Getinge TEGRIS BASE SOFTWARE (SW2) Instructions for Use
Getinge TEGRIS BASE SOFTWARE (SW2) is an operating room integration software designed for seamless control and management of various OR devices. It offers intuitive user interfaces for pre-op, intra-op, and post-op phases, enabling efficient workflow and streamlined data management. Features include video routing, recording, communication tools, and integration with other systems for enhanced surgical procedures.
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Instructions for use 1705.20A0 / 1705.06A0 - Release 7.4 OR Integration TEGRIS BASE SOFTWARE (SW2) / TEGRIS BASE IO-BOX (HW2) IFU 1705.20 EN 10 2024-09-16 Copyright Copyright© 2012-2022 Getinge AB. All rights reserved. All rights reserved. Getinge AB and all of its subsidiaries and/or affiliates, hereinafter referred as Getinge, expressly reserve and retain all right, title and interest in and to all existing intellectual property in the products of Getinge, its subsidiaries and/or affiliates. , No right, title or interest is granted by Getinge. Subject to technical modification! Due to further development of the product, the figures used and technical specifications given in these Instructions for Use may slightly differ from the current state of the product. Trademark Getinge and Tegris are trademarks or registered trademarks of Getinge AB, Maquet GmbH, and/or their subsidiaries and/or affiliates. All other company or product names are trademarks or registered trademarks of their respective holders. V10 01_01 16-09-2024 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Contents Contents 1 Introduction .............................................................................................................. 11 1.1 How to use these instructions for use................................................................................................... 1.1.1 Abbreviations ......................................................................................................................... 1.1.2 Symbols and formatting ......................................................................................................... 1.1.3 Definitions .............................................................................................................................. 1.1.3.1 Design of safety notes......................................................................................... 1.1.3.2 Structure of notes ................................................................................................ 1.1.3.3 Definition of hazardous location, Zone AP-M ...................................................... 1.1.4 Symbols used ........................................................................................................................ 11 11 12 12 12 13 13 14 1.2 Disposal ................................................................................................................................................ 1.2.1 Old products........................................................................................................................... 1.2.2 Packaging .............................................................................................................................. 1.2.3 Batteries and rechargeable batteries ..................................................................................... 1.2.4 Used electrical devices .......................................................................................................... 17 17 17 17 17 1.3 Basic requirements for medical devices ............................................................................................... 1.3.1 Use in accordance with the intended purpose ....................................................................... 1.3.2 Applicable standards.............................................................................................................. 1.3.3 Intended uses ........................................................................................................................ 1.3.3.1 Purpose [TEGRIS BASE IO-BOX (HW2)] (1705.06A0) ...................................... 1.3.3.2 Purpose [TEGRIS BASE SOFTWARE (SW2)] (1705.20A0)............................... 1.3.3.3 Intended use of the [OR TABLE CONTROL] (1703.71A0 / 1703.35A0) ............. 1.3.3.4 Intended use of the [OR LIGHT CONTROL] (1703.38A1) .................................. 1.3.4 Essential performance ........................................................................................................... 18 18 18 18 18 19 19 20 21 1.4 Basic requirements for non-medical devices ........................................................................................ 1.4.1 Standards, interfaces and accessories .................................................................................. 1.4.2 Intended use of the [CENTRAL USER MANAGEMENT] (1703.05A0).................................. 1.4.3 Intended use of the [LIVE PREVIEW] (1703.26A0) ............................................................... 1.4.4 Intended use of the [IP RECORDING/ STREAMING (SW2)] ................................................ 1.4.5 Intended use of the [VIDEO DOCUMENTATION AUTORECORDING (SW)] (1703.30C0) .. 1.4.6 Intended use of the [DICOM INTERFACE] (SW) (1703.32A0).............................................. 1.4.7 Intended use of the [CAMERA CONTROL] (1703.33A0) ...................................................... 1.4.8 Intended use of the [ROOM CONTROL] (1703.39A0 / 1703.74A0/B0/C0) ........................... 1.4.9 Intended use of the [REMOTE CLIENT] (1703.40D0) ........................................................... 1.4.10 Intended use of the [PICTURE IN PICTURE] (1703.41XX)................................................... 1.4.11 Intended use of the [PATIENT CONTEXT SHARING] (1703.43A0)...................................... 1.4.12 Intended use of the [COMMUNICATION] (1703.44X0) ......................................................... 1.4.13 Intended use of the [EXTERNAL APPLICATION INTEGRATION] (1703.46A0) ................... 21 21 22 22 23 23 24 24 24 25 25 25 26 27 1.5 Reportable event .................................................................................................................................. 27 1.6 Data protection ..................................................................................................................................... 27 2 Safety notes.............................................................................................................. 28 2.1 General safety notes ............................................................................................................................ 28 2.2 Safety notes for the product ................................................................................................................. 28 2.3 Safety notes EMC................................................................................................................................. 30 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 3 / 206 Contents 3 Operation of hardware............................................................................................. 31 3.1 IO-Box (1705.06A0).............................................................................................................................. 3.1.1 Overview of mounting points.................................................................................................. 3.1.2 IO-Box LED............................................................................................................................ 3.1.3 IO-Box LED-Status ................................................................................................................ 3.1.4 Setting up equipotential bonding............................................................................................ 3.1.5 Connecting the EDP network................................................................................................. 3.1.6 Provide power supply............................................................................................................. 3.1.7 Switch the IO-Box on/off ........................................................................................................ 3.1.8 Switching the TEGRIS BASE PC on/off................................................................................. 32 32 33 34 34 35 35 36 37 3.2 WIRELESS MICROPHONE SET (hardware) (1707.70A0) .................................................................. 3.2.1 Connecting the charging cradle ............................................................................................. 3.2.2 Connecting the microphone ................................................................................................... 3.2.3 Charging the rechargeable battery of the transmitter ............................................................ 3.2.4 Attaching the transmitter ........................................................................................................ 3.2.5 Attaching the microphone ...................................................................................................... 3.2.6 Switching the transmitter on/off.............................................................................................. 3.2.7 Mute function ......................................................................................................................... 38 38 39 39 40 40 41 41 3.3 OR TABLE CONTROL (HW2) (1705.81A0) ......................................................................................... 3.3.1 IR transmitter ......................................................................................................................... 3.3.1.1 Connecting/disconnecting the IR transmitter....................................................... 3.3.1.2 IR transmitter displays......................................................................................... 3.3.2 Connecting/disconnecting the STOP switch .......................................................................... 41 42 42 42 43 3.4 Monitors ................................................................................................................................................ 3.4.1 Canvys 24" Touch monitor (1705.11A0) ................................................................................ 3.4.2 Monitor Barco IP / STD (1707.2XX0)..................................................................................... 3.4.3 OR Viewport variants ............................................................................................................. 43 43 44 45 4 User interface and basic functions ........................................................................ 47 4.1 Structure of the user interface .............................................................................................................. 4.1.1 Overview: User interface........................................................................................................ 4.1.2 Open/Close sub-menu ........................................................................................................... 4.1.3 Menus for the OR procedure ................................................................................................. 4.1.4 Detail view: Patient data ........................................................................................................ 4.1.5 Status indication line .............................................................................................................. 4.1.6 IO-Box status display ............................................................................................................. 4.1.7 Overview of the menu: Clock ................................................................................................. 4.1.8 Menu: Service ........................................................................................................................ 4.1.8.1 Open the Service menu....................................................................................... 4.1.8.2 Menu item: Application ........................................................................................ 4.1.8.3 Menu item: Information........................................................................................ 4.1.8.4 Menu item: Configuration .................................................................................... 4.1.8.5 Menu item: Messages ......................................................................................... 4.1.8.6 Menu item: System Clock.................................................................................... 4.2 Basic functions ..................................................................................................................................... 56 4.2.1 Virtual keyboard ..................................................................................................................... 56 4 / 206 48 48 49 49 50 51 51 52 52 53 53 54 55 55 56 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Contents 4.2.2 4.2.3 4.2.4 4.2.5 4.2.6 4.2.7 4.2.8 4.2.9 4.2.10 Logging in to Tegris ............................................................................................................... 4.2.2.1 User login ............................................................................................................ 4.2.2.2 Logging a user out............................................................................................... 4.2.2.3 Emergency access .............................................................................................. Adjusting the volume.............................................................................................................. Accept/Dial/End/Reject calls .................................................................................................. Display of OR status .............................................................................................................. Menu: Connection list ............................................................................................................ Save image ............................................................................................................................ Record video.......................................................................................................................... Menu item: Clock ................................................................................................................... 4.2.9.1 Menu item: Date / Time ....................................................................................... 4.2.9.2 Menu item: Stopwatch......................................................................................... 4.2.9.3 Menu item: Timer ................................................................................................ Menu item: Surgical safety checklist...................................................................................... 4.2.10.1 Processing the surgical safety check list............................................................. 57 57 57 58 59 59 60 60 61 61 61 62 62 63 64 64 5 OR procedure menus............................................................................................... 65 5.1 Menu: PRE-OP ..................................................................................................................................... 5.1.1 Overview of the menu: PRE-OP ............................................................................................ 5.1.2 Menu item: Patient Management ........................................................................................... 5.1.2.1 Tab: Local study .................................................................................................. 5.1.2.2 Tab: Worklist ....................................................................................................... 5.1.2.3 Tab: Log .............................................................................................................. 5.1.3 Menu item: Presets ................................................................................................................ 5.1.3.1 Overview of the menu: Presets ........................................................................... 5.1.3.2 Creating a preset................................................................................................. 5.1.3.3 Opening a preset................................................................................................. 5.1.3.4 Adapting a preset ................................................................................................ 5.1.3.5 Deleting a preset ................................................................................................. 5.1.4 Menu item: Video routing ....................................................................................................... 5.1.4.1 Overview of the menu: Video routing .................................................................. 5.1.4.2 Assigning an image source on the monitor ......................................................... 5.1.4.3 Assigning an image source on the recorder........................................................ 5.1.4.4 Assigning an image source for streaming ........................................................... 5.1.4.5 Switching the streamer on/off.............................................................................. 5.1.4.6 Setting the Picture-In-Picture module.................................................................. 5.1.4.7 Display overlays .................................................................................................. 65 65 65 66 71 74 76 76 77 77 78 78 79 80 81 81 82 82 83 84 5.2 Menu: INTRA-OP ................................................................................................................................. 5.2.1 Overview of the menu: INTRA-OP......................................................................................... 5.2.2 Menu item: Communication ................................................................................................... 5.2.2.1 Overview of the menu item: Communication....................................................... 5.2.2.2 Join Webex meeting............................................................................................ 5.2.2.3 Creating a contact entry ...................................................................................... 5.2.2.4 Editing a contact entry......................................................................................... 5.2.2.5 Deleting a contact entry....................................................................................... 5.2.3 Menu item: Recording............................................................................................................ 84 85 85 86 88 88 89 90 90 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 5 / 206 Contents 5.2.4 5.2.3.1 Overview of the menu: Recording ....................................................................... 5.2.3.2 Creating an image ............................................................................................... 5.2.3.3 Recording video .................................................................................................. 5.2.3.4 Select the recording quality ................................................................................. 5.2.3.5 Creating and printing a single image................................................................... 5.2.3.6 Endosnap ............................................................................................................ Menu item: Remote Workstation Interface............................................................................. 5.2.4.1 General................................................................................................................ 5.2.4.2 Overview: Remote Workstation Interface............................................................ 5.2.4.3 Activate/deactivate full screen display................................................................. 5.2.4.4 Tegris operating panel......................................................................................... 5.2.4.5 Display external system ...................................................................................... 5.2.4.6 Adapting the display area.................................................................................... 5.2.4.7 Refreshing the display area................................................................................. 5.2.4.8 Working with the external system in the display area ......................................... 91 91 92 92 93 94 94 94 95 95 96 96 97 98 98 5.3 Menu: POST-OP .................................................................................................................................. 99 5.3.1 Overview of the menu: POST-OP.......................................................................................... 99 5.3.2 Menu item: Finalize................................................................................................................ 100 5.3.2.1 Overview of the menu: Finalize ........................................................................... 100 5.3.2.2 Printing a clip of a video file................................................................................. 101 5.3.2.3 Print file(s) or create final report .......................................................................... 102 5.3.2.4 Deleting file(s) ..................................................................................................... 103 5.3.2.5 Adding a comment to a file.................................................................................. 104 5.3.2.6 Playing/pausing a video file................................................................................. 105 5.3.2.7 Creating a clip of a video file ............................................................................... 107 5.3.2.8 Extracting an image from a video file .................................................................. 108 5.3.2.9 Exporting file(s) to a USB storage media ............................................................ 109 5.3.2.10 Burning file(s) to DVD or BluRay......................................................................... 110 5.3.2.11 Exporting file(s) to the network (LAN) ................................................................. 111 5.3.2.12 Exporting file(s) to PACS..................................................................................... 112 5.3.2.13 Exporting file(s) to HL7........................................................................................ 113 5.3.2.14 Export status ....................................................................................................... 114 5.3.2.15 Closing a study (patient file) ................................................................................ 114 6 Menu: Direct access ................................................................................................ 115 6.1 Overview of the menu: Direct access ................................................................................................... 115 6.2 Menu item: Room settings .................................................................................................................... 116 6.2.1 Tab: Light ............................................................................................................................... 116 6.2.1.1 Overview ............................................................................................................. 116 6.2.1.2 Main switch light .................................................................................................. 116 6.2.1.3 Setting the room lighting...................................................................................... 117 6.2.1.4 Setting the lighting elements ............................................................................... 117 6.2.1.5 Display: Scenes................................................................................................... 118 6.2.1.6 Display: Operating theatre status ........................................................................ 118 6.2.1.7 Opening / closing the blinds ................................................................................ 119 6.2.1.8 Looking through the LCD glass panel ON / OFF................................................. 119 6.2.1.9 Display: Laser and X-ray ON / OFF .................................................................... 120 6 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Contents 6.2.2 6.2.3 6.2.1.10 Open door ........................................................................................................... 120 Tab: Climate........................................................................................................................... 121 6.2.2.1 Overview ............................................................................................................. 121 6.2.2.2 Setting the temperature....................................................................................... 121 6.2.2.3 Setting the air humidity........................................................................................ 122 6.2.2.4 Setting the ventilation .......................................................................................... 122 Tab: Power & Gas.................................................................................................................. 123 6.2.3.1 Overview ............................................................................................................. 123 6.2.3.2 Gas status indicator............................................................................................. 123 6.2.3.3 Checking the insulation monitor .......................................................................... 124 6.2.3.4 Switching off the warning buzzer......................................................................... 124 6.3 Menu item: Remote client ..................................................................................................................... 125 6.3.1 Establish the connection to a third-party system via Remote Client ...................................... 125 6.3.2 Disconnect the connection to a third-party system via Remote Client................................... 126 6.4 Menu item: Cameras ............................................................................................................................ 127 6.4.1 Overview of the menu: Cameras ........................................................................................... 127 6.4.2 Setting the camera................................................................................................................. 127 6.5 Menu item: Audio.................................................................................................................................. 129 6.5.1 Prioritisation of audio output .................................................................................................. 129 6.5.2 Overview of the menu: Audio AUX ........................................................................................ 129 6.5.3 Overview of the menu: Audio Microphone ............................................................................. 130 6.5.4 Adjusting the microphone ...................................................................................................... 130 6.5.5 Adjusting the auxiliary input ................................................................................................... 132 6.6 Menu item: OR light operation .............................................................................................................. 133 6.6.1 Overview: Operation of PowerLED 300 / 500 / 700 and HLED 300 / 500 / 700 .................... 133 6.6.1.1 OR light ON/OFF................................................................................................. 134 6.6.1.2 Switching lighting................................................................................................. 135 6.6.1.3 Adjusting the light intensity.................................................................................. 136 6.6.2 Overview: Operation of PowerLED II 500 / 700 ..................................................................... 137 6.6.2.1 OR light ON/OFF................................................................................................. 138 6.6.2.2 Switching lighting................................................................................................. 138 6.6.2.3 Adjusting the light intensity.................................................................................. 139 6.6.2.4 Adapting the light field diameter .......................................................................... 140 6.6.2.5 Activate comfort light ........................................................................................... 140 6.6.2.6 Selecting the light colour ..................................................................................... 141 6.6.2.7 Synchronising OR lights ...................................................................................... 141 6.6.3 Overview: Operation OR light VOLISTA ................................................................................ 142 6.6.3.1 OR light ON/OFF................................................................................................. 143 6.6.3.2 Switching lighting................................................................................................. 143 6.6.3.3 Adjusting the light intensity.................................................................................. 144 6.6.3.4 Adapting the light field diameter .......................................................................... 145 6.6.3.5 Setting the light temperature ............................................................................... 145 6.6.3.6 Synchronising OR lights ...................................................................................... 146 6.6.3.7 Volista VisioNIR (optional with VSTII) ................................................................. 146 6.7 Menu item: OR table control ................................................................................................................. 147 6.7.1 Overview of the menu: OR table control ................................................................................ 149 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 7 / 206 Contents 6.7.2 6.7.3 6.7.4 6.7.5 6.7.6 6.7.7 6.7.8 6.7.9 6.7.10 6.7.11 6.7.12 6.7.13 Setting the IR code ................................................................................................................ 149 Selecting the OR table ........................................................................................................... 151 Release OR table control....................................................................................................... 151 Menu item: MAGNUS OR table control ................................................................................. 152 6.7.5.1 Switching leg side................................................................................................ 153 6.7.5.2 Sub-menu: Menu functions MAGNUS OR table ................................................. 154 Menu item: OTESUS OR table control .................................................................................. 154 6.7.6.1 Setting the OR table positions............................................................................. 156 Menu item: ALPHAMAQUET OR table control ...................................................................... 157 6.7.7.1 Individual adjustment of left/right leg plate .......................................................... 157 Menu item: YUNO OR table control....................................................................................... 158 6.7.8.1 Switching leg side................................................................................................ 158 6.7.8.2 Sub-menu: Menu functions YUNO OR table....................................................... 159 Menu item: ALPHAMAXX OR table control ........................................................................... 160 6.7.9.1 Individual adjustment of left/right leg plate .......................................................... 160 Menu item: ALPHASTAR OR table control............................................................................ 161 Menu item: BETASTAR OR table control .............................................................................. 162 Menu item: MEERA OR table control .................................................................................... 163 STOP button .......................................................................................................................... 164 6.8 Menu item: External Application Integration ......................................................................................... 165 6.8.1 Overview: External Application Integration ............................................................................ 165 6.8.2 Activate/deactivate full screen display ................................................................................... 166 7 Streaming client ....................................................................................................... 167 7.1 Starting the streaming client ................................................................................................................. 167 7.2 Setting the streaming client .................................................................................................................. 168 7.3 Starting the network streaming ............................................................................................................. 169 8 Cleaning and disinfection ....................................................................................... 170 8.1 General information .............................................................................................................................. 170 8.1.1 No mechanical preparation .................................................................................................... 171 8.2 Cleaning agents and disinfectants........................................................................................................ 172 8.2.1 Suitable cleaning agents........................................................................................................ 172 8.2.2 Suitable disinfectants ............................................................................................................. 172 8.2.3 Non-usable products / substances......................................................................................... 172 8.3 Manual preparation of the Tegris system and accessories .................................................................. 173 8.3.1 Pre-cleaning........................................................................................................................... 173 8.3.2 Disinfection ............................................................................................................................ 173 8.3.3 Drying..................................................................................................................................... 173 8.3.4 Inspections............................................................................................................................. 173 8.3.5 Microphones .......................................................................................................................... 173 8.4 Preparation of monitors from other manufacturers ............................................................................... 174 8.4.1 Manufacturer Barco ............................................................................................................... 174 8.4.2 Manufacturer: Rein Medical ................................................................................................... 174 8.4.3 Manufacturer: Canvys............................................................................................................ 175 8 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Contents 9 Maintenance ............................................................................................................. 176 9.1 Visual and functional inspections ......................................................................................................... 176 9.2 Malfunctions and troubleshooting ......................................................................................................... 177 9.3 Replace mains fuse (1705.06A0) ......................................................................................................... 179 9.4 Inspection and Maintenance................................................................................................................. 180 9.5 Repair ................................................................................................................................................... 180 9.6 Type plate positions and manufacturer information.............................................................................. 181 10 Technical specifications.......................................................................................... 183 10.1 Ambient conditions ............................................................................................................................... 183 10.2 24" CANVYS touchscreen (1705.11A0) ............................................................................................... 183 10.3 22" IN-WALL Touch (1707.10A0) ......................................................................................................... 183 10.4 Electrical data IO-Box (1705.06A0) ...................................................................................................... 184 10.5 IO-Box dimensions (1705.06A0) .......................................................................................................... 184 10.6 Weight (1705.06A0).............................................................................................................................. 184 11 Electromagnetic compatibility (EMC)..................................................................... 185 11.1 Electro magnetic transmission and resistance to interference ............................................................. 185 11.2 Resistance to electro magnetic interference - Testing process............................................................ 185 12 Approved accessories............................................................................................. 188 12.1 New BASE SYSTEM 1705 ................................................................................................................... 188 12.2 CENTRAL (SERVER) COMPONENTS ................................................................................................ 188 12.3 VIDEO OVER IP (NEXXIS) .................................................................................................................. 188 12.4 MODULES (Software) .......................................................................................................................... 189 12.5 MODULES (Hardware) ......................................................................................................................... 190 12.6 ACCESSORIES.................................................................................................................................... 190 12.7 TOUCHSCREENS ............................................................................................................................... 191 12.8 MONITORS .......................................................................................................................................... 192 12.9 IN-WALL MONITORS........................................................................................................................... 192 12.9.1 27''.......................................................................................................................................... 192 12.9.2 32''.......................................................................................................................................... 192 12.9.3 46''.......................................................................................................................................... 192 12.9.4 49''.......................................................................................................................................... 193 12.9.5 55''.......................................................................................................................................... 193 12.9.6 PC Upgrade options............................................................................................................... 193 12.9.7 Keyboard and mouse options ................................................................................................ 193 12.9.8 Keyboard PLUS and mouse options...................................................................................... 194 12.9.9 Wall holder options ................................................................................................................ 194 12.9.10 USB options ........................................................................................................................... 194 13 Licenses.................................................................................................................... 195 13.1 Apache License .................................................................................................................................... 195 13.2 WITH License ....................................................................................................................................... 197 13.3 BSD License for DCMTK ...................................................................................................................... 198 13.4 Lesser General Public License ............................................................................................................. 199 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 9 / 206 Contents Index.......................................................................................................................... 202 10 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Introduction How to use these instructions for use 1 Introduction 1.1 How to use these instructions for use 1 These instructions for use are provided to familiarise you with the features of this product. The instructions for use are divided into separate chapters. Please note: • Read these instructions for use through carefully and completely before using the product for the first time. • Always proceed in accordance with the information provided in these instructions for use. • Store these instructions for use in the vicinity of the product. 1.1.1 Abbreviations AIM EC EMC EN ESD EEC FullHD 4K-UHD GUI HD HDD RU RF HW IEC INT IP(XY) IP IPS IR HIS KVM MDD OR PACS PVC RIS SD SELV SN PLC 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Automatic Illumination Management European Community Electromagnetic compatibility European standard Electrostatic discharge European Economic Community Full high definition Ultra High Definition Graphical User Interface High Definition Hard Disk Drive (permanent/bulk storage) Rack Units Radio frequency Hardware International Electrotechnical Commission Intermittent International Protection (type of protection against ingress of solid bodies and liquids) Internet Protocol (network protocol) Internal Power Source Infrared Hospital Information System Keyboard Video Mouse Medical Devices Act Operating room Picture archiving and communication system Polyvinylchloride Radiology information system Standard definition Safety Extra Low Voltage Serial no. Programmable logic controller 11 / 206 1 Introduction How to use these instructions for use SW UPS VDE 1.1.2 Software Uninterrupted Power Supply Verband der Elektrotechnik Elektronik Informationstechnik Symbols and formatting Symbol Meaning 1. 2. Instructions to follow / list with numbered steps Result of an action ● Numbered steps / List entry / precondition Reference to other pages within this document [...] Key / Module / Mode bold Menu / on-screen button [italics] Field to be filled in 1122.33XX Order number with different variants (XX) Tab. 1: Symbols and formatting 1.1.3 Definitions 1.1.3.1 Design of safety notes Pictogram Tab. 2: 12 / 206 Descriptor Text DANGER! Identifies an immediate danger to people, which may result in death or serious injuries. WARNING! Identifies a potential danger to people or property, which may result in damage to health or serious property damages. CAUTION! Identifies a potential danger to property, which may result in property damages. Design of safety notes 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Introduction How to use these instructions for use 1.1.3.2 Structure of notes Pictogram Tab. 3: 1.1.3.3 1 Descriptor Explanation NOTE Supplementary assistance or further useful information which does not indicate a risk of injury to persons or a risk of property damage are described in the text of the note. ENVIRONMENT Information regarding proper disposal. Structure of notes Definition of hazardous location, Zone AP-M The term "AP-M zone" 1 is used to refer to the medical environment. 1 Fig. 1: 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Area with a risk of explosions, AP-M zone 13 / 206 1 Introduction How to use these instructions for use 1.1.4 Symbols used Symbols are attached to products, type plates and packaging. Symbols Labelling Labelling of products developed and marketed in accordance with relevant European legal provisions. Labelling of products that have been placed on the market in accordance with the relevant legal requirements of the United Kingdom. UL recognised component test mark from Underwriters Laboratories as proof that UL recognised components may be used in a UL-tested product or system. This labelling signifies compliance with the requirements both for the USA and for Canada. Labelling in accordance with the ISO 15223-1 standard. Symbol for "Serial number". Labelling in accordance with the standard ISO 15223-1. Symbol for "Catalogue number / product number". Labelling in compliance with the IEC 60417 standard. Symbol for "Electrostatically sensitive components". Labelling in compliance with the IEC 60529 standard. Symbol for “No protection against water”. Labelling in accordance with the ISO 15223-1 standard. Symbol for "Consult instructions for use". Labelling in accordance with the IEC 60601-1 standard. Symbol for "Follow Instructions for use". Labelling in compliance with the IEC 60601-1 standard. Symbol for "Equipotentiality". Tab. 4: 14 / 206 Symbols 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Introduction How to use these instructions for use Symbols 1 Labelling Labelling of devices with a protective earth (ground) in accordance with the IEC 60601-1 standard. Labelling in accordance with the ISO 15223-1 standard. Labelling of packaging materials. Symbol for "Keep dry". Labelling in accordance with the ISO 15223-1 standard. Symbol for "Fragile! Handle with care". Labelling in accordance with the ISO 7000 standard. Symbol for "Top". Labelling in accordance with the ISO 15223-1 standard. Symbol for "Temperature limit". Labelling in accordance with the ISO 15223-1 standard. Symbol for "Humidity limitation". Labelling in accordance with the ISO 15223-1 standard. Symbol for "Atmospheric pressure limitation". Labelling in accordance with the 2012/19/EU directive (on used electrical equipment and electronics). Symbol for "Do not dispose of product via the municipal collection points for used electrical equipment". Labelling in accordance with the IEC 60417-1 standard. Symbol for "Device protection". Labelling in accordance with the standard ISO 15223-1. Symbol for "Name and address of the manufacturer". The date of manufacturing can be combined with this symbol. Labelling in accordance with the ISO 15223-1 standard. Symbol for "Name and address of the importer". Tab. 4: 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Symbols 15 / 206 1 Introduction How to use these instructions for use Symbols Labelling Labelling in accordance with the ISO 15223-1 standard. Symbol for the labelling of medical devices Marking according to the standard ISO 15223-1. Symbol for "Pay attention to the supplied documents". Labelling of devices in the AP class in accordance with the IEC 60601-1 standard. Explosion protection ensured by the avoidance of ignition sources when using flammable blends of anaesthetics that are mixed with air, oxygen or nitrous oxide. Labelling of equipment. Symbol for "Output". Labelling of equipment. Symbol for "Input". Labelling of equipment. Symbol for "Optional input". Labelling of equipment. Symbol for "Relay output". Labelling of equipment. Symbol for "Speaker". Labelling of equipment. Symbol for "Microphone input, symmetrical". Labelling of equipment. Symbol for "Microphone input, asymmetrical". Tab. 4: 16 / 206 Symbols 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Introduction Disposal Symbols 1 Labelling Labelling of equipment. Symbol for "iPod connection". Labelling of equipment. Symbol for "Network connection". Tab. 4: Symbols 1.2 Disposal 1.2.1 Old products Getinge will take back used products or those which are no longer in service. For further information, please contact your personal Getinge representative. Used products or parts thereof may be contaminated. In order to avoid potential infection risks, the product must be cleaned and disinfected prior to its return/disposal. The national regulations and disposal regulations must be observed for all disposal measures. 1.2.2 Packaging The packing materials are made of materials compatible with the environment. The packing material may be disposed of by Getinge on request. 1.2.3 Batteries and rechargeable batteries Rechargeable batteries/batteries can be submitted to your regional disposal system. ENV I R ON M E N T Defective rechargeable batteries must be recycled in accordance with guideline 2006/66/EC. Defective rechargeable batteries may not be opened, disposed of in household waste, burned or thrown in water. Defective rechargeable batteries should be returned to local collection points. 1.2.4 Used electrical devices Within the European Economic Community This product is within the scope of the validity of guideline 2012/19/EU (waste electrical and electronic equipment). This product is not registered for use in private households, it may also not be disposed of disposal via municipal collection points for waste electrical and electronic equipment. For further information on legally compliant disposal, please contact the assigned Getinge representative. Outside the European Economic Community When disposing of this product, ensure compliance with the applicable national regulations on the handling and disposal of used electrical equipment. 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 17 / 206 1 Introduction Basic requirements for medical devices 1.3 Basic requirements for medical devices 1.3.1 Use in accordance with the intended purpose This product is a medical device. The product may only be operated by persons who have been instructed in the use of the product by an authorised person. The product is designed solely for the purpose of human medicine. The patient may only be placed and positioned under medical supervision. Rooms used for medical purposes in which the product is used must comply with HD 60364-7-710 or the appropriate national regulations. The EMC characteristics of this product allow its use in industrial and hospital environments (CISPR 11, Class A). This product may not provide adequate protection against radio services when used in a residential environment (which typically requires Class B according to CISPR 11). If necessary, the user must take corrective measures such as conversion or reorientation of the product. The test levels use conform to those used for professional medical equipment. Interfaces and accessories Tegris offers standard interfaces for connecting accessories and devices from other manufacturers, if they support the described standards and do not interfere with the performance characteristics and safety requirements. Other accessories, combinations of accessories or consumables may only be used if they are designed specifically for the application in question and will not adversely affect either performance features or safety requirements. Devices connected to the interfaces must conform to standard IEC 60601-1 or another IEC device standard. 1.3.2 Applicable standards The product meets the basic safety and performance requirements in accordance with the local applicable legal specifications for medical devices. 1.3.3 Intended uses 1.3.3.1 Purpose [TEGRIS BASE IO-BOX (HW2)] (1705.06A0) The module TEGRIS BASE IO-BOX (HW2) (1705.06A0) can optionally be connected to TEGRIS BASE PC (HW2), and offers a compatible interface for: • OR TABLE CONTROL (HW) (1703.71A0) (not available for China) • OR TABLE CONTROL (HW2) (1705.81A0) (not available for China) In addition, it offers standard interfaces for use in combination with the TEGRIS BASE SOFTWARE (SW2) and compatible modules: • Audio inputs and outputs • RS232 interfaces • GPIO - Relay interface • Low voltage outputs • USB ports • IP network The [TEGRIS BASE IO-BOX (HW2)] has no explosion protection and is not suitable for use in AP-M zones prone to explosion. 18 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Introduction Basic requirements for medical devices 1 Intended for the following users: • Trained specialist medical staff • Trained technical and administrative specialist personnel (for maintenance and service) Any further use is not in accordance with the intended use. The [TEGRIS BASE IO-BOX (HW2)] is not to be used for the following purposes: • Delivering information for the recognition, diagnosis, monitoring or treatment of physiological conditions, health conditions, illnesses or congenital deformities • Connecting incompatible devices or modules 1.3.3.2 Purpose [TEGRIS BASE SOFTWARE (SW2)] (1705.20A0) The TEGRIS OR integration system is used to distribute audio and video signals within the operating room. A TEGRIS system consists of a compatible computer, the [TEGRIS BASE SOFTWARE (SW2)] (1705.20A0) and a touch monitor user interface. The [TEGRIS BASE SOFTWARE (SW2)] is the basic application for the OR Integration system. It has an integrated surgical safety checklist, and supports a structured OR workflow. The [TEGRIS BASE SOFTWARE (SW2)] requires a compatible computer environment including an input device for operation. The [TEGRIS BASE SOFTWARE (SW2)] also offers a software environment and a graphic user interface to integrate compatible medical device and non-medical device software modules. The following software modules for controlling medical devices are compatible with the [TEGRIS BASE SOFTWARE (SW)]: • [OR TABLE CONTROL (SW)] (1703.35A0) (not available for China) • [OR LIGHT CONTROL (SW)] (1703.38A1) (not available for China) Additional software modules that have been approved by Maquet can be integrated into the [TEGRIS BASE SOFTWARE (SW2)]. Intended for the following users: • Trained specialist medical staff • Trained technical and administrative specialist personnel (for maintenance and service) Any further use is not in accordance with the intended use. The [TEGRIS BASE SOFTWARE (SW2)] is not to be used for the following purposes: • Delivering information for the recognition, diagnosis, monitoring or treatment of physiological conditions, health conditions, illnesses or congenital deformities • As a legally permissible archive for medical records • Operation of incompatible software • Robot-supported surgery version Use near MRI or other equipment with a strong magnetic field 1.3.3.3 Intended use of the [OR TABLE CONTROL] (1703.71A0 / 1703.35A0) The [OR TABLE CONTROL] module is a separate module that may be optionally integrated into TEGRIS. The module consists of hardware (1703.71A0, 1705.81A0) and software (1703.35A0). [OR TABLE CONTROL] enables the integration of the following OR tables: Operating table IR hand control MAQUET BETASTAR 1131 (1131.12XX) 1131.91A0 IR transmitter to 1131.12 MAQUET ALPHASTAR 1132 (1132.11XX, 1132.12XX, 1132.13XX, 1132.17XX, 1132.21XX, 1132.22XX) 1132.91C0 IR transmitter 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 19 / 206 1 Introduction Basic requirements for medical devices Operating table IR hand control MAQUET ALPHAMAXX 1133 (1133.12XX, 1133.22XX) 1133.91R0 IR transmitter to 1133 Norm/Rev MAQUET ALPHAMQUET 1150 (1150.01XX, 1150.02XX) 1150.91C0 IR transmitter to 1150 without charger MAQUET OTESUS 1160 (1160.01XX) 1160.91A0 IR remote control MAQUET MAGNUS 1180 (1180.01XX) 1180.91A0 IR transmitter MAQUET YUNO OTN 1433 (1433.01XX) 1433.91A0 YUNO OTN remote control MAQUET YUNO II 1433 (1433.02XX) 1433.91A0 YUNO OTN remote control MAQUET MEERA 7200 (7200.01XX) 7200.91A0 IR remote control to 7200.01XY MAQUET MEERA CL 7000 (7000.01XX) 7200.91A0 IR remote control to 7200.01XY MAQUET MEERA ST 7100 (7100.01XX) 7200.91A0 IR remote control to 7200.01XY Operation is implemented via the TEGRIS touchscreen. Operation on the touchscreen is based on operation of the OR table with the help of the hand control, and does not enable any operations that go beyond the functions of the table made available via the hand control. The OR TABLE CONTROL module may only be operated in conjunction with the EMERGENCY BUTTON (1703.72A0/B0). The EMERGENCY BUTTON must be mounted to every TEGRIS touchscreen, since, in the event of an error, the EMERGENCY BUTTON enables the immediate interruption of signal transmission to the OR table. The hardware (1703.71A0, 1705.81A0) has no explosion protection and is not suitable for use in AP-M zones prone to explosion. Intended for the following users: • Trained specialist medical staff Any use other than the one described above is deemed not to be in accordance with the intended use. The intended use of TEGRIS remains unchanged by the use of the module. [OR TABLE CONTROL] is not to be used for the following purposes: • OR tables other than those listed in the intended use. • Operation without the EMERGENCY BUTTON (1703.72A0/B0) 1.3.3.4 Intended use of the [OR LIGHT CONTROL] (1703.38A1) The [OR LIGHT CONTROL] module (1703.38A1) is a separate software module that may be optionally integrated into TEGRIS. [OR LIGHT CONTROL] enables the integration of the following Maquet OR lights in TEGRIS: • PowerLED 300 / HLED 300 • PowerLED 500 / HLED 500 • PowerLED 700 / HLED 700 • VOLISTA 400 • VOLISTA 600 • VOLISTA ACCESS 400 • VOLISTA ACCESS 600 • PowerLED PWDII 500 • PowerLED PWDII 700 20 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Introduction Basic requirements for non-medical devices 1 Operation is implemented via the TEGRIS touchscreen. Operation on the touchscreen is based on the functions of the OR lights and does not permit any operation that goes beyond the functions available via the OR lights. Intended for the following users: • Trained specialist medical staff Any use other than the one described above is deemed not to be in accordance with the intended use. The intended use of TEGRIS remains unchanged by the use of the module. [OR LIGHT CONTROL] is not to be used for the following purposes: • Integrating OR lights other than those approved in the intended use. 1.3.4 Essential performance Essential performance for the base system (1705.06A0 / 1705.20A0) The product corresponds to IEC 60601-1 and its collateral standards with the following essential performance features: • Distribution of video and audio signals Note: The function of the product could be impacted by disruptive electromagnetic emissions from other electrical equipment or electromagnetic discharge (ESD) such that they cannot be carried out or can only be carried out at intervals. This may occur, in particular, when using RF surgical equipment near the product. Essential performance for [OR Light Control] (1703.38A1) The product corresponds to IEC 60601-1 and its collateral standards with the following essential performance features: • Switching OR lights on and off as well as selecting presets Note: The function of the product could be impacted by disruptive electromagnetic emissions from other electrical equipment or electromagnetic discharge (ESD) such that they cannot be carried out or can only be carried out at intervals. This may occur, in particular, when using RF surgical equipment near the product. Essential performance for [OR Table Control] (1703.71A0 / 1703.35A0) The product corresponds to IEC 60601-1 and its collateral standards with the following essential performance features: • Adjustments of the OR table Note: The function of the product could be impacted by disruptive electromagnetic emissions from other electrical equipment or electromagnetic discharge (ESD) such that they cannot be carried out or can only be carried out at intervals. This may occur, in particular, when using RF surgical equipment near the product. 1.4 Basic requirements for non-medical devices 1.4.1 Standards, interfaces and accessories Applied standards The product has been developed and tested in accordance with medical device standards. 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 21 / 206 1 Introduction Basic requirements for non-medical devices Interfaces and accessories Tegris offers standard interfaces for connecting accessories and devices from other manufacturers, if they support the described standards and do not interfere with the performance characteristics and safety requirements. Other accessories, combinations of accessories or consumables may only be used if they are designed specifically for the application in question and will not adversely affect either performance features or safety requirements. Devices connected to the interfaces must conform to standard IEC 60601-1 or another IEC device standard. 1.4.2 Intended use of the [CENTRAL USER MANAGEMENT] (1703.05A0) The [CENTRAL USER MANAGEMENT] (1703.05A0) is a separate software module that may be integrated into TEGRIS as an option. [CENTRAL USER MANAGEMENT] allows for the central administration of TEGRIS users and user authorisations, as well as integration with hospital user administration systems such as Microsoft Active Directory. When users log in to a compatible TEGRIS system, their login data is authenticated and authorised by [CENTRAL USER MANAGEMENT]. Manual administration of individual users on each individual TEGRIS system is not required. The centrally administered data includes information on the user (login ID, user name), roles and user groups. [CENTRAL USER MANAGEMENT] allows for auditing of user access to patient information. Compatible TEGRIS systems can record relevant events (such as log in, log off, viewing / creating / changing / deleting patient information) and save these on the server Intended for the following users: • Trained specialist technical and administrative personnel Any further use is not in accordance with the intended use. The intended use of TEGRIS remains unchanged by the use of the module. The [CENTRAL USER MANAGEMENT] module is not designed for the following purposes: • Saving and transmitting other information besides that approved in the intended use. • Managing and delivering information for the recognition, diagnosis, monitoring or treatment of physiological conditions, health conditions, illnesses or congenital deformities. A distinction is made between the following components: • [CENTRAL USER MANAGEMENT] – CLIENT (SW) (1703.24A0), which can be activated in TEGRIS for user log in and authentication as an option. • [CENTRAL USER MANAGEMENT] (1703.05A0), which can be installed on an independent server and supports all connected TEGRIS systems with user management. 1.4.3 Intended use of the [LIVE PREVIEW] (1703.26A0) The [LIVE PREVIEW] (1703.26A0) module is a separate software module that may be optionally integrated into TEGRIS. [LIVE PREVIEW] allows for a live preview of video signals on the user interface on the touchscreen. The module shows small preview images on the video routing control elements to facilitate ease of operation. The TEGRIS touchscreen is used for operation. 22 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Introduction Basic requirements for non-medical devices 1 Intended for the following users: • Trained specialist medical staff • Trained technical and administrative specialist personnel (for maintenance and service) Any use other than the one described above is deemed not to be in accordance with the intended use. 1.4.4 Intended use of the [IP RECORDING/ STREAMING (SW2)] The module IP RECORDING/ STREAMING (SW2) is a separate software module that can be optionally integrated into TEGRIS. IP RECORDING/ STREAMING (SW2) facilitates encoding of either one 4K-UHD or two FullHD IP-based video signals for RECORDING or STREAMING in conjunction with the compatible 1703.56A1 IP QUAD DECODER (HW). The • RECORDING is a recording of still images and videos from sources connected to TEGRIS, as well as the storage of generated visual materials on local and external data storage media for informative purposes. • STREAMING is the transmission of image sources connected to TEGRIS via the existing network infrastructure, with the help of standard protocols used to transmit compressed audio and video signals for informative purposes. A microphone connected to TEGRIS is used for transmission of speech. Operation is implemented via the TEGRIS touchscreen. Intended for the following users: • Trained specialist medical staff • Trained medical technicians Any further use is not in accordance with the intended use. [RECORDING/ STREAMING (SW2)] is not to be used for the following purposes: • Recording or transmitting other information besides that approved in the intended use, such as patient data. • To store data other than that approved in the intended use. • for legal archiving of medical records. • Delivering information for the recognition, diagnosis, monitoring or treatment of physiological conditions, health conditions, illnesses or congenital deformities. 1.4.5 Intended use of the [VIDEO DOCUMENTATION AUTORECORDING (SW)] (1703.30C0) The [VIDEO DOCUMENTATION AUTORECORDING (SW)] (1703.30C0) module is a separate software module that may be integrated into TEGRIS as an option. [VIDEO DOCUMENTATION AUTORECORDING (SW)] allows for recording to be started automatically when a patient is selected in TEGRIS and stopped when the patient is closed in TEGRIS. This module requires one of the following modules: • 1703.30A0 [VIDEO DOCUMENTATION 1xFULL-HD (SW)] • 1703.30B0 [VIDEO DOCUMENTATION 1xFULL-HD, 1xHD (SW)] • 1705.51A0 [IP RECORDING/ STREAMING (SW2)] Intended for the following users: • Trained specialist medical staff • Trained technical and administrative specialist personnel (for maintenance and service) Any further use is not in accordance with the intended use. 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 23 / 206 1 Introduction Basic requirements for non-medical devices 1.4.6 Intended use of the [DICOM INTERFACE] (SW) (1703.32A0) The [DICOM INTERFACE (SW]) (1703.32A0) module is a separate software module that may be integrated into TEGRIS as an option. [DICOM INTERFACE (SW)] allows for a DICOM Modality Worklist to be queried, for instance from a hospital information system (HIS). In addition, it allows for the export of recorded images and videos, as well as documents created in TEGRIS in DICOM format to an image archiving system (such as PACT, VNA). Operation is implemented via the TEGRIS touchscreen. Intended for the following users: • Trained specialist medical staff • Trained technical and administrative specialist personnel (for maintenance and service) Any further use is not in accordance with the intended use. [DICOM INTERFACE] is not to be used for the following purposes: • To import data other than that approved in the intended use. • To export data other than that approved in the intended use. 1.4.7 Intended use of the [CAMERA CONTROL] (1703.33A0) The [CAMERA CONTROL] (1703.33A0) module is a separate software module that may be optionally integrated into TEGRIS. [CAMERA CONTROL] enables use of the current functions of Getinge-approved compatible room cameras and cameras integrated in OR lights, as well as OR field cameras attached to a spring arm. It is operated using the TEGRIS touch screen. Any use other than that described above is deemed not to be in accordance with the intended use. [CAMERA CONTROL] is not to be used for the following purposes: • Connecting cameras that have not been approved by Getinge. 1.4.8 Intended use of the [ROOM CONTROL] (1703.39A0 / 1703.74A0/B0/C0) The [ROOM CONTROL] module is a separate module that may be optionally integrated into TEGRIS. The module consists of hardware (1703.74A0/B0/C0) and the software (1703.39A0). [ROOM CONTROL] allows the following parameters to be displayed and changed: • [ROOM CONTROL LEVEL 1 (HW)] (1703.74A0) White lights, coloured lights, blinds, LCD glass, OR operating display, status of gases, status of power, air conditioning, ventilation, status of ventilation • [ROOM CONTROL LEVEL 2 (HW)] (1703.74B0) White lights, coloured lights, blinds, LCD glass, OR operating display, air conditioning, ventilation, status of ventilation • [ROOM CONTROL LEVEL 3 (HW)] (1703.74C0) White lights, coloured lights, blinds, LCD glass, OR operating display The module status displays for the gas and power supplies may only be used as an additional display for permitted products that monitor the gas and power supplies in the hospital. Operation is implemented via the TEGRIS touchscreen. The hardware (1703.74A0/B0/C0) has no explosion protection and is not suitable for use in (APM) zones prone to explosion. The module is not a medical product in accordance with Appendix IX of the medical products directive 93/42/EEC. Any use other than the one described above is deemed not to be in accordance with the intended use. The intended use of TEGRIS remains unchanged by the use of the module. 24 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Introduction Basic requirements for non-medical devices 1 [ROOM CONTROL] is not to be used for the following purposes: • Changing and displaying parameters other than those approved in the intended use. • To be used as an alarm system for power and gas supply. A distinction is made between the following versions: • [ROOM CONTROL LEVEL 1 (HW)] (1703.74A0) • [ROOM CONTROL LEVEL 2 (HW)] (1703.74B0) • [ROOM CONTROL LEVEL 3 (HW)] (1703.74C0) 1.4.9 Intended use of the [REMOTE CLIENT] (1703.40D0) The [REMOTE CLIENT] module (1703.40D0) is a separate software module that may be optionally integrated into TEGRIS. The REMOTE CLIENT makes it possible to mirror the user interface of external devices via the Standard Remote Frame Buffer Protocol Version 3.8 (RFB 3.8). REMOTE CLIENT transmits the keyboard, mouse and touch screen input events from TEGRIS to the external device and transmits graphic screen updates in the opposite direction. The network connection can be secured using a security key. The process for using external devices is documented in their respective operating instructions. In the event of connection errors, external devices will be prevented automatically from any display or operation. It is operated using the TEGRIS touch screen. Intended for the following users: • Trained specialist medical staff Any use other than the one described above is deemed not to be in accordance with the intended use. [REMOTE CLIENT] is not to be used for the following purposes: • To replace original control elements of the connected products. 1.4.10 Intended use of the [PICTURE IN PICTURE] (1703.41XX) The [PICTURE IN PICTURE] module is a separate software module that may be optionally integrated into TEGRIS. In combination with compatible hardware products, [PICTURE IN PICTURE] enables the creation of a virtual image source that is composed of multiple image sources (up to 4 image sources). The newly created image source is not suitable for diagnosis or to be used within the framework of patient therapy. It is operated via the TEGRIS touchscreen. [PICTURE IN PICTURE] is not to be used for the following purposes: • To process image sources other than those indicated in the intended use. A distinction is made between the following versions: • [IP BASED PICTURE IN PICTURE (SW)] (1703.41B0) • [PICTURE IN PICTURE (SW)] (1705.52B0) 1.4.11 Intended use of the [PATIENT CONTEXT SHARING] (1703.43A0) The [PATIENT CONTEXT SHARING] (1703.43A0) module is a separate software module that may be integrated into TEGRIS as an option. [PATIENT CONTEXT SHARING] allows for selecting a patient via a defined interface as well as querying patients currently active in TEGRIS. The data is exchanged only in the form of unique identification numbers. Plain text or sensitive patient data are not exchanged via the interface. Operation is implemented via the TEGRIS touchscreen. 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 25 / 206 1 Introduction Basic requirements for non-medical devices Intended for the following users: • Trained specialist medical staff • Trained medical technicians Any use other than the one described above is deemed not to be in accordance with the intended use. The intended use of TEGRIS remains unchanged by the use of the module. [PATIENT CONTEXT SHARING] is not designed to be used for the following purposes: • Transmission of any other information besides that approved in the intended use. 1.4.12 Intended use of the [COMMUNICATION] (1703.44X0) The [COMMUNICATION] (1703.44X0) modules are separate software modules that may be optionally integrated into TEGRIS. [COMMUNICATION] consists of two sub-modules that may be installed simultaneously. The [VIDEO CONFERENCING] sub-module enables the connection of external video conferencing systems in order to carry out bidirectional audio and video telephone calls via TEGRIS. The video signals connected to TEGRIS may be transmitted with compression. A microphone connected to TEGRIS is used for transmission of speech. Contacts can be managed internally in TEGRIS along with names and telephone numbers. In addition, data from the telephone book of the external video conferencing system can be imported into TEGRIS and used, but not changed or deleted. The [ROOM TO ROOM COMMUNICATION] sub-module enables bidirectional audio and video communication between two compatible TEGRIS systems. The video signals connected to TEGRIS may be transmitted without compression. A microphone connected to TEGRIS is used for transmission of speech. Contacts are automatically managed via the connected TEGRIS systems with room names. These phone book entries cannot be changed manually. Operation is implemented via the TEGRIS touchscreen. Intended for the following users: • Trained specialist medical staff • Trained personnel in the hospital working environment TEGRIS [COMMUNICATION] is only used for additional visualization and communication support. Any use other than the one described above is deemed not to be in accordance with the intended use. The intended use of TEGRIS remains unchanged by the use of the module. The [COMMUNICATION] modules are not designed for the following purposes: • Transmitting other information besides that approved in the intended use. • Transfer of patient data. • Delivering information for the recognition, diagnosis, monitoring or treatment of physiological conditions, health conditions, illnesses or congenital deformities. A distinction is made between the following versions: • [VIDEO CONFERENCE (SW)] (1703.44A0) for controlling external video conference systems • [ROOM TO ROOM COMMUNICATION (SW)] (1703.44B0) for communication between compatible TEGRIS systems 26 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Introduction Reportable event 1.4.13 1 Intended use of the [EXTERNAL APPLICATION INTEGRATION] (1703.46A0) The [EXTERNAL APPLICATION INTEGRATION] (1703.46A0) module is a separate software module that may be integrated in TEGRIS as an option. [EXTERNAL APPLICATION INTEGRATION] enables access to the user interface of an external website or web-based application. It is operated using the TEGRIS touchscreen. The module optionally supports the transfer of context parameters (e.g. Patient ID, Login ID) to the external website in order to share the patient or user context currently selected in TEGRIS. Patient data are exchanged only in the form of unique identification numbers. Plain text or sensitive patient data are not exchanged via the interface Intended for the following users: • Trained specialist medical staff • Trained medical technicians Any use other than the one described above is deemed not to be in accordance with the intended use. The intended use of TEGRIS remains unchanged by the use of the module. [EXTERNAL APPLICATION INTEGRATION] is not designed for the following purposes: • Generation of information for the recognition, diagnosis, monitoring or treatment of physiological conditions, health conditions, illnesses or congenital deformities (acts only as additional visualisation and acoustic output for existing sources). • Operation of medical devices , e.g. endoscope 1.5 Reportable event Any serious incident involving this product must be reported to MAQUET GmbH and, if necessary, to the local competent authority. 1.6 Data protection All inquiries regarding data protection can be sent to the data protection team, using the e-mail address [email protected] or using the request form for data subjects, which is available at www.getinge.com. 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 27 / 206 2 Safety notes General safety notes 2 Safety notes 2.1 General safety notes DA N GE R ! Improper application may result in fatalities! The description of the operation of components belonging to other manufacturers is not part of These instructions for use. Always observe the instructions for use of the manufacturer! DA N GE R ! Risk of injury! Devices connected to the interfaces may influence the electrical safety of the product. Devices connected to the product's interfaces must comply with the IEC 60601-1 standard. WAR N I NG ! Risk of injury! Faulty or defective products may result in injuries. • Before use, check the proper working order and fully functional state of the product. • Stop using faulty or defective products and inform the Getinge representative. WAR N I NG ! Risk of injury! Functional restrictions to the product may be caused as a result of service and maintenance work. Do not carry out service and maintenance work to the product during an operation. 2.2 Safety notes for the product DA N GE R ! Injury hazard! The mains cable shall be a 3-conductor cable and may be attached only to a power socket fitted with a protective earth (PE) terminal. DA N GE R ! Risk of explosion! The product has no explosion protection and is not suitable for use in AP-M areas prone to explosion. When using disinfectants that contain alcohol, cleaning agents or flammable anaesthesia mixtures that are mixed with air, oxygen or nitrous oxide, explosions may result. If the product is used in an AP-M area, do not use disinfectants that contain alcohol, cleaning agents or flammable anaesthesia mixtures that are mixed with air, oxygen or nitrous oxide. 28 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Safety notes Safety notes for the product 2 WAR N I NG ! Risk of injury! The potential of interference with other medical applications on the computer cannot be ruled out. It is recommended to install the TELEMEDICINE CLIENT only on computers where no other medical applications are installed. WAR N I NG ! Risk of injury! The unit has active ventilation. Depending on the place of installation, the laminar flow may be impaired. WAR N I NG ! Hazard of injury! No display of images if TEGRIS fails. Connect important sources of images directly to at least one monitor in addition in order to be able to switch directly to the image source in case of a failure of TEGRIS. WAR N I NG ! Risk of injury! The probability of errors is increased if the system is installed between a signal source and its observation monitor. Connect the system to an explicit signal output of the source. WAR N I NG ! Risk of injury! The patient and image data which is displayed or stored by the system is not used to provide information for the purposes of the recognition, diagnosis, monitoring or treatment of physiological conditions, health conditions, symptoms or congenital malformations. The hospital is responsible for informing all users of the diagnostic station(s) that the patient and image data of the system may not be used for diagnosis. CA U TI O N ! Property damage! System failure due incorrectly performed software updates. Software updates may only be performed by authorised service personnel. CA U TI O N ! Property damage! Attaching or detaching plugs while the product is switched on could damage the product's electronics. The product must be switched off when attaching or detaching plugs. CA U TI O N ! Property damage! If ventilation openings are blocked, this can cause the device to overheat. Keep ventilation openings open at least 10 cm. 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 29 / 206 2 Safety notes Safety notes EMC 2.3 Safety notes EMC WAR N I NG ! Risk of injury! Electromagnetic radiation from electrical devices that are in the vicinity of the product, or directly at/on the product may affect the functions of the product. Do not place any electrical devices nearby or on the product. If this is not possible, monitor the product and electrical devices and check for any potential functional faults. WAR N I NG ! Risk of injury! Electromagnetic radiation caused by the use of portable RF communication devices (e.g. mobile telephones and radios) located in the vicinity of the product may influence the functions of the product. Ensure that the distance between the product and RF communication devices (including the connected control devices and cables) is at least 30 cm. WAR N I NG ! Hazard of injury! The use of accessories, cables or spare parts not specified by GETINGE may result in increased electromagnetic interference emissions or reduced electromagnetic immunity of the product or affect the safety of the product. Only use accessories, cables or spare parts specified by GETINGE for this product. 30 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Operation of hardware 3 3 Operation of hardware DA N GE R ! Danger to life due to radio interference! In rare cases, using cell phones in the operating room may cause radio interference with the medical equipment in the operating room. Set cell phones connected to Tegris to aeroplane mode during OR operations to ensure that equipment in the OR is not disrupted. NO T IC E The TEGRIS system has a modular structure. The module configuration explains why your system may deviate from the configuration described in these operating instructions. NO T IC E The Tegris system, including the power supply and network connection, may only be installed by authorised service technicians. NO T IC E The graphics in these operating instructions show the available functions of the touchscreen user interfaces. Your user interface may differ from the described user interface on the basis of your specific module configuration. Depending on your module configuration, individual functions of your user interface may be inactive. Inactive functions are shown in grey. NO T IC E Optionally, Tegris can also be operated using a connected keyboard or mouse. These accessories can be connected by authorised technicians. NO T IC E Connected keyboards and mouses may not be used if there is no Tegris touch monitor in operation or if the touch monitor is not working properly. NO T IC E The function of the On-Air-Light must be checked weekly. NO T IC E Test the function of the stop switch weekly. 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 31 / 206 3 Operation of hardware IO-Box (1705.06A0) 3.1 IO-Box (1705.06A0) NO T IC E The Tegris system, including the power supply and network connection, may only be installed by authorised service technicians. NO T IC E It is recommended to set the TEGRIS BASE PC and TEGRIS IO-BOX up separately in a plant room or in the OR room but outside the patient environment. The TEGRIS BASE PC and TEGRIS IO-Box are designed for continuous operation. NO T IC E Operation of the TEGRIS BASE PC and the TEGRIS IO-Box is to be carried out by authorized and qualified personnel only. 3.1.1 Overview of mounting points CA U TI O N ! Property damage! Electrostatic charges may result in very high potential differences. Touching sensitive electrical components may result in electrostatic discharge which may cause damage to the components. Ensure that everyone who comes into contact with the interfaces receives the appropriate ESD protection (e.g. earthing strap) and has had ESD training in which the safety and specialist competence in handling ESD sensitive electronics is communicated. NO T IC E The internal voltage supply at pin 14 of the DVI output or the DP output touch monitor of the of the TEGRIS BASE PC is not able to provide enough current for supply of external devices. For operation of DVI / FIBER TRANSMITTER (1707.82XX) the connection of an additional external voltage supply (1707.79A0) is absolutely required. 32 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Operation of hardware IO-Box (1705.06A0) 1 3 2 12 Fig. 2: 3.1.2 4 5 13 6 7 14 8 15 9 16 10 17 3 11 18 Overview of mounting points 1 On / off switch 10 OR-Table Control 2 Mains connection 11 RS232 (Sub-D9) 3 USB 3.0 Type B, TEGRIS PC connection 12 Endosnap (GPI) 4 USB 3.1 13 Relay contacts (GPO) (4x) 5 USB 2.0 (2x) 14 Audio jack input (5x) 6 Ethernet (3x) 15 Audio Line In S/P DIF 7 Power 12 V DC 16 Audio jack output (5x) 8 Power 5 V DC (4x) 17 Audio Line Out S/P DIF 9 RS232 (RJ45) (8x) 18 Equipotential bonding IO-Box LED The IO-Box LED is on the [On] button 1 1 Fig. 3: 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 IO-Box LED 33 / 206 3 Operation of hardware IO-Box (1705.06A0) 3.1.3 IO-Box LED-Status LED-Status Description blue, continuous ▪ Power supply available. Connection to TEGRIS PC is established. blue, flashing slowly ▪ Power supply available. ▪ IO-Box in standby mode. red, flashing quickly ▪ Power supply available. Internal error (e.g. possible overheating, power supply interrupted) red, continuous ▪ Power supply available, in boot process ▪ Power supply available, firmware being updated. red-blue, alternating slowly ▪ Power supply available. ▪ IO-Box is in waiting loop. Tab. 5: 3.1.4 IO-Box LED-Status Setting up equipotential bonding If the IO-Box is set up in the operating room, equipotential bonding must be provided. 1 1. Connect the supplied equipotential bonding cable to the equipotential bonding pin 1. 2. Connect the other end of the equipotential bonding cable to the operating room's equipotential bonding pin. Fig. 4: 34 / 206 Connection for equipotential bonding 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Operation of hardware IO-Box (1705.06A0) 3.1.5 3 Connecting the EDP network NO T IC E The installation may be carried out only after consulting the organisation / person responsible for the network. Make sure that the installation does not have any undesirable effects on the network resources and topology. NO T IC E The hospital's data security rules must be obeyed when installing. 1. Connect the network cable to the EDP network (RJ45 plug, 1/100/1000 Mbit Ethernet). 2. Connect the network cable to the EDP network input 1 . 1 Fig. 5: 3.1.6 Ø The IT network is connected to the IOBox. Connecting the EDP network Provide power supply 1. Check to ensure that the available mains voltage corresponds with the specifications on the type plate. 1 Fig. 6: 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 2. Connect the mains cable device socket 1 and connect to the mains power socket. Connection to power supply 35 / 206 3 Operation of hardware IO-Box (1705.06A0) 3. Switch on the power switch 2 . 2 Fig. 7: 3.1.7 Switch on power switch Switch the IO-Box on/off NO T IC E After installation, the IO-Box must always remain switched on. If there is no connection between the TEGRIS PC and IO-Box, then the IO-Box will go into standby mode. NO T IC E When the TEGRIS PC is shut down, the IO-Box goes into standby mode and the LED flashes blue. When the TEGRIS software application is started on the PC, the IO-Box goes into run mode and the LED is blue continuously. Tegris should be restarted at regular intervals - at least once weekly. If available, use the Remote Power Switch (1707.73A0) for the restart (optional accessory). 36 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Operation of hardware IO-Box (1705.06A0) 1 3 The [ON] button 1 is used to switch the IOBox on. The [ON] button is always switched on when using TEGRIS. Switch on the IO-Box 1. Press the [ON] 1 button. Ø The IO-Box starts up. Switch off the IO-Box (shutdown) 1. Close the software application TEGRIS. 2. Press the [ON] 1 button. Ø The IO-Box is switched off. Fig. 8: 3.1.8 Switch the IO-Box on/off Switching the TEGRIS BASE PC on/off Tegris should be restarted at regular intervals - at least once weekly. If available, use the Remote Power Switch (1707.73A0) for the restart (optional accessory). 1 The [ON] button 1 is used to switch the TEGRIS BASE PC on. The [ON] button is always switched on when using TEGRIS. Switching the TEGRIS BASE PC on 1. Press the [ON] 1 button. Ø The TEGRIS BASE PC starts up. Ø After the boot process (approx. 2 min.) the software application TEGRIS starts automatically. Switching the TEGRIS BASE PC off (shutdown) 1. Close the software application TEGRIS. Ø The TEGRIS BASE PC shuts down. Fig. 9: 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Switching the TEGRIS BASE PC on/off 37 / 206 3 Operation of hardware WIRELESS MICROPHONE SET (hardware) (1707.70A0) 3.2 WIRELESS MICROPHONE SET (hardware) (1707.70A0) DA N GE R ! Potentially fatal! Electric shock! Only connect the original power supply to the charging cradle of the microphone. NO T IC E It is recommended that the microphone is placed in its charging cradle when not in use to avoid its battery running during an operation. NO T IC E Set up the charging cradle outside the operating room. The microphone with transmission unit can be used by users in the operating room to communicate with TELEMEDICINE CLIENT users in another room and to record audio comments for video recordings.. 3.2.1 Connecting the charging cradle 1. Check to ensure that the available mains voltage corresponds with the specifications on the type plate. 2. Place the mains plug 1 in the 13 V socket 2. 3. Insert the plug of the power supply unit into the mains socket. 1 2 Fig. 10: 38 / 206 Connecting the charging cradle 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Operation of hardware WIRELESS MICROPHONE SET (hardware) (1707.70A0) 3.2.2 3 Connecting the microphone 1. Plug the jack plug 1 into the transmitter's MIC/LINE jack 2 . 1 2. Tighten the cap nut 3 . 3 Ø Jack plug is secured. 2 Fig. 11: 3.2.3 Connecting the microphone Charging the rechargeable battery of the transmitter 1. Place the transmitter 1 positioned correctly in the cradle 2 . Ø The CHARGE 3 LED lights up red. Ø The battery will be recharged. 3 4 Ø When the rechargeable battery of the transmitter is charged: The READY 4 LED will light up in green. 1 2 Possible faults: • CHARGE 3 LED does not light up after the transmitter is plugged in: Transmitter is not plugged into the battery charging station correctly. 1. Place the transmitter 1 positioned correctly in the cradle 2 . Fig. 12: Charging the rechargeable battery of the transmitter • LED flashes to indicate ERROR 3 . Transmitter does not have full contact to the charging station. 1. Place the transmitter 1 positioned correctly in the cradle 2 . 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 39 / 206 3 Operation of hardware WIRELESS MICROPHONE SET (hardware) (1707.70A0) 3.2.4 Attaching the transmitter 1. Lift the metal bracket 1 slightly and fasten to a piece of clothing (e.g. trouser pocket). 1 Fig. 13: 3.2.5 Attaching the transmitter Attaching the microphone 1. Thread the microphone through the OR cladding, leaving the cable under the cladding. 2. Press the fixation clamp 1 together and fasten to neck cutout. 1 Fig. 14: 40 / 206 Attaching the microphone 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Operation of hardware OR TABLE CONTROL (HW2) (1705.81A0) 3.2.6 3 Switching the transmitter on/off 1. Press the [ON/OFF] 1 button for approximately 3 seconds. Ø Depending on the setting, the transmitter is switched on or off. 1 Fig. 15: 3.2.7 Switching the transmitter on/off Mute function Switching on Mute 1. Slide the slider 1 towards [Mute] 2 . Ø [Mute] will be shown on the display 3 . 3 Switching off Mute 1. Slide the slider 1 to the right . Ø [Mute] goes out on the display 3 . 2 Fig. 16: 3.3 1 Mute function OR TABLE CONTROL (HW2) (1705.81A0) To use the OR TABLE CONTROL function, both the IR transmitter and the stop switch must be connected. 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 41 / 206 3 Operation of hardware OR TABLE CONTROL (HW2) (1705.81A0) 3.3.1 IR transmitter 3.3.1.1 Connecting/disconnecting the IR transmitter The device socket for the IR transmitter is integrated in the ceiling mount. Connecting the IR transmitter 1. Open the cover of the left equipment socket 1 . 3 2. Insert the plug with the blue flex protection sleeve 2 into the left-hand socket. 2 Ø IR transmitter is operational. Disconnecting the IR transmitter 1 1. Open the lid of the equipment socket as far as it will go. 2. Hold the plug by the knurling 3 and pull out of the socket. Fig. 17: 3.3.1.2 Connecting/disconnecting the IR transmitter IR transmitter displays The displays of the IR transmitter are lightemitting diodes and show the following states: 1 Fig. 18: 42 / 206 2 1 LED is lit: IR transmitter transmits data to the OR table. 2 LED is lit: IR transmitter receives data from the OR table. 3 LED is lit: IR transmitter is connected to the power supply and is active (sending or receiving data). 3 IR transmitter displays 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Operation of hardware Monitors 3.3.2 3 Connecting/disconnecting the STOP switch The socket for the stop switch is integrated in the ceiling mount. Connecting the stop switch 1. Open the cover of the right equipment socket 1 . 3 2. Insert the plug with the yellow flex protection sleeve 2 into the right-hand socket. 2 Ø The stop switch is operational. Removing the stop switch 1 1. Open the cover of the equipment socket as far as it will go. 2. Hold the plug by the knurling 3 and pull out of the socket. Fig. 19: 3.4 Connecting/disconnecting the STOP switch Monitors Tegris is used in conjunction with touch monitors made by other manufacturers. The following section describes their primary functions. For further information, please see the operating instructions for the specific monitor. 3.4.1 Canvys 24" Touch monitor (1705.11A0) 1 Fig. 20: 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Canvys 24" Touch monitor 43 / 206 3 Operation of hardware Monitors Switching the monitor on and off 1. Switching the monitor on: Press the on/off switch 1 . Ø The monitor is switched on, and the LED will be illuminated. 2. Switching the monitor off: Press the on / off switch for 3 seconds. Ø The monitor is switched off, and the LED will go out. Activate the on-screen keyboard 1. Touch briefly to the left of the on/off switch. Ø The button background lighting will switch on for 5 seconds. Ø The on-screen keyboard is activated and visible. 2. Press the buttons to access the functions. If the on-screen keyboard is not used, the background button lighting will switch off. 3.4.2 Monitor Barco IP / STD (1707.2XX0) 1 2 3 Fig. 21: Monitor Barco IP / STD 1 Touchscreen 2 On-screen keyboard (if visible) 3 ON / OFF switch Switching the monitor on and off Prerequisites: • The power supply from the external power pack is switched on. 1. Switching the monitor on: Press the on/off button 3 for approximately 3 seconds (or until the button lighting is no longer flashing). 2. Switching the monitor off: Activate the on-screen keyboard 2 . Press the on/off button 3 for approximately 3 seconds (or until the button lighting is no longer flashing and goes out). 44 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Operation of hardware Monitors 3 LED Description Off The monitor is switched off. The power supply from the external power pack is switched off ON / OFF flashing The monitor is in standby mode. When the on/ off button is pressed, the monitor is switched either on or off. Orange No signal. The monitor is in energy saving mode. Flashing green-orange The monitor is in search mode. Waiting for a signal. Green The monitor has a picture on the screen. Tab. 6: LED Status Activate the on-screen keyboard 1. Variant 1: Press the on/off button 3 for 3 seconds, then release within 2 seconds. Ø The on-screen keyboard is activated. 2. Variant 2: Using your finger, swipe approx. 12 cm left from the on/off button 3 . Ø The on-screen keyboard is activated. 3.4.3 OR Viewport variants There are different touch monitors and OR Viewport variants available for Tegris (1707.10BX / 1707.07CX / 1707.08CX / 1707.12CX / 1707.13CX / 1707.14CX / 1707.15CX) The following section shows the OR Viewport X-Large (1707.13AX) as an example. 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 45 / 206 3 Operation of hardware Monitors 1 2 Fig. 22: 1 OR-Viewport X-Large (1703.13AX) Mains switch 2 Touch control panel Switching the OR-Viewport on/off 1. Press the power switch 1 . Ø The switch is illuminated green: OR-Viewport is switched on. Ø The switch is not illuminated: OR-Viewport is switched off. The power switch completely cuts off the monitor from the power supply. LED Tab. 7: Colour Description Off The device is switched off. Orange Ready mode (device waiting for input signals) Green The device is switched on. On/off switch status display (LED) Switch image source (not for variant (1707.10BX)) 1. Press the following button on the touch control panel 2 until you reach the desired image source: 46 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 User interface and basic functions 4 4 User interface and basic functions NO T IC E The system manages and processes patient data. The user is responsible for observing any national applicable data protection directives. NO T IC E Ensure that only authorised members of staff are able to operate the system and are granted access to the system, to stored data, and to other units connected to the system. NO T IC E The graphics in these operating instructions show the available functions of the touchscreen user interfaces. Your user interface may differ from the described user interface on the basis of your specific module configuration. Depending on your module configuration, individual functions of your user interface may be inactive. Inactive functions are shown in grey. 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 47 / 206 4 User interface and basic functions Structure of the user interface 4.1 Structure of the user interface 4.1.1 Overview: User interface 1 2 3 4 5 6 7 8 OP3 9 10 11 12 13 14 15 16 17 18 19 21 Fig. 23: Overview of the user interface 1 Display of current patient 11 INTRA-OP menu 2 Detail Display Patient menu 12 POST-OP menu 3 Status indication line 13 Workflow navigation 4 Main screen 14 Accept call/Dial 5 6 Display OR name and status (depending on con- 15 End/Reject call figuration) 16 Save image Clock menu 17 Record video 7 IO-Box status display 18 Streaming (Live transmission) 8 Service menu 19 Volume 9 Display of logged in user 20 Direct Access menu 10 PRE-OP menu 48 / 206 20 21 Quick Access area 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 User interface and basic functions Structure of the user interface 4.1.2 4 Open/Close sub-menu Sub-menus are indicated by triangle symbols 1. Opening the sub-menu 1. Touch the triangle symbol 1 or the associated field. 1 Ø The sub-menu will be opened. Closing the sub-menu Fig. 24: Open/Close sub-menu 1. Touch the triangle symbol 1 or the associated field again. 2. Alternatively: Touch any area on the touchscreen that has no function at this point. Ø The sub-menu is closed. 4.1.3 Menus for the OR procedure Workflow configuration The workflow is made up of the following menus for the OR procedure: • PRE-OP • INTRA-OP • POST-OP The contents of the menus depend on the scope of delivery and can be configured by authorised service personnel. Selecting the PRE-OP 1 menu 1. Touch PRE-OP. Ø The PRE-OP sub-menu will be displayed. 1 Select the INTRA-OP 2 menu 2 3 1. Touch INTRA-OP. Ø The INTRA-OP sub-menu will be displayed. Selecting the POST-OP 3 menu 1. Touch POST-OP. Fig. 25: 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Select the menu Ø The POST-OP sub-menu will be displayed. 49 / 206 4 User interface and basic functions Structure of the user interface 4.1.4 Detail view: Patient data NO T IC E If an update to a currently open patient study is sent via the distribution system, then relevant fields in the header are updated, along with the study in Local studies. The user is not notified that an update has been received. If a local study is open, the patient in the study is displayed in the header line on the left side of the user interface 1 Further information on the patient can be accessed. 1 Show / close patient data Prerequisites: • The menu Patient management > Local studies tab is open. 1. Touch this area to display the patient data 1. Ø The patient data are displayed. 2. Touch the Update patient data 3 button to edit the patient data [8 Page 69]. - or 2 Fig. 26: Detail view: Patient data 3 3. Touch the Close patient 2 button to close the current open local study. - or 4. Touch the area 1 once again to close the display. Ø The current open local study remains open. 50 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 User interface and basic functions Structure of the user interface 4.1.5 4 Status indication line Message line 1 displays messages for approx. 30 seconds, e.g. in case of faulty operation. 1 There are 3 message categories, each with different colours and symbols: • Error category: Red warning triangle 2 • Warning category: Yellow warning triangle 2 3 • 3 Information category: Green information symbol 4 Display of the last 10 messages 4 Fig. 27: 1. Touch the currently shown messages. Alternatively: Status indication line 1. Touch the Service > menu item Messages. 4.1.6 IO-Box status display If signals are transmitted and processed via the IO-Box, this is displayed in the IO-Box status display. Key Description Connection to the IO-Box not available. Check IO-Box connection. Possible overtemperature. Review messages Normal operation, connection established 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 51 / 206 4 User interface and basic functions Structure of the user interface 4.1.7 Overview of the menu: Clock 1 2 3 4 Fig. 28: 4.1.8 Overview of the menu: Clock 1 Date/Time menu item 3 Stopwatch 2 menu item 2 Stopwatch 1 menu item 4 Timer menu item Menu: Service The following menu items can be accessed from the Service menu: • Application • Information • Configuration • Messages • Clock 52 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 User interface and basic functions Structure of the user interface 4.1.8.1 4 Open the Service menu Open the Service menu: 1. Touch Service 1 . Ø The Service menu will be displayed. 1 Fig. 29: 4.1.8.2 Open the Service menu Menu item: Application The menu item Application can be use to terminate or restart TEGRIS or change the user. Prerequisites: • The Service menu is open. Opening the selection window 1 Fig. 30: 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 1. Touch the Application 1 menu. Ø The selection window is displayed. Menu item: Application 53 / 206 4 User interface and basic functions Structure of the user interface Closing TEGRIS 1 2 3 1. Touch Shutdown 1 . Ø TEGRIS will close. Restarting TEGRIS 1. Touch Restart 2 . Ø TEGRIS will restart. Fig. 31: Selection window Logging out the user 1. Touch Logout 3 . Ø The user will be logged out. Ø The login interface is displayed. 4.1.8.3 Menu item: Information System information can be accessed via the menu item Information. Prerequisites: • The Service menu is open. Accessing system information 1. Touch Information 1 . Ø Manufacturer information is displayed. 1 Ø The Tegris Base PC and IO-Box (optional) serial numbers are displayed. Ø Hardware information on the Tegris Base PC and IO-Box (optional) is displayed. Ø Versions are displayed. Ø Active licenses are displayed. Fig. 32: 54 / 206 Menu item: Information 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 User interface and basic functions Structure of the user interface 4.1.8.4 4 Menu item: Configuration System settings can be changed via the Configuration menu. Prerequisites: • The Service menu is open. Configuring the system 1. Touch Configuration 1 . Ø The configuration window will open. 2. Configure the system as required. 1 Fig. 33: 4.1.8.5 Menu item: Configuration Menu item: Messages The Messages menu item displays messages that may appear, for example, in the event of incorrect operation. There are 3 message categories, each with different colours and symbols: • Information category: Green information symbol • Warning category: Yellow warning triangle • Error category: Red warning triangle Prerequisites: • The Service menu is open. 1 Accessing messages 1. Touch the Messages 1 menu item. Ø The messages are displayed. Fig. 34: 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Menu item: Messages 55 / 206 4 User interface and basic functions Basic functions 4.1.8.6 Menu item: System Clock The system clock can be displayed and set in the System Clock sub-menu. Prerequisites: • The Service menu is open. Setting the system clock 1. Touch System Clock 1 . Ø The system clock is displayed. 2. Touch the value that is to be changed. 3. Set the value using [up/down]. 1 Fig. 35: Menu item: System Clock 4.2 Basic functions 4.2.1 Virtual keyboard 1 A virtual keyboard is shown for functions requiring manual text entry. The key assignments can be displayed in different languages depending on the system configuration. 2 Fig. 36: Virtual keyboard 1. To display the key assignment in another language, touch Language Selection 1 . 2. Touch Close Keyboard 2 to hide the keyboard. 56 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 User interface and basic functions Basic functions 4.2.2 4 Logging in to Tegris NO T IC E The user login to Tegris is dependant on the configuration. For emergency situations in which normal user login is not possible, the user can use an emergency access to log in to Tegris. 4.2.2.1 User login Prerequisites: • Tegris has been started. Logging users in to Tegris 1 1. Touch [User name] 1 . 4 Ø The virtual keyboard 2 is displayed. 3 5 2. Enter the name of the user. 6 Ø The suggestion list 3 appears if the user is already known in Tegris. 2 3. Touch Continue 4 . Ø The user is logged in to Tegris. Fig. 37: Logging in to Tegris 4. Alternatively: Shut down Tegris 5 . 5. Alternatively: Log in using emergency access 6 . 4.2.2.2 Logging a user out NO T IC E If you are away from the system for a long period of time or if you leave the OR, always log off of the system. 1 Prerequisites: • The Application menu item is open [8 Page 54]. Logging out the user 1. Touch Logout 1 . Ø The user will be logged out. Ø The login interface is displayed. Fig. 38: 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Logging a user out 57 / 206 4 User interface and basic functions Basic functions 4.2.2.3 Emergency access NO T IC E Emergency access has read rights and can create new data in Tegris. Emergency access does not enable you to delete data in TEGRIS. Prerequisites: • Tegris has been started. Log in using emergency access 1. Touch Emergency access 1 . Ø Message is displayed 2 . 1 2. To continue, touch OK 3 . 3. Alternatively: To cancel, touch Cancel 4 . Fig. 39: Logging in to Tegris 2 4 3 Fig. 40: 58 / 206 Note regarding emergency access 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 User interface and basic functions Basic functions 4.2.3 4 Adjusting the volume NO T IC E Pay attention to the volume set before use. NO T IC E The volume controls are displayed when an audio source is connected. Adjusting the volume 2 1. Touch Loudspeaker. 1 2. Slide the volume control 2 up for louder or down for quieter. Ø The volume becomes louder or quieter. Muting the Tegris System 1. Touch Mute 3 . 3 Fig. 41: 4.2.4 Ø Tegris is set to mute. 2. Touch Mute 3 again: TEGRIS will be unmuted. Adjusting the volume Accept/Dial/End/Reject calls Prerequisites: • The [COMMUNICATION] module (Communication menu item) is installed and configured. 1 2 Accept call/ Open the Connection List menu: 1. Touch Accept/Dial 1 . Ø For an incoming call: Call is accepted. Ø Without an incoming call: The Connection Listmenu is displayed with the last 5 calls. End / Reject call: 1. Touch End/Reject 2 . Ø For an existing call: The call is terminated. Fig. 42: 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Accept/Dial / End/Reject Ø For an outgoing call attempt: The call is rejected. 59 / 206 4 User interface and basic functions 4.2.5 Display of OR status Basic functions 1 The availability status of the OR for calls may be assigned if a [COMMUNICATION] module is active. 1. Touch the OR status 1 field. Ø A list containing the available statuses will be displayed. 2. Select the desired status. Ø The status will be changed. The following statuses can be selected: • Available: Visual and acoustic signals when a call is received • Mute: Only visual signals when a call is received • Do not disturb: No signals when a call is received Fig. 43: 4.2.6 Assign OR status Menu: Connection list Prerequisites: • The Connection List menu is open. Establishing a connection: 1 1. Touch the required connection in the connection list 1 . 2. Touch the Accept/Dial 2 button. Ø The required connection is dialled. 4 Fig. 44: 3 2 Menu: Connection list Accepting an external video or audio connection: 1. Touch the VC Routing 3 button. Ø Video or audio signals from an incoming connection are transmitted. Switching to the Conference menu: 1. Touch the Communication 4 button. Ø The Communication menu will open. The Communication menu offers additional functions for making and managing telephone calls, video and audio conferences. 60 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 User interface and basic functions Basic functions 4.2.7 4 Save image Prerequisites: • Recorder 1 is assigned to an image source. Procedure: 1 1. Touch Save image 1 . Ø Recorder 1 creates a still image (snapshot) from the assigned image source. Ø The still image is stored in the menu POST-OP > Finalize. [8 Page 101] Fig. 45: 4.2.8 Save image Record video Prerequisites: • Recorder 1 is assigned to an image source. Procedure: 1. Touch Record video 1 . 1 Ø Recorder 1 starts a video recording of the assigned image source. Ø As long as the recording is running, the Record Video button is highlighted in blue. 2. Touch Record video 1 again. Ø Recorder 1 stops the video recording of the assigned image source. Ø The video is stored in the menu POSTOP > Finalize. [8 Page 101] Fig. 46: 4.2.9 Record video Menu item: Clock The following settings can be changed in the Clock menu item: • Activating / deactivating the date • Activating up to two stopwatches • Activating a timer (counting backwards) 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 61 / 206 4 User interface and basic functions Basic functions 4.2.9.1 Menu item: Date / Time The date 1 can be displayed in addition to the time. Prerequisites: • The Clock menu is open 1 Displaying date / time 2 1. Touch the Date / Time 2 check box. Ø Date and time are displayed on the user interface. Ø The tick in the check box for Date / Time lights up in green. Deselecting date / time 1. Select a different check box (e.g. Timer). Fig. 47: 4.2.9.2 Ø The tick in the check box for Date / Time goes out. Menu item: Date / Time Menu item: Stopwatch Instead of the time, two stopwatches 1 with the settings hours:minutes:seconds can be displayed as an alternative. 1 The stopwatch can also be used without being displayed on the user interface. 2 Prerequisites: • The Clock menu is open Displaying the stopwatch 3 1. Touch the Stopwatch 2 check box. 4 Ø The most recent status of the stopwatch is displayed. Ø The tick in the check box for Stopwatch lights up in green. Fig. 48: Menu item: Stopwatch Starting / stopping the stopwatch 1. Touch Start 3 . Ø The stopwatch starts counting time. 2. Touch Pause 3 . Ø The stopwatch stops counting time. Resetting the stopwatch 1. Touch Reset 4 . Ø The stopwatch is set to "00:00:00". 62 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 User interface and basic functions Basic functions 4 Hiding the stopwatch 1. Select a different check box (e.g. Timer). Ø The tick in the check box for Stopwatch goes out. 4.2.9.3 Menu item: Timer Instead of the time, a countdown timer 1 with the settings hours:minutes:seconds can be displayed. 1 Prerequisites: • The Clock menu is open Displaying and setting the timer 1. Touch the Timer 2 check box. Ø The tick in the check box for Timer lights up in green. 2. If values are set in the timer: Touch Reset 6. 3. Touch the required timer fields 3 and enter the start values with the numeric keypad 4 that is displayed. Starting / Stopping the timer 2 1. Touch Start 5 . Ø The timer starts counting down. 5 2. Touch Pause 5 . 6 Ø The timer stops counting down. 3 Fig. 49: 3 Menu item: Timer 3 Resetting the timer 1. Touch Reset 6 . Ø Timer is reset back to the starting value. Hiding the stopwatch 1. Select a different check box (e.g. Stopwatch). Ø The tick in the check box for Timer goes out. 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 63 / 206 4 User interface and basic functions Basic functions 4.2.10 Menu item: Surgical safety checklist 4.2.10.1 Processing the surgical safety check list DA N GE R ! Risk of injury! The surgical safety checklist is of an informative nature only and may deviate from the actual conditions. The surgical safety checklist may not be used for diagnosis/therapy. Check the content of this checklist before initial operation and release the checklist. If required, the contents of the surgical safety checklist may be adapted to your requirements. NO T IC E The Surgical Safety Check list menu item can be called from the menus PREOPINTRA-OP and POST-OP. This includes a check list to be processed during surgery. The check list can be printed and exported. Exported data cannot be read back into the check list and cannot be displayed again. 2 3 The questions on the surgical safety checklist are distributed based on the work procedure to the tabs SIGN IN 2 , TIME OUT 3 and SIGN OUT 4 . 4 1 Prerequisites: • The PRE-OP > checklist menu is open. Processing the surgical safety checklist: Fig. 50: 1. Touch the tab SIGN IN 2 , TIME OUT 3 or SIGN OUT 4 , which are displayed according to the current work procedure. Surgical safety checklist 2. Carry out the safety check using the questions. 5 3. To confirm a question, touch box 1 opposite. Ø A green tick is shown in the box. Ø After acknowledging all of the questions on a tab of the surgical safety checklist: Tab is marked with a green check mark 5 and the checklist can be exported or printed. Fig. 51: 64 / 206 Tab completed 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 OR procedure menus Menu: PRE-OP 5 OR procedure menus 5.1 Menu: PRE-OP 5 The PRE-OP menu contains the functions for the first phase of workflow navigation. Depending on the configuration, this menu will show different menu items, for example: • Patient Management • Surgical safety check list • Presets • Video routing 5.1.1 Overview of the menu: PRE-OP 1 2 3 4 Fig. 52: 5.1.2 Overview: PRE-OP menu 1 Patient Management menu item 3 Presets menu item 2 Check list menu item 4 Video routing menu item Menu item: Patient Management NO T IC E If there are other systems besides Tegris that are used to store patient data, these systems may be updated with new information by Tegris only. It must be ensured that only copies of existing data are transferred to Tegris, The original files must always exist outside the Tegris system. Three tabs are shown in the menu item Patient Management: Local Studies, Worklist and Log. Patient data is configurable. Ensure that the patient data which has been accessed or entered is correct. 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 65 / 206 5 OR procedure menus Menu: PRE-OP Possible patient data includes: • Patient identification number (assigned by the system) • First name • Last name • Date of birth • Illness • Gender • Study date • Accession no. • Treating doctor • Known allergies 5.1.2.1 Tab: Local study Overview 10 Fig. 53: 66 / 206 3 2 1 9 8 7 6 4 5 Overview: Local Studies tab 1 Opened local study 6 Creating an emergency patient study 2 Local Studies tab 7 Locking a local study 3 Marked local study 8 Deleting a local study 4 OK 9 New Local Study 5 Updating patient data 10 Search field 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 OR procedure menus Menu: PRE-OP 5 Creating a new local study NO T IC E Only use the Automatic Patient ID function if the patient data is not yet known (e.g. patient admitted to the emergency department) and note down a unique patient indicator for the created patient ID in order to be able to complete the patient file later. Do not use the button to simplify the admission process. This will make it impossible to clearly allocate the patient/patient data (patient file). NO T IC E Patient data can only be replaced by a (later) work list entry [8 Page 69]. It is not possible to edit individual fields. Prerequisites: • The menu Patient management > Local studies tab is open. 1. Touch New Local Study. Ø A window opens containing a virtual keyboard which will enable you to enter the patient data. 2 1 Fig. 54: 3 Entering patient data 2. If the Patient ID is already known: Complete the Patient ID field. Ø The fields [First name], [Last name], [Date of birth], [Gender] and [Study date] are completed. Alternatively: 3. Have the system create a patient ID using the Automatic Patient ID 1 function. Ø Available fields may be pre-filled depending on the system configuration. 4. Fill out incomplete fields. 5. Complete the [Physician] field using the selection list. 6. Check all entries. 7. Touch Accept Patient Data 3 to save the patient data. Ø The local study is stored locally in the Local Studies tab. Ø The window will close. or 8. Touch Cancel 2 . Ø The local study will not be saved. Ø The window will close. 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 67 / 206 5 OR procedure menus Menu: PRE-OP Opening a local study Prerequisites: 1 • The menu Patient management > Local studies tab is open. 1. Touch the required local study 1 . Ø The local study is marked. 2. Touch OK 2 . Ø The local study will open. Ø The patient name will be displayed in the header of the user interface. 2 Fig. 55: Opening a local study Deleting a local study Prerequisites: • The menu Patient management > Local studies tab is open. • The local study that is to be deleted is not open. 1. Touch the required local study. 2. Touch the Delete 1 button. Ø A confirmation window is displayed. 1 Fig. 56: Deleting a local study 3. Touch the OK 2 button. Ø The local study will be deleted. - or 4. Touch the Cancel 3 button. Ø The deletion process will be cancelled 2 Fig. 57: 68 / 206 3 Confirmation window for deleting a local study 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 OR procedure menus Menu: PRE-OP 5 Locking a local study NO T IC E Local studies are automatically deleted from the system after a configurable time period has expired. To prevent this, you can save a local study with the Lock button. Prerequisites: • The menu Patient management > Local studies tab is open. Procedure: 1. Touch the required local study. 2. Touch Lock 1 . Ø The local study will be locked. Ø The local study cannot be deleted. 1 Fig. 58: Locking a local study Creating an emergency patient study with just one click NO T IC E To create an emergency patient study, there may not be a local study open. 1 2 Prerequisites: • The menu Patient management > Local studies tab is open. • No local study is open. 1. Click Create emergency patent study 3. 3 Fig. 59: Ø A local study 2 is created according to the template for the function Automatic patient ID [8 Page 67] and opened 1. Creating an emergency patient study with just one click Updating patient data NO T IC E This function can be used to update the patient data (such as an emergency patient study) with an existing entry in the work list. 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 69 / 206 5 OR procedure menus Menu: PRE-OP 1. Click Update patient data. Ø If there is no open study, a window will appear indicating that a study must be open. 2. Confirm the information by clicking OK. Ø The window will close. 3. Open the required local study [8 Page 68]. 1 4. Click Update patient data 1 . Fig. 60: Updating patient data Ø The patient data are displayed. 5. Touch the Update patient data 2 button. Ø The display will switch to the Update patient data window. 2 Fig. 61: Updating patient data 6. Select the required entry from the work list 3. 3 Ø The most important data for the selected patient will be displayed at the bottom right in the window 5 . 7. Touch the Update patient data 4 button to update the patient data. Ø A query window is displayed. 8. Confirm the query. 5 Fig. 62: 70 / 206 4 Select an entry from the work list Ø The patient data will be updated with the previously selected data. 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 OR procedure menus Menu: PRE-OP 5 Ø The confirmation will be displayed in the notification line. Ø All available image and video files will continue to be available in the Finalize menu. Ø If recording is active, the recording will be continued and the video will be saved with the new patient data. Ø Depending on the configuration, available image and video data will be exported immediately (auto export of objects) or after the end of the patient study (auto export of studies) with updated patient information. 5.1.2.2 Tab: Worklist The patient files imported by the hospital server are displayed in this tab. These patient files are managed centrally on the hospital server (hospital information system). CSV files and DICOM work list data can be imported via DICOM or HL7. For the data to be imported, the interface to the hospital server must be defined by authorised service personnel in the system configuration. NO T IC E The content of imported data (such as CSV, work lists) must be checked to ensure it is correct before use. 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 71 / 206 5 OR procedure menus Menu: PRE-OP Overview 1 2 3 4 6 Fig. 63: 72 / 206 7 5 9 8 Overview: Worklist tab 1 Worklist tab 2 Worklist (list of jobs received by the executing system) 3 Individual job (Patient) 4 Detailed data for an individual job (Patient) 5 Display images / videos for individual job (Patient) 6 Overall worklist (display all worklist entries for all ORs that are distributed via the HL7 Patient Service (max. 1000 entries)) 7 Filtered worklist (display all worklist entries for the user's own OP and the patients for the current day (max. 1000 entries)) 8 Search field 9 OK 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 OR procedure menus Menu: PRE-OP 5 Opening a job from the worklist Prerequisites: • The menu Patient management > Work list tab is open. • No job is opened. Procedure: 1. Touch the required job. 2. Touch OK 1 . Ø Job will be opened. 1 Fig. 64: 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Ø The patient name will be displayed in the header of the user interface. Opening a job from the worklist 73 / 206 5 OR procedure menus Menu: PRE-OP 5.1.2.3 Tab: Log Overview 1 2 4 5 3 6 Fig. 65: 1 Log tab 4 Repeat 2 List of completed jobs (e.g. export of images/ videos or delete job) 5 Go to 6 Cancel 3 74 / 206 Overview: Log tab List of open jobs 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 OR procedure menus Menu: PRE-OP 5 Restarting a failed export 1 Prerequisites: • The menu Patient management > Log tab is open. • No job is opened. Procedure: 2 1. Touch the required job 1 . 2. Touch Repeat 2 . Ø The job is exported. Fig. 66: Restarting an export Switching from job to patient management 1 Prerequisites: • The menu Patient management > Log tab is open. • No job is opened. Procedure: 2 1. Touch the required job 1 . 2. Touch Go to 1 . Ø The display switches to the Patient Management menu. Fig. 67: 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Switching from the job to the corresponding patient 75 / 206 5 OR procedure menus Menu: PRE-OP Cancelling a job Prerequisites: • The menu Patient management > Log tab is open. • No job is opened. 1 Procedure: 1. Touch the required job 1 . 2. Touch Cancel 2 . Ø The job will be cancelled. 2 Fig. 68: 5.1.3 Cancelling a job Menu item: Presets In the Presets menu item, video routing settings may be created under a freely selectable name. Existing presets may be opened, modified and deleted. 5.1.3.1 Overview of the menu: Presets 1 2 Fig. 69: 76 / 206 3 5 4 Overview of the menu: Presets 1 List of presets 4 Delete 2 Add 5 OK 3 Edit 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 OR procedure menus Menu: PRE-OP 5.1.3.2 5 Creating a preset Prerequisites: • The Preset menu is open. • Video routing is set. 5 Procedure: 1. Touch Add 1 . Ø The Preset properties window will open. 2. Complete the fields [Name] 2 and [Comment] 3 . 1 3. Touch Save 4 . Fig. 70: Ø The preset is created with the current video routing settings. Creating a preset Ø The window will be closed. Ø The created preset will be shown in the preset list 5 . 2 or 3 4. Touch Cancel 6 . 6 Fig. 71: 5.1.3.3 Ø The preset will not be created. 4 Ø The window will be closed. Preset properties window Opening a preset Prerequisites: • The Preset menu is open. Procedure: 1 1. Touch the required preset 1 in the preset list. 2. To confirm, touch OK 2 . Ø The preset opens. 2 Fig. 72: 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Ø The video routing will be set in accordance with the preset. Opening a preset 77 / 206 5 OR procedure menus Menu: PRE-OP 5.1.3.4 Adapting a preset Prerequisites: • The Preset menu is open. • Video routing is set. Procedure: 1 1. Touch the required preset 1 in the preset list. 2. Touch Edit 2 . 2 Ø The Preset properties window will open. 3. Edit the fields [Name] 3 and/or [Comment] 4 . Fig. 73: 4. Touch Save 5 . Adapting a preset Ø The adapted preset is saved. Ø The window will be closed. 3 Ø The adapted preset will be shown in the preset list. 4 or 5. Touch Cancel 6 . 6 5 Ø The preset will not be adapted. Ø The window will be closed. Fig. 74: 5.1.3.5 [Preset properties] window Deleting a preset Prerequisites: • The Preset menu is open. 1 Procedure: 1. Touch the required preset 1 in the preset list. 2. Touch Delete 2 . 2 Fig. 75: 78 / 206 Ø The preset will be deleted without any additional query. Deleting a preset 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 OR procedure menus Menu: PRE-OP 5.1.4 5 Menu item: Video routing NO T IC E The monitors and image sources may be connected and disconnected at any time using TEGRIS. The display in the Video Routing window automatically and dynamically adapts. NO T IC E Current preview images from connected image sources may be shown on the assigned monitors and in the selection list in the Video Routing window, in conjunction with the [LIVE PREVIEW] (1703.26A0) module. In the Video Routing menu item, the following settings may be made: • Connected monitors (maximum of 8) may be assigned different imaging signals. • Connected recording devices may be assigned different imaging signals. • In conjunction with the module (1703.25A0), up to 48 image sources and monitors may be connected at the same time, with any distribution configuration. • The Picture-In-Picture module (PIP) may be configured and connected to imaging signals. • An imaging signal may be assigned to a streaming module. The naming names of the monitors, recording devices and imaging signals as well as the quantities of such are defined in the system configuration, according to customer requirements and, by authorised service technicians. 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 79 / 206 5 OR procedure menus Menu: PRE-OP 5.1.4.1 Overview of the menu: Video routing NO T IC E The monitors and image sources may be connected and disconnected at any time using TEGRIS. The display in the Video Routing window automatically and dynamically adapts. 2 1 4 6 3 3 5 Fig. 76: Overview of the menu: Video Routing (with module (1703.25A0)) 1 Video Routing sub-menu 2 Monitor list (maximum of 24 monitors in conjunc- 6 tion with module (1703.25A0)) 7 Scroll Monitor List (in conjunction with module (1703.25A0)) 3 4 80 / 206 7 5 Module for Picture-In-Picture (PIP) Recorders (maximum of 2) Streaming (maximum of 1) Display of current page / total number of pages (in conjunction with module (1703.25A0)) 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 OR procedure menus Menu: PRE-OP 5.1.4.2 5 Assigning an image source on the monitor Prerequisites: • The Video routing menu is open. 1 Assigning an image source 1. Touch the required monitor. Ø The selection list 1 with the available image sources is displayed. 2 2. Touch the desired image source. If there are more than 12 available image sources (in conjunction with module (1703.25A0)): Touch the Scroll 2 buttons to view further image sources. Ø The selection list will close. Fig. 77: 5.1.4.3 Assigning an image source Ø The image source is displayed on the monitor. Assigning an image source on the recorder NO T IC E If both Recorder-2 and the streamer are configured, then the same image source must be selected for both of them. Changing the image source for the streamer will also automatically change the image source for Recorder-2, and vice versa. Prerequisites: • The Video routing menu is open. • Recorder is currently not recording. 1 Assigning an image source 1. Touch the recorder 1 . Ø The selection list with the available image sources 2 is displayed. 2. Touch the desired image source. 2 Fig. 78: 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Ø The selection list will close. Ø Image source is selected for the recorder. Assigning an image source on the recorder 81 / 206 5 OR procedure menus Menu: PRE-OP 5.1.4.4 Assigning an image source for streaming Prerequisites: • The Video routing menu is open. • The streamer is not currently streaming. 3 Procedure: 1 1. Touch Streaming 1 . Ø The selection list with the available image sources 2 is displayed. 2. Touch the desired image source. 2 Ø The selection list will close. Ø The image source is selected for streaming. Fig. 79: 5.1.4.5 Assigning an image source for streaming Switching the streamer on/off Streaming is used to transmit the selected image signal via the central network, e.g. to a lecture hall. Prerequisites: • Streaming is assigned to an image source. Switching off streaming 1. Touch Streaming 1 . 1 Ø Transmission of the image source is switched off. Ø Streaming does not light up. Ø ON-AIR light (optional) in the operating theatre does not light up. Switching streaming on Fig. 80: Switching streaming on/off 1. Touch Streaming 1 . Ø Transmission of the image source is switched on. Ø Streaming is illuminated. Ø ON-AIR light (optional) in the operating theatre lights up. 82 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 OR procedure menus Menu: PRE-OP 5.1.4.6 5 Setting the Picture-In-Picture module NO T IC E The calculation of the Picture-in-Picture function is carried out with a refresh rate of approximately 20-25 Hz, independently of the refresh rate of the original signal. The change in the refresh rate and the scaling of the original signal may result in differences in the quality of the representation. 2 Prerequisites: • The Video routing menu is open. Setting the PIP 1. Touch the PIP module on the marking 1 . 1 Ø A window with 4 tabs will be displayed. 2. Select the screen layout via tab 2 . Fig. 81: Setting the PIP module Assigning image sources 1. Touch the PIP monitor on the marking 1 . Ø The selection list with the available image sources 2 is displayed. 2. Touch the desired image source. 2 Ø The image source is assigned to the selected PIP monitor. 3. Assign the required image sources to further PIP monitors. 1 Fig. 82: 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Ø The image sources are displayed on the PIP monitor. Assigning an image source 83 / 206 5 OR procedure menus Menu: INTRA-OP 5.1.4.7 Display overlays NO T IC E Tegris can be used to show various overlays in live images. These overlays can be configured for each image source and monitor. 1 1 Patient data 2 Transfer types 2 Fig. 83: Overlays patient data / transfer types Overlay patient data, white (always visible) • Patient name, patient ID, date of birth, gender Overlay transmission modes, red (optional) • REC: appears when the current source is being recorded • ON-AIR: appears when the current source is being transmitted • Incoming call <name or number of the caller>: appears when there is an incoming call • Incoming <name of counterpart>: appears when the image is displayed from an external source (e.g. via video conference) 5.2 Menu: INTRA-OP The INTRA-OP menu contains the functions for the second phase of workflow navigation. Depending on the configuration, this menu will show different menu items, for example • Surgical safety check list • Image and video recording • OR table control • Surgical light operation • Audio settings • Room settings 84 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 OR procedure menus Menu: INTRA-OP 5.2.1 5 Overview of the menu: INTRA-OP 1 2 3 4 5 Fig. 84: 5.2.2 Overview of the menu: INTRA-OP 1 Check list menu item 4 OR Lights menu item 2 Record menu item 5 Communication menu item 3 OR Table menu item Menu item: Communication The menu item Communication can be used to make and manage incoming and outgoing telephone calls, video and audio conferences. 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 85 / 206 5 OR procedure menus Menu: INTRA-OP 5.2.2.1 Overview of the menu item: Communication 1 Bar co2SN 172. 25. 2. 2 Bar co3SN 172. 25. 8. 2 2 3 4 6 5 7 172. 25. 2. 2 172. 25. 8. 2 10 Fig. 85: 86 / 206 9 8 Overview of the menu item: Communication 1/2 1 Contact list 6 [Search / Direct entry] field 2 Webex meeting 7 Accept/Dial 3 Add 8 Contact Entry Blocked symbol 4 Edit 9 Display Operating theatre call type 5 Delete 10 Display video conference call type 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 OR procedure menus Menu: INTRA-OP 1 5 2 3 6 5 4 Fig. 86: Overview of the menu item: Communication 2/2 1 Incoming video signal 4 Refuse/Hang up 2 Outgoing video signal 5 Accept/Dial 3 Mute video Signal 6 PIP display 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 87 / 206 5 OR procedure menus Menu: INTRA-OP 5.2.2.2 Join Webex meeting 1 Fig. 87: 2 3 4 Join Webex meeting Prerequisites: • The Conference menu is open. 1. Touch the Webex meeting button. Ø A window with fields for entering the dial-in data will be shown. Ø The virtual keyboard will be shown. 2. Enter the dial-in data received via email into the fields [SIP Address] 2 and [Password / PIN] 1. 3. Touch the Accept / Dial 4 button. Ø The user will join the Webex meeting as a guest. - or 4. Touch the Cancel 3 button. Ø The dial-in process is cancelled. Ø The Communication menu is displayed. 5.2.2.3 Creating a contact entry NO T IC E When creating a Webex contact entry, SIP must be selected in the field [Transmission protocol]! 88 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 OR procedure menus Menu: INTRA-OP 5 Prerequisites: 1 • The Communication menu is open. 1. Touch Add. 2 Ø A window with fields for entering the new contact will be shown. 4 3 Ø The virtual keyboard will be shown. 5 2. Complete the fields [Name] 1 and [Number] 2 . 3. Select the transmission type 3 : Video or Audio. Fig. 88: 4. Select the transmission protocol 4 : H.323 or SIP. Creating a contact entry 5. Touch Save 5 . Ø The contact entry is closed and saved. Ø The contact entry is entered in the contact list. 5.2.2.4 Editing a contact entry NO T IC E Contact entries with the [Contact Entry Locked] icon are imported from the [Video Conference]module and can only be edited or deleted there. Prerequisites: • 1 2 1. Touch the required contact entry in the contact list. 2. Press the Edit button. 4 3 The Communication menu is open. 6 5 Ø A window with fields for editing the contact entry will be shown. Ø The virtual keyboard will be shown. 3. Edit the fields [Name] 1 , [Number] 2 , Transfer type 3 and / or Transfer log 4 . Fig. 89: Editing a contact entry 4. Touch the Save 5 button. Ø The contact entry is closed and saved. Ø The edited contact entry is shown in the contact list. - or 5. Touch the Cancel 6 button. Ø The contact entry is closed without saving. 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 89 / 206 5 OR procedure menus Menu: INTRA-OP 5.2.2.5 Deleting a contact entry NO T IC E Contact entries with the [Contact Entry Locked] icon are imported from the [Video Conference]module and can only be edited or deleted there. 1 Prerequisites: • The Communication menu is open. 1. Touch the required contact entry in the contact list. 2. Touch the Delete 1 button. Ø The contact entry is deleted. Fig. 90: 5.2.3 Deleting a contact entry Menu item: Recording NO T IC E Delete image and video files from Tegris at regular intervals. The Recording menu item can be used to take images and make video recordings during the operation. Depending on the system configuration, up to 2 recording areas are available: The left recording area (recorder 1) records with resolutions of up to 4K-UHD, while the right recording area (option recorder 2) records in FullHD mode. Image sources can be assigned to the recording areas. 90 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 OR procedure menus Menu: INTRA-OP 5.2.3.1 5 Overview of the menu: Recording 1 2 Fig. 91: 5.2.3.2 5 4 3 6 3 4 5 6 Overview of the menu: Recording 1 Recording area 1 (up to 4K-UHD) 4 Selection list 2 Recording area 2 (FullHD) (Option) 5 Creating an image 3 Printing 6 Recording video Creating an image Prerequisites: • The Recording menu is open. • The patient is selected. Procedure: 1. Touch Record image 1 . Ø An image is created. 1 Fig. 92: 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Creating an image 91 / 206 5 OR procedure menus Menu: INTRA-OP 5.2.3.3 Recording video Prerequisites: • The Recording menu is open. Procedure: 1. Touch Record video 1 . Ø A video is created. 1 Fig. 93: 5.2.3.4 Recording video Select the recording quality NO T IC E The recording quality selection can be configured either by authorised service personnel, or by BioMed. If there is no selection configured for recording quality, then recording will always be in FullHD (1920x1080 30fps). Select the recording quality 1. Touch Selection list. 2. Select the desired recording quality. Ø The recording is made in the selected quality. 1 Fig. 94: 92 / 206 Select the recording quality 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 OR procedure menus Menu: INTRA-OP 5.2.3.5 5 Creating and printing a single image NO T IC E All options for the number of images per page are always available in the Print dialogue, regardless of how many images are printed. NO T IC E If no printer is configured, no Print button is displayed in this view, and the user cannot print out the files. Prerequisites: • The Recording menu is open. 1. Touch the Print 1 button. Ø The print dialogue will be displayed. 1 Fig. 95: Printing a single image 2. Select the number of images to be printed (1 / 2 / 4 / 6) per page 2 . 3. Select the alignment of the images to be printed (portrait / landscape format) 1 . 4. Touch the Print 5 button. Ø The selected image will be printed on the connected printer. - or 1 Fig. 96: 2 Print dialogue 3 4 5 5. Touch the Create final report 4 button. Ø The final report will be saved in PDF format in the Finalize view [8 Page 100]. - or 6. Touch the Cancel 3 button. Ø The printing process is cancelled. Ø The print dialogue will be closed. 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 93 / 206 5 OR procedure menus Menu: INTRA-OP 5.2.3.6 Endosnap NO T IC E The camera head buttons and their trigger actions are dependent on the camera model selected and its configuration. You can use the Endosnap function to take pictures and videos using the head buttons on the endoscope camera. The Endosnap function only affects recorder 1. 1 Expanded functions: • Trigger via up to four head buttons • Differentiate between pressing the button for a short or long time to trigger different actions, for instance taking a picture 1 or taking a video • Whether a picture was taken is visible in the Quick Access area 2 • Foot switches can also be used as an option 2 Fig. 97: Endosnap 5.2.4 Menu item: Remote Workstation Interface 5.2.4.1 General DA N GE R ! Improper application may result in fatalities! The module is not approved for the control of medical products but for access to administration and display systems. Do not use the module for controlling medical products. NO T IC E Depending on the remote server used, image and/or control functions may be affected. With the module [Remote Workstation Interface] up to 3 different external PC systems, such as PACS, can be connected to TEGRIS via a remote connection. The external systems are displayed as menu items in the menu. 94 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 OR procedure menus Menu: INTRA-OP 5.2.4.2 5 Overview: Remote Workstation Interface 1 14 6 13 12 11 10 4 7 15 Fig. 98: 5.2.4.3 2 5 9 16 8 3 Overview: Remote Workstation Interface 1 Display area of the external system 2 3 Menu item for remote connection to an external 10 Mouse button, right system 11 Mouse button, centre Keyboard 12 Mouse button, left 4 Right arrow 13 Refresh 5 Down arrow 14 Adapting the display area 6 Up arrow 15 Warning note 7 Left arrow 16 Activate full screen display 8 Mouse wheel, down 9 Mouse wheel, up Activate/deactivate full screen display Activate full screen display 1. Touch Activate full screen display 1 . Alternatively: Press the [F11] button if keyboard is connected. 1 Ø The external system is shown on the entire monitor. Ø The Tegris operating panel is displayed at the right side of the screen. Fig. 99: 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Activate full screen display 95 / 206 5 OR procedure menus Menu: INTRA-OP Deactivate full screen display 2 1. Press back 2 on the Tegris operating panel. Alternatively: Press the [F11] button if keyboard is connected. Ø The full screen display is deactivated and the Tegris window is visible once again. Fig. 100: 5.2.4.4 Deactivate full screen display Tegris operating panel The Tegris operating panel is visible at the right side of the screen when full screen display is activated. It can be moved to 3 different positions, so as to prevent hiding any content. Move Tegris operating panel 1 1. Press up/down 1 on the Tegris operating panel. 2 Fig. 101: Tegris operating panel Ø The Tegris operating panel will be moved up, to the centre, or down depending on its initial position. Return to the Tegris interface 1. Touch Back 2 . 5.2.4.5 Display external system NO T IC E When configuring, the desired systems to be displayed in TEGRIS by way of remote connection are specified e.g. PACS. When starting up TEGRIS, a remote connection is established automatically with these systems. 96 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 OR procedure menus Menu: INTRA-OP 5 Display connected system 1. Touch the INTRA-OP > Remote Workstation Interface menu, e. g. Workstation 1. 1 Ø The interface of the connected system is shown in the display area 1 . Ø Mouse and arrow buttons for working in the external system are activated. Fig. 102: Display area Ø If an automatic remote connection fails, a message appears in the display area and a manual connection attempt is suggested. 2. Touch OK in the message to establish a manual connection attempt. Ø The connection attempt is started manually. 3. If no manual connection attempt is to be started, touch Cancel in the message. Ø The message will be closed. Ø The connection remains interrupted. 5.2.4.6 Adapting the display area Prerequisites: • The Remote Workstation Interface menu is open. • The connection to the external system is established. 1 Procedure: 1. To adapt the user interface of the external system to the size of display area 1 , touch Adapt display 2 . 2 Fig. 103: Adapting the display area Ø The user interface is adapted to the display area. Ø The button display changes from Adapt display to Original size. 2. Touch Original Size 2 to show the user interface of the external system in its original size in the display area. Ø The user interface is shown in the original size in the display area. Ø The button display changes from Original size to Adapt display. 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 97 / 206 5 OR procedure menus Menu: INTRA-OP 5.2.4.7 Refreshing the display area The display area 1 is not updated automatically, but must instead be updated manually using the Update button. 1 Prerequisites: • The Remote Workstation Interface menu is open. • The connection to the external system is established. Procedure: 2 1. Touch Refresh 2 . Fig. 104: 5.2.4.8 Refreshing the display area Ø The display area is updated Working with the external system in the display area The external system can be edited via the control keys and functions in the menu item Remote Workstation Interface. Prerequisites: • The Remote Workstation Interface menu is open. • The connection to the external system is established. 1 4 Mouse buttons and mouse wheel 2 5 Fig. 105: Working with the external system in the display area 1. To activate, press mouse buttons 1 for approx. 1 s until the mouse button lights up. Ø Activated mouse buttons can be used in the display area. 2. To deactivate, press the mouse button again for approx. 1 s until the light goes out. 3. To scroll in the display area, touch Mouse wheel down or Mouse wheel up 2 and hold until the desired clip is displayed. Arrow buttons 1. Touch the arrow buttons 3 to navigate within the display area. On-screen keyboard 1. Touch Keyboard 4 . Ø Virtual keyboard opens and can be used for text input in the display area. NO T IC E Alternatively, the external system can be operated using a keyboard and mouse connected to TEGRIS. All keyboard functions and key combinations may not be available, depending on the remote server used. 98 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 OR procedure menus Menu: POST-OP 5.3 5 Menu: POST-OP The POST-OP menu contains the functions for the third phase of workflow navigation Depending on the configuration, this menu will show different menu items, for example: • Surgical safety check list • Finalize 5.3.1 Overview of the menu: POST-OP 1 2 Fig. 106: 1 Overview of the menu: POST-OP Check list menu item 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 2 Finalize menu item 99 / 206 5 OR procedure menus Menu: POST-OP 5.3.2 Menu item: Finalize NO T IC E Connected storage media, such as external hard disks, DVDs or USB sticks, may be subject to hacker or cyber security attacks, or can facilitate such attacks. Ensure that no patient data or other security-relevant information can be accessed without authorization or manipulated. The Finalize menu item can be used to print or delete previously selected data and export it to USB storage media. An open patient file can also be closed using this menu item. 5.3.2.1 Overview of the menu: Finalize 1 15 14 13 12 11 Fig. 107: 1 2 10 3 9 7 8 5 4 Overview of the menu: Finalize 3 Select the file type (images, videos, documents, 9 Export to PACS all) 10 Export to LAN List of created files 11 Delete Select / deselect all files 12 Export to DVD 4 Delete (file displayed in the preview area) 13 Create final report 5 Add comment (file displayed in the preview area) 14 Export via USB 6 Close patient 7 Print (file displayed in the preview area) 8 Export to HL7 2 6 15 Printing The item numbers 8 to 15 all refer to the selected file(s) in the list. 100 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 OR procedure menus Menu: POST-OP 5.3.2.2 5 Printing a clip of a video file NO T IC E If no printer is configured, no Print button is displayed in this view, and the user cannot print out the files. Prerequisites: • The local study is open [8 Page 68]. • The Finalize menu is open. 1. Touch the desired video in the list of created files (Fig. 107 [8 Page 100]). Ø The video will be shown white in the list view. 1 Ø The video will be shown in the preview area 1 . 2. Run the video in the timeline 2 using the marker 3 or using Play / Pause 4 until the desired clip is shown in the preview area. 2 3 4 Fig. 108: 5 6 Printing a video clip 3. Touch the Save image 5 button to create a still image of the video clip shown in the preview area. Ø The still image will be saved in the Post-OP > Finalize menu and added to the list of created files. - or 4. Touch the Print 6 button to print the video clip shown in the preview area or create a still image. Ø The print dialogue (Fig. 96 [8 Page 93]) will open. 5. Change the desired settings. 6. Print the video clip using the Print button. Ø The still image will be printed on the connected printer. - or 7. Print the video clip using the Print final report button. Ø The still image will be saved in PDF format in the POST-OP > Finalize menu. 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 101 / 206 5 OR procedure menus Menu: POST-OP 5.3.2.3 Print file(s) or create final report NO T IC E It is not possible to combine PDF files. Prerequisites: • The local study is open [8 Page 68]. • The Finalize menu is open. 1. Select the desired file(s) in the list of created files (Fig. 107 [8 Page 100]) using the selection box 1 . 1 Ø The check in selection box 2 lights up in green. 2. Touch the Print 4 button. 2 Ø The print dialogue (Fig. 96 [8 Page 93]) will open. 3 Ø The selected PDF document will be sent directly to the configured printer. 4 Fig. 109: Print file(s) - or 3. Touch the Create final report 3 button. Ø The print dialogue (Fig. 96 [8 Page 93]) will open. Ø Selected PDF documents will be ignored. 4. Change the desired settings. 5. Print the selection using the Print button. - or 6. Save the selection in PDF format using the button Create final report. 102 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 OR procedure menus Menu: POST-OP 5.3.2.4 5 Deleting file(s) Deleting file(s) in the list view Prerequisites: • The local study is open [8 Page 68]. • The Finalize menu is open. 1. Select the desired file(s) using the selection box 1 . 1 Ø The check in the selection box lights up in green. 2. Touch the Delete 2 button. Ø All selected files are deleted following a security query. 2 Fig. 110: Deleting file(s) in the list view Deleting a file in the preview area Prerequisites: • The local study is open [8 Page 68]. • The Finalize menu is open. 1. Touch the desired file in the list of created files Fig. 107 [8 Page 100]. 1 2 Ø The file will be shown white in the list view. Ø The file will be shown in the preview area 1 . 2. Touch the Delete 2 button in the preview area. Ø The file displayed in the preview area will be deleted following a query. Fig. 111: 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Deleting a file in the preview area 103 / 206 5 OR procedure menus Menu: POST-OP 5.3.2.5 Adding a comment to a file NO T IC E The comments remain on the PACS server when the patient file is transferred. The comments will be deleted when the patient file is stored in the network or on a USB storage media. A comment can be added, deleted and edited for each image or video file. Prerequisites: • The local study is open [8 Page 68]. • The Finalize menu is open. 1. Touch the desired file in the list of created files (Fig. 107 [8 Page 100]). Ø The file will be shown white in the list view. Ø The file will be shown in the preview area. 1 2 Fig. 112: Adding a comment 1/2 2. Touch the Comment 1 button. Ø The text field 2 is activated and the virtual keyboard is shown. Ø A selection of any pre-defined comments will be displayed. 3. Enter the comment via the virtual keyboard 2 . 1 Ø The comment is displayed in the text field 3 . - or 4. Select a pre-defined comment, if available. 5. Touch the Save 5 button to close the text field and save the comment. Ø The comment is saved. 2 Fig. 113: Adding a comment 2/2 3 4 5 Ø The file will be shown in the list of created files with a pencil icon 1 . - or 6. Touch the Cancel 4 button to close the text field without saving. Ø The comment will be deleted and not saved. 104 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 OR procedure menus Menu: POST-OP 5.3.2.6 5 Playing/pausing a video file NO T IC E When playing a video file, the volume can only be regulated if, during the process, no signals are transmitted by way of Aux-In, iPod / iPhone, streaming or video conferencing. Prerequisites: • The local study is open [8 Page 68]. • The Finalize menu is open. Playing a video 1. Touch the desired video in the list of created files (Fig. 107 [8 Page 100]). Ø The file content is shown in the preview area 1 . 2. Touch the Play 2 button. Ø The video begins to play. Ø The timeline 4 is shown. Ø The display of the Play button will switch to show Pause. 1 2 Fig. 114: 3 4 Playing a video Pausing the video 1. Touch the Pause 2 button. Ø The video is paused. Ø The display of the Pause button will switch to show Play. Resetting the video 1. Touch the Stop 3 button. Ø The video is stopped. Ø The marker on the timeline is reset back to the beginning. 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 105 / 206 5 OR procedure menus Menu: POST-OP Playing the video in slow motion Prerequisites: • The local study is open [8 Page 68]. • The Finalize menu is open. 1. Touch the desired video in the list of created files (Fig. 107 [8 Page 100]). Ø The file content is shown in the preview area 1 . 2. Touch the Play 3 button. Ø The video begins to play. Ø The display of the Play button will switch to show Pause. 3. Touch the Slow Motion 2 button. 1 2 Fig. 115: 4 3 Playing the video in slow motion / fast motion Ø The video is played at half of the normal speed. 4. Touch the Slow Motion 2 button again. Ø The video is played at a quarter of normal speed. Playing the video in fast motion Prerequisites: • The Finalize menu is open. 1. Touch the desired video in the list of created files (Fig. 107 [8 Page 100]). Ø The file content is shown in the preview area 1 . 2. Touch Play 3 . Ø The video begins to play. Ø The display changes from Play to Pause. 3. Touch Time Lapse 4 . Ø The video is played at twice the normal speed. 4. Touch Time Lapse 4 again. Ø The video is played at four times the normal speed. 106 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 OR procedure menus Menu: POST-OP 5.3.2.7 5 Creating a clip of a video file A video sequence from a selected video can be highlighted and saved as a separate video. Prerequisites: 1 • The local study is open [8 Page 68]. • The Finalize menu is open. 1. Touch the desired video in the list of created files (Fig. 107 [8 Page 100]). Ø The file content is shown in the preview area 2 . 2. Touch the Play 4 button. Ø The video begins to play. 3. Move the marker 3 on the timeline to the position where you want the video sequence to start. 2 3 Fig. 116: 4 5 6 7 Cutting a video file 4. Touch the Start video sequence 5 button. Ø The start of the video sequence is marked. 5. Move the marker 2 on the timeline to the position where you want the video sequence to end. 6. Touch the End video sequence 6 button. Ø The end of the video sequence is marked. 7. Touch the Edit 7 button. Ø The marked video sequence is copied and saved as a separate video, which can take several minutes depending on the size of the video sequence. TEGRIS cannot be operated while the connection is established. Ø The video sequence will be shown in the list of created files. Ø The video sequence will be shown in the list of created files with a scissors icon 1 . 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 107 / 206 5 OR procedure menus Menu: POST-OP 5.3.2.8 Extracting an image from a video file Prerequisites: • The local study is open [8 Page 68]. • The Finalize menu is open. 1. Touch the desired video in the list of created files (Fig. 107 [8 Page 100]). Ø The file content is shown in the preview area 1 . 2. Touch the Play 3 button. Ø The video begins to play. 3. Move the marker 2 on the timeline to the location where you want to extract the image. Ø The still image is displayed. 1 2 3 Fig. 117: 108 / 206 4 Creating an image 4. Touch the Snapshot 4 button. Ø An image file will be created. 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 OR procedure menus Menu: POST-OP 5.3.2.9 5 Exporting file(s) to a USB storage media NO T IC E Exporting image data may take several hours depending on the data volume. 1 Prerequisites: • The local study is open [8 Page 68]. • The Finalize menu is open. • Storage medium is connected via USB interface. 1. Touch the desired file(s) in the list of created files . Ø The check in selection box 2 lights up in green. 2. Touch the Export to USB 1 button. Ø The selection will be exported to the USB storage device and saved. 2 Fig. 118: 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Exporting file(s) to a USB storage media 109 / 206 5 OR procedure menus Menu: POST-OP 5.3.2.10 Burning file(s) to DVD or BluRay NO T IC E Exporting image data may take several hours depending on the data volume. NO T IC E If data is to be written to BluRay, the connection of an external BluRay burner to the USB interfaces is necessary. Prerequisites: • The local study is open [8 Page 68]. • The Finalize menu is open. • A blank, recordable DVD is inserted in the DVD drive. 1. Touch the desired file(s) in the list of created files . Ø The check in selection box 1 lights up in green. 2. Touch Export to DVD 2 . Ø The selection will be burned to the DVD. 1 Fig. 119: 110 / 206 2 Burning a file to DVD 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 OR procedure menus Menu: POST-OP 5.3.2.11 5 Exporting file(s) to the network (LAN) NO T IC E Exporting image data may take several hours depending on the data volume. 1 Prerequisites: • The local study is open [8 Page 68]. • The Finalize menu is open. • A network is connected. 1. Touch the desired file(s) in the list of created files . Ø The check in selection box 1 lights up in green. 2. Touch Export to LAN 2 . Ø The selection will be saved on the network. 2 Fig. 120: 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Exporting a file to the LAN 111 / 206 5 OR procedure menus Menu: POST-OP 5.3.2.12 Exporting file(s) to PACS NO T IC E Exporting image data may take several hours depending on the data volume. Prerequisites: • The local study is open [8 Page 68]. • The Finalize menu is open. • The PACS system is connected. 1. Touch the desired file(s) in the list of created files . Ø The check in selection box 1 lights up in green. 2. Touch Export to PACS 2 . Ø The selection is saved on the PACS system. 1 Fig. 121: 112 / 206 2 Exporting a file to PACS 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 OR procedure menus Menu: POST-OP 5.3.2.13 5 Exporting file(s) to HL7 NO T IC E Video files cannot be exported to the HL7 system and saved. Prerequisites: • The local study is open [8 Page 68]. • The Finalize menu is open. • Connection to external IT systems via HL7 is set up. 1. Touch the desired file(s) in the list of created files . Ø The check in selection box 1 lights up in green. 2. Touch Export to HL7. Ø The selection will be saved on the HL7 system. 1 Fig. 122: 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 2 Exporting file(s) to HL7 113 / 206 5 OR procedure menus Menu: POST-OP 5.3.2.14 Export status 1 2 3 Fig. 123: 5.3.2.15 Export status 1 Red banderole: Last export to selected target medium failed. 2 Green banderole: Last export to selected target medium successful. 3 No banderole: Export not yet started. Closing a study (patient file) Prerequisites: • The local study is open [8 Page 68]. • The Finalize menu is open. 1. Touch the Close patient 1 button to close the current open local study. Ø The study (patient file) will be closed. 1 Fig. 124: 114 / 206 Closing a study 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Menu: Direct access Overview of the menu: Direct access 6 6 Menu: Direct access All operable modules licensed to this system can be selected separately, independent of the workflow navigation, in the Direct Access menu. 6.1 Overview of the menu: Direct access 13 12 11 10 9 8 7 6 5 4 3 2 1 Fig. 125: Overview of the menu Direct Access (menu items depend on the connected and licensed devices) 1 External Application Integration menu item 7 Record menu item 2 Menu item for remote connection to an external system (workstation 3), optional 8 Video routing menu item Remote Client menu item 5 9 Menu item for remote connection to an external 10 system (workstation 2), optional 11 Menu item for remote connection to an external 12 system (workstation 1), optional 13 Communication menu item 6 Room Setting menu item 3 4 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Cameras menu item Audio menu item OR Light Control menu item OR Table Control menu item 115 / 206 6 Menu: Direct access Menu item: Room settings 6.2 Menu item: Room settings Electrical functions of the room can be set, e.g. room lighting, blinds and LCD glass panes, in the Room Setting menu, . The configuration of this interface can be individually adapted to the room conditions. 6.2.1 Tab: Light 6.2.1.1 Overview 1 5 2 7 3 8 6 9 10 4 Fig. 126: 6.2.1.2 Overview of the Light tab 1 Light tab 6 Operating theatre status 2 Main switch light 7 Blinds 3 Room lighting 8 LCD glass 4 Light elements 9 Open door 5 Scenes 10 Laser and X-ray Main switch light 1 The main switch can be used to switch all lighting elements on or off at the same time, no matter whether a scene is selected or which scene is selected. Prerequisites: • The menu Room settings > Light tab is open. 1. Touch All on/off 1 . Ø All lighting elements are switched on or off at the same time. Fig. 127: 116 / 206 Main switch light 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Menu: Direct access Menu item: Room settings 6.2.1.3 6 Setting the room lighting 3 2 You can use the Light tab to choose between normal lighting and RGB lighting. The operation of both types of lighting is identical. The operation is explained below using normal lighting as an example. 1 Prerequisites: • The menu Room settings > Light tab is open. Ambient light ON /OFF 1. Touch Lighting ON/OFF 1 . Ø The ambient light is switched on. Ambient light OFF 1. Touch Lighting ON/OFF 1 . Ø The ambient light is switched off. Fig. 128: Setting the room lighting Increasing light intensity 1. Touch Increase Light Intensity 2 . Ø The intensity of the ambient light is increased. Reducing light intensity 1. Touch Reduce Light Intensity 3 . Ø The intensity of the ambient light is decreased. 6.2.1.4 Setting the lighting elements Lighting elements can be set in the Light tab. 3 2 1 Prerequisites: • The menu Room settings > Light tab is open. Light element ON 1. Touch Light Element ON / OFF 1 . Ø The light element is switched on. Light element OFF 1. Touch Light Element ON / OFF 1 . Ø The light element is switched off. Increasing the intensity of the light element 1. Touch Increase Intensity of Light Element 2 . Fig. 129: 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Setting the lighting elements Ø The intensity of the ambient light is increased. 117 / 206 6 Menu: Direct access Menu item: Room settings Reducing the intensity of the light element 1. Touch Decrease Intensity of Light Element 3 . Ø The intensity of the ambient light is decreased. 6.2.1.5 Display: Scenes Scenes are saved light settings for ambient light. The Light tab shows which scene is active. 1 Prerequisites: • The menu Room settings > Light tab is open. • Ambient light is set. Save scene 1. Touch the check in selection box 1 beside the desired scene number for at least 5 seconds. Ø The current ambient light is saved. Access scene Fig. 130: Scenes display 1. Select the desired scene by touching the green check 1 . Ø The default ambient light is switched on. 6.2.1.6 Display: Operating theatre status In the Light tab, the status of the operating theatre is displayed. Prerequisites: • The menu Room settings > Light tab is open. Possible statuses: • OR is free. • OR is being disinfected. • OR is occupied. Fig. 131: 118 / 206 Display status of operating theatre 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Menu: Direct access Menu item: Room settings 6.2.1.7 6 Opening / closing the blinds Electrically adjustable blinds can be set individually in the Light tab. 1 2 Prerequisites: • The menu Room settings > Light tab is open. Opening blinds 1. Touch and hold Open Blind 1 . Ø Blind is opened. 2. Release Open Blind. Ø Blind is stopped. Closing blinds 1. Touch and hold Close Blind 2 . Ø Blind is closed. Fig. 132: Opening / closing the blinds 2. Release Close Blind. Ø Blind is stopped. 6.2.1.8 Looking through the LCD glass panel ON / OFF 2 1 The transparency of an LCD glass pane can be set in the Light tab. Prerequisites: • The menu Room settings > Light tab is open. LCD glass panel ON 1. Touch LCD Glass Panel ON 1 . Ø You cannot see through the LCD glass panel. LCD glass panel OFF 1. Touch LCD Glass Panel OFF 2 . Ø You can see through the LCD glass panel. Fig. 133: 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Looking through the LCD glass panel ON / OFF 119 / 206 6 Menu: Direct access Menu item: Room settings 6.2.1.9 Display: Laser and X-ray ON / OFF 1 2 Two lamps outside the OR can be switched on and off using the selection boxes in the Light tab. The first lamp indicate that the laser is active, and the second lamp indicates that an X-ray procedure is active. Prerequisites: • The menu Room settings > Light tab is open. Procedure: 1. Touch the selection box next to the required light. Fig. 134: Display Laser and X-ray ON / OFF Ø The check in selection box 1 lights up in green. Ø The corresponding lamp lights up outside the OR. 2. To switch the lights off, touch the selection box next to the required light again. 6.2.1.10 Open door 1 2 Prerequisites: • The menu Room settings > Light tab is open. Open door half way 1. Touch ½ 1 . Ø The door opens half way. Fig. 135: Open door Open door all the way 1. Touch 1 2 . Ø The door opens all the way. 120 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Menu: Direct access Menu item: Room settings 6.2.2 Tab: Climate 6.2.2.1 Overview 6 1 4 2 Fig. 136: 6.2.2.2 3 Overview: Climate tab 1 Climate tab 3 Air humidity settings 2 Temperature settings 4 Ventilation settings Setting the temperature Prerequisites: • The menu Room settings > Climate tab is open. Increasing the temperature 1. Touch Increase Temperature 1 . Ø The nominal value 2 is increased. 3 2 Ø The actual value 3 is adjusted to the nominal value. Reducing the temperature 1. Touch Reduce Temperature 4 . Ø The nominal value 2 is decreased. 4 1 2 Fig. 137: 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Ø The actual value 3 is adjusted to the nominal value. Setting the temperature 121 / 206 6 Menu: Direct access Menu item: Room settings 6.2.2.3 Setting the air humidity Prerequisites: • The menu Room settings > Climate tab is open. Increasing the humidity 1. Touch Increase Humidity 1 . Ø The nominal value 2 is increased. Ø The actual value 3 is adjusted to the nominal value. 2 3 Reducing the humidity 1. Touch Reduce Humidity 4 . Ø The nominal value 2 is decreased. 2 4 Fig. 138: 6.2.2.4 Ø The actual value 3 is adjusted to the nominal value. 1 Setting the air humidity Setting the ventilation Status indicators 2 The control displays 1 can light up green (= condition is ok) or red (= have condition checked by the in-house technician). 3 1 Prerequisites: • The menu Room settings > Climate tab is open. 1 Procedure: 1. Touch Ventilation 50 % 2 . 1 Ø The ventilation blows with 50 % of its maximum capacity. or 2. Touch Ventilation 100 % 3 . Fig. 139: 122 / 206 Setting the ventilation Ø The ventilation blows with maximum capacity. 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Menu: Direct access Menu item: Room settings 6.2.3 Tab: Power & Gas 6.2.3.1 Overview 6 1 2 3 4 5 6 7 Fig. 140: 6.2.3.2 Overview: Power & Gas tab 1 Power & Gas tab 5 Test Insulation Monitor 1 2 Gas status indicator 6 Test Insulation Monitor 2 3 Circuit 1 status indicator 7 Switching off the warning buzzer 4 Circuit 2 status indicator Gas status indicator Status indicators The control displays 1 can light up green (= condition is ok) or red (= have condition checked by the in-house technician). 1 Fig. 141: 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Prerequisites: • The menu Room settings > > tab Gas & Power is open. Status indicators 123 / 206 6 Menu: Direct access Menu item: Room settings 6.2.3.3 Checking the insulation monitor Status indicators 1 The control displays 1 can light up green (= condition is ok) or red (= have condition checked by the in-house technician). Prerequisites: • The menu Room settings > > tab Gas & Power is open. Procedure: 1. Touch Test Insulation Monitor 2 . Ø The insulation monitor is checked. 2 Fig. 142: 6.2.3.4 2. In the event of error, contact the building service. Checking the insulation monitor Switching off the warning buzzer Prerequisites: • The menu Room settings > > tab Gas & Power is open. Procedure: 1. Touch Warning Buzzer OFF 1 . Ø The warning buzzer is switched off. Ø In the event of another alarm, the warning buzzer will sound again. 1 Fig. 143: 124 / 206 Switching off the warning buzzer 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Menu: Direct access Menu item: Remote client 6.3 6 Menu item: Remote client DA N GE R ! Risk of injury! Screen content is not synchronised. An animated symbol illustrates an active connection. Ensure that the screen content displayed is current (animated symbol is active) and corresponds to actual circumstances. NO T IC E With TEGRIS, multiple remote systems may be licensed at the same time. In this case, when opening the REMOTE CLIENT, one of the systems with which the VNC connection is established must be selected. NO T IC E To ensure images are displayed continuously, even if the Tegris system has an outage, always connect the endoscopy camera to another monitor independent of Tegris. The menu item Remote Client can be used to remotely control external products approved by Maquet with a VNC interface. Conditions: • The external product is approved by Maquet for use via this function. • The external product is touchscreen capable. • The external product is equipped with a VNC server software. • The external product is switched on. 6.3.1 Establish the connection to a third-party system via Remote Client 1 2 Prerequisites: • The Direct Access menu is open. Procedure: 1. Touch the Remote Client 1 menu item. Ø A window will be displayed with all licensed remote systems. Fig. 144: Connect the remote client 2. Touch the desired remote system 2 button. Ø The VNC connection is established to the desired remote system. Ø Once the VNC connection is established, the user interface of the remote system is displayed. Ø An animated symbol signals an active connection. 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 125 / 206 6 Menu: Direct access Menu item: Remote client If the connection fails: 1. End the procedure using Back 3 . 2. Re-establish the connection to a remote system via [Remote Client]. The system cannot be operated while the connection is being established. The Back button is greyed out. 3 Fig. 145: 6.3.2 Interface of remote system Erbe Disconnect the connection to a third-party system via Remote Client Prerequisites: • The connection to a remote system is established via Remote Client. Procedure: 1. Touch Back 1 . Ø The connection is terminated. Ø The window will be closed. 1 Fig. 146: 126 / 206 Disconnecting the Remote Client Erbe 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Menu: Direct access Menu item: Cameras 6.4 6 Menu item: Cameras The room camera can be operated in the menu item Cameras. 6.4.1 Overview of the menu: Cameras 2 1 3 Fig. 147: 6.4.2 Overview: Cameras menu item 1 Display and selection of connected cameras 2 Camera image of the currently selected camera 3 Buttons for operating the currently selected camera (camera-dependent) Setting the camera NO T IC E The connected cameras have different functions. Depending on the camera selected, some of the functions described below may not be available. Prerequisites: • The Cameras menu is open. Key Tab. 8: 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Name Description Left Camera is swivelled to the left. Right Camera is swivelled to the right. Up Camera is swivelled upwards. Down Camera is swivelled downwards. Setting the camera 127 / 206 6 Menu: Direct access Menu item: Cameras Key Tab. 8: 128 / 206 Name Description Zoom out Image of the camera is zoomed out. Zoom in Image of the camera is zoomed in. Rotation left Camera rotates to the left. Rotation right Camera rotates to the right. Increase focus Focus is increased. Decrease focus Focus is reduced. Automatic focus The focus is set automatically. Increase brightness The brightness of the image is increased. Decrease brightness Brightness of the image is reduced. Automatic brightness The brightness is set automatically. Automatic white balance The brightest part of the image is determined as the reference point for the colour white. Manual white balance A previously set white balance is restored. Save setting Current camera settings can be saved to a memory location (e.g. memory location P1). Storage place P1 The camera setting is saved to storage place P1. The camera setting is saved accordingly for all other memory locations. Reset The camera is set to the basic position. Contrast The contrast is changed. Film freeze Video recording is paused and the current video image is displayed as a still image. To continue recording the video, touch the button again. Camera ON / OFF Depending on the status, the camera is switched on or off. Setting the camera 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Menu: Direct access Menu item: Audio Key Tab. 8: 6 Name Description Decrease menu Only the most important camera operating buttons are shown. Expand menu All camera operation buttons are displayed. Setting the camera 6.5 Menu item: Audio 6.5.1 Prioritisation of audio output The output of audio sources to loudspeakers is implemented with the following priority: 1. Video conference 2. Audio return channel (streaming) 3. AUX The output of a source with low priority is interrupted in favour of a source with a higher priority. 6.5.2 Overview of the menu: Audio AUX 2 1 3 4 5 6 Fig. 148: Overview of the menu: Audio Aux 1 AUX 1 ON / OFF 4 AUX 2 ON / OFF 2 AUX Volume 1 slide control 5 AUX Volume 2 slide control 3 Mute 6 Mute 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 129 / 206 6 Menu: Direct access Menu item: Audio 6.5.3 Overview of the menu: Audio Microphone 9 1 5 3 7 11 2 10 6 4 12 13 8 15 14 16 Fig. 149: 6.5.4 Overview of the [Audio] menu item 1 Recorder -1: Microphone 1 ON / OFF 9 2 Recorder -1: Microphone 2 ON / OFF 10 Recorder -2: Microphone 2 ON / OFF 3 Recorder -1: MIC Level slide control 11 Recorder -2: MIC Level slide control 4 Recorder -1: Mute MIC 12 Recorder -2: Mute MIC 5 Streamer-1: Microphone 1 ON / OFF 13 Communication: Microphone 1 ON / OFF 6 Streamer-1: Microphone 2 ON / OFF 14 Communication: Microphone 2 ON / OFF 7 Streamer-1: MIC Level slide control 15 Communication: MIC Level slide control 8 Streamer-1: Mute MIC 16 Communication: Mute MIC Recorder -2: Microphone 1 ON / OFF Adjusting the microphone 1 2 The setting process is identical for microphones 1 and 2. Prerequisites: • The Audio menu is open. • Streaming and recording are not active. 3 Fig. 150: 130 / 206 Adjusting the microphone 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Menu: Direct access Menu item: Audio 6 Switch on microphone - Switch over microphone 1. Touch the selection box 1 next to the required microphone. Ø The microphone is switched on. Ø The check in the selection box lights up in green. Ø If a microphone was already switched on: The initially switched on microphone is switched off and the associated tick goes out. Switching the microphone off 1. Touch the selection box 1 next to the microphone. Ø The microphone is switched off. Ø The tick in the check box goes out. Adjusting the microphone level 1. Switch the microphone on. 2. Adjust the volume control 2 as required. Ø The microphone level is changed. Muting the microphone 1. Touch Mute MIC 3 . Ø The microphone is set to mute. Ø The button display switches from Mute MIC to MIC On. or 2. Touch MIC ON 3 . Ø The microphone is switched on. Ø The button display switches from MIC On to Mute MIC. 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 131 / 206 6 Menu: Direct access Menu item: Audio 6.5.5 Adjusting the auxiliary input Prerequisites: • The Audio menu is open. Switching the auxiliary input on 1. Touch the selection box 1 next to the auxiliary input. 1 Ø The auxiliary input is switched on. 2 Ø The check in the selection box lights up in green. 3 Fig. 151: Adjusting the auxiliary input Switching the auxiliary input off 1. Touch the selection box 1 next to the auxiliary input. Ø The auxiliary input is switched off. Ø The tick in the check box goes out. Adjusting the volume auxiliary input 1. Switch the auxiliary input on. 2. Adjust the volume control 2 as required. Ø The volume is changed. Muting the auxiliary input 1. Touch Mute AUX 3 . Ø The auxiliary input is set to mute. Ø The button display switches from Mute AUX to AUX on. or 2. Touch AUX on 3 . Ø The auxiliary input is switched on. Ø The button display switches from Mute On to Mute AUX. 132 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Menu: Direct access Menu item: OR light operation 6.6 6 Menu item: OR light operation NO T IC E Observe the operating instructions of the OR lights. NO T IC E If the integrity or configuration test is not successful, or if no communication could be initiated with the OR lights, the OR light must be operated via its control panel. In the menu item, [OR Light Control] and depending on the configuration, the following OR lights may be set and operated: • Up to three Maquet OR lights: – PowerLED 300 / HLED 300 – PowerLED 500 / HLED 500 – PowerLED 700 / HLED 700 – PowerLED II 500 – PowerLED II 700 • Up to four Maquet OR lights: – VOLISTA 400 – VOLISTA 600 – VOLISTA 400 ACCESS – VOLISTA 600 ACCESS 6.6.1 Overview: Operation of PowerLED 300 / 500 / 700 and HLED 300 / 500 / 700 NO T IC E Up to three control panels may be integrated in the [OR Light Control] menu item, depending on the number of PowerLEDs used. The control panels are labelled with the symbols triangle, square and circle in order to differentiate them. The connection OR lights must be labelled with the supplied symbol stickers. NO T IC E PowerLED lights can always be operated via their own control panel, regardless of whether they are connected via the TEGRIS system. 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 133 / 206 6 Menu: Direct access Menu item: OR light operation 1 4 5 7 6 2 3 Fig. 152: 6.6.1.1 Overview: Operation Power LED 1 Identification: [Circle] control panel for OR light 2 Identification: [Square] control panel for OR light 6 Reducing light intensity 3 Identification: [Triangle] control panel for OR light 7 Increasing light intensity 4 ON / OFF 5 Switching lighting OR light ON/OFF 1 The OR Light Control menu can be used to switch the connected PowerLEDs on or off. If the OR light is switched off on the control panel, the OR light is switched to standby mode. Prerequisites: • The OR light operation menu is opened. OR light ON 1. Touch Standby 1 . Ø The OR light is switched on. Fig. 153: 134 / 206 OR light ON/OFF Ø The LED on the Standby button is lit. 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Menu: Direct access Menu item: OR light operation 6 OR light OFF 1. Touch Standby 1 . Ø A query window is displayed. 2. Confirm the query. Ø The OR light is switched to standby mode. Ø The LED on the Standby button turns off. 6.6.1.2 Switching lighting 1 The user can switch between the [Standard OR lighting] and [Ambient lighting] modes in the sub-menu OR Light Control. The PowerLED 700 / HLED 700 can also be used to set the [AIM] mode. Prerequisites: • The OR light operation menu is opened. Switch the lighting to Ambient Illumination: 1. Touch Switch Lighting 1 briefly. Ø A query window is displayed. Fig. 154: Switching lighting 2. Confirm the query. Ø The OR light switches to [Ambient illumination] mode. Switch the illumination to [Standard]: 1. In [Ambient Illumination] mode: Briefly touch Switch Lighting 1 . In [AIM] mode: Touch Switch Lighting 1 for approximately 3 seconds. Ø A query window is displayed. 2. Confirm the query. Ø The OR light switches to [Standard] mode. For PowerLED 700 / HLED 700: Switch the illumination to [AIM]: 1. In [Standard] mode: Touch Switch Lighting 1 for approximately 3 seconds. In [Ambient Illumination] mode: Briefly touch Switch Lighting 1 to switch to [Standard] mode and then touch the Switch Lighting button once again for approximately 3 seconds. Ø A query window is displayed. 2. Confirm the query. Ø The OR light is switched to [AIM] mode. 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 135 / 206 6 Menu: Direct access Menu item: OR light operation 6.6.1.3 Adjusting the light intensity Adjusting the light intensity Prerequisites: • The OR light operation menu is opened. 3 2 1 Procedure: 1. Touch Increase Light Intensity 1 . Ø The intensity of the OR light is increased. Ø The status of the light intensity is indicated in the Light Intensity 2 display. Fig. 155: Adjusting the light intensity 2. Touch Reduce Light Intensity 3 . Ø The intensity of the OR light is reduced. Ø The status of the light intensity is indicated in the Light Intensity 2 display. Setting the Boost function Prerequisites: • The OR light operation menu is opened. • The OR light is in Standard mode. • The lightening intensity is increased to maximum position (all LEDs on the Lighting Intensity display light up. Procedure: 1. Touch Increase Light Intensity 1 for approx. 3 seconds. Ø The Boost function is activated. Ø The word [Boost] is illuminated above the Light Intensity 2 display. Ending the Boost function The boost function can be ended by pressing Reduce Lighting Intensity 3 or by changing the mode. 136 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Menu: Direct access Menu item: OR light operation 6.6.2 6 Overview: Operation of PowerLED II 500 / 700 NO T IC E Up to three control panels may be integrated in the [OR Light Control] menu item, depending on the number of PowerLEDs II used. The control panels are numbered in order to differentiate them. These numbers are also shown on the light arms. NO T IC E PowerLED lights can always be operated via their own control panel, regardless of whether they are connected via the TEGRIS system. 4 5 1 6 7 2 3 8 9 Fig. 156: Overview: Operation of PowerLED 1 Identification: Control panel for OR light 1 6 Reduce / increase light intensity 2 Identification: Control panel for OR light 2 7 Enlarge/minimise the light field diameter 3 Identification: Control panel for OR light 3 8 Ambient Illumination colour selection 4 ON / OFF 9 5 Switching lighting Synchronisation display and setting with the other connected OR lights 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 137 / 206 6 Menu: Direct access Menu item: OR light operation 6.6.2.1 OR light ON/OFF The OR Light Control menu can be used to switch the connected PowerLEDs on or off. If the OR light is switched off on the control panel, the OR light is switched to standby mode. 1 Prerequisites: • The OR light operation menu is opened. OR light ON 1. Touch Standby 1 . Ø The OR light is switched on. Ø The LED on the Standby button is lit. OR light OFF 1. Touch Standby 1 . Fig. 157: Ø A query window is displayed. OR light ON/OFF 2. Confirm the query. Ø The OR light is switched to standby mode. Ø The LED on the Standby button turns off. 6.6.2.2 Switching lighting The user can switch between the [Standard] (OR lighting), [Ambient lighting] and [AIM] modes in the sub-menu OR Light Control. 1 2 3 Prerequisites: • The OR light operation menu is opened. Switch the illumination to [Standard]: 1. Touch Standard 1 briefly. Ø The OR light switches to [Standard] mode. Switch the illumination to [Ambient Illumination]: 1. Touch Ambient Illumination 2 briefly. Fig. 158: Switching lighting Ø The OR light switches to [Ambient illumination] mode. Switch the illumination to [AIM]: 1. In Standard mode: Touch AIM 3 . Ø The OR light is switched to [AIM] mode. 138 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Menu: Direct access Menu item: OR light operation 6.6.2.3 6 Adjusting the light intensity Adjusting the light intensity 3 2 1 Prerequisites: • The OR light operation menu is opened. Procedure: 1. Touch Increase Light Intensity 1 . Ø The intensity of the OR light is increased. Ø The status of the light intensity is indicated in the Light Intensity 2 display. 2. Touch Reduce Light Intensity 3 . Ø The intensity of the OR light is reduced. Ø The status of the light intensity is indicated in the Light Intensity 2 display. Fig. 159: Adjusting the light intensity Setting the Boost function Prerequisites: • The OR light operation menu is opened. • The OR light is in Standard mode. • The lightening intensity is increased to maximum position (all LEDs on the Lighting Intensity display light up. Procedure: 1. Touch Increase Light Intensity 1 for approx. 3 seconds. Ø The Boost function is activated. Ø The word [Boost] is illuminated above the Light Intensity 2 display. Ending the Boost function The boost function can be ended by pressing Reduce Lighting Intensity 3 or by changing the mode. 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 139 / 206 6 Menu: Direct access Menu item: OR light operation 6.6.2.4 Adapting the light field diameter In standard mode, the light field diameter of the OR lights can be adjusted in the OR Light Control sub-menu. Prerequisites: • The OR light operation menu is opened. 2 Adapting the light field diameter 1. In the light field diameter field 1 use the buttons - or + 2 to reduce or increase the light field diameter. 1 3 Ø The light field diameter of the OR light is adjusted. Ø The status of the light field diameter is indicated in the Light Field Diameter 3 display. Fig. 160: 6.6.2.5 Adapting the light field diameter Activate comfort light In standard mode, the comfort light for the lights can be adjusted in the OR Light Control sub-menu. Prerequisites: • The OR light operation menu is opened. Activate / deactivate comfort light 1. Touch Comfort light 1 . Ø The comfort light is activated. 2. Touch Comfort light 1 again. 1 Fig. 161: 140 / 206 Ø The comfort light is deactivated. Adapting the light field diameter 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Menu: Direct access Menu item: OR light operation 6.6.2.6 6 Selecting the light colour In standard mode, the colour of the OR lights can be adjusted in the OR Light Control submenu. 3 Prerequisites: • The OR light operation menu is opened. Setting the light colour 1. In the Light colour field 1 , use the arrows 2 to select the desired colour. 1 2 Fig. 162: 6.6.2.7 Ø The OR light will switch to the desired colour. Selecting the light colour Synchronising OR lights NO T IC E When switching an OR light off, or changing in the [Ambient Illumination] mode, any existing synchronisation will automatically be ended. As a result the synchronisation function can no longer be used to switch all OR lights off at the same time or put them into [Ambient Illumination] mode. In the [Ambient Illumination] mode, the synchronisation function is not available. In the OR Light Control sub-menu, multiple OR lights may be synchronised with one another. This enables the synchronised OR lights to be set using just one display and setting area. In the example below, OR light 1 2 is synchronised with OR light 2 3 . 3 Prerequisites: • The OR light operation menu is opened. Synchronising OR lights 2 2. In the [Synchronisation] field 1 touch button for the OR light 2 to be synchronised. 1 Fig. 163: 1. Select the display and setting area of the OR lights 3 that are to be synchronised with other OR lights. Synchronising OR lights Ø The selected OR light is synchronised and the button is highlighted. Terminating the synchronisation 1. The synchronisation may be terminated by touching the button of the synchronised OR light again or by changing the mode. 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 141 / 206 6 Menu: Direct access Menu item: OR light operation 6.6.3 Overview: Operation OR light VOLISTA NO T IC E Depending on the number of connected VOLISTA lights, up to four control panels are integrated in the [OR Light Control] menu item. The control panels are numbered in order to differentiate them. These numbers are also shown on the light arms. NO T IC E VOLISTA lights can always be operated via their own control panel, regardless of whether they are connected via the TEGRIS system. 1 2 3 4 5 6 7 8 9 10 Fig. 164: Overview: Operation OR light VOLISTA 1 Display and setting area for 1 OR light 6 2 Number of the OR light (corresponds to the number on the arm of the OR light) Display illumination intensity with settings +/- 7 Display light field diameter with settings + / - 3 On/Off with status display 8 4 Volista VisioNIR (optional with VSTII) Display colour temperature with settings 3900 / 4500 / 5100 5 Select Mode 9 Display Volista VisioNIR Boost with settings ON/OFF 10 Synchronisation display and setting with the other connected OR lights 142 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Menu: Direct access Menu item: OR light operation 6.6.3.1 6 OR light ON/OFF Operation of the VOLISTA is explained using the control panel OP-Light 1. The connected VOLISTA lights can be switched on or off in the OR Light Control sub-menu. If the OR light is switched off on the control panel, the OR light is switched to standby mode. 1 2 Prerequisites: • The OR light operation menu is opened. OR light ON 1. Touch Standby 1 . Ø The OR light is switched on. Ø The LED on the Standby button is lit. OR light OFF Fig. 165: 1. Touch Standby 1 . OR lights ON/OFF Ø The query window is displayed for approximately 10 seconds. 2. Confirm the query with OK 2 . Ø The OR light is switched to standby mode. Ø The LED on the Standby button turns off. 6.6.3.2 Switching lighting The user can switch between the [Standard] (OR lighting), [Ambient lighting] and [AIM] modes in the sub-menu OR Light Control. 1 2 3 4 Prerequisites: • The OR light operation menu is opened. Switch the illumination to [Ambient Illumination]: 1. Touch Ambient Illumination 2 briefly. Ø The OR light switches to [Ambient illumination] mode. Switch the illumination to [Standard]: 1. Touch Standard 1 briefly. Fig. 166: 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Switching lighting Ø The OR light switches to [Standard] mode. 143 / 206 6 Menu: Direct access Menu item: OR light operation Switch the illumination to [AIM]: 1. In Standard mode: Touch AIM 3 . In [Ambient Illumination] mode: Switch to [Standard] 1 mode and then touch AIM. Ø The query window is displayed for approximately 10 seconds. 2. Confirm the query with OK 4 . Ø The OR light is switched to [AIM] mode. 6.6.3.3 Adjusting the light intensity In the OR Light Control sub-menu, the intensity of the OR lights can be adjusted. 2 3 4 Adjusting the light intensity Prerequisites: • The OR light operation menu is opened. 1 Procedure: 1. In the Light Intensity field 1 , touch + 4 . Ø The intensity of the OR light is increased. Ø The status of the light intensity is indicated in the [Light Intensity] 3 display. 2. In the Light Intensity field 1 , touch - 2 . Ø The intensity of the OR light is reduced. Fig. 167: Adjusting the light intensity Ø The status of the light intensity is indicated in the Light Intensity 3 display. Setting the Boost function (for VOLISTA 600) Prerequisites: • The OR light operation menu is opened. • The OR light is in [Standard] mode. • The lighting intensity is set to the highest level. Procedure: 1. In the Lighting Intensity 1 field, touch + 4 for approx. 3 seconds. Ø The Boost function is activated. Ø The top LED of the Lighting Intensity display flashes as long as the boost function is active. 144 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Menu: Direct access Menu item: OR light operation 6 Ending the Boost function (for VOLISTA 600) The boost function can be terminated by touching 1 - 2 in the Lighting Intensity field or by changing the mode. 6.6.3.4 Adapting the light field diameter In standard mode, the light field diameter of the OR lights can be adjusted in the OR Light Control sub-menu. Prerequisites: • The OR light operation menu is opened. 2 Adapting the light field diameter 1. In the light field diameter field 1 use the buttons - or + 2 to reduce or increase the light field diameter. 1 3 Ø The light field diameter of the OR light is adjusted. Ø The status of the light field diameter is indicated in the Light Field Diameter 3 display. Fig. 168: 6.6.3.5 Adapting the light field diameter Setting the light temperature In the OR Light Control sub-menu, the light temperature of the OR lights can be set to 3 levels: 3900 K 2 , 4500 K 3 and 5100 K 4 . Prerequisites: • The OR light operation menu is opened. Procedure: 2 3 4 1. Touch the required light temperature in the Light Temperature 1 field. Ø The require light temperature position is set. 1 Fig. 169: 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Setting the light temperature 145 / 206 6 Menu: Direct access Menu item: OR light operation 6.6.3.6 Synchronising OR lights NO T IC E When switching an OR light off, or changing in the [Ambient Illumination] mode, any existing synchronisation will automatically be ended. As a result the synchronisation function can no longer be used to switch all OR lights off at the same time or put them into [Ambient Illumination] mode. In the [Ambient Illumination] mode, the synchronisation function is not available. In the OR Light Control sub-menu, multiple OR lights may be synchronised with one another. This enables the synchronised OR lights to be set using just one display and setting area. In the example below, OR light 1 2 is synchronised with OR light 2 3 . 3 Prerequisites: • The OR light operation menu is opened. Synchronising OR lights 2 1 Fig. 170: Synchronising OR lights 1. Select the display and setting area of the OR lights 3 that are to be synchronised with other OR lights. 2. In the [Synchronisation] field 1 touch button for the OR light 2 to be synchronised. Ø The selected OR light is synchronised and the button is highlighted. Terminating the synchronisation 1. The synchronisation may be terminated by touching the button of the synchronised OR light again or by changing the mode. 6.6.3.7 Volista VisioNIR (optional with VSTII) With the VisioNIR function, the corresponding light is displayed in the settings area instead of the standard NIR symbol. The following functions can be set in NIR mode: • Light intensity [8 Page 144] • Light field diameter [8 Page 145] • Light temperature [8 Page 145] • VisioNIR Boost [8 Page 147] 146 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Menu: Direct access Menu item: OR table control 6 Switching the VisoNIR Boost function on / off 1. Press VisioNIR Boost 1 to switch on the VisioNIR Boost function. Ø The button will now be illuminated blue. 2. Press VisioNIR Boost 1 to switch off the VisioNIR Boost function. 1 Fig. 171: Switching the VisoNIR Boost function on / off NO T IC E In most cases, when using a fluorescence camera with indocyanine green in conjunction with the standard mode of the Volista VisioNIR treatment light, only minor disruptions of the fluorescence signal will occur. In case of a weak signal or to improve contrast on the screen, the settings can be optimised with the VisioNIR Boost function. This will automatically set the lights to a colour temperature of 5100 K and the LEDs for the interior segment of the Volista 600 treatment light will be switched off. 6.7 Menu item: OR table control DA N GE R ! Potentially fatal! Danger resulting from improper handling. Always observe the instructions for use for the OR table. WAR N I NG ! Risk of injury! If the setting for the patient orientation and / or the patient position is not correct, this may cause unintentional table top adjustments during use. Check the patient orientation and / or patient position before use. 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 147 / 206 6 Menu: Direct access Menu item: OR table control WAR N I NG ! Risk of injury! When adjusting, moving or storing the OR table / table top, the staff, the patient and the accessories are exposed to pinching and shearing hazards, particularly in the area around the joints at the head rest, back and leg plates. Always ensure that no one can be subjected to pinching or shearing action or injured in any other way and that the accessories do not collide with any nearby objects. WAR N I NG ! Risk of injury! When adjusting and moving the OR table, the transporter, the table top or the accessories, as well as when carrying out a table top transfer, collisions may occur between the patient and individual products or parts that are pointing downwards. During adjustments, observe the OR table, the transporter, the table top and accessories constantly and avoid collisions. Ensure that tubes, cables and drapes are not trapped. NO T IC E Status messages of the control devices are not shown by TEGRIS. For this reason, a control device (IR remote control or corded hand control) of the OR table must always be available. NO T IC E The transmission power for the IR transmitter is sufficient to adjust the draped OR table from a greater distance. If the desired adjustment is not executed by the OR table, even though a button is pressed, then you should re-aim the IR transmitter or change your position slightly. It may be that the IR receiver on the column is blocked (by a person, for instance). The OR Table Control menu item can be used to integrate and operate the following OR tables in TEGRIS: • MAGNUS (1180.01XX) • OTESUS (1160.01XX) • ALPHAMAQUET (1150.01XX / 1150.02XX) • YUNO OTN (1433.01XX) • YUNO II (1433.02XX) • BETASTAR (1131.12XX) • ALPHASTAR (1132.11XX / 1132.12XX / 1132.13XX / 1132.17XX / 1132.21XX / 1132.22XX) • ALPHAMAXX (1133.12XX / 1133.22XX) • MEERA (7200.01XX) • MEERA CL (7000.01XX) • MEERA ST (7100.01XX) 148 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Menu: Direct access Menu item: OR table control 6.7.1 6 Overview of the menu: OR table control 2 5 4 3 1 Fig. 172: 6.7.2 Overview of the menu: OR table control 1 Release 4 Select OR Table / Display OR table model 2 Control device for OR table 5 Safety note 3 Setting the IR code Setting the IR code The IR Code sub-menu is used to set the IR code of the operating table. Due to the electronic coding, the operating table control is uniquely assigned to an OR table. The IR code of the OR table is indicated on the column of the operating table and on the display of the original control device of the MAGNUS operating table. 1 5 Prerequisites: • The OR table operation menu is open. Procedure: 1. Touch Set IR code 1 . Ø The Set IR Code sub-menu opens. Fig. 173: Setting the IR code 2. Enter the two-digit IR code of the OR table using the 1 - F 2 buttons. Ø The IR code is shown in the display 3 . 3. Touch the enter button 4 . Ø IR code is adopted. Ø The Set IR Code sub-menu is closed. 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 149 / 206 6 Menu: Direct access Menu item: OR table control 4. Check by pressing a button (e.g. Patient up 5 button) that the IR code and operating table match. 3 Ø The operating table executes the corresponding adjustment. 2 Ø OR table is operational. 4 Fig. 174: Keyboard: Setting the IR code Special buttons in the sub-menu Set IR Code Delete Input 1. Touch Delete Input 1 . 2 Ø The entry on the display 2 is deleted. 1 Delete Code 1. Touch Delete Code 3 . 3 Ø The current code is deleted. Ø A new code can be entered. Fig. 175: 150 / 206 Special buttons in the sub-menu Set IR Code 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Menu: Direct access Menu item: OR table control 6.7.3 6 Selecting the OR table NO T IC E Both the OR table MEERA (7200.01XX) and MEERA CL (7000.01XX) as well as MEERA ST (7100.01XX) can be selected using the MEERA button. NO T IC E Both the OR table YUNO OTN (1433.01XX) and the OR table YUNO II (1433.02XX) can be selected using the YUNO button. Prerequisites: • The OR table operation menu is open. Procedure: 1 1. Touch Select OR Table 1 . Ø A drop down list of OR tables is displayed. 2. Touch the desired OR table. Ø The OR table is selected, and the operating interface of the OR table is displayed. Fig. 176: 6.7.4 Selecting the OR table Release OR table control NO T IC E The operating table control is enabled immediately after opening the operating table control. After a fixed time has elapsed without any action, the operating table control is blocked again. The operating table control can be enabled for approx. 10 seconds by pressing the Release button. Prerequisites: • The OR table operation menu is open. Procedure: 1. Touch Release 1 . Ø The OR table control is released for approximately 10 seconds. 2. Touch the desired button. Ø The function is executed. 1 Fig. 177: 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Release OR table control 151 / 206 6 Menu: Direct access Menu item: OR table control 6.7.5 Menu item: MAGNUS OR table control NO T IC E The following hand control functions are not integrated in the OR Table Control MAGNUS: • Display of the status bar (e. g. patient orientation) • Display of patient positioning • Display of operating notes and status messages • Special control functions (e. g. patient positioning, operating table lock). To display and perform the above functions, always provide an OR table control device. 6 2 5 4 3 1 Fig. 178: 152 / 206 Overview of the MAGNUS OR Table Control menu item 1 Release 4 Set IR Code sub-menu 2 Opening the sub-menu 5 Select OR Table sub-menu 3 Menu Functions sub-menu 6 Safety note 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Menu: Direct access Menu item: OR table control 6.7.5.1 6 Switching leg side The Switch Leg Side button is used to set the adjustment mode for the leg plates. Prerequisites: • The OR table operation menu is open. • A MAGNUS OR table is selected. Switch Right Leg Side 4 2 5 3 6 1. If the user interface is blocked: Touch Release 1 . Ø The buttons are released for approximately 10 seconds. 2. Touch Switch Right Leg Side 2 . Ø The status LED for the right leg side 3 is illuminated. 1 Switch Left Leg Side 1. If the user interface is blocked: Touch Release 1 . Fig. 179: Switching leg side Ø The buttons are released for approximately 10 seconds. 2. Touch Switch Left Leg Side 2 . Ø The status LED for the left leg side 5 is illuminated. Switch Both Leg Sides 1. If the user interface is blocked: Touch Release 1 . Ø The buttons are released for approximately 10 seconds. 2. Touch Switch Both Leg Sides 6 . Ø The status LED for the right leg side 3 is illuminated. Ø The status LED for the left leg side 5 is illuminated. 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 153 / 206 6 Menu: Direct access Menu item: OR table control 6.7.5.2 Sub-menu: Menu functions MAGNUS OR table Various OR table control functions are integrated in the Menu Functions 1 sub-menu. The Menu Functions sub-menu is opened or closed using Open Menu 2 . 2 1 Prerequisites: • The OR table operation menu is open. • MAGNUS OR table is selected. Procedure: 3 1. If the user interface is blocked: Touch Release 3 . Ø The buttons are released for approximately 10 seconds. Fig. 180: Sub-menu: Menu functions MAGNUS OR table 2. Touch Open Menu 2 . Ø Sub-menu Menu Functions is opened and the operating functions of the submenu are active. 3. Touch and hold the desired operating function until the desired position is reached. Ø The control function is executed. 4. Touch Open Menu 2 . Ø The Menu Functions sub-menu is closed. 6.7.6 Menu item: OTESUS OR table control NO T IC E The following hand control functions are not integrated in the OR Table Control OTESUS: • Display of the status bar (e. g. patient orientation) • Display of operating notes and status messages • Special control functions (e. g. operating table lock). To display and perform the above functions, always provide an OR table control device. 154 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Menu: Direct access Menu item: OR table control 7 6 3 2 6 4 2 5 1 Fig. 181: Overview: OTESUS OR Table Control menu item 1 Release 5 Set IR Code sub-menu 2 Scroll OR Table Positions 6 Select OR Table sub-menu 3 OR table positions 7 Safety note 4 Display IR Code Button OR table position 1 2 Position BEACH CHAIR 1 Position BACK HORIZONTAL 2 2 Position FLEX 1 Position REFLEX 2 1 1 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 2 Transverse shift right 1 Transverse shift left 2 155 / 206 6 Menu: Direct access Menu item: OR table control Button OR table position 1 1 6.7.6.1 Patient positions (not integrated in TEGRIS) 1 Examination position 2 2 2 Transfer position CT 1 in conjunction with transfer table top Transfer position MRI 2 in conjunction with transfer table top Setting the OR table positions The OR table positions 1 are integrated in TEGRIS and can be displayed and selected using the buttons Scroll OR Table Positions 2. 2 1 Prerequisites: • The menu Direct Access > OR Light Control is open. • The OTESUS OR table is selected. Setting the OR table positions 1. If the user interface is blocked: Touch Release 3 . Ø The buttons are released for approximately 10 seconds. 3 2. Press and hold Scroll OR Table Positions 2 until the desired OR table position is displayed. Fig. 182: OR table positions 3. Touch and hold the desired operating table position until the desired position is reached. Ø The adjustment of the OR table will be executed. 156 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Menu: Direct access Menu item: OR table control 6.7.7 6 Menu item: ALPHAMAQUET OR table control 5 3 2 4 1 Fig. 183: 6.7.7.1 Menu item: ALPHAMAQUET OR Table Control 1 Release 4 Display IR Code 2 Set IR Code sub-menu 5 Safety note 3 Select OR Table sub-menu Individual adjustment of left/right leg plate The left or right leg plate can be individually adjusted using left 2 and right 3 . Prerequisites: • The OR table operation menu is open. • An ALPHAMAQUET OR table is selected. 2 4 3 5 Procedure: 1. If the user interface is blocked: Touch Release 1 . Ø The buttons are released for approximately 10 seconds. 2. Touch Left 2 or Right 3 . 1 Ø The left or right leg plate is selected and indicated on the touchscreen by the activated button on the left or right. Fig. 184: Individual adjustment of left/right leg plate 3. Touch Leg Plates Down 4 orLeg Plates Up 5 . Ø The selected leg plate will be raised or lowered. 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 157 / 206 6 Menu: Direct access Menu item: OR table control 6.7.8 Menu item: YUNO OR table control 6 2 5 4 3 1 Fig. 185: 6.7.8.1 Menu item: YUNO OR table control 1 Release 4 Set IR Code sub-menu 2 Open the menu 5 Select OR Table sub-menu 3 Menu Functions sub-menu 6 Safety note Switching leg side With Switch Leg Side, you can set the adjustment mode for the pair of leg plates. Prerequisites: • The OR table operation menu is open. • Use the Select OR Table sub-menu to select the YUNO OR table. 2 Switch Right Leg Side 6 4 5 3 1. If the user interface is blocked: Touch Release 1 . Ø The buttons are released for approximately 10 seconds. 2. Touch Switch Right Leg Side 2 . 1 Fig. 186: 158 / 206 Ø The status LED for the right leg side 3 is illuminated. Switching leg side 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Menu: Direct access Menu item: OR table control 6 Switch Left Leg Side 1. If the user interface is blocked: Touch Release 1 . Ø The buttons are released for approximately 10 seconds. 2. Touch Switch Left Leg Side 2 . Ø The status LED for the left leg side 5 is illuminated. Switch Both Leg Sides 1. If the user interface is blocked: Touch Release 1 . Ø The buttons are released for approximately 10 seconds. 2. Touch Switch Both Leg Sides 6 . Ø The status LED for the right leg side 3 is illuminated. Ø The status LED for the left leg side 5 is illuminated. 6.7.8.2 Sub-menu: Menu functions YUNO OR table Various OR table control functions are integrated in the Menu Functions 1 sub-menu. The Menu Functions sub-menu is opened or closed with the Open Menu 2 button. 2 1 3 Fig. 187: Sub-menu: Menu functions YUNO OR table Prerequisites: • The OR table operation menu is open. • Use the Select OR Table sub-menu to select the YUNO OR table. Open/Close sub-menu Menu Functions 1. If the user interface is blocked: Touch Release 3 . Ø The buttons are released for approximately 10 seconds. 2. Touch Open Menu 2 . Ø Sub-menu Menu Functions is opened and the operating functions of the submenu are active. 3. Touch and hold the desired operating function until the desired position is reached. Ø The control function is executed. 4. Touch Open Menu 2 . Ø The Menu Functions sub-menu is closed. 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 159 / 206 6 Menu: Direct access Menu item: OR table control 6.7.9 Menu item: ALPHAMAXX OR table control 4 3 5 2 1 Fig. 188: 6.7.9.1 Overview: ALPHAMAXX OR Table Control menu item 1 Release 4 Safety note 2 Set IR Code sub-menu 5 Display IR Code 3 Select OR Table sub-menu Individual adjustment of left/right leg plate The left or right leg plate can be individually adjusted using left 2 and right 3 . Prerequisites: • The OR table operation menu is open. • The ALPHAMAXX operating table is selected via the Select OR table sub-menu. 2 4 3 Procedure: 1. If the user interface is blocked: Touch Release 1 . 5 Ø The buttons are released for approximately 10 seconds. 2. Touch Left 2 or Right 3 . Ø The left or right leg plate is selected and indicated on the touchscreen by the activated button on the left or left. 1 Fig. 189: 160 / 206 Individual adjustment of left/right leg plate 3. Touch Leg Plates Down 4 or Leg Plates Up 5 . Ø The selected leg plate will be raised or lowered. 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Menu: Direct access Menu item: OR table control 6.7.10 6 Menu item: ALPHASTAR OR table control 4 3 2 5 1 Fig. 190: Overview: ALPHASTAR OR Table Control menu item 1 Release 4 Safety note 2 Set IR Code sub-menu 5 Display IR Code 3 Select OR Table sub-menu 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 161 / 206 6 Menu: Direct access Menu item: OR table control 6.7.11 Menu item: BETASTAR OR table control 4 3 2 5 1 Fig. 191: 162 / 206 Overview: BETASTAR OR Table Control menu item 1 Release 4 Select OR Table sub-menu 2 Figure showing the BETASTAR control device 5 Safety note 3 Set IR Code sub-menu 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Menu: Direct access Menu item: OR table control 6.7.12 6 Menu item: MEERA OR table control NO T IC E The following hand control functions are not integrated in the OR Table Control MAGNUS menu item: • Display of the status bar (e. g. patient orientation) • Display of operating notes and status messages Use the OR table control device to display and execute the functions. 4 3 2 5 1 Fig. 192: Overview: MEERA OR Table Control menu item 1 Release 4 Select OR Table sub-menu 2 Figure MEERA control device 5 Safety note 3 Set IR Code sub-menu 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 163 / 206 6 Menu: Direct access Menu item: OR table control 6.7.13 STOP button NO T IC E The stop switch can be used to immediately stop adjustment of the OR table. Test the function of the stop switch weekly. NO T IC E If the connection cable of the STOP button (1703.72A0) integrated on the touchscreen [8 Page 165] or the IR transmitter [8 Page 42] is not connected, or the STOP button has been pressed, a message will appear on the touchscreen asking you to plug in the connector or unlock the stop button when the risk has been eliminated. NO T IC E A touchscreen may only be operated with a stop switch. With more than one touchscreen, each touchscreen must be fitted with a stop switch. 164 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Menu: Direct access Menu item: External Application Integration 6 The stop button (1703.72A0) is integrated into the touchscreen. If the touchscreen is installed in the wall, the stop button (1703.72B0) is located in the wall directly beside the touchscreen. The procedure is explained using an example of a touchscreen integrated STOP button. Triggering the STOP button 1 1. Press the STOP 1 button. Ø The adjustment of the OR table will be stopped. Ø OR table control is locked. Ø The stop button is locked and remains activated. Fig. 193: STOP button Ø A notification appears indicating that the stop button is locked. Unlock the STOP button 1. Make sure that the dangerous situation is no longer active. 2. Turn the STOP 1 button to the right to unlock it. Ø The OR table can be operated once again using the touchscreen. 6.8 Menu item: External Application Integration The [External Application Integration] module enables access to the user interface of an external website or web-based application. For information regarding additional application functions, please see the operating instructions for the relevant application. 6.8.1 Overview: External Application Integration NO T IC E The tools displayed in the External Application Integration menu item are dependant on the configuration. The following figures show a Getinge T-DOC as an example. NO T IC E Not all key combinations or all types of data transmission may be supported, depending on the specific system configuration. 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 165 / 206 6 Menu: Direct access Menu item: External Application Integration 1 2 Fig. 194: 1 6.8.2 Overview: [External Application Integration] Tab with available applications (depending on configuration) 2 Selected application Activate/deactivate full screen display Activate full screen display 1. Touch Activate full screen display 1 . Ø The application is shown on the entire monitor. 1 Fig. 195: Activate full screen display Deactivate full screen display 1. Touch Deactivate full screen display 1 . Ø The application is again shown within the TEGRIS interface. 1 Fig. 196: 166 / 206 Deactivate full screen display 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Streaming client Starting the streaming client 7 7 Streaming client NO T IC E The streaming client can only receive the video signal which has been selected on the OR system. NO T IC E If, after establishing of communication, no video signal is received via the streaming client, then the video transmission from TEGRIS is deactivated or no video source is connected. NO T IC E Depending on the standard PC's capacity, it may be necessary to close open applications on the PC to ensure ideal video transmission. NO T IC E The user address must be created in the list. The users and authorisations will be created on the telemedicine system by an authorised service engineer. Only authorised users may access the telemedicine system. Via the streaming client, the user can receive the activated video and audio input signal of the operating room from TEGRIS. A microphone and active loudspeakers are required for voice communication. The free software VLC Media Player 2.0 is used as streaming client. 7.1 Starting the streaming client Starting the streaming client 1. Double-click the streaming client link on the desktop. or 2. Press Start in the Windows task bar. 3. Select All Programs. 4. Select the VLC media player. Ø The streaming client starts. Ø The start screen is displayed. Fig. 197: 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Streaming client start screen 167 / 206 7 Streaming client Setting the streaming client 7.2 Setting the streaming client Requirements: • The streaming client is started. • IP address is known. (Information about the IP address can be obtained from your network or IT administrator.) Opening the network stream 1. Tap the [Open Network Stream...] menu point in the [Media] menu. Ø Window with settings is shown. Fig. 198: Opening the network stream Setting the network stream 1 1. Touch the Network 1 tab. 2 2. Enter the IP address 2 . 3. Activate Show More Options 3 . 4. Enter the value for caching 4 (recommendation: 300 - 1000 ms). 3 4 Fig. 199: 168 / 206 Setting the streaming client 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Streaming client Starting the network streaming 7.3 7 Starting the network streaming Prerequisites: • The streaming client is started. • The Network tab is open. Starting network streaming 1. Touch Play 1 . Ø Network streaming is started. 1 Fig. 200: 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Starting the network streaming 169 / 206 8 Cleaning and disinfection General information 8 Cleaning and disinfection The product must be cleaned and disinfected after each use. The product can be wiped down to disinfect it. The product can be classified as a non-critical medical device without increased reprocessing requirements. 8.1 General information DA N GE R ! Risk due to mishandling of cleaning agents and disinfectants! • The entire cleaning process may only be completed by qualified technicians. • For information on concentration, temperature and contact and drying times, refer to the instructions of the detergent and disinfectant manufacturer. • Observe current national and international regulations for hygiene in the medical field. • Observe the cleaning and hygiene regulations of the hospital. DA N GE R ! Risk of infection! Residues on the product (e.g. blood, secretions etc.) can prevent proper disinfection. • Remove coarse impurities from the product immediately with suitable non-fixing agents. • Adjust the cleaning agent to the disinfectant (using a combination agent if necessary) in order to avoid interactions. DA N GE R ! Risk of infection! Product may be contaminated. • Always wear gloves when cleaning / disinfecting. • If necessary, take further protective measures. DA N GE R ! Potentially fatal electrical shock! • Make sure that the mains connection is disconnected before cleaning and disinfection. • Ensure that no liquids can penetrate any live parts. DA N GE R ! Risk of explosion! Agents containing alcohol can form explosive vapour mixtures and ignite where high-frequency equipment is being used. The cleaning and disinfecting agents must be dried before use. Ensure that there are no alcoholic residues on the product during high frequency use. 170 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Cleaning and disinfection General information 8 WAR N I NG ! Risk of injury! If unsuitable cleaning agents and disinfectants are used, the antistatic property and electrical conductivity of the product may be lost, which are required to prevent electrostatic charges as required by the standard. Only use detergents and disinfectants of the specified active ingredient groups. CA U TI O N ! Improper cleaning and disinfection can cause property damage! • Observe the manufacturer's instructions for concentrations of cleaning agents and disinfectants • Perform visual and functional inspections after each cleaning and disinfection process. 8.1.1 No mechanical preparation CA U TI O N ! Property damage! Do not use any mechanical cleaning or disinfection processes. 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 171 / 206 8 Cleaning and disinfection Cleaning agents and disinfectants 8.2 Cleaning agents and disinfectants 8.2.1 Suitable cleaning agents The cleaning agents must be compatible with the disinfectants used. The use of fixing agents in the cleaning process such as alcohols or aldehydes should be avoided. Cleaners with the following properties may be used: • Slightly alkaline • Surfactants and phosphates as active cleaning components 8.2.2 Suitable disinfectants Use only surface disinfectants with the following active ingredient bases for manual disinfection: Ingredient group Active ingredients Aldehydes Glutaraldehyde, methylchloroisothiazolinone (5-Chlor-2methyl-2H-isothiazole-3-on), Methylisothiazolinone (2-Methyl-2Hisothiazole-3-on) Amino acids GlucoprotaminTM Oxidation agents Hydrogen peroxide, peracetic acid Quaternary ammonium compounds Alkyl(C12-16 )dimethyl benzyl ammonium chloride (ADBAC/ BKC (C12-16)), Polyhexamethylene biguanide (monomer: 1.5-Bis(trimethylene)guanylguanidine-Monohydrochloride) (PHMB), Benzalkonium \cyldimethylammoniumchlorid (Didecyl dimethyl ammonium chloride) Tab. 9: 8.2.3 Active ingredients of disinfectants Non-usable products / substances The following products/substances must not be used for cleaning and disinfection: • Alcohol-based agents (e.g. hand and skin disinfectants) • Halogenides (e. g. fluorides, chlorides, bromides, iodides) • Dehalogenating compounds (e. g. fluorine, chlorine, bromine, iodine) • Products that scratch the surface (e.g. scouring agents, wire brushes, steel wool, cleaning sponges containing iron) • Standard commercial solvents (e. g. benzene, thinner) • Water containing particles of iron • Products containing acid (e.g. hydrochloric acid) • Saline solutions 172 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Cleaning and disinfection Manual preparation of the Tegris system and accessories 8.3 8 Manual preparation of the Tegris system and accessories CA U TI O N ! Improper preparation can cause property damage! Use soft, lint-free cloths to prepare the product. CA U TI O N ! Improper cleaning can cause property damage! Cleaning agents may not be sprayed directly into joints and cracks, and do not use pressure / steam cleaners! 8.3.1 Pre-cleaning If the product is heavily soiled, it is recommended to pre-clean the product with non-fixing agents. The following actions are to be carried out as required: 1. Remove dirt with a slightly alkaline cleaner and a soft, lint-free cloth. 2. Thoroughly clean the product with a soft, lint-free cloth moistened with pure water. 8.3.2 Disinfection 1. Select a suitable disinfectant according to the specifications. 2. Use the concentration specified by the disinfectant manufacturer for proper disinfection. 3. Thoroughly wipe the product with a soft, lint-free cloth moistened with disinfectant solution. 4. Make sure that the product is free of impurities. 8.3.3 Drying Wipe-down disinfection does not require any drying, as excess disinfectant evaporates. 1. Observe the drying time specified by the disinfectant manufacturer. 8.3.4 Inspections 1. Carry out visual and functional inspections. 8.3.5 Microphones Alternatively to wipe disinfection, microphones can be protected by means of a sterile sheath. This may, however, impair the recording quality. 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 173 / 206 8 Cleaning and disinfection Preparation of monitors from other manufacturers 8.4 Preparation of monitors from other manufacturers CA U TI O N ! Improper preparation can cause property damage! Use soft, lint-free cloths to prepare the product. CA U TI O N ! Improper cleaning can cause property damage! Cleaning agents may not be sprayed directly into joints and cracks, and do not use pressure / steam cleaners! (Touch) monitors from other manufacturers are used in conjunction with Tegris; these may be prepared differently from the Tegris system. For further information, please see the manufacturer operating instructions for the specific monitor. 8.4.1 Manufacturer Barco Cleaning the monitor 1. Remove contamination such as dust, fingerprints or grease using a soft, moist cloth, as well as some cleaning agent if necessary. 2. Wipe off water droplets right away. Possible cleaning solutions • 70 percent Isopropyl alcohol • 1.6 percent ammonia • Cidex® (2.4 percent glutaraldehyde solution) • Sodium hypochlorite (bleach), 10 percent • "Green soap" (USP) • 0.5 percent chlorhexidine in 70 percent Isopropyl alcohol • Products similar to Cleansafe® cleaner • Surfanios • Bacillol AF 8.4.2 Manufacturer: Rein Medical Cleaning the VIEWPORT 1. Remove surface contamination using an all-purpose cleaner. Disinfecting the VIEWPORT 1. Disinfect the surfaces of the VIEWPORT by spraying / wiping down with disinfectant. 2. Allow the disinfectant to act for at least 5 minutes. In case of particularly stubborn contamination, the disinfectant can be left to act for up to an hour. Rein Medical recommends the following alcohol-based disinfectant: • Terralin liquid® for quick disinfection (30 second application time) • Terralin protect® for surface disinfection (10 second application time) 174 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Cleaning and disinfection Preparation of monitors from other manufacturers 8.4.3 8 Manufacturer: Canvys DA N GE R ! Potentially fatal electrical shock! • Make sure that the mains connection is disconnected before cleaning and disinfection. • Ensure that no liquids can penetrate any live parts. • • Do not press hard on the LCD area of the monitor; this can deform the surface or even cause severe damage. Do not use thinners, petrol or alcohol to clean the housing, since this may cause premature material wear. Cleaning the monitor 1. Remove contamination such as dust, fingerprints or grease using a soft, moist cloth, as well as some cleaning agent if necessary (such as 95% alcohol). 2. Wipe off water droplets right away. 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 175 / 206 9 Maintenance Visual and functional inspections 9 Maintenance 9.1 Visual and functional inspections To ensure correct operation, it is necessary to have visual and functional inspections performed by a trained person prior to each use. Documentation of the results of the visual and functional inspections is recommend and should include the date and signature of the person who performed the inspections. The following table may be used as a template. Suggestion: No. Inspection 1 Has the product not been cleaned and disinfected in accordance with hygiene regulations? Defects are present □ 1. Do not continue to use the product. No defects □ 2. Clean and disinfect the product in accordance with hygiene regulations. Comment: 2 Are there damages to the insulation of electrical cables? □ 1. Do not continue to use the product. □ 2. Notify Getinge authorised service. Comment: 3 Is the incorrect user logged into Tegris? □ 1. Log in the correct user to Tegris [8 Page 57]. □ □ 1. Select the correct local study [8 Page 68]. Alternatively: □ Comment: 4 Is the incorrect patient / the incorrect local study selected? 1. Create a new local study [8 Page 67]. Comment: 5 (Space for other tests) □ 1. □ Comment: Tab. 10: 176 / 206 Visual and functional inspections 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Maintenance Malfunctions and troubleshooting 9.2 9 Malfunctions and troubleshooting No. Fault 1 No video or a faulty video is shown on the local monitor. Note 1. Check whether the connected video sources are switched on. 2. Check the cable connection to the activated video input on the monitor. 3. Connect the monitor directly with the camera in order to check the TEGRIS. Ø If the video is displayed correctly, the Maquet representative must be informed. 2 The Internet Explorer browser crashes when the live video is accessed. 1. Set the graphic card colour depth to 16 Bit high colour. 3 The viewer does not receive the au- 1. Ensure that the TEGRIS microphone is dio signal from the operating room or switched on and is in use. the speaker cannot be heard by the 2. Make sure that the microphone of the client is surgical team. functional. 3. Make sure that the volume of the touchscreen interface is switched on. 4 The mains voltage LED does not light up. 1. Check whether the mains switch on the rear of the BASE SYSTEM is switched on. 2. Check whether the mains plug on the rear of the BASE SYSTEM has been correctly plugged in. 5 The software application does not re- An error message might be displayed on the monspond to operation using the touchitor in the background. screen or does not work correctly. 1. Close or shift open menu windows on the touchscreen. Ø An error message appears. 2. Confirm error message. Ø The software application can be used again. or 1. If no error message is displayed: Restart the software. If the error persists, contact the service department. 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 177 / 206 9 Maintenance Malfunctions and troubleshooting No. Fault 6 The managing software system sends patient data with a patient ID that already exists in TEGRIS. Note TEGRIS compares patient IDs against one another and displays a message if multiple existing patient IDs exist: 1. In the displayed list, touch the patient ID that is to be used. 2. Touch the OK button. Ø The message will close. Ø The patient ID is adopted. Ø A confirmation is displayed in the message line of the user interface. 3. To cancel the message, touch the Cancel button. Ø The message will close. Ø A message will be shown in the message line of the user interface indicating that the user has cancelled the operation. 178 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Maintenance Replace mains fuse (1705.06A0) No. Fault 9 Note 7 The managing software system sends patient data to TEGRIS whilst opening a patient file in TEGRIS. TEGRIS shows a message asking whether the open patient file is to be closed. 1. Touch the OK button to close the open patient file. Ø The message will close. Ø The patient file will be closed. Ø A confirmation is displayed in the message line of the user interface. 2. To cancel the message, touch the Cancel button. Ø The message will close. Ø A message will be shown in the message line of the user interface indicating that the user has cancelled the operation. 8 At the moment, no OR lights are con- When TEGRIS is restarted, a message is shown nected. indicating that there are currently no OR lights connected. 1. Make sure that the FIBOX has been started. 2. Press theConnect Again button. Ø The connection to the OR light is established. Ø The OR light can be operated. or ▪ FIBOX is started and no connection to the OR light can be established to the OR light: Contact service personnel. 9.3 Replace mains fuse (1705.06A0) DA N GE R ! Potentially fatal! Electric shock! Before opening the housing: Disconnect the product from the mains voltage. CA U TI O N ! Property damage! Only use fuses of the following type: 250 T6.3A switch off capacity H (5 x 20 mm). 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 179 / 206 9 Maintenance Inspection and Maintenance 1. Remove the rubber connector. 2. Carefully unlock central locking 1 at the cable plug 2 with a small screwdriver and remove fuse link 3 . 4 3. Remove the fuses 4 from the fuse carrier. 3 4. Insert new fuses. 5. Insert the fuse carrier. Ø The catch will engage with an audible click. 1 2 Fig. 201: 9.4 6. Ensure that the fuse carrier is properly seated. Replacing fuses Inspection and Maintenance In order to ensure the operational safety of the product, an inspection must be carried out annually in accordance with the generally recognised rules of technology. The inspection includes technical safety checks. The inspection is to be carried out by specialist personnel who, on account of their education, knowledge and experiences gained from practical activities, are capable of correctly executing the technical safety checks. For the execution of the inspection, technical information is available from Getinge on request. To ensure availability of all functions, to maintain and improve data security, as well as to extend service life, Getinge recommends concluding a maintenance contract. Getinge offers maintenance services at different levels, including protective measures against hacker and cyber security attacks. Maintenance may only be performed by Getinge Service or service technicians that have been authorised by Getinge. Maintenance must be performed every 2 years and, as of the 5th year, every year. 9.5 Repair A damaged product may not be used and you may not repair it yourself. Please have the following information at hand for your Getinge representative: • Description of the defect • Product number (see type plate) • If available: Serial number (see type plate) • Construction year (see type plate) Hotline for Germany: +49 (0) 180 32 12 144 Hotlines for other countries can be found at www.getinge.com. 180 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Maintenance Type plate positions and manufacturer information 9.6 9 Type plate positions and manufacturer information Position of the type plate 1 on the product. 1 Fig. 202: IO-Box type plate position Position of the type plate 1 on the product. 1 Fig. 203: 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Type plate position for IR transmitter 181 / 206 9 Maintenance Type plate positions and manufacturer information The specification of the manufacturer 1 can be found in the software on the Information tab 2 in the Service menu. 1 2 Fig. 204: 182 / 206 Specification of the manufacturer 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Technical specifications Ambient conditions 10 Technical specifications 10.1 Ambient conditions 10.2 10.3 Temperature: Shipping / storage -20 °C to +50 °C Temperature: Operation +10 °C to +30 °C Relative humidity: Shipping / storage 10 % to 95 % Relative humidity: Operation 30 % to 75 % (non-condensing) Atmospheric pressure: Shipping / storage 500 hPa to 1060 hPa Atmospheric pressure: Operation 700 hPa to 1060 hPa 10 24" CANVYS touchscreen (1705.11A0) Protection against ingress of liquids IP X1 (IEC 60601-1) Display diagonal 61 cm (24") Viewing angle Horizontal 178°/vertical 178° Brightness 250 cd/m² Contrast 1000:1 Reaction time 14 ms Displayable colours 16.7 million Resolution 1920 x 1080 (FullHD) Technology PCAP Weight Approximately 7 kg 22" IN-WALL Touch (1707.10A0) Protection against ingress of liquids IP 65 (front) Display diagonal 54.7 cm (22") Viewing angle Horizontal 178°/vertical 178° Brightness 300 cd/m² Contrast 3000:1 Reaction time 18 ms Displayable colours 16.7 million Resolution 1920 x 1080 (FullHD) Technology PCAP Weight Approximately 15 kg 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 183 / 206 10 Technical specifications Electrical data IO-Box (1705.06A0) 10.4 10.5 Electrical data IO-Box (1705.06A0) Type of protection against electrical shock Protection class I Power consumption max. 85 W Nominal frequency 50 / 60 Hz Rated voltage 100-240 V AC Protection against ingress of liquids IP X0 (No protection against ingress of liquids) IO-Box dimensions (1705.06A0) Dimensions 10.6 Weight (1705.06A0) Weight 184 / 206 382 mm x 420 mm x 70 mm 6 kg 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Electromagnetic compatibility (EMC) Electro magnetic transmission and resistance to interference 11 11 Electromagnetic compatibility (EMC) The product is designed for operation in the environments specified in the intended use. The user must ensure that the product is operated in such an environment. 11.1 Electro magnetic transmission and resistance to interference Standard Compliance Medical electrical equipment – Part 1-2: Conformity without deviations General requirements for basic safety, including significant performance features – collateral standard: Electromagnetic disturbances – requirements and testing IEC 60601-1-2 Interference voltages at the power supply connection (conducted emissions), electromagnetic interference (radiated emissions) CISPR 11 11.2 Group 1 Class A Resistance to electro magnetic interference - Testing process Test / Standard Test level Interference immunity to static discharge ±8 kV contact discharge ±2 kV, ±4 kV, ±8 kV, ±15 kV air discharge IEC 61000-4-2 Interference immunity to high-frequency electromagnetic fields IEC 61000-4-3 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 3 V/m 80 MHz – 2.7 GHz 80 % AM at 1 kHz 185 / 206 11 Electromagnetic compatibility (EMC) Resistance to electro magnetic interference - Testing process Test / Standard Test level Interference immunity to near fields from wireless HF communication devices Testing Radio service frequency (MHz) Modulation 385 TETRA 400 Pulse modu- 27 lation 18 Hz 450 GMRS 460 FRS 460 FM ±5 kHz lift 1 kHz sine 710 LTE Band 13 / 17 Pulse modu- 9 lation 217 Hz IEC 61000-4-3 (provisional process) 745 Test level (V/m) 28 780 810 GSM 800 / 900 TETRA 800 iDEN 820 CDMA 850 LTE Band 5 Pulse modu- 28 lation 18 Hz GSM 1800 CDMA 1900 GSM 1900 DECT LTE Band 1 / 3 / 4 / 25 UMTS Pulse modu- 28 lation 217 Hz 2450 Bluetooth WLAN 802.11 b / g/n RFID 2450 LTE Band 7 Pulse modu- 28 lation 217 Hz 5240 WiFi 802.11 a / n Pulse modu- 9 lation 217 Hz 870 930 1720 1845 1970 5500 5785 Interference immunity to quick transient ±2 kV electrical disruptions / bursts – AC voltage 100 kHz repetition frequency network IEC 61000-4-4 Interference immunity to surge voltage between lines – AC voltage network ±0.5 kV, ±1 kV IEC 61000-4-5 Interference immunity to surge voltage between line and ground – AC voltage network ±0.5 kV, ±1 kV, ±2 kV IEC 61000-4-5 186 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Electromagnetic compatibility (EMC) Resistance to electro magnetic interference - Testing process Test / Standard Test level Interference immunity to conducted disturbances, induced by high-frequency fields – AC voltage network IEC 61000-4-6 3V 0.15 MHz – 80 MHz 6 V for ISM bands between 0.15 MHz – 80 MHz 80 % AM at 1 kHz Interference immunity to magnetic fields with energy technology frequencies 30 A/m 50 Hz 11 IEC 61000-4-8 Interference immunity to voltage drops, 0 % UT; 1/2 period brief interruptions and voltage fluctuations At 0°, 45°, 90°, 135°, 180°, 225°, 270° and 315° IEC 61000-4-11 0 % UT*; 1 period and 70 % UT; 25/30 periods Single phase: at 0° 0 % UT; 250/300 periods Interference immunity to magnetic fields in 134,2kHz, pulse modulation 2.1 kHz, 65 A/m a frequency range of 9 kHz to 13.56 MHz 13,56MHz, pulse modulation 50 kHz, 7.5 A/m IEC 61000-4-39 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 187 / 206 12 Approved accessories New BASE SYSTEM 1705 12 Approved accessories DA N GE R ! Potentially fatal! Patient may be endangered as a result of incorrect use. Follow the instructions for use for all accessories. WAR N I NG ! Risk of injury due to overloading! The permitted load of the product depends on the combination of accessories used. The product with the lowest permissible load determines the maximum load in the event that it is combined with other accessories. Refer to the instructions for use of each accessory for the permissible load. DA N GE R ! Hazard of injury! Usage of incorrect replacement or accessory components may entail injury to persons or functional failure. Especially if the parts in question do not meet the stipulated specifications. Use only components that are recommended and components that meet the stipulated specifications. 12.1 New BASE SYSTEM 1705 1705.01A0 1705.06A0 1705.20A0 Tab. 11: New BASE SYSTEM 1705 12.2 CENTRAL (SERVER) COMPONENTS 1703.05A0 1703.15A0 1705.61A0 1705.62A0 Tab. 12: CENTRAL USER MANAGEMENT (SW) CENTRAL IP ASSET MANAGEMENT (SW) HL7 INTERFACE SERVER (SW2) LIVE SHARING SERVER (SW2) CENTRAL (SERVER) COMPONENTS 12.3 VIDEO OVER IP (NEXXIS) 1703.16A0 1703.51A0 1703.51E0 1703.51F0 1703.52B1 Tab. 13: TEGRIS BASE PC (HW2) TEGRIS BASE IO-BOX (HW2) TEGRIS BASE SOFTWARE (SW2) IP WORKSPOT LICENSE (SW) IP DUAL ENCODER ANA AUDIO (HW) IP DUAL ENCODER HDMI AUDIO (HW) IP DUAL ENCODER MNA-420 SDI (HW) IP DUAL DECODER MNA-420 HDMI V2 (HW) VIDEO OVER IP (NEXXIS) 188 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Approved accessories MODULES (Software) 1703.53B1 1703.54A0 1703.55A0 1703.55B0 1703.55C0 1703.55D0 1703.55E0 1703.55F0 1703.56A1 1703.56B1 1703.58A0 1703.58B0 1703.58C0 1703.59A0 1703.59B0 1703.59C0 1703.60A0 1703.60B0 1703.60C0 1703.60D0 1703.61A0 1703.62A0 1703.63G0 1703.63H0 1703.64B0 1703.65A0 1703.66A0 1703.67A0 1703.68A0 1703.68B0 1703.68C0 1703.68D0 1707.66B0 1707.66C0 1707.69A0 1707.69B0 Tab. 13: IP NETWORK SWITCH 48 PORT + 4X 40G (HW) IP 2ND POWER SUPPLY SWITCH (HW) IP KIT 6X SFP+ MODULE OPTICAL (HW) IP KIT 3X SFP+ MODULE RJ45 (HW) IP SFP 1G MODULE RJ45 FOR BS2 (HW) IP SFP+ 10G MODULE LC FOR BS2 (HW) IP QSFP+ 40G MODULE MTP FOR BS2 (HW) IP QSFP28 100G MODULE MTP FOR BS2 (HW) IP QUAD DECODER (HW) IP QUAD DECODER MNA-440 HDMI V2 (HW) IP NETWORK SWITCH 10PORT (hardware) IP NETWORK SWITCH 16PORT (hardware) IP 2ND POWER SUPPLY 16 PORT SWITCH (hardware) IP QUAD ENCODER DP (hardware) IP QUAD ENCODER HDMI (HW) IP QUAD ENCODER MNA-440 SDI (HW) IP MOUNTING KIT VESA (HW) IP MOUNTING KIT 19" RACK (HW) IP MOUNTING KIT RACK MNA 200 SERIES (HW) IP MOUNTING KIT RACK MNA 400 SERIES (HW) IP POWER EXTENSION CABLE 10M (HW) IP HOUSING KIT (HW) IPCABLE QUAD LITE BREAKOUT 3M (HW) IPCABLE QUAD LITE BREAKOUT 5M (HW) IP OUTLET SOCKET QUAD (HW) IP NETWORK STAR SWITCH 32 PORT 40G (HW) IP SWITCH LINK CABLE 40G FIBRE 5M (hardware) IP CENTRAL ROOM TO ROOM SERVER (HW) IP SWITCH BARCO NW BS2 10G 12P (HW2) IP SWITCH BARCO NW BS2 10G 28P (HW2) IP SWITCH BARCO NW BS2 10G 48P (HW2) IP SWITCH BARCO NW BS2 100G 32P (HW2) IP LINK CABLE 100G CP FOR BS2 3M (HW) IP MTP-12 CABLE OM4 3M (HW) IP MTP CASSETTE TO 4X LC DUPLEX (HW) IP RACK MOUNT FOR CASSETTES (HW) VIDEO OVER IP (NEXXIS) 12.4 MODULES (Software) 1703.24A0 1703.26A0 1703.30C0 1703.32A0 Tab. 14: 12 CENTRAL USER MANAGEMENT - CLIENT (SW) LIVE PREVIEW (software) VIDEO DOCUMENTATION AUTORECORDING (SW) DICOM INTERFACE (SW) MODULES (Software) 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 189 / 206 12 Approved accessories MODULES (Hardware) 1703.33A0 1703.35A0 1703.37A0 1703.38A1 1703.39A0 1703.40D0 1703.41B0 1703.42A0 1703.43A0 1703.44A0 1703.44B0 1703.46A0 1705.31A0 1705.51A0 Tab. 14: MODULES (Software) 12.5 MODULES (Hardware) 1703.72A0 1703.72B0 1703.73A0 1703.74A0 1703.74B0 1703.74C0 1703.81A0 Tab. 15: EMERGENCY BUTTON (HW) EMERGENCY BUTTON, IN-WALL (HW) HW-BASED STREAMING (HW) ROOM CONTROL LEVEL 1 (HW) ROOM CONTROL LEVEL 2 (HW) ROOM CONTROL LEVEL 3 (HW) OR TABLE CONTROL (HW2) MODULES (Hardware) 12.6 ACCESSORIES 1009.35C0 1009.35D0 1707.41A0 1707.42A0 1707.43A0 1707.46A0 1707.47A0 1707.50A0 1707.51A0 1707.55A0 1707.56A0 1707.60A0 1707.60B0 1707.65A0 1707.66A0 Tab. 16: CAMERA CONTROL (SW) OR TABLE CONTROL (SW) HW-BASED STREAMING (SW) OR LIGHT CONTROL (SW) ROOM CONTROL (SW) REMOTE CLIENT (SW) IP BASED PICTURE IN PICTURE (software) REMOTE WORKSTATION INTERFACE (SW) PATIENT CONTEXT SHARING (SW) VIDEO CONFERENCING (SW) ROOM TO ROOM COMMUNICATION (SW) EXTERNAL APPLICATION INTEGRATION (SW) HL7 INTERFACE CLIENT (SW2) IP RECORDING / STREAMING (SW2) LOUDSPEAKER VIDEO / VGA SPLITTER SWITCHER SDI 2X2 SWITCHER DVI 2X1 SWITCHER HDMI 4X1 REPEATER DVI REPEATER HDMI CONVERTER HDSDI TO HDMI CONVERTER VGA TO HDMI TOUCHSCREEN UNIVERSAL STAND KEYBOARD HOLDER TOUCHSCREEN PATCH PANEL FO 24X LC DUPLEX PATCH PANEL FO 24X SC DUPLEX ISOLATING TRANSFORMER MED 600VA 115/230V MULTIPLE SOCKET MED 5X ACCESSORIES 190 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Approved accessories TOUCHSCREENS 1707.70A0 1707.70B0 1707.71A0 1707.72A0 1707.73A0 1707.74A0 1707.74B0 1707.75A0 1707.76A0 1707.77A0 1707.79A0 1707.82A0 1707.83A0 1707.84A0 1707.88B0 1707.88C0 1707.91A0 1707.91B0 1707.91C0 1707.91D1 1707.91E1 1707.91F0 1707.91G0 1707.92D0 1707.93B0 1707.94A0 1707.95A0 1707.95B0 1707.95C0 1707.95D0 1707.95E0 1707.96A0 1707.96B0 Tab. 16: WIRELESS MICROPHONE SET (HW) ROOM MICROPHONE SET (HW) AUDIO INPUT PANEL AUX (HW) AUDIO POWER AMP (HW) REMOTE POWER SWITCH (HW) ON-AIR LIGHT (HW) ON-AIR LIGHT (HW2) USB 2.0 CAT-EXTENDER POWER CABLE US/CANADA BLURAY WRITER EXTERNAL USB EXTERNAL POWER SUPPLY DVI-FIBER EXTENDER DVI FIBER EXTENDER OPHIT PAIR 1XSC VGA CAT EXTENDER DVI CAT EXTENDER ROOM CAMERA, HD BOSE LOUDSPEAKER SET RGBHV LINE AMPLIFIER HD-SDI LINE AMPLIFIER VIDEO LINE AMPLIFIER SIGNAL SPLITTER DVI 1:4 SIGNAL SPLITTER HD-SDI 1:4 SIGNAL SPLITTER COMPOSITE 1:5 SIGNAL SPLITTER HDMI 1:4 AVC CONVERTER DVI - HDSDI EXTERNAL (HW) ADAPTER CABLE 5XBNC/D-SUB 15-POLE / PAIR Adapter RJ45 / D-SUB 9-pole (socket, plug) HDMI MALE TO DVI FEM 0.2M DVI MALE TO HDMI MALE 2.0M 4K HDMI MALE TO HDMI MALE 2.0M DP MALE TO DVI FEM 0.2M 4K DP MALE TO HDMI FEM 0.2M MEDIAPORT 200 HDMI-USB BRIDGE RAZER RIPSAW HD ACCESSORIES 12.7 TOUCHSCREENS 1705.11A0 1705.11B0 1707.10B0 1707.10B1 Tab. 17: 12 24" CANVYS TOUCHSCREEN HOUSING KIT MONITOR POWER SUPPLY IN-WALL 22" TOUCHSCREEN IN-WALL 22" TOUCHSCREEN NON-VARIOP TOUCHSCREENS 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 191 / 206 12 Approved accessories MONITORS 12.8 MONITORS 1705.12A0 1707.02A1 1707.20B1 1707.21A1 1707.21B2 1707.22D0 1707.23A1 1707.23B2 1707.24A0 1707.24C0 1707.24D0 1707.25A0 1707.25B0 1707.25C0 1707.25D0 1707.26A0 1707.26B0 1707.26C0 1707.27A0 1707.27B0 Tab. 18: SMARTVIEW DOORSIGN (HW2) VESA WALL HOLDER FOR 34"-63" 24'' BARCO AMM240ED 27'' BARCO MDSC-8527 NXF 27'' BARCO MDSC-8527 SSTF 32" 3D Barco IP MDSC-8232 M3D 32" BARCO MDSC-8532 NXF 32" BARCO MDSC-8532 SSTF 32" BARCO MDSC-2232 DDI 55" BARCO MDSC-8255 LED 55" BARCO MDSC-8255 12G BARCO 10M POWER EXTENSION CABLE 24/26 BARCO 5M POWER EXTENSION CABLE 31 BARCO 15M POWER EXT CABLE MDSC 8xxx BARCO 20M POWER EXT CABLE MDSC 8xxx 58" BARCO IP MDSC-8358 MNA G 58" BARCO MDSC-8358 RL 58" BARCO MDSC-8358 RLG KIT 10PCS 3D-GLASSES FRAME KIT 20PCS 3D-GLASSES LENS MONITORS 12.9 IN-WALL MONITORS 12.9.1 27'' 1707.07C0 1707.07C1 1707.07T0 1707.07P0 Tab. 19: OR VIEWPORT 27" OR VIEWPORT 27", NON-VARIOP OPTION TOUCH FOR 27" VIEWPORT OPTION PC KIT FOR 27" VIEWPORT 27'' 12.9.2 32'' 1707.08C0 1707.08C1 1707.08P0 1707.08T0 Tab. 20: OR VIEWPORT 32" OR VIEWPORT 32", NON-VARIOP OPTION PC KIT FOR 32" VIEWPORT OPTION TOUCH FOR 32" VIEWPORT 32'' 12.9.3 46'' 1707.12C0 Tab. 21: OR VIEWPORT 46" 46'' 192 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Approved accessories IN-WALL MONITORS 1707.12C1 1707.12P0 1707.17A0 Tab. 21: OR VIEWPORT 46", NON-VARIOP OPTION PC KIT FOR 46" VIEWPORT OPTION 3G-SDI INPUT FOR FHD VIEWPORT 46'' 12.9.4 49'' 1707.15C0 1707.15C1 1707.15P0 1707.15T0 Tab. 22: OR VIEWPORT 49" 4K-UHD OR VIEWPORT 49" 4K-UHD, NON-VARIOP OPTION PC KIT FOR 49" VIEWPORT OPTION TOUCH FOR 49" VIEWPORT 49'' 12.9.5 55'' 1707.13C0 1707.13C1 1707.13P0 1707.13T0 1707.17B0 Tab. 23: OR VIEWPORT 55" 4K-UHD OR VIEWPORT 55" 4K-UHD, NON-VARIOP OPTION PC KIT FOR 55" VIEWPORT OPTION TOUCH FOR 55" VIEWPORT OPTION 3G-SDI INPUT FOR 4K-UHD VIEWPORT 55'' 12.9.6 PC Upgrade options 1707.35A0 1707.35B0 1707.35C0 1707.35D0 1707.35E0 Tab. 24: UPGRADE PROCESSOR i7 FOR PC KIT UPGRADE RAM 16 GB FOR PC KIT UPGRADE TO SSD 1 TB FOR PC KIT UPGRADE ADDITIONAL HDD 2 TB FOR PC KIT UPGRADE RISER CARD 16X PCIEXPRESS PC Upgrade options 12.9.7 Keyboard and mouse options 1707.31A0 1707.31B0 1707.31C0 1707.31D0 1707.31E0 1707.31F0 1707.31G0 1707.31H0 1707.31I0 Tab. 25: 12 KEYBOARD FOR VIEWPORT, DE KEYBOARD FOR VIEWPORT, EN KEYBOARD FOR VIEWPORT, FR KEYBOARD FOR VIEWPORT, IT KEYBOARD FOR VIEWPORT, ES KEYBOARD FOR VIEWPORT, PT KEYBOARD FOR VIEWPORT, SCAN KEYBOARD FOR VIEWPORT, RU KEYBOARD FOR VIEWPORT, TR Keyboard and mouse options 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 193 / 206 12 Approved accessories IN-WALL MONITORS 12.9.8 Keyboard PLUS and mouse options 1707.32A0 1707.32B0 1707.32C0 1707.32D0 1707.32E0 1707.32F0 1707.32G0 1707.32H0 1707.32I0 1707.37A0 KEYBOARD PLUS FOR VIEWPORT, DE KEYBOARD PLUS FOR VIEWPORT, EN KEYBOARD PLUS FOR VIEWPORT, FR KEYBOARD PLUS FOR VIEWPORT, IT KEYBOARD PLUS FOR VIEWPORT, ES KEYBOARD PLUS FOR VIEWPORT, PT KEYBOARD PLUS FOR VIEWPORT, SCAN KEYBOARD PLUS FOR VIEWPORT, RU KEYBOARD PLUS FOR VIEWPORT, TR MOUSE TRAY FOR KEYBOARD VIEWPORT Tab. 26: Keyboard PLUS and mouse options 12.9.9 Wall holder options 1707.33A0 1707.33B0 Tab. 27: KEYBOARD WALL HOLDER FOR VIEWPORT KEYBOARD BRICK WALL MOUNTING KIT Wall holder options 12.9.10 USB options 1707.36A0 1707.37B0 Tab. 28: USB PORT 2X USB-A FOR VIEWPORT USB MOUSE HYGIENIC USB options 194 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Licenses Apache License 13 Licenses 13.1 Apache License 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 13 195 / 206 13 Licenses Apache License 196 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Licenses WITH License 13.2 13 WITH License 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 197 / 206 13 Licenses BSD License for DCMTK 13.3 198 / 206 BSD License for DCMTK 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Licenses Lesser General Public License 13.4 13 Lesser General Public License 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 199 / 206 13 Licenses Lesser General Public License 200 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Licenses Lesser General Public License 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 13 201 / 206 Index A Abbreviations Accessories Activate comfort light Activate/deactivate full screen AIM mode Air humidity ALPHAMAQUET ALPHAMAXX ALPHASTAR Ambient conditions AP-M zone Applicable standards Area with a risk of explosions AP-M zone Atmospheric pressure Audio D 11 18, 22 140 95, 166 135, 138, 143 183 157 160 161 183 13 18 13 183 129 B Batteries disposal BETASTAR 17 162 C Cameras Charging cradle Connect Cleaning Cleaning agents Climate Clock Menu item Communication Configuration Workflow Connection to power supply 127 38 170 172 121 61 85 49 35 Date Menu item Definition Caution Danger Environment Note Warning Descriptor Dimensions Direct access Disinfectant Disinfection Disposal Batteries Cleaning and disinfection Packing Product Rechargeable battery 62 12 12 13 13 12 12 184 115 172 170 17 17 17 17 17 E EDP network Emergency button Endosnap Equipotential bonding External application integration 35 164 94 34 165 F Finalize Fuses Inserting/replacing 100 179 H HLED 300 / 500 / 700 133 I Illumination 135, 138, 143 Inspection 180 Intended purpose 18 IO-Box 32 Connecting the equipotential bonding 34 IR code Setting 149 IR transmitter 42 Connect 42, 43 Disconnect 42, 43 OR TABLE CONTROL (HW) 42 202 / 206 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Index L Leg side Select Light Light field diameter Light intensity Light temperature Local study Log Logging in to Tegris O 153, 157, 158 116 140, 145 117, 136, 139, 144 145 66 74 57 M MAGNUS Maintenance Malfunctions Manufacturer information MEERA Menu Direct access Menu item ALPHAMAQUET OR Table Control ALPHAMAXX OR table control ALPHASTAR OR table control Audio BETASTAR OR table control Cameras Communication Finalize MAGNUS OR table control MEERA OR table control OR light operation OR table operation OTESUS OR table control Patient Management Presets Recording Remote Workstation Interface Room settings Video routing YUNO OR table control Microphone Attach Connect Mute function Monitors 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 152 180 177 181 163 115 157 160 161 129 162 127 85 100 152 163 133 147 154 65 76 90 94 116 79 158 40 39 41 43 OR light OR light operation OR status display OR table Release button OR table control ALPHAMAQUET ALPHAMAXX ALPHASTAR BETASTAR MAGNUS MEERA OTESUS YUNO OR TABLE CONTROL (HW) OR table operation OTESUS OR table positions Overlay 134, 138, 143 133 60 151 157 160 161 162 152 163 154 158 41 147 154 156 84 P Packing Patient Management Pictogram Power & Gas PowerLED 300 / 500 / 700 PowerLED II 500 / 700 Preparation Presets 17 65 12 123 133 137 171 76 Q Quick Access area 48 R Rechargeable battery charge disposal Record video Recording Release button Remote Workstation Interface Repair Risk of explosion Room settings 39 17 61 90 151 94 180 28 116 203 / 206 Index S Save image Selecting the light colour Show Standards STOP button Stopwatch Streaming Sub-menu Menu functions Selecting the OR table Surgical safety checklist Process Switch on the PC Switching on IO-Box Symbols Synchronisation of OR lights Synchronisation of OR lights, PowerLED W 61 141 84 18 43, 164 62 82 Weight WIRELESS MICROPHONE SET (HW) Work list Workflow configuration 184 38 71 49 Y YUNO 158 154, 159 151 64 37 37 14 146 141 T Tab Climate Light Log Power & Gas Work list Tab: Local study Temperature Time Menu item Timer Touchscreen Transmitter Attach Switching on/off Troubleshooting Type plate position 121 116 74 123 71 66 183 62 63 183 40 41 177 181 U Use in accordance with the intended purpose Used electrical devices User interface 18 17 47 V Video routing Virtual keyboard Visual and functional inspections VOLISTA Volume Adjusting 204 / 206 79 56 176 142 59 1705.20A0 / 1705.06A0 IFU 1705.20 EN 10 Notes MAQUET GmbH · Kehler Str. 31 · 76437 Rastatt · GERMANY · Phone: +49 7222 932-0 www.getinge.com UK responsible person and importer in the Great Britain market: Getinge Ltd. · 14-15 Burford Way Boldon Business Park · NE35 9PZ Sunderland · Great Britain IFU 1705.20 EN 10 2024-09-16 https://eifu.getinge.com ">
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Key Features
- Intuitive User Interface
- OR Device Integration
- Video Recording & Routing
- Communication Tools
- Pre/Intra/Post-Op Workflow
- Data Management
Frequently Answers and Questions
How do I log in to the Tegris system?
Refer to section 4.2.2 of the viewed document for detailed instructions on user login, logout, and emergency access procedures.
How can I record a video during a procedure?
The viewed document details video recording in section 4.2.8 and provides further information on recording quality in section 5.2.3.4.
What are the intended uses of the TEGRIS BASE SOFTWARE (SW2)?
According to the viewed document, the TEGRIS BASE SOFTWARE (SW2) (1705.20A0) is intended for operating room integration and control of various OR devices. Specific functionality is described throughout the manual.
How do I adjust the volume?
The viewed document outlines volume adjustment in section 4.2.3.
Where can I find information on exporting files to PACS?
See section 5.3.2.12 of the viewed document for details on exporting files to a Picture Archiving and Communication System (PACS).