Studio3 User Manual Rev C Sept 2011

S Contents 1. Indications for Use... 4 1.1

System Requirements... 4

2. General Information... 5 2.1

Warnings... 5

2.2

Notes... 5

2.3

Product Symbol Definition... 5

3. Anatomy of the Login Screen... 6 3.1

Logging into Studio3... 6

4. Using the Application... 7 4.1

Home Page Overview... 7

4.2

Sorting Tools... 8

4.3

Changing Asset Finder View... 8

4.3.1 4.3.2

Thumbnail View... 8 List View... 8

4.4

Navigating Cases... 9

4.5

Searching for a Case or Patient... 9

4.5.1 4.5.2 4.5.3 4.5.4

Basic Search...10 Advanced Search...10 Saving a Search...11 Accessing Saved Searches...12

5. Using the Case Viewer... 13 5.1

Opening a Case... 13

5.1.1 5.1.2 5.2

Contents Tab... 15

5.2.1 5.2.2 5.2.3 5.2.4 5.2.5 5.3

Viewing Case Information...13 Setting a Case Thumbnail...14 Videos...15 Images...19 Clips...20 Captures ...20 Reports...20

Related Cases Tab... 22

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S 5.4

Draft Board... 22

5.5

Sharing a Case... 22

6. Importing Cases... 25 7. Favorite Cases... 27 7.1

Creating a Favorites Subfolder... 27

7.2

Renaming a Folder... 28

7.3

Deleting a Favorites Folder... 28

7.4

Adding a Case to the Favorites... 28

7.5

Moving a Case in Favorites... 29

7.6

Removing a Case from Favorites... 29

8. Using My Studio... 30 8.1

Viewing Videos in My Studio... 30

8.2

Stitching Videos... 30

8.3

Creating Presentations... 31

8.4

Exporting Files... 31

8.5

Removing Files... 32

8.6

Clearing the Draft Board... 32

9. Managing Presentations... 33 9.1

Converting a Presentation to a Case... 33

9.2

Creating a Presentations Folder... 33

9.3

Moving a Presentation... 34

9.4

Deleting a Presentation... 35

9.5

Renaming and Deleting Presentation Folders... 35

10. Sharing Cases... 37 10.1 Sharing a Case... 37 10.2 Unsharing a Case... 37

11. Studio3 on iPad and iPhone... 38 11.1 Logging into Studio3 on iPad... 38 11.2 Using the Application on iPad ... 39 11.3 Opening a Case... 40 11.4 Using the Case Viewer in iPad and iPhone... 40 2

S 11.4.1

Opening Videos and Clips...41

11.5 Configuring Connections... 41 11.5.1

Adding, Editing, and Deleting Network Connections...41

12. Troubleshooting... 43 13. Technical Specifications... 45 13.1 Hardware and Platform... 45 13.2 Components Overview... 46 13.3 SK-MediaServer Supported Video Codecs and File Formats... 48 13.4 Supported Graphic Formats... 50 13.5 Supported Audio Formats... 50 13.6 Video Stitching Formats... 50 13.6.1 13.6.2

Input Formats...50 Output Formats...50

14. Maintenance... 52 14.1 Linking Cases to the Correct User... 52 14.2 Rebooting the Studio3 System... 53 14.3 Shutting Down the Studio3 System... 53 14.4 Checking System Storage... 54 14.5 Automatic System Backups... 55

15. Stryker Limited Warranty... 56 16. Contact Information... 57

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S 1. Indications for Use The intended use of Studio3 is to provide for the storage of surgical videos, images and related documents and allow physicians the capability to search and retrieve these assets for viewing. The Studio3 product is indicated for use with the Stryker Endoscopy SDC™ (Stryker Digital Capture) product line. The users of the Studio3 product are surgeons who would like to access stored videos or images that were previously recorded. Studio3 is compatible with SDC Ultra 6.0 and higher, as well as SDC HD.

1.1

System Requirements

For all devices accessing Studio3 via a wireless connection to include iPhone, iPad and laptops using WiFi the performance of the client application is reliant on the quality of the network connection.

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S 2. General Information Please read this manual and follow its instructions carefully. The words WARNING and Note carry special meanings and should be carefully reviewed: WARNING The personal safety of the patient or user may be involved. Disregarding this information could result in injury to the patient. Note

Special information to make maintenance easier or important information more clear.

To avoid potential serious injury to the patient, the user must adhere to the following warnings.

2.1

Warnings

1. Read this manual thoroughly, and be familiar with its contents prior to using this software. 2. Be qualified medical personnel, having complete knowledge of the use of this software.

2.2

Notes

1. Video being streamed is not HD quality. 2. Deleting a folder that has content, such as a “Favorites” folder or “Presentations” folder will delete all of the content contained within the folder. 3. Editing videos in Studio3, such as clipping and capturing, does not affect the original video. 4. Cases combined using the “Combine into Presentation” feature will be exported into a Microsoft PowerPoint file. In order to view the presentation, PowerPoint must be installed on the local machine.

2.3

Product Symbol Definition Indicates the device is intended as a digital storage device.

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S 3. Anatomy of the Login Screen 3.1

Logging into Studio3

To log into Studio3 enter your user name and password into their respective fields (Items 1 and 2 in Figure 3.1) and then click on the Login button (Item 3) to enter the Studio3 application. Note

Passwords are case sensitive.

Note

If Studio3 is setup to integrate with your Active Directory system, you can enter your Active Directory credentials.

1 2 3

Figure 3.1 - Login Screen 1 2 3

User Name Field Password Field Log In Button

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S 4. Using the Application 4.1

Home Page Overview

The Asset Finder page is the home screen for the Studio3 application. From this page you can view and filter cases, as well as access your surgical cases available in your project. 2

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6 7 8

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Figure 4.1 - Home Screen 1 2 3 4 5 6 7 8 9 10

Navigation Area Import Button Display Type Search Box Tab Area Results Navigation Logout/Settings Date Range Filter Sort Filter Asset Finder

The Home Page, as shown in Figure 4.1, is how the program appears upon login and is comprised of ten main features, as listed in the table. Each of these features will be described in greater detail throughout the manual.

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S 4.2

Sorting Tools

Cases can be sorted using any of the sorting buttons located on the upper right corner of the Cases tab. Cases can be filtered in the Asset Finder by specifying a date range anywhere from the current date, past 7 days, or past 30 days using the buttons on this filter. You can view all cases, regardless of date by selecting the “All” filter button. Search results can also be limited to a date range using the date range filter. Cases can also be sorted in alphabetical order by patient name, procedure type, or date range, starting with the most recent, by selecting the respective buttons.

Figure 4.2 - Date Range Filter

Figure 4.3 - Sorting Options Note

4.3

These sorting features are available on every page displaying cases throughout the program.

Changing Asset Finder View

The Asset Finder can toggle between two different views, with thumbnail being the default. A list view is also available. To change the view, click one of View buttons.

4.3.1

Thumbnail View

The thumbnail view of cases provides an image taken from the specific case and provides general case information including the patient’s last and first name, the date the surgery was performed, and the name of the procedure.

1 2 3 Figure 4.4 - Case Thumbnail View 1 2 3

4.3.2

Thumbnail View Button Case Thumbnail Case Details

List View

The detail view displays cases in a list format and provides the following information regarding the case:

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Figure 4.5 - Case Detail View 1 2 Thumbnail of Patient’s first and last the case name Patient number Sex and birthdate

3 Procedure type

4 Surgeon

Date the procedure The doctor who rewas performed ferred the patient Details of the proce- The surgeon’s specialty dure

Filters may be used to sort cases.

4.4

Navigating Cases

The number of search results returned for a search is not limited. The number of cases that appear on the page depends upon screen resolution. If there are multiple results, this will be indicated by the numbers that appear in the Results Navigation at the top of the page. The current page is designated by the orange box around the number. Figure 4.6 shows that there are three pages of cases with 20 results of 53 being shown on the current page. To view a different set of results click on the left or right arrows to go back or forward a page, respectively, or click directly on the page number.

Figure 4.6 - Results Navigation

4.5

Searching for a Case or Patient

There are multiple search features available to help locate specific patient records, each of which is described in the sections that follow.

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S 4.5.1

Basic Search

A basic search can be performed using one general search criteria, such as a patient’s first or last name or procedure type. To perform a basic search, enter your criteria into the Search Term box and press Enter or click the Search button. The cases appearing in the Asset Finder will be reduced to those matching any part of the search criteria. A date range filter may also be applied.

Figure 4.4 - Basic Search Box

To clear the search criteria, click on the “X” button located within the search box (Figure 4.4).

4.5.2

Advanced Search

To perform an advanced search, click on the “More Search Options...” link to the right of the Search Term box. This will bring up the Advanced Search screen.

Figure 4.5 -Advanced Search Link 4

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Figure 4.6 - Advanced Search Screen 1 2

Search Results Area Search and Clear All Buttons

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S 3 4 5 6 7 8 9

Search Criteria Window Search Criteria Drop Down Menu Search Term Box Add Button Saved Searches Drop Down Menu Date Range Filter Buttons Custom Date Range Filter

From this screen you can perform a specific search using record-specific items, such as the patient’s last name, doctor’s name, procedure type, etc. or a specific date range. Results can also be filtered further using the same set of sorting tools that are available in a basic search, such as by name, procedure, or date. To perform an advanced search: 1. Select search criteria from the Search Criteria drop down menu (Item 4 in Figure 4.6). 2. Enter a search term into the corresponding box (Item 5) and click on the Add button (Item 6). The information will appear in the Search Criteria window (Item 3). You may continue to add further search criteria by repeating this step. Note

To refresh the search results for new criteria, click the Search button each time new criteria is entered.

3. To begin the search, click on the Search button. All of the cases containing any similar information will be displayed in the lower portion of the window. 4. To clear all of the criteria, either click on the “X” button next to the specific criteria, or click on the Clear All button located below the Search Criteria window. To search using a custom date range, either manually enter the dates in the Custom Date Range fields, or use the Calendar Lookup buttons to navigate to the specific dates and select them. Search results may be further refined by using the sorting buttons. Note

4.5.3

Switching from an Advanced to a Basic search will clear all criteria entered for an advanced search.

Saving a Search

Studio3 allows you to create and save searches for future use. To save a search: 1. Click the Saved Searches drop down. 2. Click on the link “Create new search”. A Save Search dialog box will open.

Figure 4.7 - Saved Searches Drop Down Menu

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S 3. Enter a name for the search in the Search Name box. 4. Click the Submit button. The search will be saved.

Figure 4.8 - Save Search Box

4.5.4

Accessing Saved Searches

To access a saved search, click on the Saved Searches drop down menu and select it from the list of available saved searches.

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S 5. Using the Case Viewer 5.1

Opening a Case

To open a case, single click on it. The case will be opened in the Viewer page. Note

Clicking outside of the viewer will close it and return you to the main page.

1 5 2

3

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4 7 Figure 5.1 - Viewer Page 1 2 3 4 5 6 7

5.1.1

Function Buttons Image and Video Display Video Edit Buttons Tab Sets Case Information Drop Down Storyboard Button Draft Board Bin

Viewing Case Information

Case information will be displayed as an overlay for a few seconds upon opening a case. It can also be viewed by clicking on the Case Information link in the top right corner of the Viewer. Figure 5.2 - Case Information Drop Down Location

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S 1

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Figure 5.3 - Case Information Overlay The overlay presents you with the following case-specific information: 1 Patient’s last and first name Patient’s age

2 Procedure type

3 The surgeon’s name

Date the procedure was performed

The doctor who referred the patient

Patient’s sex and birth Any details from the date procedure

The surgeon’s specialty

To close the overlay, click on the Case Information link again.

5.1.2

Setting a Case Thumbnail

Any still image in a case can be used as it’s thumbnail. To set a new thumbnail: 1. Select either the Images or Captures tab.

Figure 5.4 - Image and Capture Tab Locations

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4 The facility where the procedure was performed The department where the procedure was performed The station where the procedure was performed

S 2. Select an image from the images shown. It will appear in the Viewer, and a button to set it as the case thumbnail will appear in the top right corner. 3. Click on the Use as Case Thumbnail button. 4. A dialog box will appear confirming that the case thumbnail has been changed. Click the OK button.

5.2

Figure 5.5 - Thumbnail Link

Contents Tab

The Contents tab contains five subtabs: Videos, Images, Clips, Captures, and Reports. Each of these tabs and their functions are described in greater detail in the sections that follow.

5.2.1

Videos

The Videos tab displays all videos that exist for the selected case. If there is a video in a case, it will begin playing once the case is opened. To view a video manually, click on it once. It will begin playing in the Viewer. Note

If there is no video for the case, the Images tab will open and the first image will be displayed.

5.2.1.1

Using the Viewer

Once a video has been selected, it can be played/paused (Item 1, Figure 5.6), reversed (Item 2), or fast forwarded (Item 6) by using the playback buttons on the video scroll bar. Clicking on the fast forward or rewind button moves the video forward or backward, respectively, at a fixed interval. Clicking and holding down on the button moves the video forward or backward continuously. The navigation handle (Item 3) can also be moved forward or backward along the time line (Item 4) to view a specific area of the video. The length of the video (Item 8) and the current time marker (Item 7) are located to the right of the navigation controls.

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Figure 5.6 - Video Playback Features 1 2 3 4 5 6 7 8

Play/Pause Button Reverse Button Navigation Handle Time Line Annotation Marker Fast Forward Button Current Time Marker Video Length 15

S To adjust the volume of the video, select the speaker icon in the bottom right corner and move the slider up or down. To set the video to a full screen display, click on the Full Screen button in the bottom right corner of the Viewer. The video will enter Full Screen mode. To exit Full Screen mode, press the ESC key.

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Figure 5.7 - Volume and Full Screen Buttons 1 2 5.2.1.2

Sound Control Full Screen Button

Creating a Clip

The Clip feature is used to cut out a user-specified section of a video, which would then be saved to the Clips tab of the Viewer. To create a clip: 1. Click on the Clip button.

Figure 5.8 - Clip Button

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S 2. This will open the Clip Video feature. Drag the start (Item 1, Figure 5.9) and end (Item 2) handles on the video navigation bar to the respective beginning and endpoints for the area to be clipped. Note

The Start and End handles cannot overlap.

3. Click on the Clip Video button (Item 3). 4. The video will be clipped and will appear on the Clips tab.

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2 Figure 5.9 - Clip Handles 1 2 3

5.2.1.3

3

Start Handle End Handle Clip Video Button

Creating a Capture

The Capture feature is used to create a still image capture from a video. To create a capture: 1. Click on the Capture Button. 2. This will open the Capture feature. Drag the navigation handle to the desired location on the video scroll bar. 3. Click the Add Capture button. 4. The still image will be taken and added to the Captures tab. Figure 5.10 - Capture Button 5.2.1.4

Adding Annotations

Multiple annotations can be added to a video and at any point. Note

Notes created through the SDC in the OR will appear automatically in videos being viewed using Studio3. These notes cannot be modified or moved; however, they can be deleted.

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S To add an annotation: 1. Click on the Add Annotation button.

Figure 5.11 - Annotation Button 2. The Annotation box will open. Drag the handle to the area of the video where the annotation will be added. 3. Add the annotation in the box directly above the handle. 4. Click on the Add Annotation button.

Figure 5.12 - Annotation Box An annotation marker will appear in the video time line as a yellow box.

Figure 5.13 - Annotation Marker To view an annotation, use the scroll handle to go directly to the annotation marker, or mouse over it to view a thumbnail. Annotations will appear as an overlay at the top of the Viewer during video playback.

Figure 5.14 - Annotation Popup To edit or delete an annotation: 1. Double-click the annotation marker in the video navigation bar. Note

Ensure that the video navigation handle is not directly over the annotation or it will not open.

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S 2. This will open the annotation text box. From here, make any necessary edits. 3. To save your changes, click the Update button. 4. To close without saving, press the red “X”. 5. To delete the annotation altogether, click the Delete button. 5.2.1.5

Figure 5.15 - Update Annotation

Storyboard

The Storyboard feature shows where any and all annotations have been created in a video clip. To open the Storyboard, click on the Storyboard button in the bottom right corner of the Viewer. This will open a thumbnail view of the locations of all annotations in the video.

1 2

As shown in Figure 5.16, three annotations were made to this video, as evidenced by the video markers (Item 3). These markers correspond to the thumbnails in the overlay (Item 2). Up to five thumbnails will be visible at a time. To view additional thumbnails, mouse over the left or right arrows to scroll in the desired direction. To go directly to the area of video where the annotation appears, click on the thumbnail.

3 Figure 5.16 - Storyboard 1 2 3

Annotation Overlay Video Clips Video Markers

If the scroll handle is placed adjacent to or on top of an annotation maker, the annotation will appear as an overlay at the top of the video (Item 1). To close the Storyboard, click on the red “X” of the Storyboard overlay.

5.2.2

Images

Images are still pictures taken during a procedure and can be viewed on the Images tab.

Figure 5.17 - Images Tab

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