settings dialog box the system stops recording the video clip and begins a new one 2 To stop the recording on the 640 System screen dick Stop 6 If the on screen display is turned to on or momentary the total number of acquired video clips and still images is displayed in the lower left corner of the screen After the recording the video clip will be listed as an MPEG icon at the end of the list identified by the capture time stamp Note You can also record video clips using the optional footswitch or the camera head buttons if they are configured appropriately For more information refer to the System Components section Video clips are saved on the internal hard disk in order to mi
6. The patient record and all still images and video clips can be stored on flash media 650 MB or 700 MB CD media 4 7 GB DVD media or exported to an Ethernet network Exported data can be viewed using standard third party software or the Smith amp Nephew DORAWEB Surgical Documentation System To obtain a copy of the Release Notes and bug fixes for Version 2 0 please contact your authorized Smith amp Nephew Representative HERMES Ready System Information The 640 Image Management System is configured to be connected to the HERMES Digital O R Control Center via the HERMES port which uses RS 232 serial communications protocol When connected the system functions may be accessed by direct voice commands or by manual use of a touch screen control It is recommended that the physician and support personnel are thoroughly familiar with the setup and operation of the HERMES Digital O R Control Center Please refer to the HERMES Digital O R Control Smith amp Nephew 640 Image Management System Operations Service Manual 1061407 Rev F Center Operating and Maintenance Manual for the proper setup use and troubleshooting of the device System Components Unpacking the Components Carefully unpack and inspect all of the components shipped with the 640 Image Management System Compare components received with those shown below Component List You should have received the following Quantity Description 1 640 Image M
7. approximately 8 minutes 600 MB approximately 24 minutes If the video clip becomes as large as the maximum size the system stops recording the video clip and begins a new one You can record clips until the procedure limit is reached The system allows the user to record to multiple CDs and DVDs e g if the 600 MB limit has been reached on a CD the system will prompt the user to insert a second CD and recording will continue when the new CD is inserted Recording limit for flash media depends on the memory capacity of the flash media How many bitmap images will a 128 MB flash media hold How about the 256 MB flash media Each bitmap image uses approximately 900 KB of memory storage The number of images that can be stored depends on the flash media A 256 MB flash card will hold 284 images If you enter patient information before inserting the flash media does the patient information get lost when you put the flash media into the drive No The 640 Image Management System can actually be used without flash media inserted The flash media is ONLY needed when transferring images from the internal memory to the flash media Internal Memory vs Writing to Disk Why cant the unit store the images to flash media or CD DVD media as they are acquired and eliminate the wait time after the case is completed e Data is written to CD DVD in a batch format not in a real time continuous method e Data is most likely to be lost when
8. mpg The name of the captured still image or video clip is editable by placing the cursor on the name left clicking the touch pad pointing device once pausing and clicking again The name may then be changed The file extension however should not be changed Any previously captured still images may be displayed in the review box by clicking on it s thumbnail to select and display it A video clip may be reviewed by clicking on the icon and pressing the Playback button Refer to the Reviewing Images and Video Clips section The Print button allows the user to print the currently selected still image All the images available for the current procedure may be printed in one report by accessing the Report dialog Refer to the Generating a Report section The Delete button allows individual or multiple selected images and video clips to be deleted by the user For additional information regarding deleting multiple images refer to the Cleaning the Hard Disk section Using the Pointing Devices and Function Keys There are two ways to navigate or move through the system screens Click a button using your touchpad pointing device Refer to the Using the Touchpad section If the system has been configured with the optional VGA touch panel buttons may be activated by touching them directly on the screen e Press the equivalent function key for a button for example press lt F12 gt instead of clickin
9. DVD Drive Accepts 650 MB or 700 MB SAVE MENU Button CD R RW or 4 7 GB DVD R RW media Includes Displays the Procedure a Headphone input not used with this system Save dialog box of the Volume control not used with this system and user interface on the Eject button The Eject button is used to open and surgical display close the CD DVD RW tray LED Display Lights flash E AUX VIDEO INPUT Accepts to indicate activity any composite video signal C from an external source such ha as a C Arm or ultrasound vipEo PUT device AUX Button Switches between AUX and camera input signals Smith amp Nephew 640 Image Management System Operations Service Manual 1061407 Rev F System Components Rear Panel SO o 2049 I e 359 EJ c R0 i Y Cm 100 S Tk Dscornes Before St 0009 Figure 2 Smith amp Nephew 640 Image Management System Rear Panel Safety and Regulatory Labels Hospital Grade AC Input Receptacle Removable Fuse Block Fan Cools the system r E a RGB Input From g ROB SYNC output s z p sxe RGB Output to atonal eo RGB Output components gt Bidirectional Port Serial communication S connection to HERMES Digital O R Control Center E Ethernet Ethernet network connection Ethernet 0000 0000 O Keyboard D M Smith amp Nephe
10. Destination s Media Procedure s Total Archive Size 7373KB 5 amp All C Selected Save Progress CD DVD Writer initializing C Zip Flash T PACS T DORAWEB Network ERIS Iv Pictures iv Notes iv Video Clips Start Save SS Status OK Figure 14 Save Dialog Box 26 Smith amp Nephew 640 Image Management System Operations Service Manual 1061407 Rev F System Operation 4 Choose Current procedure All procedures including current and in process procedures or Selected procedures When Selected is chosen the checkboxes for the appropriate procedures should be checked to indicate which procedures are being saved Total Archive Size indicates the size in megabytes of the procedurels being saved 5 Click Start Save The progress bar indicates how much of the save has been completed in 5 increments To delete files refer to the Cleaning the Hard Disk section For more information about folders and files refer to the Folders and Files on the 640 Image Management section When saving to a network folder location you can save all data providing you have sufficient network folder memory For more information regarding CD DVD and flash media refer to the Advanced Topics section Note If the total data to be saved is less than 600 MB it is recommended that it be saved to a CD Saving to Multiple CDs The 640 software supports saving to multiple CD DVDs If a Save o
11. Preventative Maintenance Recommended Annual Performance Checks sevo rone RES 43 Electrical Interference 43 Environmental Protection 43 Service Philosophy 43 Troubleshooting 44 Ordering Information 45 Frequently Asked Questions FAQS c octane case ee 46 47 Warranty 0 Back Cover Service Replacement Program Back Cover Figures 1 Front Panel o ae 6 2 Rear Panel 00005 7 3 System Keyboard 9 4 Touchpad 08 9 5 EC 60601 1 1 System Configuration 11 6 USB Connection 12 7 Cable Configuration 13 8 640 System Login Dialog Box 15 9 640 System Screen 16 10 Add New Procedure Box 20 11 Change Current Procedure Box 21 12 Video Settings Dialog Box 22 13 Note Dialog Box 25 14 Save Dialog Box 26 15 Report Dialog Box 28 16 System Tools Dialog Box 29 17 Integration Folder 30 18 DORAWEB System Dialog Box 32 19 DICOM Send Utility Dialog Box 33 20 DICOM Send Configuration Dialogi BOK ra renes 33 21 System Configuration Dialog Box Policies i c ce ada e RR 34 22 System Configuration Dialog Box Data Systems and Devices 35 23 Disk Maintenance Dialog Box
12. a folder for each patient named using the patient s last name followed by the patient s MRN for example Smith123456 This folder contains a folder for each of the patient s procedures named using the procedure name followed by the machine name of the particular 640 Image Management System for example ArthroplastyORT If there are multiple procedures for a patient that would generate duplicate folder names the folder names are appended with a sequential counter Within the procedure folder individual image files are named using a capture time stamp of the form HHMMSS where HH is the hour MM is the minute and SS is the second Each image file has the file extension bmp for Bitmap images jpg for JPEG images or dcm for DICOM images Video clips are also named using the time stamp but have an mpg file extension If notes have been created for the procedure the text is stored in a file named notes txt Smith amp Nephew 640 Image Management System Operations Service Manual 1061407 Rev F 37 System Specifications Video Inputs RGBS BNC connector x 4 RGB 7Vp p SYNC 3 to 4Vp p 75 ohms terminated S Video Y C 4 pin mini DIN x 1 Y 1Vp p C NTSC EIA standards 286mVp p for NTSC 300mv for PAL 75 ohms terminated AUX VIDEO INPUT Front Panel BNC connector x 1 1Vp p Composite B W Video 75 ohms terminated Video Formats NTSC and PAL All Video Inputs ar
13. amp Nephew Inc 978 749 1000 Andover MA 01810 978 749 1108 Fax USA 800 343 5717 U S Customer Service 2003 2004 Smith amp Nephew Inc All Rights Reserved Printed in USA 09 04 1061407 Rev F
14. being written to disk or CD DVD media The writing speed is much slower than the speed of the system s internal memory e Inthe event of a power loss the wait time is a trade off between having a reliable way of storing the images in the system vs saving the images as they are acquired then losing several on a disk The current method is the most reliable considering there is likely only one opportunity to acquire a desired image Power Loss Will data be lost if you lose power after images have been acquired to the internal hard disk but before they get written to flash media No The internal hard disk saves images during the acquisition process and is only cleared by the disk maintenance function Can you lose images if a power glitch or accidental power plug pull occurs while writing to flash media CD DVD or to the network No Since the image transfer was not complete due to the loss of power the system s image buffering design assures that the images ARE NOT LOST Smith amp Nephew understands these problems and has tried to greatly reduce the chances of ever losing images due to accidental power loss 46 Smith amp Nephew 640 Image Management System Operations Service Manual 1061407 Rev F Frequently Asked Questions FAQs Multiple Patients without Saving to Disk What if you do not save the image data after a surgical case and you want to enter another patient s information Co to the 640 System screen cli
15. delete a procedure it can be recovered by reloading the procedure list via the DORAWEB PACS HIS Systems using the Update List button 5 Click OK to close the dialog box Procedure List Add New Procedure 43127558 Sanchez Holly 109012004102 M Initial D Procedure Information Sanchez Figure 11 Change Current Procedure Box Edit 7 Cancel Sex F Surgeon wayne Ankle Fields marked with are mandatory Procedure Type Update List Delete 7 ui Smith amp Nephew 640 Image Management System Operations Service Manual 1061407 Rev F 21 System Operation Images Setting Video Options To set the video options 1 On the 640 System screen click Video Settings The Video Settings dialog box displays with areas for video options capture file options and surgical display options 2 Set the type of video input You can choose one type of input from RGB S Video and Auxiliary If any of these types are not available on your installation they are grayed out so you cannot select them Note Video clips can only be recorded using the S Video or composite video front panel input channel 3 By default all still images are captured in Bitmap bmp format Bitmap files are uncompressed files that are approximately 1 MB in size You can set additional image capture file options e f DICOM is enabled and selected on the 640 System screen you will also capture images in a DICOM compa
16. or IEC 60601 1 1 IEC 60601 1 UL 60601 1 MEDICAL GRADE ISOLATION TRANSFORMER WITH A VA RATING 2 1000 Toroid ISB 100W Note Isolation Transformer required for 220 240 VAC setup only AC Input AC Output Wall Receptacle MEDICAL GRADE POWER STRIP SUITABLE FOR EXPECTED LOAD SL Waber XULMC6 023 AC Output AC Input Liquip Crystat DisPLAY TOUCH PANEL Smith amp Nephew 15 REF 7210344 National 15 90M0312 Smith amp Nephew 19 REF 7210345 National 19 90M0225 AC Input SMITH amp NEPHEW 640 IMAGE MANAGEMENT SYSTEM REF 7210233 HERMES DIGITAL O R CONTROL CENTER REF 7209756 AC Input Smith amp Nephew 640 Image Management System Operations Service Manual 1061407 Rev F System Installation Step A Attaching Cables Use the following instructions to attach the system to a Smith amp Nephew camera or similar device and other devices One standard configuration is presented in Figure 7 This configuration enables still images and video clips to be acquired using two camera head buttons Other configurations can be used 1 Connect RGB SYNC and Y C Output on the back of the camera control unit to the RGB SYNC and Y C Input on the rear of the 640 Image Management System Note The 640 Image Management System can capture still images from RGB SYNC Y C or composite video input and it can only capture video clips from Y C or composite video input 2 Connect two mini plug cables from the SW1 SW2 or Blue Gra
17. 40 Image Management System In addition the previous day s images will be deleted from this folder HIS Related e Once daily at a configured time transfers HL7 text messages relating to the procedures from the HIS folder to the IMS HIS folder These procedures will be listed in the Procedure List in the 640 Image Management System In addition the previous day s images will be deleted from this folder IMS Folder and Sub Folders When saving procedure information from the 640 System the PACS or DORAWEB Network options can be selected Depending on those selections procedure information is either stored in the IMS DORAWEB or IMS PACS folders The information in these folders is structured as a set of procedure directories one for each procedure Each directory is named by the last name of the patient followed by the medical record number MRN For example a procedure directory may be named Smith123456 Each procedure directory contains an image subdirectory named by the procedure name followed by the date and time MMDDYYYYHHMMSS and the 640 System location For example an image subdirectory may be named 10212003120510 ArthroplastyRoom The image subdirectory may contain these types of image video files e MPEG 1 or MPEG 2 mpg video files e Note txt files e JPEG jpg image files e DICOM dcm image files e Bitmap bmp image files Each procedure has an associated text txt file in the im
18. 40 Image Management System will always require an Administrator Login Figure 8 to access the System Tools dialog box review System Administration on page 28 Login Type The login type may be configured as Simple requiring only a password to be entered in the Login Boxes User Name and Domain lines will be grayed out Figure 8 or as Windows requiring all three lines of information The 640 Image Management System comes from the factory with the Login Type set as Simple and the simple password as SNE640 Caution If the Windows Login is required the system administrator must confirm that the appropriate accounts and policies are set up using standard Windows System Tools See Release notes for details on restrictions to using Windows 2000 Login Type Basic Operation Turning Power On To turn on the power 1 Press the POWER switch on the front panel to ON Initialization begins and the surgical display displays the Please Stand By message 2 After initialization is complete the 640 System screen displays either on the surgical display or on the computer monitor touch panel if one is installed and configured on your system Smith amp Nephew 640 Image Management System Operations Service Manual 1061407 Rev F 15 System Operation Using the 640 Image Management System Screens The left side of the 640 System screen contains e Procedure Information describing the current procedure by the patient s full n
19. 407 Rev F System Operation The Integration Broker performs the following functions DORAWEB Related e Once daily at a configured time transfers all the patient demographics for the day s scheduled procedures from DORAWEB to the IMS DORA folder These procedures will be listed in the Procedure List in the 640 Image Management System In addition the previous day s data is deleted from this folder e Once daily transfers the current Procedure List from DORAWEB to the IMS DORA folder e In addition transfers new patient demographics from DORAWEB for a procedure to be performed that day but after the export described above to the IMS DORA folder These procedures are appended to the end of the Procedure List on the 640 Image Management System e Transfers saved still images bmp or jpg or dcm video clips mpeg and Note txt files originating from the 640 Image Management System from the IMS DORA folder into the DORAWEB System PACS Related e Transfers saved DICOM images originating from the 640 Image Management System from the IMS PACS folder into the PACS folder e Once daily at a configured time transfers all DICOM images associated with the day s scheduled procedures from the PACS folder to the IMS PACS folder The procedure related text information will then be extracted from these images and will be placed in the IMSYPACS folder These procedures will be listed in the Procedure List in the 6
20. 640 Image Management System Operations Service Manual 1061407 Rev F Guidance and Manufacturer s Declaration Electromagnetic Emissions Table 2 Guidance and Manufacturer s Declaration Electromagnetic Emissions The Smith amp Nephew 640 Image Management System REF 7210233 is intended for use in the electromagnetic environment specified below The customer or the user of the 640 Image Management System should assure that it is used in such an environment flicker emissions IEC 61000 3 3 Emissions Test Test Level Electromagnetic Environment Guidance Radiated emissions Class A The 640 Image Management System uses RF energy only for CISPR 11 its internal function Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment Conducted emissions Class A The 640 Image Management System is suitable for use in all CISPR 11 establishments other than domestic and those directly connected to the public low voltage power supply network that supplies buildings used for domestic purposes Harmonic Complies IEC 61000 3 2 Voltage fluctuations and Complies Smith amp Nephew 640 Image Management System Operations Service Manual 1061407 Rev F 41 Guidance for Separation Distances Table 3 Recommended separation distances between portable and mobile RF communications equipment and the Smith amp Nephew 640 Image Management System The
21. 7 Saving to Multiple CDs 27 Generating a Report Printing 28 Auto Print erem 28 System Administration 29 30 Integration Broker Introduction 30 31 DORAWEB Related 3l HIS Related 0 005 31 PACS Related 0 0 4 31 IMS Folder and Sub Folders 31 DORAWEB System Integration 32 Overview csse se e eee 32 Configuring DORAWEB System Integration 2 ewe eee ee ees 32 Configuring the DICOM Send Utility 33 Configuring the 640 Image Management System 34 35 Cleaning the Hard Disk 36 Advanced Topics 5 37 Notes on the DVD Drive and Media eren 37 Notes on the Multi card Drive and Media 37 Notes on the 640 Image Management System 37 Folders and Files on the 640 Image Management System 37 System Specifications 38 Guidance and Manufacturer s Declaration Electromagnetic Immunity sseusss 39 40 Guidance and Manufacturer s Declaration Electromagnetic Emissions 0 0 00 cee eee 41 Guidance for Separation Distances 42 Maintenance Service System and Keyboard Cleaning the System 43 Protecting the Keyboard 43 Moving the 640 Image Management SVSIGITI oor ep rater rer ER 43 Data Storage Media Caring For Removable Disks and CD M dias stes eme ee SS 43
22. 7 Rev F Ordering Information Smith amp Nephew 640 Image Management System REF 7210235 7210237 7210239 Description Smith amp Nephew 640 Image Management System ENGLISH On Screen Display Operations Manual U S Power Cord Smith amp Nephew 640 Image Management System Multi Language On Screen Display Operations Manual Continental Power Cord Smith amp Nephew 640 Image Management System ENGLISH On Screen Display Operations Manual U K Power Cord Accessories 7207447 7207448 7209338 7210534 81013395 7209339 7209340 7210344 7210345 Smith amp Nephew 640 Image Management System Operations Service Manual 1061407 Rev F lomega 250 MB Zip disk lomega 100 MB Zip disk 650 MB or 700 MB CD R media DVD R media Integration Broker Software CD Single pedal footswitch Dual pedal footswitch 15 LCD touch panel 19 LCD touch panel 45 Frequently Asked Questions FAQs Flash and CD DVD Media How many video clips still images can be acquired per patient case There is a 2 0 GB limit per procedure Video clips are acquired and exported in either an MPEG or MPEG2 format Both file names end with mpg suffix MPEG2 files provide better image quality but are larger in size To help ensure that all information acquired for a given patient fits into manageable chunks the system enables you to set the maximum video clip size in minutes to 100 MB approximately 4 minutes 200 MB
23. Manual 1061407 Rev F System Operation Advanced Topics Notes on the DVD Drive and Media e Only use 650 MB or 700 MB data CDs or 4 7 GB DVDs Music CDs are not compatible e The DVD tray will open on completion of the write process Remove the disk from the tray and then press the Eject button or gently push in the tray to close e Data is written to the CD DVD in the ISO 9660 Standard CD RW format Notes on the Multi card Drive and Media e The multi card drive is operating correctly when the green activity light blinks for a few seconds after the media is inserted If there is no blinking remove the media and then reinsert it e Never remove the flash media when the green activity light is blinking Removing the media during a write or read process could corrupt data Notes on the 640 Image Management System e Avoid placing the 640 Image Management System against item s that could block or impair the cooling vents on the sides or the cooling fan located on the back of the unit e Avoid placing items in excess of 40 pounds directly on top of the 640 Image Management System e Save at the end of each surgical case to avoid running into time delays The time required for data transfer depends on the number of images acquired Folders and Files on the 640 Image Management System Image files are stored on the hard disk and saved to flash media or CD DVD in a folder named SNE640data Below this folder there is
24. Operations Service Manual 7X smith amp nephew Smith amp Nephew 640 Image Management System HERMES READY C Glossary of Symbols Power On Power Off Main Menu Capture or Still Capture Save Menu Aux Video Input Headphone Input Variability Eject Caution See Instructions for Use Electrical Shock Hazard Type B Equipment Fuse Rating Still Freeze Still Capture Loop Thru Video Capture 11gb B5b 5i29512o8gO Ethernet O B y Y NEY cf 2e amp kJ ST 6 0 1 Ethernet Port Microphone Input Audio Output Tally Light Output Serial Port Keyboard Date of Manufacture UL Classification Bidirectional Port Non ionizing Electromagnetic Radiation Parallel Port Universal Serial Bus USB Port Y C Input Y C Output RGB Input RGB Output Video Graphics Array VGA lt wa Disconnect Before Shipping Smith amp Nephew 640 Image Management System Operations Service Manual 1061407 Rev F Table of Contents Glossary of Symbols 1 Preface oe EE mts 3 Indications for Use 3 Contraindications 3 Product Description 3 Warnings and Precautions Warnings erret ett 4 Precautions ssseliuuuuu 4 5 Introduction 000 eee 5 HERMES READY System Information 5 System Components Unpacking the Components
25. STEM ERROR An internal system error has Try resetting the system by HAS OCCURRED PLEASE CALL occurred and the system cannot powering down and then back on CUSTOMER SUPPORT continue to operate normally A code again If condition persists call number may be shown on the Customer Support with error code screen number which displays on the screen Screen displays SYSTEM DATA _ You have reached the maximum Refer to the Saving Procedures DISK FULL allowable hard disk storage section to save the procedures before removing the procedure records from the system Camera control buttons or the Camera SW1 SW2 or the optional Check SW1 SW2 or the optional optional footswitch not working __ footswitch cables loose or footswitch cable connections disconnected Can t establish contact with e Network not physically connected Verify that all network information is the network to the system valid and try logging on again If the problem persists contact your IT IS e Network information not valid s administrator Network busy or down Printer cannot be configured Local printer not installed Install a local printer or contact your for the system No network printer available IT IS administrator Printer configured but The printer has not been configured Configure printer as the default not printing as the default printer printer 44 Smith amp Nephew 640 Image Management System Operations Service Manual 106140
26. Smith amp Nephew 640 Image Management System REF 7210233 is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or user of the 640 Image Management System can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the 640 Image Management System as recommended below according to the maximum output power of the communications equipment Rated Maximum Output Power of Transmitter W Separation distance according to frequency of transmitter M 150 KHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz d 1 2Vp d 1 2Vp d 2 3V p 0 01 0 12 012 0 23 01 0 38 0 38 073 1 1 2 1 2 2 3 10 3 8 3 8 73 100 12 12 23 For transmitters rated at a maximum output power not listed above the recommended separation distance d in meters m can be estimated using the equation applicable to the frequency of the transmitter where p is the maximum output power rating of the transmitter in watts w according to the transmitter manufacturer Note 1 At 80 MHz and 800 MHz the separation distance for the higher frequency range applies Note 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people 42 Smith amp Nephew 640 Image Management System Operations Service Ma
27. Video C No No Standard MPEG2 Off 200MB 600MB o MEME ME NE S On C Momentary C Momentary C No 22 Smith amp Nephew 640 Image Management System Operations Service Manual 1061407 Rev F System Operation e The Smith amp Nephew proprietary Motion Correction Filter for analog video can be turned on or off The filter reduces blurring artifacts in acquired images This is a post processing filter that runs for approximately three seconds per image Note When acquiring images from devices such as C arms or ultrasound units the recommended setting is off 4 Set the surgical display options Turn the On Screen Display of image sequence numbers on off or set to momentary three second display e Turn the display of captured images off or set to momentary the live video is replaced by the captured image for three seconds e Set the playback of video clips on the surgical display to Yes or No 5 Click OK to save the video settings and close the dialog box Capturing Images In Live Video Mode images from the camera control unit are displayed on the surgical display If the on screen display is turned to on or momentary the sequence number in the lower left corner of the screen indicates the number of still images and video clips that have been acquired The letters in the lower left corner of the screen indicate the video input RGB Y C or AUX Still images are initially configured in Bitmap fo
28. WEBServer IMS Configuring DORAWEB System Integration The Smith amp Nephew 640 Image Management System needs to be configured with User Name Password and Share Directory In the case of DORAWEB these values will have to be configured based on the configuration of the DORAWEB Surgical Documentation System established by the system administrator To integrate the 640 Image Management System with the DORAWEB and or PACS HIS System 1 In the System Tools dialog box click DORAWEB PACS HIS System The DORAWEB PACS HIS System dialog box displays 2 Enter user name and password in the provided fields 3 Enter the share directory information 4 Click Test Connection to connect to the appropriate Server If the connection succeeds the system displays Connection Test Pass If the connection is unsuccessful the system displays Connection Test Fail check your network connections 5 Click OK to save the information and close the dialog box Network Login User Name Password Information System DORAWEB PACS HIS Test Connection Share Directory Figure 18 DORAWEB System Dialog Box Cancel j m 32 Smith amp Nephew 640 Image Management System Operations Service Manual 1061407 Rev F System Operation Configuring the DICOM Send Utility Note Users not currently using DICOM Send may skip this section The Integration Broker will replace the DICOM Send Utility to transfer DICOM images
29. age subdirectory with the name of the last captured image The text file contains the patient demographics for the associated patient and the notes entered during the procedure It will also have an associated Text txt file named alldone txt Note The DORAweb Surgical Documentation System operates with still images JPEG jpg Bitmap bmpl MPEG MPG DICOM dcm and Note txt files DICOM dcm images can also be saved separately to your institutions PACS Smith amp Nephew 640 Image Management System Operations Service Manual 1061407 Rev F 31 System Operation DORAWEB System Integration Overview At the time of DORAWEB Surgical Documentation System installation the system administrator setup a server on the local network and created a share directory to receive procedure files from the Smith amp Nephew 640 Image Management System A user name and password were also established at that time to allow the Smith amp Nephew 640 Image Management System to be recognized by the server Note In order to setup the Smith amp Nephew 640 Image Management System on the network you will need to know the User Name Password Server Name and Share Name established by the system administrator Refer to DORAWEB Installation Guide REF 1061336 under Software Installation reference Config An example for User Name is dora640 An example for Password is Dora 640 An example for Share Directory is DORA
30. ame Medical Record Number MRN date of birth sex surgeon s name and procedure type e Buttons provide access to additional dialog screens for Patient Information Note Creation Save Functions Report Print and Close Procedure Functions Note The Close Procedure button should be used with caution This operation will close the current procedure Once closed features such as image capture will not be functional e Display Mode controls the output to the Surgical Display Live Video mode displays the live video signal from the Camera Control Unit CCU on the surgical display e Main Menu Mode displays the 640 Image Management System Screen on the surgical display Capture Controls are provided to preview and capture still video images and to capture and play back video clips The Disk Usage Progress Bar display the amount of space used by the currently stored images It may be configured to display the usage of a CD DVD or flash media It may also be configured to display the usage of the system s Hard Disk Each increment on the bar is equal to 596 of total disk space The progress bar will come configured to indicate CD DVD usage To reconfigure the bar refer to the Configuring the 640 Image Management System section The System Tools button provides the system administrator password protected access to a System Tools dialog for system configuration Refer to the System Administration section The Video Setti
31. anagement System 1 Keyboard Installed 1 650 MB or 700 MB CD R Compact Disk 4 7 GB DVD R Touchpad Installed Power Cord Hospital Grade Service Stickers Cable Y C S Video 6 ft M to M Cable RGBS 6 ft M to M Cable 3 5 mm Mini Plug Cable Mini Plug RCA Phono Plug VGA Termination Plug Tally Light Cable Software Agreements Windows License S worrmrne eo If any parts are missing or damaged please contact your authorized Smith amp Nephew sales representative Save the carton and packing materials in the event a component needs to be returned for repair For information about ordering additional supplies refer to the Ordering Information section System Components Front Panel SE smith amp nephew 640 Image Management System MC 859 50011 N e e Veron s DIN L VIDEO INPUT ES Figure 1 Smith amp Nephew 640 Image Management System Front Panel Power Switch Activates power to the unit MAIN MENU Button Multi card Reader Accepts the following media MENU Displays ae PATERE t Smart Media Compact Flash SD MMC or x at ine pera Interac omane ypes P a up surgical display Memory Stick LED flashes when media is inserted 8 and recognized Storage capacity varies CAPTURE Button Acquires depending on user preference and market still image shown on the availability MENU G screen CD
32. apan while PAL is the broadcast video standard for Europe 34 Smith amp Nephew 640 Image Management System Operations Service Manual 1061407 Rev F System Operation system Configuration 00000 Policies iD Network Connected to network Yes C No Enable system interfaces v PACS M DORAWEB M HIS Network share drive M Show Procedure ID HERMES Connected to HERMES Yes C No Storage Device Mapping Progress bar CD DVD C Zip Flash Hard Drive Figure 22 System Configuration Dialog Box Data Systems and Devices The Data Systems and Devices tab contains three settings groups to select 640 System interface options The Network group provides selections to activate PACS HIS and or the DORAWEB System interfaces Networking must be configured and enabled for communications with these systems to exchange data with the 640 System Both the DICOM Send Utility and DORAWEB have their own utilities available through System Tools to provide connection details The Network share drive letter should not be changed unless the drive letter is already reserved for another share directory on your network The HERMES selection activates or deactivates the HERMES message exchange interface for voice commands from a HERMES controller The Storage Device Mapping group gives three choices for what media to monitor on the main menu while acquiring procedure data In order for your changes to take effect you must shut th
33. ar to confirm or cancel shutdown If you confirm shutdown and a procedure is current you are prompted to close the procedure If you decide to not close the procedure the procedure will remain current when the system is started up again 3 Important Wait for the system to prompt the operator that it is now safe to turn off the system Turn the POWER switch on the front panel of the 640 Image Management System to OFF 18 Smith amp Nephew 640 Image Management System Operations Service Manual 1061407 Rev F System Operation Patients and Procedures The following describes the information stored in the system about each procedure Last Name The patient s last name a maximum of 26 characters for the entire name First Name The patient s first name a maximum of 26 characters for the entire name M Initial The patient s middle initial one character maximum DOB The patient s date of birth mm dd yyyy Sex The patient s sex F or M MRN The patient s Medical Record Number a maximum of 26 characters Surgeon The surgeon s name a maximum of 26 characters Procedure Indicates Type of procedure being performed May be input manually or selected from the Procedure Type pull down list that will be available if the Smith amp Nephew 640 Image Management System is networked as part of a DORAWEB Surgical Documentation System PACS or a Hospital Information System HIS Procedure ID Visible only wh
34. ash media of different sizes Storage capacity is as per user preference and market availability CD R 650 MB or 700 MB DVD R 4 7 CB Writes data in standard ISO 9660 CD R format only Supports CD R CD RW DVD R and DVD RW media Processor 700 MHz Intel P111 Processor Operating System Windows 2000 Hard Drive 60 GB drive with Ultra DMA data transfer Still Image File Format 24 bit RGB bitmap bmp file 24 bit JPEG jpg file 24 bit DICOM dcm file Still Image Resolution NTSC 640 x 480 24 bit color depth PAL 640 x 480 24 bit color depth Still Image Color Resolution 16 77 million True Color Still Image Aspect Ratio 4 3 Motion Video File Format MPEGI and MPEG2 mpg file Motion Video Resolution MPEGI 352 x 240 NTSC 352 x 288 PAL MPEG2 704 x 480 NTSC 704 x 576 PAL Display Output NTSC Real Time RGBS and S Video outputs PAL Real Time RGBS and S Video outputs Power Requirements Input Voltage 100 120 200 230 VAC 50 60 Hz Q 150 VA Leakage Current 70 pA Dimensions Lx W x HJ 18 00 x 17 00 x 6 64 inches 45 72 x 43 18 x 16 87 cm Weight 21 lbs Classification CISPR 11 Class A 38 Smith amp Nephew 640 Image Management System Operations Service Manual 1061407 Rev F Guidance and Manufacturer s Declaration Electromagnetic Immunity Table 1 Guidance and Manufacturer s Declaration Electromagnetic Immunity The Smith amp Nephew 640 Image Manag
35. atalog or contact Smith amp Nephew Customer Service for specific warranty information This limited warranty is restricted to repair or replacement by Smith amp Nephew at its option of any product found to be defective during the warranty period Damage inflicted to a product by the user that causes it to be unsuitable for refurbishment may result in additional charges regardless of warranty status All warranties apply to the original buyer only In no event shall Smith amp Nephew be liable for any anticipated profits consequential damages or loss of time incurred by the buyer with the purchase or use of any product NO OTHER WARRANTY EXPRESSED OR IMPLIED 15 GIVEN Service Replacement Program Smith amp Nephew offers a 24 hour Service Replacement Program for its products to minimize downtime in your operating room Our goal is to ship you a service replacement unit within 24 hours of your call during normal business hours For a Return Authorization RA number or for additional information on this program call Customer Service at 1 800 343 5717 in the U S or contact your authorized representative 24 hour shipment is not offered in all countries Trademarks of Smith amp Nephew Certain marks registered U S Patent amp Trademark Office All other trademarks acknowledged Smith amp Nephew York Science Park Heslington York YO10 5DF United Kingdom Endoscopy www smith nephew com Smith
36. atly influenced by color depth Because we use a 24 bit color pixel bit depth we can acquire images in what is called True Color If a system uses less than a 24 bit format it loses color and brightness information in the acquired images The full color and brightness areas of the image would then be replaced with black or white dots or pixels which would basically be missing picture information The type of VGA computer display or VGA video projector used to view the final images also makes a substantial difference in perceived image quality As just mentioned a system needs to start with a high picture bit depth Again 24 bit picture bit depth is considered True Color If a VGA computer display or VGA video projector cannot display all 24 bit possible color combinations for Red Green and Blue over 16 77 million possible colors then the image information on the display is replaced with color and brightness levels that are not the same as what was originally acquired If the system displays less color bit depth than the format in which the image information was acquired it is losing picture information Smith amp Nephew 640 Image Management System Operations Service Manual 1061407 Rev F 47 Warranty Smith amp Nephew products are guaranteed to be free from defects in material and workmanship for the warranty period for a particular product beginning from date of invoice Refer to the current Smith amp Nephew Product C
37. ber of tasks simultaneously i e multi tasking These tasks include video recording momentary display of captured image motion correction filtering and auto printing Under these circumstances a camera button click may not register in the 640 software Image capture responsivity can be improved by reducing the number of background tasks that are concurrently performed and increasing the time between image captures To confirm a successful image capture the user may also enable the on screen display OSD option found in the Video Setting dialog With this option activated an image counter will appear in the lower left hand corner of the surgical display and will increment when an image or video is successfully captured To acquire still images and print them simultaneously on a video printer connect the camera head button or the optional footswitch to the Still Capture Loop Thru input port on the 640 Image Management System s rear panel and acquire the image as described above Still images are saved on the internal hard disk in order to minimize the chance of data loss if power is interrupted To save images to other media refer to the Save and Reports section Caution Do not unplug the system power cable or interrupt the power source at any time while data is being acquired Images and video clips may be lost Smith amp Nephew 640 Image Management System Operations Service Manual 1061407 Rev F 23 System Operation
38. ck Patient and enter the new patient information for the next case The previous patient information has already been acquired and stored by a unique filing system in the internal memory When a save is performed ALL image data from each case will be transferred to the flash CD DVD or to the network Bitmap Images What is a bitmap image format and is the image compressed In bitmap format an image file is made up of all the individual picture elements called pixels which are mapped into a grid in their actual positions and colors Pixels can represent many colors over 16 77 million true color pixels are possible with the 640 Image Management System The image file is not compressed so the image artifacts that sometimes plague compressed image files will not occur System Resolution What is the 640 Image Management Systems image resolution My colleague perceives the image quality somewhat differently than I do What are some of the image quality concepts that I need to know in order to understand differences in image quality perception The 640 Image Management System s image resolution the grid of pixels making up the image is 640 x 480 pixels horizontal x vertical This is the maximum pixel resolution due to the source of the signal in this case an analog video camera e g the system cannot obtain acquire more resolution than what is provided by NTSC video Perceived image quality is also gre
39. e diode protected for over voltage conditions Video Outputs RGBS BNC connector x 4 RGB 7Vp p SYNC 3 to 4Vp p 75 ohms terminated S Video Y C 4 pin mini DIN x1 Y 1Vp p C NTSC EIA standards 3Vp p 75 ohms terminated Video Formats NTSC and PAL All Video Outputs are diode protected for over voltage conditions Keyboard Input Mini PS 2 Keyboard Front Panel Inputs Four buttons AUX VIDEO INPUT MAIN MENU CAPTURE and SAVE MENU One AUX VIDEO INPUT BNC Rear Panel Inputs 4 X 3 5 mm mini jacks STILL CAPTURE STILL FREEZE STILL CAPTURE LOOP THRU and VIDEO CAPTURE MIC In 1000 mV RMS Q 10K ohm Impedance typical Audio Out 1000 mV RMS 4 7K ohm Impedance minimum Tally Light Interface for Sony PVM Medical Grade Series Monitors with Remote Port ONLY Rear Panel Ports Bidirectional Port RS 232 Communication Port with USB Type B receptacle Not a USB protocol supported connection Connect to HERMES Digital O R Control Center only Parallel Port Bidirectional input output port with female DB 25 receptacle Universal Serial Bus USB Ports Two USB ports with USB Type A receptacle software compatible with NS16C550 Serial Port UART port with male DB 9 receptacle configured as COM 2 Video Graphics Array VGA Port 16 pin female VGA port Ethernet Port Auto select 10Base T 100Base TX Storage Drives Multi card Drive IDE Interface Supports read write of fl
40. e system down and restart it Refer to the Shutting the System Down and Turning the Power On sections Smith amp Nephew 640 Image Management System Operations Service Manual 1061407 Rev F 35 System Operation Cleaning the Hard Disk 3 To delete a particular procedure and all its files All procedure files except the current procedure are a is gnis e Fe se and stored on the system hard disk If you do not delete e direi un Hel Doce dures TEM them after they have been saved or uploaded to a i network share the hard disk will eventually become OR full To delete a set of files from a particular procedure select the procedure from Procedure To clean the hard disk list Select the files from those listed under 1 Confirm that all procedures have been properly Procedure Files Click Delete Files saved to external media or uploaded OR 2 Inthe System Tools dialog box click Disk To delete all procedures select All procedures Maintenance The Disk Maintenance dialog radio button Click Delete Procedure s box displays the folder structure of the disk 4 Click OK to close the dialog box Disk Maintenance Procedure s 43127568 Sanchez Holly 02182004061530 Procedure File s 051241 bmp 43127568 02182004061530 txt notes txt Selected procedure Delete Procedure s J Delete File s OK Figure 23 Disk Maintenance Dialog Box C All procedures 36 Smith amp Nephew 640 Image Management System Operations Service
41. ement System REF 7210233 is intended for use in the electromagnetic environment specified below The customer or the user of the 640 Image Management System should assure that it is used in such an environment IEC 60601 Compliance Immunity Test Test Level Level Electromagnetic Environment Guidance Portable and mobile RF communications equipment should be used no closer to any part of the 640 System including cables than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter Recommended separation distance d 1 2Vp Conducted RF IEC 61000 4 6 d 12Vp 80 MHz to 800 MHz d 23Vp 800 MHz to 2 5 GHz Where p is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d is the recommended separation distance in meters m Field strength from fixed RF transmitters as determined by an electromagnetic site survey should be less than the compliance level in each frequency range Interference may occur in the vicinity of equipment marked with the following symbol Note 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people Note 1 At 80 MHz and 800 MHz the higher frequency range applies Field strengths from fixed transmitters such as base stations for radio cellular cordless telephones land mobile radi
42. en Show Procedure ID is checked For non DORAWEB users the MRN field is a required field Note Users who do not use the DORAWEB System may skip the following For DORAWEB users the following fields are required fields Last Name First Name MRN Surgeon Procedure In earlier versions of the 640 System software this information was available to the 640 System via the Update List function in the Patient module Users can continue to use this option however they can also enter patient information in the 640 System and then transfer the information to the DORAWEB System when the procedure is completed The DORAWEB software requires the above five fields to process the information therefore they are required fields in the 640 software for DORAWEB users Users who intend to enter patient information for DORAWEB in the 640 System for the first time are required to check the DORAWEB Network check box in the Save module Figure 14 This action will put an next to all the required fields The default screen does not show the Procedure ID Users who want to enter a Procedure ID manually can do so First the user must click on Data Systems and Devices in System Configuration The Show Procedure ID box needs to be checked Figure 22 On the Main Menu there will now be an additional field called Procedure ID Smith amp Nephew 640 Image Management System Operations Service Manual 1061407 Rev F 19 System Operation Procedu
43. eous Promptto show Disk Maintenance after save C Yes No Video standard NTSC C PAL Figure 21 System Configuration Dialog Box Policies the Startup and Login Options group there are three choices that control access to the 640 System The VGA Monitor setting is used to control the appearance of the 640 System control display on the surgical monitor at startup Yes means the main menu will not be presented on the surgical display at startup only on the VGA display No means main menu will be presented on surgical display at startup The Startup Login option is used to control the appearance of a logon dialog when the system is powered on If users are required to logon before using the 640 System then choose Yes if not choose No The Login Type setting is used to select between the Windows authentication which requires system accounts to be created for each user and Simple which requires only a password to use the system The password can be set and confirmed in the same dialog but only applies to the Simple method of login The Prompt to Show Disk Maintenance after Save gives the user the opportunity to delete the procedure from the system after save Yes means show a prompt to go to Disk Maintenance utility No means do not prompt and do not allow user to delete the procedure unless the user enters through System Tools The Video Standard setting is either NTSC or PAL Typically NTSC is chosen for North America and J
44. ff before being moved Do not drop or jar the system as damage to components and loss of data may result Data Storage Media Caring for Removable Disks and CD DVD Media Flash and CD DVD media are used to record and store images and data created while using the 640 Image Management System Do not drop flash or CD DVD media onto hard surfaces as this can result in disk damage and data loss Keep flash and CD DVD media clean and dry by always storing them in their cases Avoid storing at temperatures greater than 120 F Do not allow water or other fluids to enter the multi card reader or CD DVD drives on the front panel Preventative Maintenance Recommended Annual Performance Checks Smith amp Nephew recommends that dielectric strength earth leakage current and protective earth testing be performed annually to assure continued compliance with applicable safety requirements These tests should be conducted in accordance with specifications UL 60601 1 IEC 60601 1 Caution Electrical safety testing should be performed by a biomedical engineer or other qualified person Electrical Interference Caution This equipment is designed and tested to minimize interference with other electrical equipment However if interference occurs with other equipment it may be corrected by one or more of the following measures Reorient or relocate this equipment the other equipment or both Increase the separation between the p
45. g function keys refer to the Using the Pointing Devices and Function Keys section Smith amp Nephew 640 Image Management System Operations Service Manual 1061407 Rev F System Installation Overview The following pages summarize the steps required to install and configure the Smith amp Nephew 640 Image Management System Each 640 Image Management System configuration may vary depending on the camera system and components used Figure 5 indicates a system configuration that complies with IEC 60601 1 1 requirements Figure 7 indicates one example of component configuration and interconnection Important Prior to initiating system installation all the Warnings and Cautions reference Page 4 must be thoroughly read and understood Caution This 640 Image Management System does not ship with virus scanning software installed Before operation it is important to install virus scanning software on the 640 Image Management System if the 640 Image Management System is to be networked or if the user will use non blank or reusable recording media such as compact discs DVDs or removable flash media 10 Smith amp Nephew 640 Image Management System Operations Service Manual 1061407 Rev F System Installation Recommended System Configuration 166 60601 1 1 Compliant System Configuration Figure 5 indicates a system configuration that complies with IEC 60601 1 1 requirements Warning If this unit is configured as par
46. g the Save button Note The instructions in this manual describe using the first technique clicking buttons but you can use the navigation technique that you find most convenient All of the function keys are defined as follows lt ESC gt Toggle Video Mode equivalent to the Display Mode Live Video Main Menu button on the 640 System screen Fl Reserved for future use F2 Display the 640 System screen with the most recently captured image on the surgical monitor equivalent to the Display Mode Main Menu button on the 640 System screen F3 Preview captured image lequivalent to the Preview button on the 640 System screen F4 Capture the still image currently displayed on the video monitor equivalent to the Capture 222272 button on the 640 System screen F5 Start or stop recording a video clip equivalent to the Record Suissa and Stop 7 buttons on the 640 System screen F6 1410 on the screen display of image sequence numbers equivalent to the On Screen Display On radio button in the Video Settings dialog box F7 Turn off the screen display of image sequence numbers equivalent to the On Screen Display Off radio button in the Video Settings dialog box lt F8 gt Setthe video input to RGB equivalent to the Input RGB radio button in the Video Settings dialog box lt F9 gt Setthe video input to S Video equivalent to the Input S Video radio button in the Video Setting
47. h amp Nephew 640 Image Management System Operations Service Manual 1061407 Rev F System Operation Overview Network Connection The Smith amp Nephew 640 Image Management System may be configured as part of a system connected to an Ethernet network allowing exported data to be viewed using Smith amp Nephew s DORAWEB Surgical Documentation System your institution s Picture Archiving Communication System PACS or standard third party image viewing tools If your system is to be configured as part of a network you should review System Administration section DORAWEB System Integration Broker Introduction and System Configuration If your installation is not configured as part of a network you should disregard all references to DORAWEB or PACS or Integration Broker functionality in the following section Auto Login The 640 Image Management System comes from the factory configured to Auto Login when the system is powered up If required the system may be configured to require a System Login Figure 8 at power up review System Administration section System Configuration on page 28 and Configuring the 640 Image Management System on page 32 User Name Password Domain Cancel C n Figure 8 640 System Login Dialog Box The system administrator can also configure the 640 System Login to verify multiple user accounts System Tools Login The Smith amp Nephew 6
48. he system will acquire the most recent schedule of procedures from these systems 3 In the Procedure List click the entry for the patient whose procedure you want to change If there is more than one procedure scheduled for this patient there will be multiple entries in the list The Procedure Information fields display the stored data 4 Click Edit to change the data 5 To change the type of Procedure select a different procedure type from the Procedure Type drop down list or click within the Procedure field s text area and then type in the new information To change any of the other fields click within the field s text area and then type in the new information 6 Click Save to save the new information or click Cancel to leave the stored data unchanged 7 Click OK to close the dialog box Deleting a Procedure To delete a procedure 1 On the 640 System screen click Patient The Patient dialog box displays If you are not using DORAWEB PACS HIS proceed to Step 3 2 If you are using DORAWEB PACS HIS click Update List The system acquires the most recent schedule of procedures from the DORAWEB System 3 In the Procedure List click the entry for the patient whose procedure you want to delete If there is more than one procedure scheduled for this patient there will be multiple entries in the list The Procedure Information fields display the stored data 4 Click Delete to delete the procedure Note Once you
49. ieces of equipment Connect the pieces of equipment into different outlets or circuits Consult a biomedical engineer Environmental Protection Caution This equipment contains electronic printed circuit assemblies At the end of the useful life of the equipment it should be disposed of in accordance with any applicable national or institutional related policy relating to obsolete electronic equipment Service Service Philosophy The 640 Image Management System is not field serviceable When service is required return the unit to Smith amp Nephew or an authorized Smith amp Nephew Service Center Smith amp Nephew 640 Image Management System Operations Service Manual 1061407 Rev F 43 Troubleshooting Refer to the table below for information on problem solving for the Smith amp Nephew 640 Image Management System Additionally review the Frequently Asked Questions section for frequently asked questions regarding proper use of the system Symptom Cause WhatToDo No video image Video cables loose or disconnected Check video cable connections Video source turned OFF Turn video source power ON Monitor turned OFF Turn monitor power ON Video out of sync for example Monitor sync setting incorrect Set monitor sync to EXT external partial rolling images Keyboard does not respond to Keyboard cable loose or Check keyboard cable connection typing disconnected on rear of unit Screen displays A SY
50. input output port for use with USB peripherals such as printer and pointing devices touchpad mouse etc Parallel Port Bidirectional parallel communication port for use with local printers Video Graphics Array VGA Outputs video graphics array signal for use with optional computer monitor touch panel Disconnect Before Shipping Disconnect the keyboard and 1 touchpad cables and wrap them securely with the Velcro fastener before shipping the System Smith amp Nephew 640 Image Management System Operations Service Manual 1061407 Rev F System Components Keyboard Smith 7Nephew D ESS F4 F5 Fe FP 70998 ew Capure Pantie oso Display Mode sii image Sul rage V den Clio 3 EEEIEEEIIIIIEEJ aM JI Qe OC Jo Je JI EO IEE g Co OC OR Jo Je eoa Jc Jp b Rol m ee TI Figure 3 Smith amp Nephew 640 Image Management System Keyboard career lt Shift gt Key The keyboard and touchpad are located in the bottom drawer of the 640 Image Management System The keyboard and cable are secured in the drawer with a Velcro fastener To minimize drawer obstruction rewrap the cable securely with the Velcro fastener when storing General Keyboard Functions Left Right Left and Right Arrows Button iii Move cursor on the selected highlighted line entry Figure 4 Touchpad Up and Down Arrows Move cursor between fields For information regardin
51. mith amp Nephew for service Maintenance At least annually the electrical safety conditions should be checked to ensure compliance with IEC 60601 1 Do not unplug the system power cable or interrupt the power source at any time while data is being acquired Images and video clips may be lost Do not allow water or other fluids to enter the multi card reader or CD DVD drives on the front panel Smith amp Nephew 640 Image Management System Operations Service Manual 1061407 Rev F Precautions Introduction HERMES Ready System Information System Components e The CD DVD drive unit should only be used with blank CD R and or CD RW 650 MB or 700 MB disk media and blank DVD R and or DVD RW 4 7 GB disk media Do not unplug the system power cable or interrupt the power source at any time while the data is being written to the CD DVD R CD DVD RW media Doing so will render the CD DVD R CD DVD RW disk unusable This equipment contains electronic printed circuit assemblies At the end of the useful life of the equipment it should be disposed of in accordance with any applicable national or institutional related policy relating to obsolete electronic equipment Introduction The Smith amp Nephew 640 Image Management System enables the acquisition review export and printing of still images and video clips A basic patient record containing patient demographic information and notes is also created directly on the system
52. ngs button provides the user access to Video Input Option Capture File Option and Surgical Display Option settings Refer to the Setting Video Options section The Shut Down button initiates a controlled system shut down Refer to the Shutting the System Down section Procedure GJ Name Holly D Sanchez MRN 43127568 DOB 5 17 1972 Sex F Surgeon Wayne Procedure Ankle Display Mode To Main Menu To Live Video Capture Picture Video Preview AEE DICOM Disk Usage CD DVD System Tools Video Settings Shut Down pis Figure 9 640 System Screen 162539 bmp 0 88 MB j 16 Smith amp Nephew 640 Image Management System Operations Service Manual 1061407 Rev F System Operation At the top of the right side of the 640 System Main Screen is the Review Box The last image captured will automatically be displayed in the Review Box Below the review box is the Thumbnail Display Box where all available images and video clips for the current procedure are listed Still images are displayed as thumbnails small versions video clips are indicated by the icon They are listed in time order with the newest at the end of the list and are each labeled with a capture time stamp in the form HHMMSS where HH is the hour MM is the minute and SS is the second The file extension the characters after the period indicates the file type BITMAP bmp JPEG jpg or MPEG
53. nimize the chance of data loss if power is interrupted To save video clips to other media refer to the Save and Reports section Caution Do not unplug the system power cable or interrupt the power source at any time while data is being acquired Images and video clips may be lost If a microphone is connected to the 640 rear panel microphone audio input audio can be recorded on to the MPEG file while video recording is enabled Reviewing Images and Video Clips To view the most recently acquired still image 1 On the 640 System screen click the Main Menu button The last still image captured displays in the review area on the 640 System screen 2 Toreturn to live video click the Live Video button To play the most recently recorded video clip 1 Onthe 640 System screen click Playback The video clip will play on the full screen of the 640 System display and the surgical display if selected It plays to the end unless you press any key on the keyboard To view any acquired still image or video clip 1 On the lower right side of the 640 System screen locate the thumbnail of the desired still image or the MPEG icon of the desired video clip 2 To view the desired still image in the review area click it 3 To play a desired video clip click on its icon On the 640 System screen click Playback 29 The video clip will play on the full screen of the 640 System display and the surgical display if selec
54. nual 1061407 Rev F Maintenance Service Maintenance Smith amp Nephew 640 Image Management System and Keyboard Cleaning the System A Warning Prior to cleaning the system turn off all power to the system and disconnect it from the power source The exterior of the 640 Image Management System may be cleaned with a mild detergent on a damp not wet lint free cloth Do not use abrasives alcohol or other solvents Do not allow moisture to enter the inside of the unit or damage to the internal components may result Do not open the unit or remove the cover Protecting the Keyboard Liquid can permanently damage the keyboard Use the keyboard in such a position that it is protected from spills If liquid is spilled on the keyboard disconnect it immediately from the back of the system and turn the keyboard upside down to allow the liquid to drain out The keyboard should be allowed to dry for at least eight hours before plugging it in and using it again If the keyboard is not responding make sure the connector is properly aligned and securely connected to the back of the system Refer to Rear Panel illustration for connector location Moving the 640 Image Management System Always turn off power to the system before moving it Even though the system is on a movable cart it should be turned off before relocating it The sensitive disk drive heads are less vulnerable to jarring or damage if the system is turned o
55. o the DORAWEB PACS HIS System make sure that your system administrator has configured the DORAWEB PACS HIS System integration For more information refer to Integration Broker and the IMS folder and sub folders and Configuring DORAWEB System Integration section To save the current selected or all procedures 1 Onthe 640 System screen click Save The Save dialog box displays Choose one two three or four destinations for the procedure or procedures from among Media the DORAWEB Network System your installations PACS or HIS system If you select media you have a choice between the CD DVD and the flash media If any of these destinations except CD DVD is not currently available it will be grayed out so you cannot select it Note When saving to CD DVD the drive must contain an empty CD DVD R or CD DVD RW disk If one is not present the system reminds you to insert one in the drive after it has attempted to initialize the disk Note When saving to flash media the information can be appended to previously existing procedure information provided there is enough storage capacity available on the media If there is not enough storage capacity the Zip Flash radio button will be grayed out It will also be grayed out if the appropriate flash media is not present Choose one two or three types of data to be included for each procedure You can choose among Pictures images Notes and Video Clips Save Options
56. os amateur radios AM and FM radio broadcasts and TV broadcasts cannot be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the 640 Image Management System is used exceeds the applicable RF compliance level above the 640 Image Management System should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as reorienting or relocating the 640 Image Management System P Over the frequency range 150 KHz to 80 MHz field strengths should be less than 3 V m Smith amp Nephew 640 Image Management System Operations Service Manual 1061407 Rev F 39 Guidance and Manufacturer s Declaration Electromagnetic Immunity Table 1 Guidance and Manufacturer s Declaration Electromagnetic Immunity continued The Smith amp Nephew 640 Image Management System REF 7210233 is intended for use in the electromagnetic environment specified below The customer or the user of the 640 Image Management System should assure that it is used in such an environment IEC 60601 Compliance Immunity Test Test Level Level Electromagnetic Environment Guidance Electrostatic 6kV contact 6kV contact Floors should be wood concrete or ceramic tiles If floors are ESD covered with synthetic material the relative humidi
57. peration requires more data than a single CD can store the software will allow the recording to continue on multiple CDs When one CD s data has been stored the drive will be ejected and the user will be prompted to insert a new C Anew CD should be inserted and the OK button should be pressed to continue The software will then continue writing to the subsequent CD until all data is written Smith amp Nephew 640 Image Management System Operations Service Manual 1061407 Rev F 27 System Operation Generating a Report Printing To generate a report for the current selected or all procedures 1 On the 640 System screen click Report The Report dialog box displays 2 Choose one or two types of data to be included in the report You can choose among Pictures images and Notes If you selected Notes they will print on a separate page once the pictures have printed 3 Choose Current procedure All procedures including current and in process procedures or Selected procedures When Selected is chosen the checkboxes for the appropriate procedures should be checked to indicate which reports are to be generated 4 Choose an image layout for the report e 1x1 one image per page the default e 1x2 two rows of one image per page two images per page e 2x3 three rows of two images per page six images per page e 3x5 five rows of three images per page fifteen images per page 5 To print the report click Print
58. re States Each procedure will be in one of three states at any given time e Queued The procedure has been scheduled and appears in the Procedure List but does not yet have any acquired images or video clips e Current There is only one current procedure the procedure that is currently being displayed on the 640 System screen e n Process The procedure has at least one acquired image or video clip When you create a new procedure it begins in the queued state and displays in the Procedure List When a procedure is selected from the list it is marked as Current and remains current until a new procedure is selected from the list The original procedure is then marked In Process and remains available through the Save and Report functions Refer to the Save and Reports section Adding a New Procedure To add a new procedure 1 On the 640 System screen click Patient The Patient dialog box displays In the Procedure List the first entry is labeled Add new procedure Figure 10 If you are not using DORAWEB PACS HIS proceed to Step 3 20 If using DORAWEB PACS HIS click Update List The system will acquire the most recent schedule of procedures from these systems Users who want to transfer procedure information to the DORAWEB System after first entering it at the 640 System must have the DORAWEB Network check box selected in the Save module This action will cause the procedure information to show up wi
59. rinting WE Figure 15 Report Dialog Box 28 Smith amp Nephew 640 Image Management System Operations Service Manual 1061407 Rev F System Operation System Administration As the system administrator you can configure the 640 Image Management System for your particular installation via the System Tools dialog box Display the dialog box by clicking System Tools on the 640 System screen and enter password SNE640 which may be changed by the system administrator refer to Figure 8 Access to the System Tools option should be limited to users proficient in Windows 2000 Operating System configuration and authorized to network computer systems System administration includes the following Windows configuration tasks e System Management Tools displays the Windows Computer Management dialog box so that you can manage the user accounts and disk drives Network Connections displays the Windows Network and Dial up Connections dialog box so that you can manage your network connections International displays the Windows Regional Options dialog box so that you can set regional options including numbers currency time and date To change the language used by the 640 System select from the list of languages in the Menus and Dialogs drop down list box and restart the system Date and Time displays the Windows Date Time Properties dialog box so that you can set the date and time as necessary Printers display
60. rmat To capture images in JPEG and or DICOM format click the associated checkboxes on the 640 System screen To capture images for the current procedure 1 If you want to first freeze the live video click the Preview button on the 640 System screen Note that this is not necessary Click Capture and Close or Cancel to return to live video 2 Onthe 640 System screen click Capture 22 The image currently displayed on the surgical display is acquired During image acquisition the video image will freeze momentarily and the CAPTURE light on the front panel will illuminate indicating that the still image was acquired successfully After the capture the image will display in the review area on the 640 System screen and will have its thumbnail added to the end of the list identified by the capture time stamp Note The CAPTURE button will be grayed out if there is no current procedure or if the system does not detect a video input signal Note You can also acquire images using the CAPTURE button on the 640 Image Management System s front panel the optional footswitch connected to the Still Capture input port on the rear panel or the camera head buttons if they are configured appropriately For more information refer to the System Components section Note The 640 System may occasionally miss a camera button click when the camera button or foot pedal is pushed in rapid succession and the 640 System is performing a large num
61. rnings and Precautions To ensure maximum performance safe operation and full warranty protection of the Smith amp Nephew 640 Image Management System please read and follow these warnings and cautions A Warnings To reduce the risk of electric shock do not remove the unit s cover or back panel Refer servicing to qualified service personnel DANGER Risk of explosion if used in the presence of flammable anesthetics If a power strip is used ensure that it is not placed on the floor Prior to initiating system installation ensure that there is no electrical power to any of the system components If this unit is configured as part of a system the entire system should be tested for compliance with IEC 60601 1 1 If the leakage current of the configured system exceeds the limits of IEC 60601 1 1 install an appropriately rated UL 60601 1 IEC 60601 1 approved isolation transformer and retest the system The use of accessory equipment not complying with the equivalent safety requirements of this equipment may lead to a reduced level of safety of the resulting system Consideration relating to the choice shall include Use of the accessory in the patient vicinity Evidence that the safety certification of the accessory has been performed in accordance with UL 60601 1 IEC 60601 1 IEC 60601 1 1 and or CAN CSA C22 2 No 6011 Check leakage currents when interconnecting this unit with other equipment Do not operate at line
62. s dialog box lt FI0 gt Equivalent to the OK button Smith amp Nephew 640 Image Management System Operations Service Manual 1061407 Rev F 17 System Operation Fl Play the most recently recorded video clip equivalent to the Playback 222222 and Stop 7777 buttons on the 640 System screen lt F12 gt Open the Save Dialog equivalent to the Save button on the 640 System screen In addition you can use the up and down arrow keys and the left and right arrow keys to move through the text fields and lists in the dialog boxes making each successive one active The Enter button may also be used to move through the text fields Using the Touchpad The touchpad is an easy way to control your computer screen Simply glide your finger over the surface of the touchpad to move the cursor on the screen To click a button on the screen glide your finger to move the screen cursor over the desired button and then gently tap your finger You can also use the buttons on the bottom of the touchpad to left or right click To double click click the left button twice or click the right button once To scroll place your finger down on the right edge of the touchpad and glide up or down Note The touchpad responds best to a very light crisp tap of the finger Shutting the System Down To shut down the Smith amp Nephew 640 Image Management System 1 On the 640 System screen click Shut Down A dialog box will first appe
63. s the Windows Printer dialog box so that you can configure and manage the local and network printers System Tools System Management Tools j Network Connections International Date and Time ee Printers Close Application DORAWEB PACS HIS DICOM Send Utility System Configuration Disk Maintenance About 640 System Figure 16 System Tools Dialog Box Smith amp Nephew 640 Image Management System Operations Service Manual 1061407 Rev F 29 System Operation The following system administration tasks are specific to the 640 Image Management System e DORAWEB PACS HIS System enables you to configure the connection with the DORAWEB and PACS HIS System Refer to the Configuring DORAWEB System Integration section e System Configuration displays the 640 System configuration for editing Refer to the Configuring the 640 Image Management System section e Disk Maintenance enables you to remove files from the hard disk to increase storage space Refer to the Cleaning the Hard Disk section e About 640 System to display the version number of the 640 Image Management System click the About 640 System button This will display the current system version and associated software version numbers To close the About 640 System dialog simply click OK Integration Broker Introduction All users who do not use DORAWEB PACS or HIS to interface to the 640 S
64. ser will use non blank or reusable recording media such as flash media DVDs or compact discs 8 Connect the power cord to the rear of the system 12 Smith amp Nephew 640 Image Management System Operations Service Manual 1061407 Rev F System Installation Cable Configuration CAMERA CONTROL UNIT Computer Monitor Touch Panel Optional 640 SYSTEM Still Capture Loop Thru Still Capture Still Freeze Video 9 Capture Optional Ethernet USB HERMES Optional VIDEO PRINTER meee es Remote 2 OUT HERMES Control MONITOR Center IN Figure 7 Standard Cable Configuration for Still Image and Video Clip Acquisition Smith amp Nephew 640 Image Management System Operations Service Manual 1061407 Rev F 13 System Installation Step B Attaching HERMES Digital O R Control Center Refer to Figure 7 and the HERMES Digital O R Control Center Operating and Maintenance Manual for operation and configuration of the HERMES Control Center with the 640 Image Management System Step C Attaching the Windows Compatible Printer You can install and configure a standard Windows compatible printer with the 640 Image Management System in three different ways e Connected locally to the USB port e Connected locally to the LPT parallel port e Connected as a network printer Configure the printer via the System Tools dialog box 14 Smit
65. t of a system the entire system should be tested for compliance with IEC 60601 1 1 e fthe leakage current of the configured system exceeds the limits of IEC 60601 1 1 install an appropriately rated COLOR VIDEO MONITOR Sony PVM 20M2MDU REF 7206091 or DYONICS Vision 818 REF 7209067 AC Input COLOR VIDEO PRINTER Sony UP 51MD REF 7207801 or Sony UP 51MDU REF 7207812 AC Input SMITH amp NEPHEW CAMERA CONTROL UNIT DYONICS ED 3 Camera Control Unit NTSC REF 7206063 PAL REF 7206065 or DYONICS Vision 325Z Camera Control Unit NTSC REF 7207445 PAL REF 7207446 or DYONICS HD 900 Camera Control Unit NTSC REF 7206080 PAL REF 7207395 or DYONICS Vision 325Z DV Camera Control Unit NTSC REF 7209070 AC Input SMITH amp NEPHEW LIGHT SOURCE DYONICS 300XL Xenon Light Source REF 7206084 or TriVex System 300XL Xenon Light Source REF 7207449 AC Input Figure 5 IEC 60601 1 1 Compliant System Configuration UL 2601 1 IEC 60601 1 approved isolation transformer and retest the system e The use of accessory equipment not complying with the equivalent safety requirements of this equipment may lead to a reduced level of safety of the resulting system Consideration relating to the choice shall include Use of the accessory in the patient vicinity Evidence that the safety certification of the accessory has been performed in accordance with the appropriate UL 2601 1 IEC 60601 1 and
66. ted It plays to the end unless you press any key on the keyboard 4 To print the displayed image click Print 5 To delete the displayed image or video clip from the procedure click Delete Note Once you delete an image or video clip it cannot be recovered 24 Smith amp Nephew 640 Image Management System Operations Service Manual 1061407 Rev F System Operation Adding Text Notes You can add text notes to the current procedure at any time To add text notes for the current procedure 1 On the 640 System screen click Note The Note dialog box displays 2 Type your free format text into the text box 3 If you want to delete all of your text click Clear to clear the text box and begin again 4 Click OK to save the note or click Cancel to not save the note In both cases the dialog box closes INE Sample note Clear Cancel Figure 13 Note Dialog Box Smith amp Nephew 640 Image Management System Operations Service Manual 1061407 Rev F 25 System Operation Save and Reports Saving Procedures You can save the current procedure or all procedures by copying the procedure data to the flash or CD DVD removable media At the same time you can also transfer the procedure data to the DORAWEB System and or your installations PACS or HIS Note The Save does not automatically delete the procedure data from the 640 Image Management System Note Before saving procedure data t
67. th five required fields making it compatible to transfer to the DORAWEB System later Select the first entry The Procedure Information fields display the blank data fields Click on a field and enter information Use the J and the T arrows or the enter button on the keyboard or the touchpad to move from field to field To enter the Procedure Type select a procedure type from the drop down list or click within the Procedure field s text area and then type in the new information Click Save to save the new information or click Cancel to not add the new procedure Click OK to close the dialog box Procedure List Procedure Information Add New Procedure Last Name First Name M Initial DOB Sex MRN Surgeon Procedure Procedure Type Required Field Update List Uoloto Figure 10 Add New Procedure Box Edit 7 Cancel a Smith amp Nephew 640 Image Management System Operations Service Manual 1061407 Rev F System Operation Changing a Procedure When a procedure is current or in process at least one image or video clip has been acquired stored information regarding the procedure cannot be changed To change the stored information for a queued or current procedure not allowed for procedure in process 1 On the 640 System screen click Patient The Patient dialog box displays If you are not using DORAWEB PACS HIS proceed to Step 3 2 If using DORAWEB PACS HIS click Update List T
68. tible dcm format If JPEG is enabled and selected on the 640 System screen you will also capture images in JPEG jpg format You can set the quality to Standard higher compression of 20 1 with an average file size of 50 KB or High lower compression of 10 5 1 with an average file size of 85 KB Note The DORAWEB System imports Bitmap JPEG and DICOM still images and video clips When capturing images for export to the DORAWEB System JPEG is the recommended format to allow image annotation For video clips select MPEG1 or MPEG2 mpg format MPEGI generates half the video resolution with smaller file sizes MPEG2 generates full video resolution with larger file sizes To help ensure that all information acquired for a given patient fits onto the target medium including flash and CD set the maximum MPEG File size to 100 MB 200 MB or 600 MB This will automatically break long video clips into smaller more manageable file sizes You can capture data up to a maximum of 2 GB total per procedure which is stored on the 640 internal hard disk ideo Settings Video Options Video Input RGB Capture File Options JPEG Enabled Yes JPEG Quality High Video Format MPEGI Motion Correction Filter On Maximum MPEG File Size 100MB Surgical Display Options On Screen Display Off Display Captured Image Off Play Video on Surgical Display Yes Figure 12 Video Settings Dialog Box S
69. to PACS It is being retained to allow existing users of this utility to transition over at a time of their choosing The DICOM Send Utility enables you to send stored DICOM images to your Picture Archiving Communication System PACS You must configure the utility with information about your particular PACS installation To configure the DICOM Send Utility 1 In the System Tools dialog box click DICOM Send Utility The DICOM Send Utility dialog box displays 2X smith amp nephew Ready About Settings Echo Figure 19 DICOM Send Utility Dialog Box 2 Click Settings The DICOM Send Configuration dialog box displays Dicom Configuration Local AE Title i SION640 Directory c DicomSend Scan subdirectories W Enable logging Remote IP Address 10 100 10 10 Remote Port Number 4006 zd Cancel Remote AE Title Figure 20 DICOM Send Configuration Dialog Box 10 Enter the local name of the 640 Image Management System in the Local AE Title field typically smith amp nephew 640 Enter the full path name of the Directory containing the image files that are to be copied to the PACS Select the option to scan subdirectories Specify the Remote IP Address Remote Port Number and Remote AE Title the registered name of the PACS Click OK to save the information and close the dialog box On the DICOM Send Utility dialog box click Echo to start a communications test with the PACS
70. ty should be discharge 8kV air 8kV air at least 30 IEC 61000 4 2 Electrical fast 2kV for 2kV for Mains power quality should be that of a typical commercial or transient burst power supply power supply hospital environment IEC 61000 4 4 lines lines 1kV for input 1kV for input output lines output lines Surge 1kV 1kV Mains power quality should be that of a typical commercial or IEC 61000 4 5 differential mode differential mode hospital environment 2kV 2kV common mode common mode 5kV input 5kV input output output Voltage dips 59595 Reduction gt 95 Reduction Mains power quality should be that of a typical commercial short for 10ms for 10ms or hospital environment If the user of the 640 Image interruptions 60 Reduction 60 Reduction Management System requires continued operation during and voltage for100ms for 100ms power mains interruptions it is recommended that the 640 variations on 3095 Reduction 30 Reduction Image Management System be powered from an uninterruptible power supply for 500ms for 500ms power supply or a battery input lines gt 95 Reduction gt 95 Reduction IEC 61000 4 11 for 5s for 5s Power The power frequency magnetic tield should be at levels frequency characteristic of a typical location in a typical commercial 50 60 Hz or hospital environment magnetic field IEC 61000 4 8 40 Smith amp Nephew
71. voltages other than those stipulated on the back of the unit Prior to cleaning the system turn off all power to the system and disconnect it from the power source Precautions U S Federal law restricts this device to sale by or ox on the order of a physician This 640 Image Management System does not ship with virus scanning software installed Before operation it is important to install virus scanning software on the 640 Image Management System if the 640 Image Management System is to be networked or if the user will use non blank or reusable recording media such as flash media or compact discs The 640 Image Management System complies to IEC 60601 1 2 however the user must be aware that this does not necessarily ensure protection of the unit against interference from other devices Electrical safety testing should be performed by a biomedical engineer or other qualified person This equipment is designed and tested to minimize interference with other electrical equipment However if interference occurs with other equipment it may be corrected by one or more of the following measures Reorient or relocate this equipment the other equipment or both Increase the separation between the pieces of equipment Connect the pieces of equipment into different outlets or circuits Consult a biomedical engineer Handle unit with care If the unit is dropped or damaged in any way it must be returned immediately to S
72. w 640 Image Management System Operations Service Manual 1061407 Rev F Y C Input From camera system s Y C output Y C Output Y C output to additional video components Keyboard Input System keyboard Still Capture Accepts input activated by camera head button or optional footswitch Still Capture Loop Thru The Still Capture input port is simultaneously routed as an output signal to this port The Loop Thru port can be connected to a video printer so both the system and the video printer can be operated from the same camera head button or the optional footswitch control System Components Rear Panel Still Freeze Accepts input activated by camera head button or optional footswitch instructing system to freeze presently displayed video image A second press returns display to live video Video Capture Accepts input activated by camera head button or optional footswitch instructing system to start video acquisition A second press stops acquisition Microphone Audio input from line level audio source Audio Out Outputs line level audio signal when playing back captured video Tally Light Outputs signal instructing Tally Light to turn on during video acquisition Used only with compatible surgical displays IOIO Serial Port Touch panel input port Universal Serial Bus USB Port Bidirectional
73. y Output on the back of the camera control unit to the Still Capture and Video Capture input ports on the back of the system The optional footswitch can be used in lieu of the camera head buttons 3 To print to a color video printer when a digital still image is acquired connect the video printer to the Still Capture Loop Thru port using the third mini plug cable Connect the RGB SYNC and Y C outputs on the 640 Image Management System to the RGB SYNC and Y C inputs on the printer Connect the RGB SYNC and Y C outputs on the printer to the RGB SYNC and Y C inputs on the monitor 4 Connect the multi pin circular connector attached to the keyboard to the Keyboard port on the back of the system 5 Connect the touchpad to the bottom USB port port 2 o Ut e ce 9 utput 3Q i Figure 6 USB Connection 6 Optional Connect the Tally Light cable from the Tally Light output on the system to the Remote 1 input on the back of the surgical display This will enable the Tally Light to illuminate while digital video clips are being acquired 7 Connect a network cable optional to the Ethernet port using a standard RJ45 Cat 5 Ethernet cable Caution This 640 Image Management System does not ship with virus scanning software installed Before operation it is important to install virus scanning software on the 640 Image Management System if the 640 Image Management System is to be networked or if the u
74. ystem may skip this section Images and image text PACS PACS Folder System Image text Images Today s patient demographics Images when requested by user The Integration Broker is the software component responsible for communication between the Smith amp Nephew 640 Image Management System the Smith amp Nephew DORAWEB Surgical Documentation System PACS and HIS The Integration Broker can be installed on a DORAWEB server or on a hospital server An integration folder with the share name IMS is automatically created on this shared drive during the installation The following sub folders are also automatically created DORA PACS HIS In addition to the IMS folder there are also the PACS and HIS folders These folders are mapped to the PACS or HIS system that is being used and may reside on a different server The Integration Broker therefore transfers information between different folders on shared drives Figure 17 shows how the Integration Broker software handles the transfer of information across different systems INTEGRATION BROKER Images and Image text Today s patient demographics data data Acquisition Integration Folder DORAWEB Devices Server Images videos and procedure data x Text HL7 compliant Clee ae HIS System Figure 17 Integration Folder Images videos and procedure data Text message 30 Smith amp Nephew 640 Image Management System Operations Service Manual 1061

Smith & Nephew 640 Image Management System

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Smith &amp; Nephew 640 Image Management System

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Smith & Nephew 640 Image Management System