Smith & Nephew

smith & nephew Camera and Image Management Systems

660HD Image Management System Operations and Service Manual Rev C 3

Operations and Service Manual

52 Pages

File Type: PDF

File Size: 1010 KB

File Name: Smith & Nephew - 660HD Image Management System Operations and Service Manual Rev C 3.pdf

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Operations/Service Manual

Smith & Nephew 660HD Image Management System

Glossary of Symbols CAUTION: U.S. Federal law restricts this device to sale by or on the order of a physician.

Microphone Input

Date of Manufacture

Still Capture

Catalog Number

Power Up/Power Down

Composite Video Input

Still Capture Loop Thru

Stop

Rewind Stylus

Video Capture Pause

Universal Serial Bus (USB) Port

Y/C Input Play

Digital Video Input

Y/C Output Fast Forward

Eject

Digital Video Output Record

Serial Number

Caution: See Instructions for Use

Dangerous Voltage: Danger of electric shock

UL Classification

CE Mark

Composite Video Input

Non-ionizing electromagnetic radiation

Composite Video Output

European Representative

Video Graphics Array (VGA)

This Way Up

Keyboard

Fragile; handle with care

Mouse Keep Dry

Equipotentiality

Ethernet Port

Temperature Range Parallel Port

Serial Port

EU: Not for general waste

EQUIPMENT CLASSIFICATION Patient Isolation Type B Applied Part

Smith & Nephew 660HD Image Management System Operations/Service Manual

Humidity

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Preface / Table of Contents

Preface This manual contains general information, together with setup, operation, and maintenance instructions, for the Smith & Nephew 660HD 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.

Table of Contents Preface...4 Table of Contents...4 Introduction...5 Indications for Use...5 Contraindications...5 Warnings...5 Precautions...6 Unpacking and General Inspection...7 Unpacking the Components...7 Front Panel Layout...8 Rear Panel Layout...9 Keyboard Layout...10 Recommended System Configuration . . .11 IEC 60601-1-1 Compliant System Configuration...11 Setup...12 Step A: Attaching Cables...12 Cable Configuration...13 Step B: Attaching the Windows®Compatible Printer...14 Step C: Setting the Video Input...14 Video Inputs...14 Looping Video through the 660HD System...14 Network Connection...15 Auto Login...14 Login Type...15 Passwords...15 Operation...16 Turning Power On...16 Using the 660HD System Screens...17 Navigating the 660HD System...18 Shutting the System Down...18 Patients and Procedures...18 DORAWEB™ Users – Required Fields...19 Patient/Procedure States...19 Adding a New Patient...19 Changing a Patient...20 Deleting a Patient...21 Video Settings...21 Capture Options...21 Surgical Display Options...23

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Capturing Images, Video, and Audio . . .23 Image Capture...23 Printing captured images simultaneously on a video printer . . .23 Video Capture...24 Capture a video clip for the current procedure...24 Audio Capture...24 Capture an audio clip for the current procedure...24 Reviewing an Acquired Image, Video, or Audio Clip...25 Deleting an Image, Video, or Audio Clip...25 Saving Images, Video, and Audio Clips...25 Editing and Renaming...25 Adjusting Images...25 Renaming Images, Videos, and Audio Clips...26 Adding Text Notes...26 Saving and Exporting Data...27 Saving Patient Records...27 Notes on the CD/DVD Drive and Media...27 Notes on the USB Drive...27 Saving and Disk Maintenance...29 Printing Patient Data and Images...29 Add a Logo...30 Auto Print...30 Cancel Printing Button...31 Main Button...31 Search...31 Open...32 Save...32 Print...32 Viewing Archived Patient Images...32 System Administration...33 Integration Broker...34 DORAWEB System Related...34 PACS Related...35 HIS Related...35 IMS Folder and Sub Folders...35 DORAWEB System Integration...35 Overview...35 Configuring DORAWEB System Integration...36 Configuring the 660HD System...36 Disk Maintenance...37

Cleaning the hard disk...37 Auto Delete Patient Data...38 Cleaning and Sterilization/Service...39 Cleaning the System...39 Service Philosophy...39 Maintenance...40 Moving the 660HD System...40 Data Storage Media...40 Caring for Removable Disks and CD/DVD Media...40 Touch Screen Calibration...40 Preventative Maintenance...41 Recommended Annual Performance Checks...41 Troubleshooting...41–42 Frequently Asked Questions (FAQs)...43–44 USB Flash and CD/DVD Media...43 Internal Memory vs. Writing to Disk...43 Power Loss...44 Multiple Patients without Saving to Disk...44 Bitmap Images...44 System Resolution...44 Error Messages...45 Technical Specifications...46–47 Ordering Information...48 Guidance and Manufacturer’s Declaration – Electromagnetic Emissions...49 Guidance and Manufacturer’s Declaration – Guidance for Separation Distances...49 Guidance and Manufacturer’s Declaration – Electromagnetic Immunity...50-51 Warranty...Back Cover Service Replacement Program...Back Cover Repair Service Program...Back Cover

Smith & Nephew 660HD Image Management System Operations/Service Manual

Introduction / Warnings

Introduction The Smith & Nephew 660HD Image Management System is designed to capture intraoperative still images and video clips using the camera system, front panel, optional keyboard, and optional footswitch. Images, video clips, audio clips, procedure data, and patient information are captured and stored in a patient record. Patient records can be edited and stored on transportable media or printed locally. Patient records can also be exported to an Ethernet network for long-term archival, retrieval, or printing using third-party image application software or the Smith & Nephew DORAWEB™ Surgical Documentation System.

Indications for Use To capture intraoperative still and motion images.

Contraindications None known.

Warnings • Read these instructions completely prior to use. • To reduce the risk of electric shock, do not remove the unit's cover. 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.

• 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. 601.1. • Check leakage currents when interconnecting this unit with other equipment. • Do not operate at line 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. • The Motion Correction Filter may adversely affect the accuracy of images acquired from C-arms or ultrasound units. Insure that the Motion Correction Filter setting on the Video Settings screen is set to Off before acquiring images from C-arms or ultrasound units.

• Prior to initiating system installation ensure that there is no electrical power to any of the system components. • Prior to initiating system installation all the Warnings and Precautions must be thoroughly read and understood. • If this unit is configured as part of a system, the entire system should be tested for compliance with IEC 60601-1-1.

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Precautions

Precautions U.S. Federal law restricts this device to sale by or on the order of a physician. • Prior to use, examine the device for possible damage to assure proper functioning. • The 660HD System does not ship with virus scanning software installed. Before operation, it is important to install virus scanning software on the 660HD System if the 660HD System is to be networked or if the user will use non-blank or reusable recording media such as flash media, DVDs, or compact disks. • The 660HD 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 service personnel. • Electrical Interference: 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.

• Do not allow water or other fluids to enter the 660HD System, any of its connections ports or the CD/DVD drives on the front panel. • The CD/DVD drive unit should only be used with blank CD-R, CD+R and/or CD-RW disk media and blank DVD-R, DVD+R and/or DVD-RW 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 media. Doing so will render the CD/DVD disk unusable. • Pressing the Delete button immediately erases selected files, images, audio clips, and video clips. These files are nonrecoverable unless using DORAWEB/ PACS/HIS. • Leaving the Live Video window set to Live Preview for longer than four hours can negatively affect the performance of the 660HD System, which may then require a restart. • If video capture was begun during the live preview and the Timeout setting is turned on, the capture will stop when timeout occurs. • Environmental Protection: 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.

- Consult a biomedical engineer. • Handle unit with care. If the unit is dropped or damaged in any way, it must be returned immediately to Smith & 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.

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Smith & Nephew 660HD Image Management System Operations/Service Manual

Unpacking and General Inspection

Unpacking the Components Carefully unpack and inspect all of the components shipped with the Smith & Nephew 660HD Image Management System. The following should have been received:

Quantity

Description

660HD Image Management System

650 MB or 700 MB CD-R Compact Disk

4.7 GB DVD-R

Power Cord, Hospital-Grade

Service Stickers

Cable, Y/C (S-Video), 6 ft, M to M

Cable, DVI, 6 ft, M to M

Cable, 3.5 mm Mini-Plug

Cable, Mini-Plug/RCA Phono Plug

Stylus

Software Agreements

Windows® License

If any parts are missing or damaged, please contact your authorized Smith & 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.

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Front Panel Layout

Figure 1. Smith & Nephew 660HD Image Management System Front Panel

Control/Connection/ Display

Function

1. Power Switch

Turns the 660HD System on and off.

2. Digital Video Input

Accepts any composite video signal from an external source such as a C-arm or ultrasound device.

3. Embedded Touch Screen

The 660HD System includes an 8.4" (diagonal) touch screen that can support 800 x 600 pixels. The touch screen displays buttons for accessing the main user interface. When an optional external touch panel is used, the 660HD touch screen is synchronized with the external touch panel. A soft keyboard and a resident stylus allow for control of the interface.

4. CD/DVD Drive

Accepts 650 MB or 700 MB CD-R/RW, CD+R or 4.7 GB DVD-R, DVD+R media. The embedded Eject button is used to open and close the CD/DVD drive tray.

5. Stylus

The stylus is located in the stylus port on the front panel of the 660HD System. It can be used to manipulate the touch screen in lieu of a finger.

6. USB1 Port

Enables the user to save data to a USB pen drive or a USB multi-card reader.

7. USB2 Port

Enables the user to save data to a USB pen drive or a USB multi-card reader.

8. IEEE-1394 Input 1

Enables the user to input digital video (DV) (IEEE-1394) signals from a camcorder or other devices.

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Smith & Nephew 660HD Image Management System Operations/Service Manual

Rear Panel Layout

Figure 2. Smith & Nephew 660HD Image Management System Rear Panel

Features/Connections

Function

1. Exhaust Fan

Provides system cooling.

2. Power Cord Connector

Cools the system. This receptacle is an integral part of the power input module and accommodates the hospital-grade power cord accessory.

3. Equipotential Compensator Used to bring other equipment into the same case potential as the Terminal (case ground) device. 4. Parallel Port

Bidirectional parallel communication port for use with local printers.

5. Serial Ports

Serial communication connection. Touch panel input.

6. Microphone

Audio input from mic level audio source.

7. Still Capture

Accepts input activated by camera head button or optional footswitch.

8. Y/C Input 1 and 2

From camera system’s Y/C output.

9. 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.

10. Video Capture

Accepts input activated by camera head button or optional footswitch instructing system to start video acquisition. A second press stops acquisition.

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Rear Panel Layout (continued)

Features/Connections

Function

11. Video Graphics Array (VGA)

Outputs video graphics array signal for use with optional computer monitor/touch panel.

12. Keyboard Input

Optional keyboard input.

13. Mouse Input

Optional mouse input.

14. Y/C Output

Y/C output to a monitor or additional video components.

15. DVI Output

DVI output to a monitor or additional video components.

16. DV (IEEE-1394) Input

Accepts input from DV devices such as a camcorder or the 360/460 camera control units.

17. Ethernet

Ethernet network connection.

18. Universal Serial Bus (USB) Port 19. Composite Input

Bidirectional input/output port for use with USB peripherals such as printer and pointing devices (touchpad, mouse, etc.). From camera system’s composite output.

20. Composite Output

Composite output to a monitor or additional video components.

21. HDSDI Input

From camera system’s HDSDI or SDI output.

22. HDSDI Output

SDI or HDSDI output to a monitor or additional video components.

Keyboard Layout

Figure 3. Smith & Nephew 660HD Image Management System Keyboard

The 660HD System keyboard (Figure 3) is an electronic panel keyboard that will be displayed on the touch panel whenever the user opens a screen that requires the entry of text. The Shift keys on the keyboard can be used to access capital letters and additional symbols.

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Smith & Nephew 660HD Image Management System Operations/Service Manual

Recommended System Configuration IEC 60601-1-1 Compliant System Configuration

•

The figure below indicates a system configuration that complies with IEC 60601-1-1 requirements. WARNING: If this unit is configured as part of a system, the entire system should be tested for compliance with IEC 60601-1-1. •

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 26011/IEC 60601-1 and/or 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 2601-1/IEC 60601-1 approved isolation transformer and retest the system.

IEC 60601-1/UL 60601-1 COLOR VIDEO MONITOR

MEDICAL GRADE ISOLATION TRANSFORMER

Sony 20" CRT, PVM-20L2MD REF 7210514 or Radiance 19" Flat Panel Display REF 72200020 or Sony 21" LMD2140MD Flat Panel Display REF 7211093

WITH A VA RATING > 1000

AC Input

Toroid ISB-100W Note: Isolation Transformer required for 220/240 VAC setup only

AC Input

AC Output

Wall Receptacle

COLOR VIDEO PRINTER Sony UP-51MD REF 7207801 or

MEDICAL GRADE POWER STRIP

Sony UP-51MDU REF 7207812

SUITABLE FOR EXPECTED LOAD SL Waber XULMC6-023

AC Input AC Output

AC Input

SMITH & NEPHEW CAMERA CONTROL UNIT DYONICS™ HD 900 Camera Control Unit NTSC REF 7206080/PAL REF 7207395

or Smith & Nephew 450P Camera Control Unit NTSC REF 72200085/PAL REF 72200087 or

LIQUID CRYSTAL DISPLAY TOUCH PANEL Smith & Nephew 15" REF 7210344 or Smith & Nephew 19" REF 7210345

AC Input

Smith & Nephew 460P Camera Control Unit NTSC REF 72200086/PAL REF 72200088

AC Input

SMITH & NEPHEW LIGHT SOURCE DYONICS™ 300XL Xenon Light Source REF 7206084 or TriVex™ System 300XL Xenon Light Source REF 7207449

AC Input

SMITH & NEPHEW 660HD IMAGE MANAGEMENT SYSTEM REF 72200242

AC Input Figure 4. Recommended System Configuration

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Setup

The following pages summarize the steps required to install and configure the Smith & Nephew 660HD Image Management System. Each 660HD System configuration may vary depending on the camera system and components used. Figure 4 indicates a system configuration that complies with IEC 60601-1-1 requirements. Figure 5 indicates one example of component configuration and interconnection. WARNING: Prior to initiating system installation all the Warnings and Precautions must be thoroughly read and understood. CAUTION: The 660HD System does not ship with virus scanning software installed. Before operation, it is important to install virus scanning software on the 660HD System if the 660HD System is to be networked or if the user will use non-blank or reusable recording media such as flash media, DVDs, or compact disks.

Notes on the 660HD System • Avoid placing the 660HD 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. • Avoid placing items in excess of 40 pounds directly on top of the 660HD System. • 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.

rear of the 660HD System. Depending on the configuration, all of the above outputs with the addition of DVI can be connected directly to a monitor. 2. Connect two mini-plug cables from the SW1/SW2 or Blue/Gray 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 Y/C output on the 660HD System to the Y/C input on the printer. Connect the Y/C outputs on the printer to the Y/C inputs on the monitor. 4. Connect a network cable (optional) to the Ethernet port using a standard RJ45 Cat 5 Ethernet cable. CAUTION: The 660HD System does not ship with virus scanning software installed. Before operation, it is important to install virus scanning software on the 660HD System if the 660HD System is to be networked or if the user will use non-blank or reusable recording media such as flash media, DVDs, or compact disks. 5. Connect the power cord to the rear of the system.

Step A: Attaching Cables Use the following instructions to attach the system to a Smith & Nephew camera (or similar device) and other devices. One standard configuration is presented in Figure 5. This configuration enables still images and video clips to be acquired using two camera head buttons. Other configurations can be used. 1. Connect Composite/Y/C/HDSDI (as desired) output on the back of the camera control unit to the Composite/Y/C/HDSDI Input on the

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Smith & Nephew 660HD Image Management System Operations/Service Manual

Setup (continued)

Cable Configuration

Figure 5. Standard Cable Configuration for Still Image and Video Clip Acquisition

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Setup (continued)

Step B: Attaching the Windows®Compatible Printer

• Video Standard. Once selected, this setting should never change.

A standard Windows-compatible printer can be installed with the 660HD System in three different ways:

1. NTSC is used in the US, Canada, Japan, Taiwan, Korea, Central and South America, Mexico, and the Caribbean.

• Connected locally to the USB port.

2. PAL is used in all of Europe, South Africa and all other African countries, Australia, New Zealand, United Arab Emirates, Thailand, and Singapore.

• Connected locally to the LPT parallel port. • Connected as a network printer. Configure the printer via the System Tools dialog box.

Step C: Setting the Video Input Video Inputs To adjust the video input setting on the 660HD System, press the Inputs button to open the Video Inputs screen (Figure 6).

Looping Video through the 660HD System To loop video signals through the 660HD System it must be powered on. There are only two cases in which the 660HD System will not need to be powered on to loop through a video signal. These are as follows: Input Signal

Output Signal

660HD Power

Y/C

Composite

Either on or off Either on or off

All other configurations require the 660HD System to be powered on to loop through a video signal.

Figure 6. Video Inputs screen

The Video Inputs box lists the available video inputs. The Video Standard box provides an option for selecting the Video Standard the 660HD System will use. When the Inputs button is pressed, the 660HD System will scan the connection ports and display all the available video inputs in the Video Inputs box. Inputs that are not available will be grayed out.

Note: If the power is off and you are looping through either a Y/C or composite signal and turn the power on, the signal will drop for 5–10 seconds while the computer reboots the board necessary to run the 660HD System. Note: With DV (FireWire) video input, there is no loop through available.

• Video Inputs: Potential video inputs include HD-SDI, FireWire, S-Video 1, S-Video 2, Composite, and AUX. The current video input will have its corresponding radio button selected. To change the video input option, select the radio button for the desired video input. 14

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Setup (continued)

Network Connection

The Smith & Nephew 660HD Image Management System may be configured as part of a system connected to an Ethernet network that allows exported data to be viewed using Smith & Nephew’s DORAWEB™ Surgical Documentation System, the institution’s Picture Archiving Communication System (PACS), or standard third party image viewing tools.

The 660HD System can be configured with or without password protection. The 660HD comes from the factory with the Login Type set as “Simple” and the user name set as “Administrator,” no password is required.

If the 660HD System is to be configured as part of a network, review the following sections: “System Administration,” “DORAWEB System,” “Integration Broker Introduction,” and “System Configuration.”

Note: 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 XP Login Type.

Passwords

If the 660HD System installation is not configured as part of a network, disregard all references to DORAWEB, PACS, or Integration Broker functionality in the following section.

The 660HD System allows activation of two separate passwords, the application password and the System Tools password. Each password can be activated individually or both can be activated at the same time.

Auto Login

The application password requires a password prior to the startup of the 660HD application. The password for this is “START660HD”.

The 660HD System comes from the factory configured to Auto Login when the system is powered up. If necessary the system may be configured to require a System Login (Figure 7) at power up, review the “Configuring the 660HD System” section.

The System Tools password requires a password prior to getting to the System Tools page. The password for this is “SNE660HD”.

Figure 7. 660HD System Login screen

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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 live video when camera unit is powered on. 2. After initialization is complete, the 660HD System's Main screen (Figure 8) displays on the embedded touch panel and/or on the computer monitor/touch panel, if one is installed and configured on your system.

Figure 8. 660HD System Main screen

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Smith & Nephew 660HD Image Management System Operations/Service Manual

Operation (continued)

Using the 660HD System Screens The left side of the 660HD System screen contains: • Patient/Procedure information describing the current procedure by the patient’s full name, medical record number (MRN), date of birth, sex, surgeon’s name, and procedure type. • The Patient button opens the Patient screen. Patients can be added or chosen from a list of patients either previously entered or imported from another facility system. • The Save button opens the Save screen. The Save screen provides options for saving data to different media types or a hospital network. • The Notes button opens the Notes screen. Notes on the patient or procedure can be recorded here and saved or printed with the patient file. • The Print button opens Print screen. The Print screen provides options for formatting and printing patient data. • The Close button should be used with caution. This button closes the current patient record. Once closed, features such as image capture will not be functional. • The Patient Data field displays the amount of space used by the currently stored images, video clips, and audio clips. • The Images field identifies the number of images captured. • The Capture button enables the user to capture images. • The Edit button opens the image editing screen. • The Audio field identifies the number of audio clips captured. • The Audio Clip button captures an audio clip from an optional microphone that can be connected to the 660HD System. • The Videos field identifies the number of video clips captured.

• The Video Control Bar enables the user to record, play, pause, fast forward, rewind, and pause video. • The Settings button opens the Video Settings screen. This screen provides settings for the Capture Options and Surgical Display Options. Refer to the “Image and Video Settings” section for more information on adjusting the 660HD System video settings. • The Input button opens the Video Inputs screen. This screen provides selections for the 660HD video inputs. • The Search button opens the Search page. The search function can search the 660HD System database for previous patients and procedures. Data found through the search function can be opened, edited, printed, or saved to external media or a network via Ethernet. • The Delete button is used to delete a selected image or video from the window above it, removing it from the patient database. CAUTION: Pressing the Delete button immediately erases selected files, images, audio clips, and video clips. These files are non-recoverable unless using DORAWEB/ PACS/HIS. • The Live button sets the Live Video window to Live video preview from the incoming data source. CAUTION: Leaving the Live Video window set to Live Preview for longer than four hours can negatively affect the performance of the 660HD System, which may then require a restart. • The Still button sets the Live Video window to viewing the last captured still image. Note: Keeping the Live Video window on the Still setting when not using the Live Preview option will enhance the 660HD System performance. • The System Tools button opens the System Tools screen.

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Operation (continued)

• The Shut Down button initiates a controlled system shutdown. Refer to the “Shutting the System Down” section.

Shutting the System Down

• At the top of the right side of the 660HD System Main Screen is the Live Video window. This window will display live video. This window is also used to view any image or video that has previously been captured. To view a previously captured image or video, double-click on the thumbnail of that image or video. The selected file will be displayed in the Live Video window. Press the Live button to return to live video.

1. On the 660HD System screen, click Shut Down. A dialog box will appear to confirm or cancel shut down.

• Below the Live Video window is the Thumbnail Display window 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 video clip icon

and audio clips are indicated by the audio clip icon.

They are listed in time order, with the newest at the end of the list, and are each labeled as IMG_001, IMG_002, etc. The file extension (the characters after the period) indicates the file type: BITMAP (.bmp), JPEG (.jpg), or MPEG (.mpg).

To shut down the Smith & Nephew 660HD System:

2. If shutdown is confirmed while a procedure is In Progress the system will display a pop up window with a message “Do you want to close the current procedure?” Select Yes to close the procedure and shut down. Select No to leave the procedure in the In Process state and shut down. The procedure will be In Process when the system is started up again.

Patients and Procedures The 660HD System stores the following information for each patient. Note: For non-DORAWEB™ users the MRN field is the only required field. Last Name:

The patient’s last name (a maximum of 40 characters).

First Name:

The patient’s first name (a maximum of 40 characters).

M. Initial:

The patient’s middle initial (a maximum of 10 characters).

Sex:

The patient’s sex (F or M).

DOB:

The patient’s date of birth (mm/dd/yyyy or dd/mm/yyyy).

MRN:

The patient’s Medical Record Number (a maximum of 30 characters).

Surgeon:

The surgeon’s name (a maximum of 100 characters).

Navigating the 660HD System There are several ways to navigate through the 660HD System screens: • Click a button using the built in touch panel screen on the front of the 660HD System. This can be done with a finger or with the stylus built-in to the upper right hand side of the 660HD System. • A separate larger touch panel can also be used with the 660HD System. • A separate mouse and keyboard can be used with the 660HD System. 18

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Operation (continued)

Procedure:

Indicates type of procedure being performed. The procedure type may be input manually or selected from the procedure type pull-down list. The procedure type pull-down list is available if the 660HD System is networked as part of a DORAWEB Surgical Documentation System, PACS, or a Hospital Information System (HIS) (a maximum of 50 characters).

Procedure ID: Indicates a procedure ID as assigned by a facility or if left blank, the 660HD System will auto-generate a procedure ID (a maximum of 30 characters).

DORAWEB Users – Required Fields For DORAWEB users the following patient information fields are required fields: Last Name First Name MRN

Patient/Procedure States Each patient record will be in one of three states at any given time: • Queued – The patient has been scheduled and appears in the Patient List, but the patient record does not yet have any acquired images or video clips. • In Process – The patient record has at least one acquired image or video clip for the current procedure. • Closed – The procedure has been completed and no new images can be added to the patient record. A closed procedure can be searched, printed, or sent to external media. Text and notes in a closed procedure can be edited. Images in a closed procedure can be edited and renamed.

Adding a New Patient To add a new patient: 1. Press the Patient button on the 660HD System screen to open the Patient Information screen (Figure 9).

Surgeon Procedure The DORAWEB software requires the above five fields to process the information, therefore, they are required fields in the 660HD System software for DORAWEB users. Users who intend to enter patient information for DORAWEB in the 660HD System for the first time are required to check the DORAWEB check box on the System Configuration screen. This action will put an * next to all the required fields. See the “System Configuration” section for more information.

Figure 9. Patient Information screen

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Operation (continued)

2. Press the New button to add a new patient. The cursor will appear in the Last Name field under the Patient Information window. (Optional) If using DORAWEB™/PACS/HIS, click the Update List button. The 660HD System will acquire the most recent patient information from these systems. Users who want to transfer patient information to the DORAWEB System after “first” entering it at the 660HD System must have the DORAWEB check box selected in the System Configuration page. (This action will cause the patient information to show up with five required fields, making it compatible to transfer to the DORAWEB System later).

changed. Only Queued patient records can have the patient record information changed. To change the stored information for a Queued patient: 1. On the 660HD System Main screen, press the Patient button to open the Patient Information screen (Figure 10). If you are not using DORAWEB™/PACS/HIS, go to Step 3.

3. Use the Tab, Enter, Up, and Down buttons to navigate from field to field or touch a field to select it. Enter the necessary information using the touch screen keyboard. Use the Shift key to access uppercase characters and symbols. 4. To enter the surgeon, type the surgeon’s name using the keyboard or select a name from the pull-down menu. To add a surgeon to the pull-down menu press the Plus “+” button. To remove a surgeon from the pulldown menu, press the Minus “-” button. 5. To enter the procedure type, use the keyboard to enter the procedure type or select a procedure type from the pull-down menu. To add a procedure type to the pulldown menu press the Plus “+” button. To remove a procedure type from the pull-down menu, press the Minus “-” button. 6. Press the Save button to save the new information or press the Cancel button to cancel any changes that have been made. 7. Press the OK button to close the Patient Information screen and return to the Main screen.

Changing a Patient When a patient state is In Process (at least one image or video clip has been acquired) the stored patient record information cannot be

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Figure 10. Patient Information screen with patient record

2. If using DORAWEB/PACS/HIS, press the Update List button. The 660HD System will display a confirmation message “Do you want to delete the patients currently in the list?” Press the “Yes, Delete” button to delete the existing patient list before importing the new patients. Press the “No, Append” button to append the new patients to the existing patient list. 3. Select the patient record to be edited from the Patient List. If there is more than one procedure scheduled for this patient, there will be multiple entries listed. 4. Press the Edit button to change the patient data (Figure 10). The button name will change from Edit to Save. 5. To change the type of Procedure, select a different procedure type from the Procedure Type pull-down list or click within the Procedure field’s text area and 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.

Smith & Nephew 660HD Image Management System Operations/Service Manual

Operation (continued)

6. Press the Save button to save the new information. The button name will change from Save to Edit. Press the Cancel button to leave the stored data unchanged. 7. Press the OK button to close the Patient Information screen.

Video Settings To adjust the capture and surgical display settings on the 660HD System, press the Settings button to open the Video Settings screen (Figure 11).

Deleting a Patient CAUTION: Pressing the Delete button immediately erases selected files, images, audio clips, and video clips. These files are nonrecoverable unless using DORAWEB/PACS/HIS. Note: Only Queued patients can be deleted from the Patient Information screen. Patients in the In Process or Complete states cannot be deleted from the Patient Information screen. To delete a patient: 1. On the 660HD System screen, press the Patient button to open the Patient Information screen. 2. Select the patient record to be deleted from the Patient List. If there is more than one procedure scheduled for this patient there will be multiple entries listed. 3. Press the Delete button to delete the patient record. The 660HD System will display a confirmation message “Are you sure you want to delete the selected item?” Press the Yes button to delete the file and close the message. Press the No button to close the message without deleting the file. CAUTION: Pressing the Delete button immediately erases selected files, images, audio clips, and video clips. These files are non-recoverable unless using DORAWEB/PACS/HIS. Note: For DORAWEB/PACS/HIS Systems users, a deleted patient record can be recovered by reloading the Patient List from the DORAWEB/PACS/HIS Systems using the Update List button. 4. Press OK to select the current patient and close the Patient Information screen. Press Cancel to return to the main screen without selecting a patient record.

Figure 11. Video Settings screen

This screen provides settings for the Capture Options and Surgical Display Options. The selected radio button shows the current setting for a given option. To turn a setting on or off, or change to a different setting or standard, select the radio button that corresponds to the desired setting. Press the OK button to save any changes and return to the System screen. Press the cancel button to discard any changes and return to the System screen.

Capture Options The Capture Options box (Figure 11) lists the video and image file capture preferences. • DICOM-Enabled: The DICOM-Enabled selection is used to prepare files for upload to a PACS system using the Smith & Nephew Integration Broker. Select the Yes radio button to enable the DICOM setting. Select the No radio button to disable the DICOM setting. • Image Type: The 660HD System captures all still images in JPEG (.jpg) format by default. Standard JPEG files are compressed files that are approximately 50 KB in size. BMP (.bmp) files are uncompressed and are approximately 1 MB in size. • JPEG Quality: If the JPEG Image Type is selected, the quality can be set to Standard

Smith & Nephew 660HD Image Management System Operations/Service Manual

10600055 Rev. C

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