E IA Diagnostic Atmos Cube 2012-07-04

8/20/2019 E IA Diagnostic Atmos Cube 2012-07-04

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MedizinTechnik

ATMOS MedizinTechnikGmbH & Co. KG

Ludwig-Kegel-Straße 1679853 Lenzkirch/Germany

Tel. +49 (0) 7653 / 689-222Fax +49 (0) 7653 / 689-292

[email protected]

0124

English

ATMOS Diagnostic Cube2012-07 Index: 04

ATMOSDiagnostic Cube512.0000.0 ATMOS Diagnostic Cube512.1500.0 Netzwork installation

512.0500.0 Handle support with automatic control512.1000.0 Module Rhino 31512.1100.0 Module Tymp 31512.1200.0 Module Sono 31

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Installation of drivers and softwarenetwork integration


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1.0 InhaltsverzeichnisContentsInstallation instructions ......................................................................................................... 1

2.0 General information ................................................................................................. 4

2.1 Valid operating instructions .................................................................................................... ............ 42.2 Product information ............................................................................................. ............................... 42.3 Information on manufacturer .................................................................................................. ............ 42.4 Exclusion of liability ............................................................................................. ............................... 4

3.0 For your safety ......................................................................................................... 5

4.0 System requirements ............................................................................................... 6

5.0 Windows settings ..................................................................................................... 6

6.0 Installation of the software ....................................................................................... 7

7.0 Connecting the device ............................................................................................. 9

8.0 Driver installation Windows 7 ................................................................................. 119.0 Driver installation Win XP ...................................................................................... 13

10.0 Con guration single workstation ............................................................................ 1310.1 iHandle ............................................................................................ ................................................. 1310.2 Patient administration ........................................................................................... ............................ 1410.3 Sono 31 .......................................................................................... .................................................. 1510.4 Rhino 31 ........................................................................................ ................................................... 1710.5 Tymp 31 ....................................................................................... .................................................... 19

11.0 Network operation .................................................................................................. 2111.1 Adaption of the patient data base for the network operation ............................................................ 2111.2 Adaption of the respective module software Sono 31, Rhino 31, Tymp 31 for network operation ... 2111.3 Backup le ...................................................................................... .................................................. 22

12.0 Program start-up .................................................................................................... 2312.1 Con guration for the installation without iHandle and without connection to a practice software ....2312.2 Con guration with iHandle without a connection to a practice software ..........................................24

13.0 Notes ..................................................................................................................... 25

14.0 Questionnaire ........................................................................................................ 26

15.0 Con guration ......................................................................................................... 29

16.0 Accessories and spare parts ................................................................................. 30

1.0 Contents


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2.0 General information

2.1 Valid operating instructionsThe valid operating instructions for the ATMOS Diagnostic Cube areconstituent part of these installation instructions. Precise observa-tion of the instructions regarding rst-time operation, handling andmaintenance is a precondition for carrying out service work.

2.2 Product informationThe product ATMOS Diagnostic Cube bears CE marking CEy0124 according to the EC Directive of the council for medicalproducts 93/42/EEC and meets the essential requirements of

Appendix I of this Directive.For the Declaration of Conformity as well as for informationyon the electromagnetic compatibility please see the operatinginstructions.

Application of the product, any measures for repair and mainte-ynance as well as any further measures are subject to particularrequirements and regulations of the Medical Devices Act. Priorto start up this product it must be ensured that all relevant laws

and requlations are observed.

2.4 Exclusion of liabilit yNo warranty rights shall exist in the event of damage or failurecaused by the use of non-ATMOS accessories or non-ATMOS consumables.

ATMOS will only take over liability with regard to

safety, reliability and function, if:the device was installed in line with the relevant operating andyinstallation instructions.the devcie was operated in line with the relevant operatingyinstructions.ay ssembling, re-setting, technological alteration, extensions andrepairs have been carried out by ATMOS or staff authorized by

ATMOS.consignments have been checked immediately after receipt andyif ATMOS has been informed immediately on any defects.

ATMOS will not be liable for damage to people or property if:• Any non-original ATMOS parts are used,•The instructions for use contained in these operating•instructions have been disregarded,

Assembly, resetting, alterations, extensions and repairs•have not been carried out by people authorised by

ATMOS.

Only ATMOS original spare parts ensure the user’s safety and afailure-free operation. In case of using non-ATMOS accessories ornon-ATMOS consumables, ATMOS will not assume any guaranteefor a safe operation and a safe function of the ATMOS DiagnosticCube .

ATMOS will not be liable if the product has demonstrably been usedcontrary to the instructions stated in the product documentation.

ATMOS will not be liable for any improper interventions which resultin damage or malfunction of the device or in a health risk or injuryeven when original ATMOS spare parts are used.

The user is responsible for the backup of data. ATMOS assumesno responsibility in case of any data loss, neither in case of anymalfunction.

Please consult an ATMOS specialist for the installation. ATMOSwill not be liable for any malfunction which is the result of incorrectinstallation or con guration of the system.

Please always consult the responsible administrator)if the ATMOS Diagnostic Cube has to be installed in anetwork.

If the ATMOS Diagnostic Cube has to be connected to)the practice software or the hospital info rmation systemplease always consult the responsible administr ator.

These instructions correspond to the design of the device and thesituation of the safety standards on which they are based when theywere printed. We reserve the right for modi cations on the productand for amendments of future documents.

2.3 Information on manufacturer The Quality Management System applied at ATMOS MedizinTechnikGmbH & Co. KG has been certi ed according to the internationalstandards EN ISO 9001 and EN ISO 13485.

Further information, accessories and spare partsare available from:

Reproduct ion and distribution of these instruc tions – even in part – only with the writtenconsent fr om ATMOS Medizintechnik GmbH & Co. KG.

ATMOSMedizinTechnik GmbH & Co. KGLudwig-Kegel-Straße 12,14-16,1879853 LenzkirchGermany

Phone:+49 (0)7653 689-222Fax:+49 (0)7653 689-392 (Vertrieb Inland/Domestic Sales)+49 (0)7653 689-391 (Vertrieb Ausland/Export Sales)+49 (0)7653 689-292 (Kundendienst/Customers Service)E-Mail:[email protected]: http://www.atmosmed.com


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3.0 For your safety

! For your safety The mains voltage speci ed on the type plate must correspond

with the data of the power supply system. Before the device is connected a check must be made

to see that the mains voltage and mains frequency given onthe device agree with the values of the supply system.

Only regular and undamaged mains connection and

extension cables must be used. To disconnect the device from the mains rst pull out the plug

from the wall socket. Only then disconnect the connectioncable from the device. Never touch the plug or cable with wethands.

Please do not deposit any used, contaminated parts on thedevice except for allowed placement areas.

The control panel should always be clearly in view for theoperators and be easy to reach.

The ATMOS Diagnostic Cube meets the resistance to jam-ming of the standard IEC 601-1-2/EN 60601-1-2 „Electroma-gnetic compatibility - Medical electrical devices“.

After each maintenance or repair a function check according to

testing instructions has to be performed together with a safetycheck according to DIN EN 0751-1 resp. IEC 62353. ATMOS cannot guarantee perfect functioning neither will it beliable for damage to people or property if:

any non-original ATMOS parts are used,•the user instructions given in this manual are not followed•exactly or are disregarded,

Assembly, resetting, alterations,extensions and repairs•are not carried out by people authorised by ATMOSthe notes on connection and installation were not obser-•ved.

During function tests on the open device all measures must

be taken for:protection against electric shock,•avoiding injuries caused by movable parts,•protection against contamination and infection•

This product is not re-sterilisable. Repeated reuse of components which are marked with a is forbidden. In case of repeated reuse these components lose their

function and there is a high infection risk. The ATMOS Tymp 31 may only be operated with matching

earplugs. Please check the earplugs on any damage!The notes on connection and installation must strictly be ob-served.Every 2 years an inspection according to the testing in-

structions and a safety check are required.

These operating instructions correspond to the design ofthe device and the situation of the safety standards onwhich they are based when they were printed. The circuits,processes, names, software programmes and devices areall covered by patents.

The ATMOS Diagnostic Cube is designed in accordancewith IEC 60601-1/EN 60601 and assigned to the followingclasses:

VDE protection class II•Class IIa (Directive 93/42) ATMOS Tymp 31 and ATMOS•Sono 31Class I (Directive 93/42) ATMOS Rhino 31.•

Before commissioning the device, mains cables,accessories, connecting leads and hoses should be chek-ked for any damage. Damaged leads and hoses must bereplaced immediately. The function of the device should bechecked prior to use.

The ATMOS Diagnostic Cube may only be used by trainedprofessionals.

The ATMOS Diagnostic Cube is not designed for ope-ration within areas where there is a risk of explosion(M and G). Areas that are at risk from explosions can arisedue to the use of combustible anaesthetics, skin cleaning andskin disinfecting materials.

No liquid may enter the device. If liquid has entered thedevice it must be checked by the customer service before itis used again.

The user has to check correct function of optical and acousticindicators prior to use.

Please switch off the device and disconnect it from the mainsprior to opening.

Please handle the swivel arm with great care. There is ahazard of crushing.

Please do not lean on the swivel arm. It has only a limitedloading capacity and no locking device.The Rhino twin tube contains phthalates which are catego-rised as toxic for reproduction in category 2. This appliesparticularly to children, pregnant andbreastfeeding women. As a preventive measure we recom-mend avoiding direct contact with the skin. The residualrisk, which may arise through possible exposure and dueto the short term application, can be valued as insigni cantcompared to the bene t of the product.

The devie may only be connected to a socket outlet withearthing contact installed according to the rules of the trade.Correct con guration in assembly of country-speci c connec -tions:

green/yellow: protective conductor (PE) blue: neutral conductor (N) black resp. brown: phase (L) The proctetive conductor of the ATMOS Diagnostic Cube

exclusively serves for electromagnetic compatibility.Please always switch off the device after nishing work inpractice at the end of work.During work at electronic circuits there is a risk of damagedue to electrostatic discharge. Please make sure to have

an ef cient equipotential bonding when handling sensitiveelectronic components.

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4.0 PC RequirementsThe ATMOS Diagnostic Cube must have the following computer requirements in order to guarantee the function of the software andthe device driver:

Operating system: WinXP from SP2 or Win7Processor speed: 1 GHz (min.)Main memory (RAM): 1 GB (min.)Fixed disk storage: 10 MB for the software (min.) 80 GB for the data base (min.)USB Interface: 1 x USB 2.0 (ATMOS Diagnostic Cube) 1x USB 2.0 (iHandle)Screen resolution: 800x600 (min.)

Network: optionalPrinter: optional

If the ATMOS Diagnostic Cube is connected via USB 1.1 an entry appears in the Windows Device Manager, but there is no communi-cation between the PC and the device!

If there are not suf cient free USB 2.0 Ports on the PC, an additional USB 2.0 HUB must be connected. In order to exclude)an overloading of the USB-power supply to the PC, an active USB 2.0 HUB with its own power supply must be used!

5.0 Windows settingsOnly connect the ATMOS Diagnostic Cube and the IHandle to the PC when the software installation has been fully)completed!

For the installation a Windows registration wi th the full administrative rights is necessary )

No energy saving options should be active (above all)laptops!).

Special attention must be paid that the power saving modeof the USB - Ports does not switch to the sleep mode.Otherwise it could happen that the IHandle functions aredeactivated and no longer react.

Switch off the power saving mode for USB-Ports under Windows 7


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To operate the ATMOS Diagnostic Cube all the necessary driversand programs are available on the provided installation CD.If the software for the ATMOS Diagnostic Cube should be installedonto a computer which has no CD / DVD drive then the contents ofthe installations-CD can also be copied onto a USB-Stick.

Care must be taken to ensure that the dir ectory structu re)of the installation les is the same as the installationCD from the root d irectory of the medium.

Insert the installation CD into the CD / DVD drive of theycomputer.If the installation does not start automatically then please start ityfrom the workstation of your computer. (Start.exe on the CD)

Please note you must have the full administ rative right s)on your computer and the partition „ C:\“ write and readaccess.

Take the following steps:Select the language in which the software is to be installed.y

To begin the setup click the button „Cube“, to install the basicysoftware and driver. The following will be installed:

the patient database in the directory C:\AGHDiag\ Daten,•the program to control the iHandle in the directory•C:\AGHDiag\iHandle,•the USB – driver for later installation of the hardware in the•directory C:\AGHDiag\USB.con guration of the operating system.•

Con rm all security questions with „yes“ and questions regardingthe installation software with „continue“. No further settings arerequired during the installation.

To complete the installation click „ nish“.

The installation of the software for the respective modules is indi-vidually conducted depending on the con guration of the ATMOSDiagnostic Cube.

For the installation of module-software click on the respectiveybutton.Con rm each installation window resp. questions to the instal -ylation programs with „continue“.Con rm all security questions on your operating system withy

„yes“.To complete the installation click“ nish.y

If several modules are to be integrated into the ATMOS Dia-ygnostic Cube it is now possible to install the next software.

Please note: never try to install more t han one)installation routine at the same time. Wait until eachindividual inst allation is completed before you beginwith the next one.

6.0 Software installation

Start Installation

Basic installation / driver

Software installation for thebuilt-in modules

Sprachauswahl


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When installing the software for each individual module, an inde-pendent program directory is created in the le C:\ AGHDiag\In addition for each module, a corresponding measurement valuedatabase is led in C:\AGHDiag\Data.

User rights

If need be and especially for the installation under Windows 7, theaccess rights for the installation le of the ATMOS Diagnostic Cubemust be adapted.

For the perfect functioning of the software, for the registered userfull access rights for the le C:\ATMOS\AGHDiag\ is necessary.

The access rights can be veri ed by a right click with the mouse

in Explorer on the le C:\AGHDiag. In the Pull-Down Menü selectthe entry „Sharing and Security“. In the following menu all the userrights must be marked for the user.

If this menu does not appear , select „Extras -> File options“under the view tab select, simple le sharing“.

6.0 Software installation


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7.0 Connecting the device

Connection probe Rhino 31

Probe Rhino 31 with breathing mask

Probe Rhino 31 with nose olive

ATMOS Rhino 31Simply attach the hose of the rhinomanometer-probe to the frontside of the device. This is done by pressing down the metal leveron the connection socket for the hose system of the Rhino 3, thenpress the hose into this socket.

The probe hose can be easily detached by pressing down on themetal lever. When the lever is released it clicks into place andprevents the connector from slipping out.

The correct fit can be tested by gently pulling on the connector. Theconnector should sit firmly and securely in the socket.

Al ways ch eck th e availabil i ty and co nd iti on of th e)o-ring on t he connector.

A leaky plug connect ion always resul ts in incorr ect)measurements!

Connection Probe Tymp 31

Probe Tymp 31

ATMOS Tymp 31

Place the at plug into the corresponding socket of the Tymp 31module and press it gently. Pay attention that the plug is in theright position.Secure the connection by fastening the screws.Check the correct t of the connection.


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8.0 Driver installation Windows 7 After completion of the software installation you can connect boththe ATMOS Diagnostic Cube and the iHandle respectively with afree USB2.0 port to the PC.

For the connection of the ATMOS Diagnostic Cube and the iHandleto a Windows PC if necessary the operating system will automa-tically install its own drivers.

The ATMOS Diagnostic Cube does not function with the)automatically installed drivers of Windows 7!

For this reason the Windows own driver must be exchanged forthe ATMOS Diagnostic Cube driver.

If, when connecting the ATMOS Diagnostic Cube to the USB portsof a Windows 7 PC the hardware installation assistant starts, thenthe procedure is similar to that of Windows XP.

If the ATMOS Diagno stic Cube resp. iHandle were alrea- ) dy connected to the PC before the software installationwas conducted two unknown USB-devices appear. The

adaption of the drivers is described as follows.

Revision of the USB-driver after the automatic driverinstallation.

The exchange of the USB-driver is done by the Windows devicemanager. It is started with

Start control panel system and safety system devicemanager

The drivers must be updated for both entries.y

With the right mouse button click on an entry.y

In the pull down menu select „driver update“.y

The hardware installations assistant starts:y

Windows device manager:Start system control system and safety System device manager

Installed USB drivers for the ATMOS Diagnostic Cube and theiHandle.

Select „browse my computer for driver software.“

Possible depending the HardwareIn Abhängikeit der Hardwarekennung

AGH 2.0 AGH 2.0


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8.0 Driver installation Windows 7

In the following menu select „browse..“ the folder C:\AGHDiag\USB.

Press „continue“ to start the driver installation. Con rm safetyquestions with „yes“ resp. „continue“.

An icon will appear in the task bar to con rm the successful com -pletion of the driver installation.

For the driver update of the second entry it is possible that you areasked explicitly for the driver le “ezusb.sys“.

When searching for the driver via the browse function the followingentry must be choosen:

C:\AGHDiag\USB\ezusb.sys


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9.0 Driver installation Windows XPWhen connecting the ATMOS Diagnostic Cube and the iHandle with a free USB 2.0 port of a Windows XP PC an icon „new hardwarefound“ appears, then the hardware installations assistant starts.The procedure for the driver installation is adequate for the installation onto a Windows 7 system.For the installation of the second driver you could be asked for ezusb.sys. In this case you must also proceed as for Windows 7.

If the ATMOS Diagnostic Cube resp. iHandle were already connected to the PC before the software installation was) conducted two unknown USB-devices appear.In this case click with the right mouse button on unknown entry and select „driver update““. Proceed as described above.

10.1 iHandle

The configuration to control the iHandle is activated via the

following button.

Tab „Modul“iHandle modul eHere the paths to start the module programs Sono 31, Rhino 31resp. Tymp 31 are listed.Modules which are not available should be deactivated by deletingthe program entry. If the corresponding hardware is not installedthis prevents the start of the module program. In the iHandlemenu the deactivated functions are no longer available and arenot depicted.

ImagesSelect the image representation of the program module in theiHandle menu.Generally no modi cations must be conducted here.[v] olive / [ ] maskPresetting of the measurement procedure for the Rhino 31 (mea-surement with the nasal olive / measurement with the breathingmask) when the respective handle is removed, the program Rhino31 is started. If the eld is checked then the measurement withnasal olives is preset.

Tab „System“LanguageEnter the path for the le to set the menu language. By referenceto another language le in the directory C:\AGHDiag\iHandle\Lan -

guage the language can be changed. By pasting other languagefolders in this directory and their selection, later the menu can beadapted to other languages.Select iHandle IDSo that the program can recognize which switching signal is trig-gered by the iHandle, the Port-ID of the iHandle must be detectedand entered in the eld iHandle ID.

For the con guration of the iHandle port-ID the driver)must be installed and the iHandle connected to thePC.

Remove a handle from the xture and observe the changes inthe eld „state“ while you are removing and putting back the

handle.On the right on the line height of the status change the correspon-ding port-ID 2 can be found. Enter this ID in the eld „iHandleID“ 3 .iHandle con guration tab „system“

iHandle menu

10.0 Con guration single workstation

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10.0 Con guration single workstationGDT/BDT requirements patient management

Remains empty for a single user installation and for a networkyinstallation without integration into a practice software.

Also remains empty when the function of the iHandle is notyused.Must be adapted when the iHandle function is used and they

ATMOS Diagnostic Cube in the network is integrated into thepractice software

Further information for the connection can be found in the respec-tive chapter.

10.2 Patient managementThe patient management opens automatically when a moduleprogram is started.In the module program the patient management is opened viathe button

As long as the patient management is open, the module) program does not r eact.The module program seems to hang if the patient ma- ) nagemement sli ps accidentally into the background.

The button opens the con gurations menu of the patientmanagement.

Tab „System“Database - le:File name for the patient databaseDirectory:Local or network path to the location of the patient database.For the single user installation you will nd the path to a localdirectory here. Standard: C:\AGHDiag\Data.Further information for the installation in a network can be foundin the respective chapter.

ButtonCreates a new empty patient database.Can be used to create a database in the network directly after the

rst installation.

Language - File

Select the respective language le to adapt the menu language . Bycopying individual language les in the directory C:\AGHDiag\Pati -ent\Language also later, a new menu language can be added.


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10.0 Con guration single workstationThe con guration for each of the module programs)(Sono 31, Rhino 31 and Tymp 31) must be conductedseparately. The same setup menus only work foreach individual module program!

This gives you the possibility to customize each individual modulewith the diverse needs.

10.3 Sono 31

Start the module program „Sono 31“ for the ultrasound examina-tion.

Start the con guration with the button in the buttonbar in the lower program area.

Tab „User“Of ce

The name of the practice/clinic can be entered here. This namewill then appear in the respective documentation.Examiner Here the examiners initials can be stored. This means each exa-mination can be assigned to the respective responsible person.This sentinel speci es which user is listed in the default positionwhen the Sono 31 module program starts.

Module program Sono 31

Tab „ Output“Printer Select the „standard“ or the „marked“ printer.Mark the eld „preview“ if you want to check the layout beforeprinting.

PDF cataloguePath to the place where the PDF is saved. Choose the nameunder which the PDF has to be saved: „PatID“, „Date“ or

PatID+Date“.

PDF Reader Programme to open PDFs.

Tab „ Measurement“In the register card „Measurements“ the standard adjustments ofthe gain can be adjusted.

Tab „User“

Tab „Output“

Tab „Measurement“


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10.0 Con guration single workstationTab „ ID“Here the con guration of the iHandle can be performed for usewith the Sono 31 module software.iHandle On [v] / Off [ ]Mark this eld if you want to use the iHandle function in the Sono31 program.

Closing by iHandleIf the iHandle function is activated, the module program Sono31 is closed when the probe is put back into the xture. The exa -mination is automatically saved under the invoked patient.Footswitch On [v] / Off [ ]Mark this eld when a suitable footswitch is connected to the

ATMOS Diagnostic Cube and when you want to use its functionin the module program Sono 31.Con guration of the port IDsRemove a handle from the xture and observe the changes inthe eld „Status“ 1 while you are removing and putting backa handle.On the left on the line height of the status change you will nd the

corresponding Port-ID 2 . Enter this ID in the eld „ID“ 3 .Continue in the same way with the connected footswitch. Nowenter this ID in the eld ID under „Footswitch“.Tab „System“Language-FileEnter the path to the le for the choice of language of the Sono31 module program. By reference to another language le in thedirectory C:\AGHDiag\Sono31\Language the menu language canbe changed. By copying individual language les into this directoryat a later date the menu can be adapted to further languages.Database - Directo ry / Database - File:Local or network path to the location for the measuring databaseSono 31 module program. For a single user installation here you will

nd the path to a local directory. Standard: C:\ AGHDiag\Data.Information for the installation in a network can be found in therespective chapter. The le name of the measuring database forthe Sono 31 module program. Standard: Sono31.DB

ButtonCreates a new empty measuring database for the Sono 31 mo-dule program. The button can be used to create a database in thenetwork immediately after the rst installation.

Export / ImportFor a single workstation installation both elds must remain empty.You will nd further information for the application of these eldsin the chapter installation to the network with a connection to the

practice software.

Tab „ID“

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10.4 Rhino 31Start the module program „Rhino 31“ for therhinomanometry.

Start the con guration with the Button in the button bar inthe lower program area.

Tab „User“Of ceThe name of the practice/clinic can be entered here. This namewill then appear in the respective documentation.Examiner Here the examiner‘s initials can be stored. This means each ex-amination can be assigned to the respective responsible person.This sentinel speci es which user is listed in the default positionwhen the Rhino 31 starts.

Module programme Rhino 31

Tab „ Output“Printer Select the „standard“ or the „marked“ printer.Mark the eld „preview“ if you want to check the layout before

printing.

PDF cataloguePath to the place where the PDF is saved. Choose the nameunder which the PDF has to be saved: „PatID“, „Date“ orPatID+Date“.

PDF Reader Programme to open PDFs.

Tab „ Measurement“Measuring methodSelect the default depending on which method of measurement willbe conducted. With this adjustment the program will then start.

Measurement with breathing mask and nasal olivey

Measurement with nasal olivey

Please note, in the iHandle options a preadjustment can)be selected (see con guration iHandle)

Analysis valuesEnter the pressure values, by which the evaluation of theanalysis should be conducted. Standard:p1 = 75 pap2 = 150 pap3 = 300 pa

Tab „User“

Tab „Output“




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Tab „ ID“For the use of the iHandle the software is con gurated from theRhino 31 module software.iHandle On [v] / Off [ ]Mark this eld if you want to use the iHandle function in theRhino 31 Program.

Close by iHandleIf the iHandle function is activated, the module program Rhino31 is closed when the probe is put back into the xture. The exa -mination is automatically saved under the invoked patient.Footswitch On [v] / Off [ ]Mark this eld when a suitable footswitch is connected to the

ATMOS Diagnostic Cube and when you want to use its functionin the module program Rhino 31.Con guration of the port IDsRemove a handle from the xture and observe the changes inthe eld „Status“ 1 while you are removing and putting back

a handle.On the left on the line height of the status change you will nd thecorresponding Port-ID 2 . Enter this ID in the eld „ID“ 3 .Continue in the same way with the connected footswitch. Nowenter this ID in the eld ID under „Footswitch“.Tab „System“Language-FileEnter the path to the le for the choice of language of the Rhino31 module program. By reference to another language le in thedirectory C:\AGHDiag\Rhino31\Language the menu language canbe changed. By copying individual language les into this directoryat a later date the menu can be adapted to further languages.Database - Director y / Database - File:

Local or network path to the location for the measuring databaseRhino 31 module program. For a single user installation hereyou will nd the path to a local directory. Standard: C:\ AGHDiag\Data.Information for the installation in a network can be found in therespective chapter. The le name of the measuring database forthe Rhino 31 module program. Standard: Rhino31.DB

ButtonCreates a new empty measuring database for the Rhino 31 mo-dule program. The button can be used to create a database to thenetwork immediately after the rst installation.Export / ImportFor a single user installation both elds must remain empty. You

will nd further information for the application of these elds inthe chapter installation to the network with a connection to thepractice software.

Tab „ID“

Tab „System“


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10.5 Tymp 31Start the module program „Tymp 31“ for the tympanometry.

Start the con guration with the Button in the buttonbar in the lower program area.

Tab „User“Of ceThe name of thepraczive/clinic can be entered here. This namewill then appear in the respective documentation.Examiner Here the examiner´s initials can be stored. This means each ex-amination can be assigned to the respective responsible person.This sentinel speci es which user is listed in the default positionwhen the Tymp 31 starts.

Modulprogramm Tymp 31 Tab “ Output“Printer Select the „standard“ or the „marked“ printer.Mark the eld „preview“ if you want to check the layout beforeprinting.

PDF cataloguePath to the place where the PDF is saved. Choose the nameunder which the PDF has to be saved: „PatID“, „Date“ orPatID+Date“.

PDF Reader Program to open PDFs.

Tab „ Measurement“

Method of measurement - age control [v]on / [ ] off Due to the anatomical differences between babies/small child-ren, children and adults it is an advantage to consider thesedifferences by the typmanometry in order to achieve comparableresults.Here you must select whether during the measurement thepatient´s age should be automatically adapted by the parame-ters. By setting the mark consideration of the patient´s age isautomatically activated.In the areas thereunder you can adjust the individual parametersfor the different age groups.

The standard values correspond to the respective ave-

)

rages and as a rule do not need to be changed.De nition of the age groups1.

Upper age group older than 12 years (standard 12 years)1.The middle age group results from both of the upper limit2.values.Lower age group younger than 2-24 months (standard 243.months)

Negative pressure value from the compliance-measurement for2.the individual age groups.Positive pressure value for the compliance-measurement for3.the individual age groups.Frequency of the probe sound of the compliance-measurement4.for the individual age groups.Select the volume range for the stapedius re ex measurement5.for the individual age groups.

marked: 85 dB - 105 dB•unmarked: 75 dB - 95 dB•

Reiter „User“

Tab „Output“



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Tab „ ID“For the use of the iHandle the software is con gurated from theTymp 31 module software.

iHandle On [v] / Off [ ]Mark this eld if you want to use the iHandle function in the Tymp31 program.Close by iHandleIf the iHandle function is activated, the modul program Rhino31 isclosed when the probe is put back into the xture. The examinationis automatically saved under the invoked patient.

Due to the automatic measurement sequence a)footswitch function for the tympanometry is notprovided.

Con guration of the port IDsRemove a handle from the xture and observe the changes inthe eld „Status“ 1 while you are removing and putting backa handle.On the left on the line height of the status change you will nd thecorresponding port ID 2 . Enter this ID in the eld „ID“ 3 .

Tab „System“Language-FileEnter the path to the le for the choice of language of the Tymp31 module program. By reference to another language le in thedirectory C:\AGHDiag\Tymp31\Language the menu language canbe changed. By copying individual language les into this directory

at a later date the menu can be adapted to further languagesDatabase - Directory/ Database - Fil e:Local or network path to the location for the measuring databaseTymp 31 module program. For a single user installation here you will

nd the path to a local directory. Standard: C:\ AGHDiag\Data.Information for the installation to a network can be found in therespective chapter. The le name of the measuring database forthe Tymp 31 module program. Standard: Tymp31.DB

ButtonCreates a new empty measuring database for the Tymp 31 mo-dule program. The button can be used to create a database to thenetwork immediately after the rst installation.Export / Import

For a single user installation both elds must remain empty. Youwill nd further information for the application of these elds inthe chapter installation to the network with a connection to thepractice software.

Tab „ID“

Tab „System“


1

2

3


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11.0 Network operationIt is imperative to consult the responsible systemadministrator for all work in a network!

The user is responsib le for the data backup. ATMOSis not liable for any data loss!

It is described how the in stallation and settings (notthe data!) is protected in a network.

Besides the single workstation the ATMOS DiagnosticCube can also be con gurated for use in a network.By installing the diagnostic software on variousworkstations it is possible to retrieve the examinationson different PC‘s.

Naturally the control of the ATMOS Diagnostic Cube)is only possible from t he PC when it is connected viaa USB 2.0.

The following steps are necessary in order to access thediagnostic data via a network.

The listed network paths to the le server of the ATMOS) Diagnostic Cube in t he network „ ...\AGHData\ „ are onlyexamples and could d epending on the local sit uationbe named differently.

For an easy communication i n a support case it would)be an advantage if the here mentioned structures andnames for the folders and les of the ATMOS Dia -gnos tic Cube Install ation are adopt ed. \AGHData\ andthe following.

Create a partition / a directory with the le ...\AGHData\ in theynetwork with full access rights for all users / workstation, alsothose which are only used for the visualization of the exami-

nations results (e.g. \\Server\AGHData). Adjustment of the new path for the measurement database andythe patient database of the module programs in the respectivecon guration menus.How to obtain the respective con guration menu is describedyin the single user installation.

The following adaptions must be performed on each)workstation.

11.1 Adaption of the patient database forthe network operation

Copy the contents of the folder C:\AGHData\Data in the partitiony

just created / of the network directory just created (in example\\Server\AGHData\Data).In the con guration menu of the patient management undery„System“ enter this path, under which the database can befound in the network server. (e.g.: \\Server\AGHData\ Data)

11.2 Adaption of the respective modulesoftware Sono 31, Rhino 31, Tymp 31for the network operation

Besides the patient database in each case the path to the locationfor the measuring values database in the network must be enteredinto the con guration menu of the respective module software.

Con guration menu „System“ of the module program Sono 31

Con guration menu „System“ of the module program Rhino 31


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\Data\

\Mirror\

\AGHDiag\

\Data\

\iHandle\

\Sono31\

\Rhino31\

\Tymp31\

\Usb\

\PAT\

\AGHData\

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11.0 Network operationThe measuring values database should also be copied into thedirectory in the network when the directory C:\AGHDiag\Data iscopied.

For each module software the database path must be)adapted separately

For each module software open the tab „System“ in the respec-y

tive con gurations menu.Enter in the eld „database - directory“ the new path to the da -ytabases location in the network (e.g.\\Server\AGHData\Data)Pay attention to correct spelling and capital and lower-caseyletters.

The elds „Export“ and „Import“ must remain empty)during a network installation. These are exclusivelyused for communication wi th a connection to a prac-tice soft ware.

Con guration menu „System“ of the module program Tymp 31

11.3 Backup leCreate a folder for the ATMOS Diagnostic Cube in the networkyfolder with the name „Mirror“ (e.g.:\\Server\ AGHData\Mirror\) asa backup directory for the complete installation of the ATMOSDiagnostic Cube.Copy the complete local installation les C:\ AGHDiag intoythe newly created backup le in the network (e.g.: \\Server\

AGHData\Mirror\).

In doing so all the adjustments and installation data can be saved.In the case of a new installation it can eventually be copied backinto the respective directory. This way the original con guration

can be re-established.There is no permanent backup of the patient and exa- ) mination values. The user is responsibl e for organizingthis by himself!

After a complete installation (including a connection to a practicesoftware, see following chapter) the directory structure (see g,left) should be installed in the network:

Transfer directory for integrationinto practice software (optional)

Path on the server (Example: \\Server\D:\WS1\


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12.0 Program start-upDepending on the con guration and type of the installation

local without an iHandle,y

local with an iHandle,y

without an iHandle with a connection to a practice softwarey

with an iHandle and connection to a practice software the startyof the module program is con gurated differently.

12.1 Con guration for the installationwithout an iHandle and without aconnection to a practice software

For a quick start of the module program it is recommended in eachcase to store a link in the start menu on the desktop.

Open the program directory of the module program for theyinstalled hardware.

Sonography: C:\AGHDiag\Sono31\•Rhinomanometry: C\AGHDiag\Rhino31\•Tympanometry: C:\AGHDiag\Tymp31\•

With the right mouse button click on the module program.ySono31.exe•Rhino31.exe•Tymp31.exe•

and keep the mouse button pressed.Drag the pressed mouse button on the desktop and thenyrelease it.Select in the menu „create link“y

With a double click on the symbol the module program can nowybe started from the desktop.

Also under Windows 7 A link on the desktop can also be created via the context menuywith a right mouse click on the program send desktop(create link) (see g.).Via the same context menu links can also be created to theyWindows start menu (see g.).

Such links should be created for each installed module.To start a module program double click on the respective link onthe desktop.In addition with the start the patient management opens automa-tically, with the option / set up a new patient.

The patient management must be closed once more)before work is possible in the module program.

Storing a link on the desktop with aright mouse button click (Win 7)

Storing a link in the start menu witha right mouse button click (Win 7).

\\Server\AGHData\Data


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12.0 Program start-up12.2 Con guration with an iHandle without

a connection to the practice softwareConduct all steps of point 12.1.y

In the same way create the entries for the programme of theyiHandle.

Create the links from the directory C:\ AGHDiag\iHandle\y

iHandle.exe.

Prior to use of the ATMOS Diagnostic Cube the iHandle programmemust be started via the handle control.

Remove a handle in order to start an examination.1.In order to call up an examination which was already con-2.ducted start the respective module program via the patientmanagement.

By every PC start if you do not wish to start the iHandle software

manually, set a link C:\AGHDiag\iHandle\ iHandle.exe in theautostart- le (startup):

Drag and DropyWith the right mouse button click on the program C:\AGH-•Diag\iHandle\iHandle.exe and keep it pressed.Move the mouse with the pressed mouse button on the•START - symbol in the task bar and remain there until thestart menu opens.Hold the right mouse button pressed and drag the mouse•over the menu item „All programmes“ and remain there untilthe menu „All programmes“ opens.Move the cursor with the pressed mouse button to the menu•item „Autostart“ and wait until the menu opens.Move the curser in the le bar „Autostart“ and release the•right mouse button.Con rm with „create link“.•

In the explorer yOpen the directory C:\AGHDiag\iHandle\ in the explorer.•Via the Windows search select the file „Autostart“•(startup).

Please note there are two Autostart les, one global for)all users and one user-orientated le.

Open the user-orientated le for which the software was•installed.Keep the right mouse button pressed and drag the pro-•gramme C:\AGHDiag\iHandle\iHandle.exe in the user-orientated Autostart le.

Each time Windows is started the iHandle programme also startssimultaneously. As soon as the PC starts the iHandle function isavailable immediately.

Autostart of the iHandle program (Win 7)

For the connection of th e ATMOS Diagnostic Cube to the practice software the module pro gram starts from the practice)software or when installed via the function of the iHandle (see the appropriate chapter).


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13.0 Notes


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14.0 QuestionnaireQuestion form regarding the technical data of the available computer syst em

This question form is to organize a smooth procedure during delivery and to support any defects which could arise regarding the tech-nical requirements.

Company name:

Street:

Zip code / City

Contact person at the company:

Name network administrator:

Telephone:

Fax:

E-Mail:

General information:

Diagnostic - Module (New acquisition):

Sono 31 (Sonography) Tymp 31 (Tympanometry)

Rhino 31(Rhinomanometry) iHandle (handle control)

Administration of the practice software / Hospital information system (HIS):Responsible person fo r the integration:

Responsible company:

Contact person:

Telephone:

E-Mail:

Type of software

Type of integration (Server-Client / virtualterminal, etc.)

Appointment for a joint integration:Information to the server:

Operating system (network)

Partition for the data storage of the diagnostic -software: (e.g. \\server\HNO\Daten\...)

Writing and reading access permitted?

Further details:


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14.0 Questionnaire

Computer number / location

Workplace as user /Investigator(U) only display (A)

Operating system (e.g. WinXP,Win7, 32bit)

Admin-rights for the installationset up?

Large main memory in MB

Free PCI ports

USB 2.0 available?

Free PCI slots

Screen resolution

Rights in the network

If necessary:Path for GDT patient import

If necessary:Path for GDT diagnostic data

Integration with iHandlefunction

GDT 6300Patient attributesPath for transfer

Stock check of the available computersIf necessary copy the lists and ll in several forms


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14.0 QuestionnaireSituation at the installation location

A room sketch showing the installation location of the ATMOS Diagnostic Cube, positioning of the PC and the monitor (the monitors)and any other installations which have to be taken into consideration. Speci cations of the cable run and the estimated cable length,free mains socket and where they are positioned. Installation of the iHandle on the right or left side.

If necessary copy, and ll in several forms.

Date: Signature: Company stamp:


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15.0 Con gurationDocumentation of the con guration


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Documents

E IA Diagnostic Atmos Cube 2012-07-04