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BRAINSUITE®Version 1.0
System User GuideRevision 1.4Copyright 2011, Brainlab AG Germany. All rights reserved.
System User Guide Rev.1.4 Brainsuite Ver.1.0 3
TABLE OF CONTENTSGENERAL INFORMATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Chapter Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Contact Data & Legal Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Contact Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Legal Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Symbols Used in This Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Using the System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Compatibility with Medical Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Brainlab Medical Instruments, Brainsuite iMRI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Brainlab Medical Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Medical Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Non-Brainlab Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Training & Documentation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Training . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Documentation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
THE MR ENVIRONMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Chapter Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Contents of This Chapter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
MR Scanning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Basic Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
MR Environment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
MR Compatibility of Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
MR Safety Check Recommendations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Recommendation Checklists . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Personnel and Equipment Screening Measures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Preparing and Performing a Patient Scan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Establishing Safe and Effective Administration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
OPERATING ROOM
4 System User Guide Rev.1.4 Brainsuite Ver.1.0
HARDWARE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Chapter Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Brainsuite NET . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Introduction to Brainsuite NET . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Brainsuite NET DVD Recorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Brainsuite Data Wall Screen and Brainsuite Data Billboard LCD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Brainsuite Control Touchscreen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Brainsuite OR Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Device Connection Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Brainsuite NET Transfer Lines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Room Control Hardware . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
Brainsuite Control Touchscreen – Wall Embedded . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
Multi-Button Switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Brainlab Hardware . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
VectorVision sky Navigation Station . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
RF Shielded OR Cabin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Brainsuite Network System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
RACK HARDWARE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Chapter Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Brainsuite NET Hardware . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Background . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Turning the System On and Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Turning On Brainsuite NET . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Turning off Brainsuite NET . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
19” Computer Rack . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Uninterruptible Power Supply (UPS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
Eaton UPS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Oneac UPS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
Brainsuite NET Video Processing Hardware . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Video Processing System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Video Processor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Matrix Switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Brainsuite NET Server . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
Background . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
Environment and Protection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Servicing, Installation and Access . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Ventilation and Airflow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
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Indicators on the Brainsuite NET Server . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64
Turning On the Brainsuite NET Server . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
Additional Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
Room Control Server . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
Background . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
Turning the System On . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Connecting to Multiple Servers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
Restarting the Room Control Server . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
Indicators on the Room Control Server . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
Additional Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
Power Supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
Medical Power Supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
3RD-PARTY OR DEVICES FOR BRAINSUITE IMRI . . . . . . . . . . . . . . . . . 75
Chapter Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
Before You Begin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
Surgical Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
Microscope . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
OR Lights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78
Ceiling Supply Unit (CSU) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79
Anesthesiology Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80
Integration into Brainsuite iMRI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80
TROUBLESHOOTING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
Chapter Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
Room Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82
Room Control Malfunction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82
Main Power Failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
Multi-Button Switch Failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84
Display Errors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Application Switch Fallback Solution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Color Malfunction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86
Image Irregularities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
No Picture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
Brainsuite NET Hardware . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
Non-Rack Hardware Malfunction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
Audio Signals / Warning Sounds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
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TECHNICAL INFORMATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95
Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95
Power Specifications & Electrical Standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96
Power Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96
Electrical Standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97
System Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98
Dimensions and Weight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98
Technical Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99
Environmental Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101
Transport/Storage and Operating Conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101
CLEANING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
Chapter Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106
Before You Begin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106
Brainsuite Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107
Brainsuite Control Touchscreen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107
Brainsuite Data Billboard LCD and Brainsuite Data Wall Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108
Brainsuite Glass and Stainless Steel OR Panels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109
Brainsuite OR Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110
Brainsuite Data Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111
Device Connection Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112
Remote Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113
Room Control Terminals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114
Important Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114
Brainsuite Control Touchscreen – Wall Embedded . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115
Multi-Button Switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116
VectorVision sky . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117
Advanced Network Integration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118
Important Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118
Computer Rack and Terminal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119
Important Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119
Console Computer Terminal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120
19” Computer Rack . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121
Brainsuite NET . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 122
Surgical Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123
Microscope . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123
System User Guide Rev.1.4 Brainsuite Ver.1.0 7
OR Light . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124
Ceiling Supply Unit (CSU) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125
Anesthesiology Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126
Anesthesia Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126
Electrical Cabinets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127
DRAPING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129
Chapter Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129
Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129
Touchscreen Drape . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 130
The Touchscreen Drape . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 130
Draping the Touchscreen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131
Sterile Field . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133
MAINTENANCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135
Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135
Inspections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 136
Guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 136
Annual Inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137
Weekly and Monthly Inspections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 138
Safety Inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139
Safety Inspection Form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140
Damaged Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141
When the System Should Not Be Used . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141
Returning Damaged Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 142
APPENDIX I: TERMINOLOGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143
Contents of This Chapter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143
Terminology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 144
Resolution Types . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147
Power Plug Types . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 148
APPENDIX II: CABLES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151
Chapter Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151
Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151
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Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 152
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 152
Cables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153
RGB Cable with a D-Sub 15 pin plug . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153
RGB Cable with D-Sub 15 pin to 5x BNC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 154
RGB Cable with 5x BNC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155
DVI-D Single Link Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 156
DVI-A to D-Sub 15 pin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 158
DVI to HDMI Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 160
S-Video Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 161
S-Video Cable mini-DIN to 2x BNC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 162
Composite BNC Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 163
Composite Cinch Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 164
Serial D-Sub 9 pin Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 165
Serial D-Sub 25 pin Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 166
Serial Crossed D-Sub 9 pin Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167
Ethernet Cables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 168
USB Cables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 169
Firewire Cables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 170
PS/2 Cables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 171
Gender Changers, Adapters, and Extensions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 172
Gender Changers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 172
Adapters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173
Extension Cables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 174
INDEX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 175
System User Guide Rev.1.4 Brainsuite Ver.1.0 9
GENERAL INFORMATION
1 GENERAL INFORMATION1.1 Chapter Overview
1.1.1 Contents
Topics Covered
Section See
Legal Information Page 11
Symbols Used in This Guide Page 12
Intended Use Page 13
Compatibility with Medical Devices Page 15
Training & Documentation Page 20
10 System User Guide Rev.1.4 Brainsuite Ver.1.0
Contact Data & Legal Information
1.2 Contact Data & Legal Information
1.2.1 Contact Data
Support If you cannot find information you need in this guide, or if you have questions or problems, contact Brainlab support:
Feedback Despite careful review, this manual may contain errors.
Please contact us at [email protected] if you have suggestions as to how we can improve this manual.
Manufacturer Brainlab AG
Olof-Palme-Str. 9
81829 Munich
Germany
Region Telephone Email
United States and Canada Tel: (800) 597-5911 Fax: (708) 409-1619 [email protected]
Africa, Asia, Australia, Europe
Tel: +49 89 991568-44 Fax: +49 89 991568 5811
[email protected] America Tel: +55 11 33 55 33 70 Fax: +55 11 33 55 33 79
Japan Tel: +81-3-3769-6900 Fax: +81-3-3769-6901
France and French-speaking regions Tel: +33-800-67-60-30 [email protected]
System User Guide Rev.1.4 Brainsuite Ver.1.0 11
GENERAL INFORMATION
1.2.2 Legal Information
Copyright This guide contains proprietary information protected by copyright. No part of this guide may be re-produced or translated without the express written permission of Brainlab.
Brainlab Trademarks
• Brainsuite® is a registered trademark of Brainlab AG in Germany and/or the US.• VectorVision® is a registered trademark of Brainlab AG in Germany and/or the US and of
Brainlab KK in Japan.
Non-Brainlab Trademarks
• Microsoft® and Windows® are registered trademarks of Microsoft Corporation.• The LCN-47® is a registered trademark of Barco.• The 6057 PD® is a registered trademark of Conrac GmbH.
Integrated 3rd-Party Software
• This software is based in part on the work of the Independent JPEG Group.
CE Label
Disposal Instructions
Only dispose of electrical and electronic equipment in accordance with statutory regulations. For in-formation regarding the WEEE (Waste Electrical and Electronic Equipment) directive, visit:
www.brainlab.com/weee
Sales in the US US federal law restricts the sale of this product by or on the order of a physician.
• The CE label shows that the Brainlab product complies with the essential re-quirements of the Medical Device Directive (MDD).
• According to the MDD, Council Directive 93/42/EEC, Brainsuite NET is a Class IIb system.
• According to the MDD, Council Directive 93/42/EEC, the Application Switch is a Class IIb product.
12 System User Guide Rev.1.4 Brainsuite Ver.1.0
Symbols
1.3 Symbols
1.3.1 Symbols Used in This Guide
Warnings
Warnings are indicated by triangular warning symbols. They contain safety-critical in-formation regarding possible injury, death or other serious consequences associated with equipment misuse.
Cautions
Cautions are indicated by a circular caution symbol. They contain safety-critical infor-mation regarding possible problems with the device. Such problems include device malfunctions, device failure, damage to device or damage to property.
Notes NOTE: Notes are formatted in italic type and indicate additional useful hints.
System User Guide Rev.1.4 Brainsuite Ver.1.0 13
GENERAL INFORMATION
1.4 Intended Use
1.4.1 Using the System
Intended Audience This guide provides an introduction and reference for the effective and correct use of Brainsuite (Brainsuite NET, Brainsuite iMRI, Application Switch, and Room Control) hardware.
Indications for Use Brainsuite NET
Brainsuite NET from Brainlab is a platform for the integration of devices and for the distribution of video signals and multimedia content. It is intended to be used for communication between compat-ible Brainlab devices.
It provides centralized access for managing video data, medical images and patient data.
Brainsuite NET can be used in the operating theater for various surgical procedures involving video processing, image recording, patient data viewing and software application control.
Indications for Use Brainsuite iMRI
Brainsuite iMRI is a fully integrated neurosurgical operating room (OR) that features the Brainlab VectorVision system, intraoperative magnetic resonance imaging (MRI), Brainsuite NET, a large screen Data Billboard LCD, and Room Control functionality for lighting as well as for the power supply of standard OR devices. Brainsuite iMRI facilitates network data transfer between the MRI scanner and VectorVision system, automatic registration of the intraoperative data, and also Brain-suite NET and Room Control functionality via the VectorVision software. The system is indicated for any medical condition in which the use of integrated devices, intraoperative MRI data and ste-reotactic surgery may be considered appropriate.
Careful Hardware Handling
System components and accessory instrumentation comprise precise mechanical parts. Handle them carefully.
Only trained medical personnel may operate system components and accessory in-strumentation.
14 System User Guide Rev.1.4 Brainsuite Ver.1.0
Intended Use
Symbols on the System Hardware Components
Plausibility Review
Before patient treatment, review the plausibility of all information input to and output from the system.
Diagnostic Imaging
Brainsuite NET and its components do not comply with DIN EN 6868. Consequently, they are not intended for diagnostic use or to be used for the transmission of diagnos-tic images.
Symbol Explanation
Attention! Consult accompanying documents
Potential equalization point
MR Unsafe
MR Conditional: The number shown on each label specifies the MR environment in which the device can be used with caution
System User Guide Rev.1.4 Brainsuite Ver.1.0 15
GENERAL INFORMATION
1.5 Compatibility with Medical Devices
1.5.1 Brainlab Medical Instruments, Brainsuite iMRI
Application Switch Compatibility
The Application Switch is not intended to control and/or be used with any surgical devices and/or instruments.
Compatible Brainlab Medical Instruments
Brainsuite iMRI is compatible with the following medical instruments and devices:
Brainlab Medical Instruments Comment
VectorVision sky Navigation system platform
Sterilization Tray
Blakesly Clamp
Disposable Reflective Marker Spheres
Disposable Registration Marker CT, MR, OR
Frameless Biopsy System
IGSonic Hardware IGSonic Probe 10V5
IGSonic Adapter IGSonic Adapter Array IGSonic Device Box IGSonic Data Cable IEEE1394
Instrument Calibration Matrix (ICM) Versions 2 and 4
Mayfield Reference Clamp and Mayfield Reference Array
Microscope Adapters and Microscope Reference Array
Multiple Tip Pointers Starlink Interface
Pointer Pointer Sharp Tip Pointer Blunt Tip
Reference Headband and Reference Headband Array
16 System User Guide Rev.1.4 Brainsuite Ver.1.0
Compatibility with Medical Devices
Compatible Brainlab Medical Instruments
Other Brainlab Instruments
Only instruments and spare parts specified by Brainlab may be used with this medical device. Using unauthorized instruments/spare parts may adversely affect the safety and/or the effectiveness of the medical device and endanger the safety of the patient, user and/or environment.
Brainlab Medical Instruments Comment
Softouch
Starlink Instrument Arrays Instrument Adapters Arrays Sizes M, ML, L, XL
Instrument Adapter Clamps Sizes S, M, L, XL
Suction Tube Starlink Interface
Skull Reference Array
Ultrasound Registration Phantom
Ultrasound Adapters
Vario Reference Clamp
Multiple Tip Pointers Starlink Interface
VectorVision Reference System iMRI
z-touch
System User Guide Rev.1.4 Brainsuite Ver.1.0 17
GENERAL INFORMATION
1.5.2 Brainlab Medical Software
Authorization
Only authorized Brainlab employees may install software on the Brainlab system. The user may not install or remove any software applications.
Compatible Brainlab Medical Software
Brainsuite NET is compatible with the following medical software:
• VectorVision cranial/ENT 7.0, 7.5, 7.6, 7.7, 7.8• iPlan cranial 2.6• VectorVision spine 5.5.1• Room Control 1.5
Other Brainlab Software
If you are running software versions other than those specified above, please contact Brainlab sup-port for clarification regarding compatibility with Brainlab devices.
Only Brainlab medical software specified by Brainlab may be installed and used with the systems.
18 System User Guide Rev.1.4 Brainsuite Ver.1.0
Compatibility with Medical Devices
1.5.3 Medical Devices
Non-Brainlab Devices
Equipment connected to the Brainsuite NET interfaces must be certified according to the relevant IEC standards (e.g., IEC 60950 for data processing equipment, IEC 60601-1 for medical equipment, IEC 60065 for A/V equipment). All configurations must com-ply with the valid version of the system standard IEC 60601-1-1. Anyone connecting additional equipment to the signal input part or signal output part configures a medi-cal system, and is therefore responsible for ensuring that the system complies with the requirements of the valid version of IEC 60601-1-1. If in doubt, consult Brainlab technical support or your local Brainlab representative.
Mains Power
All electrical, non-medical Brainsuite NET hardware devices which are located inside the operating room and are relevant for the electrical safety of the system must be powered by a medical power supply or medical isolation transform er (according to IEC 60601-1).
Devices which are galvanically connected to Brainsuite NET hardware (i.e., displays, recorders, endoscopes) and are located or can be located in the patient environment must be either:
- Medical electrical equipment according to IEC 60601, which is powered normally- Electrical devices certified according to an applicable IEC standard (e.g., IEC 60950, IEC
60065, etc.), which are powered via a medical isolation transformer
Devices which are not galvanically connected to Brainsuite NET (e.g., only connected via fiber optic cable) and are part of a fixed installation and are located outside the pa-tient environment (e.g., Brainsuite Data Billboard LCD and its corresponding electri-cal/optical converter) can be powered by a regular power outlet.
System User Guide Rev.1.4 Brainsuite Ver.1.0 19
GENERAL INFORMATION
1.5.4 Non-Brainlab Software
Authorization
Only authorized Brainlab employees may install software on the Brainlab system. The user may not install or remove any software applications.
Compatible Non-Brainlab Software
Brainsuite NET is compatible with the following non-Brainlab software products:
Other Non-Brainlab Software
Only those non-Brainlab software applications specified by Brainlab may be installed and used with the Brainsuite NET system.
Software Comment
Microsoft Windows XP Brainsuite NET and the Application Switch Serv-er runs on the Microsoft XP operating system with service pack 2.
The Application Switch client runs on the Microsoft XP operating system with service packs 1 or 2.
20 System User Guide Rev.1.4 Brainsuite Ver.1.0
Training & Documentation
1.6 Training & Documentation
1.6.1 Training
Brainlab Training To ensure safe and appropriate use, before using the system all users should participate in a training program held by a Brainlab representative.
Responsibility
There is no guarantee that single electronic components of the system will not fail, causing downtime. Consequently, this system solely provides additional assistance to the surgeon and does not by any means substitute or replace the surgeon’s expe-rience and/or responsibility during its use.
System User Guide Rev.1.4 Brainsuite Ver.1.0 21
GENERAL INFORMATION
1.6.2 Documentation
Reading the User Guides
Using Brainsuite NET requires careful procedural planning and site preparation.
It is therefore important that:
• The relevant user guides are read carefully before beginning a procedure• Access is provided to these user guides at all times
Available User Guides User Guide Contents
Brainsuite NET and Room Cont ro l So f tware User Guide
• Software startup and shutdown instructions, and information on the required software settings
• General overview of available software functions
Brainsuite System User Guide
• Comprehensive information on system setup• Environmental requirements, system transport, system main-
tenance and safety information• Cleaning information for system hardware
Brainsuite Site Planning Manuals
• Architectural, structural, mechanical, electrical, and equip-ment implementation
• Construction site requirements• System positioning
22 System User Guide Rev.1.4 Brainsuite Ver.1.0
Training & Documentation
System User Guide Rev.1.4 Brainsuite Ver.1.0 23
THE MR ENVIRONMENT
2 THE MR ENVIRONMENT2.1 Chapter Overview
2.1.1 Contents of This Chapter
Topics Covered
Section See
Basic Information Page 24
MR Environment Page 25
MR Compatibility of Components Page 26
Recommendation Checklists Page 28
Personnel and Equipment Screening Measures Page 29
Preparing and Performing a Patient Scan Page 30
Establishing Safe and Effective Administration Page 31
24 System User Guide Rev.1.4 Brainsuite Ver.1.0
MR Scanning
2.2 MR Scanning
2.2.1 Basic Information
Scope The following chapter only applies for systems with an MR environment.
Overview • MR safety is especially important for all persons entering the MR environment, including clean-ing staff, 3rd-party service providers, etc.
• To supplement manufacturer documentation, this chapter highlights certain safety-critical issues, provides suggestions for preventative measures, and references additional sources of information.
This chapter does not provide a complete list of the risks and corresponding MR safe-ty precautions applicable for patients, users and other persons entering an MR envi-ronment. The intention is to provide basic recommendations only; the information provided must be adapted to local circumstances and amended accordingly by the Brainlab technical consultants.
Manufacturer Documentation
• The magnetic resonance (MR) scanner is documented by the relevant manufacturer. Please refer to the manufacturer documentation, safety brochures, and introductory videos before reading this chapter.
• Please familiarize yourself with the MR terminology explained in the manufacturer documenta-tion before continuing.
The information provided in this chapter does not substitute the content of the manu-facturer documentation. If in doubt, the manufacturer documentation takes prece-dence, and should therefore be consulted before referring to this user guide.
Sources of MR Information
Various institutions and organizations provide detailed information regarding MR safety. The follow-ing internet links (available at time of publication) provide an introduction to these sources of infor-mation:
• ASTM (American Society for Testing and Materials): www.astm.org• ESMRMB (European Society for Magnetic Resonance in Medicine and Biology):
www.esmrmb.org• FDA information regarding MR safety: www.fda.gov/cdrh/safety/mrisafety.html• ISMRM (International Society for Magnetic Resonance Safety, Education and Research):
www.imrser.org• National Center for Patient Safety: www.patientsafety.gov/alerts/MRI.doc
System User Guide Rev.1.4 Brainsuite Ver.1.0 25
THE MR ENVIRONMENT
2.2.2 MR Environment
Overview The following risks associated with magnetic fields generated by MR scanners must be considered in an MR environment.
MR Environment Risks
• The static magnetic field produced by the helium-cooled main coil may result in a strong mag-netic attraction that can transform a harmless object, like a pen, into a dangerous projectile. For a 1.5 Tesla magnet, the range of this field is marked by the red-dotted 50 Gauss (5 mTesla) line and the black-dotted 5 Gauss (0.5 mTesla) lines.
• The slowly alternating magnetic fields produced by the gradient magnets of the MR scanner may create electrical voltage potentials, resulting in possible currents.
• The rapidly alternating magnetic fields produced by the gradient magnets of the MR scanner may result in radio frequency hazards such as an increase in patient body temperature, over-heating of certain objects, and an increase in noise levels.
Mobile MR Scanners
When using a mobile MR scanner, remember that the mobile magnetic field can be dangerous, as its range and effect will vary depending on the scanner location.
When using a mobile MR scanner, the area surrounding and within the 5 Gauss line should remain clear. Before moving the MR scanner, this area must be checked thor-oughly in order to prevent collisions with magnetic objects.
Staff Responsibilities
To reduce the risks associated with dynamic magnetic fields, patients, staff and other persons in the OR should only move at normal speed through the static field. Do not rotate the patient on the table at an inappropriate speed.
A member of the surgical staff (e.g., a nurse), should ensure that all used instruments have been removed from the patient and are accounted for before the patient is moved into the scanner.
MR Safety Procedures
Procedures regarding MR safety must be dr awn up by a ded icated customer staff member.
Manufacturer Documentation
For detailed information regarding the hazards and risks associated with a rapidly al-ternating magnetic field, refer to the manufacturer documentation for the MR scanner.
Further Reading VectorVision cranial Software User Guide
26 System User Guide Rev.1.4 Brainsuite Ver.1.0
MR Scanning
2.2.3 MR Compatibility of Components
Components Outside the 5 Gauss Line
Components Outside the 50 Gauss Line
Component MR Status Conditions for Use / Notes
Brainsuite Control Touchscreen – Wall Embedded
MR conditional • Installed outside of the 5 Gauss line (0.5 mT). • No loose parts when installed and is permanently
fixed to the substructure.• Does not affect MR imaging.
Brainsuite OR Display 19"
• Installed outside of the 5 Gauss line (0.5 mT). • Turn off during MR scanning.• No loose parts when installed and is permanently
fixed to the substructure.Brainsuite Data Wall Screen 47"/57"
Brainsuite Data Billboard LCD
Brainsuite Data Panel 3x19"
Medical Power Supply (Power Box)
Transfer Lines (E/O converters)
Video Distribution Box
Video Sp l i t te rs , Switches, Convert-ers*
Device Connection Panel (incl. all internal components)
Component MR Status Conditions for Use / Notes
Brainsuite Control Touchscreen – Ceiling Mounted
MR conditional • Installed outside the 50 Gauss line (5 mT).
• Turn off during MR scanning.• No loose parts when installed and is permanently
fixed to the substructure.
System User Guide Rev.1.4 Brainsuite Ver.1.0 27
THE MR ENVIRONMENT
Components Outside the MR Cabin
Brainsuite NET System Compatibility
Brainsuite NET is MR conditional. If not specified differently for specific devices, the components may not be installed or used inside an MR environment. Observe the con-ditions for use in an MR environment mentioned in this manual.
19” Rack Components
All system components located in the 19” compu ter rack (video processor, U PS, Brainsuite NET Server, matrix switch, Application Switch Server) are MR unsafe.
*Video Splitters Switches, and Converters
If it is not possible to install the video splitters, video converters, or video switches outside the 5 Gauss line, carry out an MRI compliance test for the specific power sup-ply. If it passes the test, the video splitters, video converters, or video switches may be installed outside the 50 Gauss line but as near as possible to the 5 Gauss line.
Component MR Status Conditions for Use / Notes
19" computer rack components
MR unsafe • Installed outside of the 5 Gauss line (0.5 mT). • Installed outside of the OR.
Applicat ion Switch Fallback Solution
Brainsuite NET DVD Recorder
• Installed outside of the 5 Gauss line (0.5 mT). • Installed outside of the OR.• May not be brought into the MR environment
28 System User Guide Rev.1.4 Brainsuite Ver.1.0
MR Safety Check Recommendations
2.3 MR Safety Check Recommendations
2.3.1 Recommendation Checklists
General Information
When establishing a safety check procedure, consider the following issues. This list is not exhaus-tive and must be supplemented by intensive discussions with a specialist team proposed by the hos-pital.
Recommendation Checklist
Recommendations
Establish a screening checklist for patients and personnel.
Screen patients appropriately before anesthesia.
For unconscious emergency patients, perform passive screening twice and carefully evaluate safety risks. An example of passive screening is checking the patient for scars indicating implants.
System User Guide Rev.1.4 Brainsuite Ver.1.0 29
THE MR ENVIRONMENT
2.3.2 Personnel and Equipment Screening Measures
Overview To ensure maximum safety, answer (at a minimum) the following questions using detailed personnel and equipment screening measures. These should then be established as a standard procedure.
Screening Recommendations
MR Environment
Ferromagnetic equipment and material should not be brought into the MR environ-ment if not specifically required for the operation to be performed.
Patients who are pregnant should only be scanned using MR if it is e xplicitly neces-sary and approved by a physician.
Checklist
Is the person/equipment really required in the MR environment?
Does the equipment contain any MR unsafe components or are other MR unsafe com-ponents connected to it (e.g., a ferromagnetic oxygen tank connected to an MR safe anesthesia device)?
Does the patient have dental implants or orthopedic implants (knee/hip joint, etc.)? Does the patient’s file contain information about the implant? Can the implant be re-moved? Can a risk evaluation be carried out if it cannot be removed?
Does the patient have electronic implants, such as a pacemaker? Does the patient’s file contain information about the implant?
Is the patient pregnant?
30 System User Guide Rev.1.4 Brainsuite Ver.1.0
MR Safety Check Recommendations
2.3.3 Preparing and Performing a Patient Scan
Overview When preparing and performing a patient scan, the following questions must be answered.
Scanning Recommendations
MR Environment
Pregnant staff members should leave the MR environment during scanning and re-main outside of the 50 Gauss line.
Checklist
Before unlocking the table and rotating it into the scanner, have all MR unsafe surgical instruments and other objects been removed from the surgical field, the patient, the ta-ble, etc.?
Has the unconscious patient been provided with ear protection?
Are staff members who remain inside the MR environment during scanning wearing ear protection?
Are staff members who remain inside the MR environment pregnant?
Have all MR unsafe active electrical devices inside the MR environment (OR devices, power outlets, lights, etc.) been switched off?
System User Guide Rev.1.4 Brainsuite Ver.1.0 31
THE MR ENVIRONMENT
2.3.4 Establishing Safe and Effective Administration
Overview In order to establish safe and effective use and administration of the MR environment at your facility, Brainlab recommends performing the following actions.
Organizational / Facility Recommendations
Safety Checks
Always perform a safety check before a person enters the MR environment. Review any equipment to be brought into the MR environment to ensure conformance with the relevant guidelines for MR safety.
Recommendations
If your radiology department has not yet been involved in the MR development work at your site, ensure that you check your MR safety precautions with them. They have the relevant experience.
Establish a team responsible for the project. This team should include representatives from all relevant departments, such as neurosurgery, anesthesiology, radiology, nurs-ing, OR management, cleaning management, facility management, etc.
Organize frequent training sessions on MR safety and emergency procedures for all staff members who are either required to enter the MR environment, or who work near-by. MR safety training is recommended for all staff prior to entering a MR environment. Corresponding training records should be maintained for all staff members.
Provide scrub clothes without pockets to reduce the likelihood of MR unsafe material being brought into the room.
All equipment and material (including facility equipment, such as doors) in a defined area inside and around the MR environment must be color-coded in order to distinguish between MR safe and MR unsafe materials.
Do not bring any MR unsafe materials into the MR environment unless they are explic-itly labeled.
Establish procedures to ensure that corrective action for risk prevention is being fol-lowed up on a regular basis; for example, a quarterly ethic committee report regarding incidents and corresponding measures to ensure MR safety.
32 System User Guide Rev.1.4 Brainsuite Ver.1.0
MR Safety Check Recommendations
System User Guide Rev.1.4 Brainsuite Ver.1.0 33
OPERATING ROOM HARDWARE
3 OPERATING ROOM HARDWARE
3.1 Chapter Overview
3.1.1 Contents
Topics Covered
Section See
Brainsuite NET Page 34
Room Control Hardware Page 42
Brainlab Hardware Page 44
Brainsuite Network System Page 46
34 System User Guide Rev.1.4 Brainsuite Ver.1.0
Brainsuite NET
3.2 Brainsuite NET
3.2.1 Introduction to Brainsuite NET
Overview Brainsuite NET is comprised of dedicated image processing hardware, digital transfer lines, and the Brainsuite NET Server. Brainsuite NET can connect nearly any video or image source to display targets inside and outside of the operating room.
The 19” computer rack contains the Brainsuite NET Server, the UPS, and all video processing hard-ware.
Brainsuite NET Display Targets
Below are a few of the possible display targets accessible from Brainsuite NET:
Figure 1
Video and Image Sources
Brainsuite NET can accommodate most video or image sources (see Resolution Types on page 147). Devices include, but are not limited to:
No. Component
a Brainsuite Control Touchscreen – Wall Embedded
s Brainsuite Data Wall Screen
d Brainsuite Data Panel
f Brainsuite NET DVD Recorder
g Brainsuite OR Display
h VectorVision sky
f
s d
g h
a
• Anesthesia patient monitoring • Planning station• Angiography console • Room camera• C-arm • Room control workstation• DVD recorder • Surgical light camera• EEG • Ultrasound• Neurophysiologic patient monitoring
System User Guide Rev.1.4 Brainsuite Ver.1.0 35
OPERATING ROOM HARDWARE
System Startup
It may take several minutes until all components are synchronized and ready for op-eration.
Ceiling Mounted Arm Systems
The use of ceiling mounted arm systems (i.e., Brainsuite Control Touchscreen, Vector-Vision sky) increases the possibility for collisions with personnel and/or surrounding medical equipment. Use of these devices for purposes other than those shown in this user guide may cause bodily injury or equipment damage.
36 System User Guide Rev.1.4 Brainsuite Ver.1.0
Brainsuite NET
3.2.2 Brainsuite NET DVD Recorder
Overview • The Brainsuite NET DVD Recorder is a medical device (according to IEC 60601-1/UL 60601-1)
• It can play recorded DVDs as well as record on DVD-R and DVD-RW media (NTSC and PAL).• Other DVD recorders are compatible with Brainsuite NET, however, some software features
may be disabled.
NOTE: The Brainsuite NET DVD Recorder cannot record onto DVD+R and DVD+RW discs. En-sure that you only use DVD-R / DVD-RW media.
How to turn on the Brainsuite NET DVD Recorder
Figure 2
How to Finalize a DVD
The following instructions are valid for finalizing a disc from the DVD recorder. You can also finalize discs directly from Brainsuite NET.
NOTE: To have DVDs finalized automatically, activate Auto Finalize from the Disc menu .
Step
Press the Operate button to power the device on.
Steps
1. Press the Setup button on the front of the recorder.
This opens the Setup menu.
2. Select the Disc menu.
3. Select Finalize.
4. Press the Set button.
A progress bar is displayed on the front of the recorder.
System User Guide Rev.1.4 Brainsuite Ver.1.0 37
OPERATING ROOM HARDWARE
3.2.3 Brainsuite Data Wall Screen and Brainsuite Data Billboard LCD
Overview The Brainsuite Data Wall Screen and Brainsuite Data Billboard LCD consist of up to three large monitors that display patient image information provided by other sources, such as nearby comput-ers, video systems, or OR devices. The Brainsuite Data Wall Screen is mounted upon the wall whereas the Brainsuite Data Billboard LCD is integrated into the wall.
The Brainsuite Data Billboard LCD screen is always powered on. It will automatically go into sleep mode when not in use.
Data Billboard LCD
Figure 3
MR Environment
To prevent artifacts in the MR images, switch off the Brainsuite Data Wall Screen orData Billboard LCD during imaging. This can be performed using the Room Controlsystem or remote control as described in the Brainsuite NET and Room Control Soft-ware User Guide.
Further Reading Brainsuite Data Billboard LCD Planning and Installation Guide
Brainsuite Data Wall Panel 47” – Barco Planning and Installation Guide
Brainsuite Data Wall Screen 57” – Conrac Planning and Installation Guide
38 System User Guide Rev.1.4 Brainsuite Ver.1.0
Brainsuite NET
3.2.4 Brainsuite Control Touchscreen
Overview The Brainsuite Control Touchscreen is ceiling-mounted and uses an extension arm.
Brainsuite Control Touchscreen
Figure 4
MR Environment
To prevent artifacts in MR images, switch off the Brainsuite Control Touchscreen dur-ing imaging. This can be performed using the Room Control system as described in the Brainsuite NET and Room Control Software User Guide.
Touchscreen Surface
Do not use sharp tools to activate the touchscreen.
System User Guide Rev.1.4 Brainsuite Ver.1.0 39
OPERATING ROOM HARDWARE
3.2.5 Brainsuite OR Display
Overview The ceiling-mounted Brainsuite OR Display is a 19" monitor that uses extension arms. The Brain-suite OR Display can also be wall-mounted or set on a level surface in the operating room.
Brainsuite OR Display, Ceiling Mounted
Figure 5
MR Environment
To prevent artifacts in MR images, switch off the Brainsuite OR Display during imag-ing. This can be performed using the Room Control system as described in the Brain-suite NET and Room Control Software User Guide.
40 System User Guide Rev.1.4 Brainsuite Ver.1.0
Brainsuite NET
3.2.6 Device Connection Panel
Overview • The Device Connection Panel is mounted into the OR wall or control room. This is an interface unit for integrating imaging information from external devices such as MR workstations, micro-scopes, ultrasonographs, and endoscopes.
• When connected, live images are immediately available for surgical use.
Device Connection Panel
Figure 6
MR Environment
The Device Connection Panel is MR conditional and must be installed outside the 5 Gauss line (0.5 mT). All active components inside the Device Connection Panel, such as fans and other system devices mounted inside the panel, must be switched off dur-ing MR scans. They might emit electromagnetic radiation and interfere with the MR scanner, causing artifacts in the images.
Customization The Device Connection Panel contains various electric/optical conversion elements and adapters, depending upon the individual configuration (see page 41).
Servicing The Device Connection Panel contains two cooling fans for redundancy. They must be inspected for proper functionality and have their filters replaced annually.
The Device Connection Panel is only to be installed and serviced by trained and qualified Brainlab personnel. It may not be opened by other persons.
No. Component
a Cooling fan vents
s Connection panels
d Screws
s
a
d
System User Guide Rev.1.4 Brainsuite Ver.1.0 41
OPERATING ROOM HARDWARE
3.2.7 Brainsuite NET Transfer Lines
Overview Brainsuite NET transfer lines convert electrical video signals into optical signals, allowing data to be transferred outside of the OR to distances of up to 100 meters.
The exact components depend upon your system configuration.
Certifications Brainsuite NET transfer lines:
• Are either UL certified or have a power consumption below 15 W• Fulfill EMC requirements according to UL, FCC, or and EN• Are CE certified
Device Connection Panel
The electrical/optical converters are usually located inside the Device Connection Panel. Individual configurations vary.
Laser Safety
Transfer lines contain Class 1 laser devices. The modules’ optical ports must termi-nate with an optical connector or a dust plug.
IDMS Systems If your system has been upgraded from IDMS to Brainsuite NET, review the existing transfer line resolutions (DVI, ethernet, etc.) each time a new device is integrated into the system. Higher reso-lution devices may require newer transfer lines.
42 System User Guide Rev.1.4 Brainsuite Ver.1.0
Room Control Hardware
3.3 Room Control Hardware
3.3.1 Brainsuite Control Touchscreen – Wall Embedded
Overview The Brainsuite Control Touchscreen – Wall Embedded is located inside the operating room, typ-ically mounted into the OR wall near the main entrance.
It is not certified according to IEC 60601-1 and may not be mounted in the patient environment.
Brainsuite Control Touchscreen – Wall Embedded
Figure 7
System User Guide Rev.1.4 Brainsuite Ver.1.0 43
OPERATING ROOM HARDWARE
3.3.2 Multi-Button Switch
Overview • The Multi-Button Switch is typically located outside of the operating room in the control room or next to the main entrance.
• It provides quick access to several Room Control functions. It is fully functional at all times and cannot be switched off by the user.
• When a button is pressed, the adjacent LED illuminates to indicate that the function is active.
NOTE: The Room Control screens and the Multi-Button Switch update each other automatically each time a function is used.
Scan Scenarios
Before using the Multi-Button Switch, carefully read the descriptions in the Brainsuite NET and Room Control Software User Guide for the Scan scenario, as well as the Sur-gery, Preparation and Standby scenarios.
The Multi-Button Switch
For customized solutions, the Multi-Button Switch layout and functionality may differ from the illus-tration.
Figure 8
Multi-Button Switch Buttons
Further Reading Room Control Software Q Brainsuite NET and Room Control Software User Guide
a s
fd
g h
kj
No. Component Function
aSurgery Scenario
Activates the Surgery scenario
sScanning Scenario
Activates the Scanning (MR Imaging) scenario
dPrepara t ion Scenario
Activates the Preparation scenario
fStandby Scenario
Activates the Standby scenario
g Surgical Light Switches the operating light on/off
h OR Dimming Controls downlights in the OR
j Central On Switches all devices and lights on
kConsole Dim-ming
Controls downlights in the control room
44 System User Guide Rev.1.4 Brainsuite Ver.1.0
Brainlab Hardware
3.4 Brainlab Hardware
3.4.1 VectorVision sky Navigation Station
Overview More details on VectorVision products can be found in the VectorVision System User Guide.
For accessing Brainsuite NET, Application Switch, and Room Control features in the sterile field, the VectorVision sky navigation station touchscreen is also used as a terminal.
VectorVision sky Navigation Station
Figure 9
MR Environment
To prevent artifacts in the MR images, switch off the VectorVision sky navigation touchscreen during imaging. This can be performed using the Room Control system as described in the Brainsuite NET and Room Control Software User Guide.
Restarting
When restarting the VectorVision sky power data unit (PDU), be sure to wait at least 10 seconds before reconnecting.
Further Reading VectorVision System User Guide
System User Guide Rev.1.4 Brainsuite Ver.1.0 45
OPERATING ROOM HARDWARE
3.4.2 RF Shielded OR Cabin
Manufacturer Documentation
Please refer to the manufacturer documentation for detailed information on the RF shielded OR cabin and its accessories.
Further Reading Brainsuite iMRI Site Planning Manual
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Brainsuite Network System
3.5 Brainsuite Network System
Overview The Brainsuite Network System is a secure, flexible system that links the Brainsuite computers for data and command transfer and connects them to a customer network. Together with a central-ized Brainsuite firewall, this ensures a high level of security.
Maintenance In the event of a malfunction, please contact Brainlab support.
Decentralized Building Automation
In the background, a decentralized building automation system is linked to the Brainsuite NET Server, Room Control Server, and to the VectorVision sky navigation station (depending on con-figuration). This ensures high availability at all times.
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4 RACK HARDWARE4.1 Chapter Overview
4.1.1 Contents
Topics Covered
Section See
Brainsuite NET Hardware Page 48
Turning the System On and Off Page 49
Brainsuite NET Video Processing Hardware Page 57
Brainsuite NET Server Page 60
Room Control Server Page 67
Power Supply Page 73
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4.2 Brainsuite NET Hardware
4.2.1 Background
General Information
Brainsuite NET is comprised of dedicated hardware, all located in the 19” computer rack.
There is no fixed startup order; however, it may take several minutes until all compo-nents are synchronized and ready for operation.
Device Housing
Devices powered by a mains power feed may only be housed in a rack, external cabi-net, or box certified by Brainlab. It is strictly forbidden to operate them without a Brain-lab certified enclosure.
Servicing
Only qualified technicians may perform repairs or changes to the device or installa-tion. Unauthorized opening of devices and improper repairs or changes to the instal-lation can result in considerable danger to the user (danger of electrical shock).
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4.3 Turning the System On and Off
4.3.1 Turning On Brainsuite NET
Main Switch The main switch is located inside the 19” rack.
Figure 10
How to Turn On: Eaton UPS
a
Steps
1. Open the 19” computer rack doors.
2. Turn the main power switch clockwise until it reaches the ON position.
3. Wait apporoximately 5-30 seconds until you hear a click.
4. Turn on the UPS by pressing and holding down the power on button (approxi-mately 3-5 seconds).
5. Wait approximately two minutes.
6. If you have a planning station, power it on and wait an additional 30 seconds.
7. Close front door of 19” rack.
8. Wait for system to boot.
NOTE: Once operating system has been initialized, the startup screen opens. Use the Ap-plication Switch to move between applications.
9. Follow instructions given in the Software User Guide.
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How to Turn On: Oneac UPS
Waiting Period
If the system has been turned off, wait at least 15 seconds before turning it on again. Otherwise, high input current may trip the circuit breaker.
Abnormal Impacts
Do not use the system after an abnormal impact, such as an earthquake or explosion. Because of the possibility of fundamental structural damage to the bu ilding, a new structural evaluation must be performed.
Steps
1. Open the 19” computer rack doors.
2. Turn the main power switch clockwise until it reaches the ON position.
NOTE: If you have two racks with main switches, carry out the startup procedure on the rack containing the video processor (see page 58) first.
3. Set the power switch to the “I” position.
4. Wait approximately two minutes.
5. If you have a planning station, power it on and wait an additional 30 seconds.
6. Close front door of 19” rack.
7. Wait for system to boot.
NOTE: Once operating system has been initialized, the startup screen opens. Use the Ap-plication Switch to move between applications.
8. Follow instructions given in the Software User Guide.
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4.3.2 Turning off Brainsuite NET
Overview Instructions for exiting Brainsuite NET and Brainlab navigation software (e.g., VectorVision crani-al) are described in the software user guides.
How to Turn Off: Eaton UPS
How to Turn Off: Oneac UPS
Emergency Shutdown
In the case of an emergency shutdown, turn off system by turning the main switch counter-clockwise to the “O” position.
StepsTo
uchs
cree
ns
1. Exit the navigation software (e.g., VectorVision cranial).
NOTE: Use the Application Switch to toggle between the navigation software, Room Control, and Brainsuite NET.
2. Press Shutdown. This shuts down the navigation workstation.
3. Exit Brainsuite NET.
4. Press Shutdown. This shuts down the Brainsuite NET Server.
5. If you have a planning station, exit the planning software and shut it down.
19” r
ack
6. Open the 19” computer rack doors.
7. If you have a Room Control Server, power it off using the power button.
8. Wait approximately one minute.
9. Turn the main power switch counter-clockwise to the “O” position.
Steps
Touc
hscr
eens
1. Exit the navigation software (e.g., VectorVision cranial).
NOTE: Use the Application Switch to toggle between the navigation software, Room Control, and Brainsuite NET.
2. Press Shutdown. This shuts down the navigation workstation.
3. Exit Brainsuite NET.
4. Press Shutdown. This shuts down the Brainsuite NET Server.
5. If you have a planning station, exit the planning software and shut it down.
19” r
ack
6. Open the 19” computer rack doors.
7. If you have a Room Control Server, power it off using the power button.
8. Wait approximately one minute.
9. Turn off the UPS by pressing the power switch to the “O” position.
10. Turn the main power switch counter-clockwise to the “O” position.
If you have a second rack, follow steps 1-5 again.
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Waiting Periods
Do not turn off the system during boot-up. Otherwise, configuration files and other data on the hard disk may be damaged.
Loss of Data
Failure to follow system shutdown procedure prior to disconnecting the power may result in irreversible loss of data.
Switching off the system by putting the UPS into standby mode could lead to perma-nent data loss or malfunction of system components.
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4.3.3 19” Computer Rack
19" Computer Rack
Figure 11
Cabling During installation, all cables are connected by Brainlab support.
Rewiring may only be performed by authorized personnel or Brainlab support.
Doors The front door of the 19" computer rack should always be closed.
Only Brainlab support specialists are permitted to open the back door of the 19" computer rack.
Do not open the back door of the 19" computer rack. Risk of electrical shock!
Brake
Ensure that the brake is locked at all times. The brake pedals a must be pushed down.
Only Brainlab support specialists are allowed to release the brake and move the 19" computer rack.
a
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4.3.4 Uninterruptible Power Supply (UPS)
Overview The UPS guarantees a continuous supply of electrical power to critical Brainsuite NET components, even in the case of a main power failure. It can maintain critical functions for up to three minutes by switching to local battery power.
Brainsuite NET systems use one of the following UPS types:
• Eaton Powerware 9125• Oneac On Series 700
Manufacturer Information
Please refer to the manufacturer documentation for detailed information on the UPS and its accessories.
Battery Replacement
The batteries may need replacement if one of the following occurs. Contact Brainlab support for as-sistance.
• Eaton UPS: The battery indicator light flashes• Oneac UPS: The “System Code” light is on and the display shows “C6”
Have the battery replaced if it has not been replaced for more than three years.
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4.3.5 Eaton UPS
How to Turn On the UPS
Figure 12
NOTE: The system normally comes with a black version of the Eaton UPS.
How to Turn Off the UPS
Battery Self-Test
The battery must be checked at least once a year using the UPS battery self-test. Have the battery replaced if the self-test fails or if the UPS reports a defective battery.
Step
Press the Power On button on the front panel and hold it for 3-5 seconds.
Steps
1. Press the Power Off button and hold it for approximately three seconds. The UPS will go into standby mode.
2. Turn off the main switch (see page 49).
Steps
1. Press the Self-test button and hold it for approximately three seconds.
2. • A flashing battery indicator light means that your batteries need to be re-placed.
• If the battery indicator light turns off, your batteries are functioning prop-erly.
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4.3.6 Oneac UPS
How to Turn On the UPS
Figure 13
How to Turn Off the UPS
Step
Press the Power switch on the front panel (“|” side pressed down).
Steps
1. Press the Power switch (“|” in up position) on the front panel. The UPS will go into standby mode.
2. Turn off the main switch (see page 49).
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4.4 Brainsuite NET Video Processing Hardware
4.4.1 Video Processing System
Overview The video processor, the matrix switch, the video splitters, the video switches and the video convert-ers:
• Are either UL certified or have a power consumption below 15 W• Fulfill EMC requirements according to UL, FCC, or and EN• Are CE certified
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4.4.2 Video Processor
Overview The video and image processor controls the display of image data on multiple displays.
Video Processor
Figure 14
Resetting the Video Processor
Air Intake Filters
The air intake filters of the video processor must be serviced at least every six months. To clean the grill and filters, use a vacuum cleaner (and if necessary, a soft brush) to remove any dust deposits.
Manufacturer Documentation
Please refer to the manufacturer documentation for detailed information on the video processor and its accessories.
No. Component
a Status indicators
s Latch for lower access panel
a s
Steps
1. In the center of the front panel, open the latch by turning it 90 degrees clockwise.
2. Pull the lower access panel open.
3. Press the System Reset button.
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4.4.3 Matrix Switch
Overview The matrix switch routes image information over the Brainsuite NET network.
Matrix Switch
Figure 15
Turning off the Matrix Switch
To turn off the matrix switch, shut down the complete system.
Manufacturer Documentation
Please refer to the manufacturer documentation for detailed information on the matrix switch and its accessories.
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Brainsuite NET Server
4.5 Brainsuite NET Server
4.5.1 Background
Overview The Brainsuite NET Server functions both as a workstation and a server and is located in the 19” computer rack.
Brainsuite NET Server
Figure 16
DVD Drive/Writer This unit meets Class I laser criteria of FDA Laser Notice No. 50 and IEC 60825-1:1992 + A1:1997 +A2:2001. It contains a light emitting diode (LED) which may produce a stronger laser beam than a Class 1 laser.
It is dangerous to look directly at the laser beam. For this reason, you must not remove any drive covers.
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4.5.2 Environment and Protection
Protection Against Shocks and Intrusion
Protect the system from severe shocks.
Make sure that no objects (for example, jewelry chains, paper clips) get inside the de-vice. There is a risk of electrical shock.
MR Safety MR safety according to ASTM:
Computer accessories, such as USB flash drives, Zip disks, floppy disks, etc., are con-sidered to be MR unsafe. Furthermore, loss of data may o ccur if these devices are brought beyond the 5 Gauss field line.
Environmental Restrictions
Do not use the system in environments where there is a danger of explosion!
To prevent electric shock or permanent damage to the system, do not expose the com-puter to excessive moisture.
The system is not suitable for use in the presence of flammable anesthetic mixtures containing air, oxygen or nitrous oxide.
Network Environment
The system may only be operated in secured networking environments. Do not con-nect the system to a network that is not secure, as this may cause infections from ma-licious software. Brainlab cannot guarantee the proper functioning of the system if it is connected to a network that is not secure.
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4.5.3 Servicing, Installation and Access
Servicing
Risk of electrical shock: There are no user serviceable parts. All servicing to be car-ried out by trained technicians or referred to Brainlab.
Unauthorized opening and/or improper repairs can result in considerable danger to the user (danger of electrical shock, high-voltage danger, fire danger).
Repairs should only be performed by Brainlab or its authorized partners.
Appropriate measures should be implemented (by a hospital system administrator or equivalent) to prevent unauthorized access to the system platform.
Installation • The Brainsuite NET Server contains medical software. • The Brainsuite NET Server’s installation properties or configuration settings may not be
altered by persons untrained/unauthorized by Brainlab (excluding local account settings regard-ing system security).
• No software, other than that provided, may be installed on the Brainsuite NET Server.
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4.5.4 Ventilation and Airflow
Ventilation
Do not obstruct the ventilation slots (cover, cabinet, etc.) of the system or other deliv-ered equipment. Air must be allowed to circulate through these slots in order to en-sure that the system operates properly and does not overheat.
To ensure adequate ventilation, a minimum c learance of 200 mm is required on all sides.
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4.5.5 Indicators on the Brainsuite NET Server
The Indicators
Figure 17
Power-on Indicator The illumination of the power-on indicator s may have the following meanings:
Do not disconnect the device from mains power while it is in energy saving mode, as this may result in data loss.
Drive Indicator • The drive indicator d illuminates when the CD-ROM or DVD drive is accessed. • You may only remove the DVD when the indicator is unlit.
No. Component
a Hard disk indicator
s Power-on indicator
d Drive indicator, e.g., DVD
ad
s
Options
If green, the workstation is on.
If orange, the workstation is ready-to-operate or in energy-saving mode.
After being switched on with the power button, the device switches on or returns to the state it was in before the energy-saving mode.
If unlit, the workstation is shutting down.
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4.5.6 Turning On the Brainsuite NET Server
The Button
Figure 18
How to Turn On the System
Hard Disk Indication During Boot up
The status of the hard disk is reported during system boot up. You can see the report before the “Brainlab booting up” logo appears:
Power Source
Operate the system using the source indicated on the type plate. If you are unsure of the type of power available, consult Brainlab support or your local power company.
No. Component
a On/Off button
a
Steps
1. Press the On/Off button a.
The power-on indicator lights up green and the workstation starts up.
2. Wait for the system to boot and follow the instructions given in the Brainsuite NET and Room Control Software User Guide.
Options
If the status is in green, the hard disk is working properly.
If the status is in yellow or red, the hard disk is defective. Call Brainlab support to replace the faulty hard disk.
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4.5.7 Additional Information
Emergencies
In emergencies (such as damaged casing, elements or cables, penetration of liquids or foreign matter), switch off the device immediately and contact Brainlab support.
Waiting Period
When turning the system off, you must wait at least 15 seconds before turning it on again. Otherwise, high input current may trip the circuit breaker.
When turning the system on, you must allow Windows to completely boot up before you can turn it off again. Otherwise, configuration files and other data on the hard disk may be damaged.
RF Emissions Interferences
• The Brainsuite NET Server only uses RF energy for internal functions. • For this reason, the RF emissions are very low and are not likely to cause any interference in
nearby electronic equipment.
FCC Compliance The Brainsuite NET Server has been tested and found to comply with the limits for a “Class B” dig-ital device, according to Part 15 of the FCC rules.
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4.6 Room Control Server
4.6.1 Background
Overview The Room Control Server controls the Room Control software.
Room Control Server
Figure 19
DVD Drive
This unit meets Class I laser criteria of FDA Laser Notice No. 50 and IEC 60825-1:1992 + A1:1997 +A2:2001. It contains a light emitting diode (LED) which may produce a stronger laser beam than a Class 1 laser.
It is dangerous to look directly at the laser beam. For this reason, do not remove any drive covers.
Ventilation
Do not obstruct the ventilation slots (cover, cabinet, etc.) of the system or other deliv-ered equipment. Air must be allowed to circulate through these slots in order to en-sure that the system operates properly and does not overheat.
To ensure adequate ventilation, a minimum c learance of 200 mm is required on all sides.
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4.6.2 Turning the System On
How to Turn the System On
• If you have rebooted the Room Control Server, you may have to log on via the Windows logon prompt.
• Use the KVM drawer in the 19" computer rack and switch to the Room Control Server.
Logging In
Room Control User Interface
Figure 20
Correct Usage
Wait until a screen similar to the one above is displayed before performing any addi-tional tasks. Software startup may take up to 2 minutes.
If connected to the Room Control Server, the KVM drawer’s screen and the Room Con-trol touchscreen are identical.
Workstation: Displaying Room Control
If you are using the Room Control computer terminal, it is possible that other applications may ob-scure the Room Control touchscreen user interface. Use the following step to display it (the Room Control Server must be connected).
Steps
1. Log in using the user name “Room Control.”
2. Leave the password field blank.
3. Click OK or press the Enter key. The system will then start the necessary software. You will see a screen similar to the one below.
Step
Press and hold down the left Alt key, then press the Tab key to toggle between running applica-tions.
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4.6.3 Connecting to Multiple Servers
Overview The Room Control workstation has its own workflow for connecting to other workstations.
NOTE: For all installations that include the Application Switch, users can access other programs using the Hovering Task Button.
Workstation: Connecting to Multiple Servers
NOTE: You can exit the command line at any time by pressing Esc.
Steps
1. Press and hold down the Num key, then press the - key on the numeric keyboard. A com-mand line will be displayed.
2. Release the keys.
3. • To connect to the navigation station, type a• To connect to the planning station, type b• To connect to the Room Control Server, type c
4. Press Enter.
The terminal will be connected to the selected workstation.
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4.6.4 Restarting the Room Control Server
Overview Generally, the Room Control Server should not be switched off by the user, especially if the oper-ating system has not yet been shut down. Nevertheless, in the event of a malfunction, it might be necessary to reboot the server by completely switching it off and on again.
The Room Control system must remain activated at all times.
Powering down Room Control
Do not switch the server off unless the Brainsuite Control Touchscreen – Wall Embed-ded does not react to commands for more than 3 minutes.
Steps
1. Locate the Room Control Server in the second computer rack (this may vary, depending on configuration).
2. To turn the server off, press the power button on the server, and verify that the LEDs are switched off.
3. To turn the server on, press the power button and wait until the server prompts you to log on.
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4.6.5 Indicators on the Room Control Server
The Indicators
Figure 21
No. Component Explanation
a DVD-RW access indicator Green: CD-ROM busy
sHDD indicator (hot-plug hard disk drives only)
Green: HDD busy
d HDD indicator Amber: HDD fault
f HDD access indicator Green: Hard disk busy
g Identification indicator Blue: System selected using the identification button
h Reset button Reboots system
j Identification button Lights up identification indicators
k ON/OFF button Turns system on and off
l NMI button Shuts system down immediately
; Power-on indicator (bicolor)
Green: Server switched on
Green (flashing): Standy mode
Amber: Shutdown mode/off
A Global error indicator (amber) Amber: Global error
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4.6.6 Additional Information
Emergencies
In emergencies (such as damaged casing, elements or cables, penetration of liquids or foreign matter), switch off the device immediately and contact Brainlab support.
Waiting Period
When turning the system off, you must wait at least 20 seconds before turning it on again. Otherwise, high input current may trip the circuit breaker.
Do not turn off the system during boot up. Otherwise, configuration files and other data on the hard disk may be damaged.
RF Emissions Interferences
• The Room Control Server only uses RF energy for internal functions. • For this reason, the RF emissions are very low and are not likely to cause any interference in
nearby electronic equipment.
FCC Compliance The Room Control Server has been tested and found to comply with the limits for a “Class A” digital device, according to Part 15 of the FCC rules.
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4.7 Power Supply
4.7.1 Medical Power Supply
Overview The medical power supply is usually located in the 19” computer rack or the power box.
The medical power supply can be shut off either using Room Control or by disconnecting mains power.
Power Draining
Only Brainlab service personnel or personnel authorized and trained by Brainlab are allowed to connect any additional power source to a Brainlab system (e.g., medical power supply). It is strictly forbidden for all other persons to connect any power drain-ing device to the system.
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3RD-PARTY OR DEVICES FOR BRAINSUITE IMRI
5 3RD-PARTY OR DEVICES FOR BRAINSUITE IMRI
5.1 Chapter Overview
5.1.1 Contents
Topics Covered
Section See
Surgical Devices Page 77
Anesthesiology Devices Page 80
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5.1.2 Before You Begin
Overview Brainsuite iMRI is equipped with a selection of standard neurosurgical OR devices which can be used either independently, or in conjunction with the Brainsuite iMRI system.
Brainsuite iMRI is also equipped with a selection of MR safe/MR conditional anesthesiology devic-es.
Manufacturer Documentation
The information provided in this chapter does not substitute for the manufacturer doc-umentation. If in doubt, the manufacturer documentation takes precedence, and should therefore be consulted first, before referring to the Brainsuite System User Guide.
MR Environment
All 3rd-party devices used with Brainsuite iMRI are located in an MR environment. This means that the information provided in the manufacturer documentation is not suffi-cient to ensure safe handling of the devices in the MR environment. For this reason, the customer must provide the Brainsuite System User Guide to the manufacturer ser-vice team, and to other personnel before they enter the MR environment or use the rel-evant 3rd-party devices.
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3RD-PARTY OR DEVICES FOR BRAINSUITE IMRI
5.2 Surgical Devices
5.2.1 Microscope
Manufacturer Documentation
Detailed information on microscope use is provided in the manufacturer documentation.
Microscope in Room Control
Figure 22
The microscope power supply is regulated by Room Control and can be switched on and off via different user interfaces.
Switching off the microscope via Room Control means that it is completely discon -nected from the power supply. All microscope components, such as the light source and video control, will be deactivated simultaneously. In order to deactivate different components separately, use the on/off switches provided on the individual devices.
MR Environment
The microscope must be switched off during MR scanning.
Video Signals • Video images from the microscope video camera are integrated into Brainsuite NET and can be displayed on single or multiple screens.
• To enable video data display, the microscope video control box must be switched on. This is usually located inside the OR.
• Outside the OR, a connection to the video feed is provided in the computer racks. For further information and assistance, contact Brainlab support.
Further Reading Microscope Setup in Navigation System Q VectorVision cranial Software User Guide
Brainsuite NET and Room Control Software User Guide
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Surgical Devices
5.2.2 OR Lights
Manufacturer Documentation
Detailed information on OR light use is provided in the manufacturer documentation.
OR Lights in Room Control
Figure 23
The power supply to the OR light is regulated by Room Control and can be switched on and off via different user interfaces.
Switching off the OR light using Room Control means that it is completely disconnect-ed from the power supply. All OR light components, such as the light source and video control, will be deactivated simultaneously. In order to deactivate different compo-nents separately, use the on/off switches provided on the individual devices.
MR Environment
The OR light must be switched off during MR scanning.
Floor stand OR lights are considered MR unsafe. They should not be brought into theBrainsuite iMRI OR due to the high risk of magnetic attraction and resulting injury to the patient and/or medical staff.
Video Signals • Video images from the OR light video camera are integrated into Brainsuite NET and can be displayed on single or multiple screens.
• To enable video data display, the OR light video control box must be switched on. This is usu-ally located inside the OR.
• Outside the OR, a connection to the video feed is provided in the computer racks. For further information and assistance, contact Brainlab support.
Further Reading Brainsuite NET and Room Control Software User Guide
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5.2.3 Ceiling Supply Unit (CSU)
Manufacturer Documentation
Detailed information on CSU use is provided in the manufacturer documentation.
Room Control The normal power supply to the CSU – as well as its network and video integration – is regulated by Room Control and can be switched on and off via different user interfaces.
Switching off the CSU via Room Control means that it is completely disconnected from the power supply. All CSU components, such as the light source and video control, will be deactivated simultaneously. To deactivate different components separately, use the on/off switches provided on the individual devices.
MR Environment
The normal power supply outlets of the CSU, as well as the network and/or video inte-gration equipment, must be switched off during MR scanning.
The emergency power outlets in the CSU (usua lly color-coded in red) cannot be switched off! Only MR comp atible medical devices should be connected to these emergency power outlets!
Video Signals • The CSU includes an S-Video connector for connecting S-Video sources (for example, endo-scopes or ultrasound devices), and provides this video feed outside of the OR.
• The video images are integrated into Brainsuite NET and can be displayed on single or multi-ple screens.
• Outside the operating room, a connection to the video feed is provided in the computer racks. For further information and assistance, contact Brainlab support.
Network Connectors
The CSU also integrates two network connectors, one on each extended arm. The network line is provided outside of the OR in the computer racks and is usually connected to the customer network.
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5.3 Anesthesiology Devices
5.3.1 Integration into Brainsuite iMRI
Before You Begin
Before using a 3rd-party anesthesiology device, inform yourself in detail about the MR safety properties of the device by reading the manufacturer documentation.
Anesthesia and/or Monitoring Devices
Detailed information on anesthesiology and/or monitoring device usage is provided in the manufac-turer documentation.
MR conditional/MR safe anesthesia and/or monitoring devices should only be con-nected to the emergency power outlets. These outlets are not switched off during scanning and will continue supplying power to the attached devices.
Syringe Pump Detailed information on syringe pump usage is provided in the manufacturer documentation.
MR conditional/MR safe syringe pumps should only be connected to the emergency power outlets. These outlets are not switched off during scanning and will continue supplying power to the attached devices.
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TROUBLESHOOTING
6 TROUBLESHOOTING6.1 Chapter Overview
6.1.1 Contents
Topics Covered
Section See
Room Control Page 82
Display Errors Page 85
Brainsuite NET Hardware Page 91
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6.2 Room Control
6.2.1 Room Control Malfunction
No Response
If the Room Control system does not respond to your commands, try to activate it with the Multi-Button Switch. If the system still fails to respond, check the relevant fuses in the electrical cabinet and contact Brainlab support.
User Experience
Only experienced, trained personnel should open the electrical cabinets.
The electrical cabinets contain open, high voltage cabling. Any actions in this cabinet must be performed with extreme care. Do not proceed if you are unsure, or if the re-quired procedure is in any way unclear. Careless handling can lead to severe injury (electric shock or burns) or even death.
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TROUBLESHOOTING
6.2.2 Main Power Failure
Overview Main power failure means that the main Brainsuite power supply in the clinic for critical equipment is down.
The system is able to bridge short failures of the hospital mains power supply for up to three minutes.
System Response
For safety reasons, all devices and lights are automatically switched on in the case of a main power failure.
The Room Control system itself will not be operational during a main power failure.
Main Power Restoration
• Once main power has been restored, the Multi-Button Switch is immediately operational. • Generally, the other Room Control terminals will reboot automatically, however, in certain
cases, it may be necessary to reboot these manually.
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Room Control
6.2.3 Multi-Button Switch Failure
Power Failure The Multi-Button Switch will still be operational if the screen-based Room Control user interfaces are out of order. It is also the first terminal that will become operational after a main power failure.
Multi-Button Switch Malfunction Problem Explanation/Action
Multi-Button Switch fails to respond
• Try using the other Room Control terminals.• If these terminals are also out of order, the devices and lights
can still be activated manually in the electrical cabinets in the event of an emergency. Refer to the labels and plans in these cabinets and/or to your Brainlab system operator manual for more information on the appropriate switches, and contact your Brainlab service representative immediately.
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6.3 Display Errors
6.3.1 Application Switch Fallback Solution
When to Use In the case of a system failure, the Application Switch comes with a hardware backup solution for manually switching between different applications.
Use the Fallback Solution if one the following occurs:
• Touchscreen functionality doesn’t work• No image on monitor• Image frozen on monitor
This solution should only be used when a system or network failure prevents normal, software-based application switching. The Application Switch Fallback Solution can only route server in-formation to your primary touchscreen monitor.
Application Switch Fallback Solution
Figure 24
Although configurations vary, the first button on the Application Switch Fallback Solution is gen-erally reserved for normal operation using the Application Switch software. The second button is normally reserved for the hardware routing of navigation data to your primary touchscreen monitor.
NOTE: Software routing is not possible while the Navigation button is selected!
Using the Application Switch Fallback Solution Steps
1. Open the 19” computer rack doors.
2. Locate the Application Switch Fallback Solution (see image).
3. Press the button of the application you would like displayed on your primary touchscreen monitor, for example the navigation software.
An application key is displayed on a label to the left of the monitor selection buttons. For example, the navigation button (2 in image) routes the navigation application to the touchscreen monitor.
4. To switch to another application, press the corresponding button.
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Display Errors
6.3.2 Color Malfunction
Colors Display Incorrectly
Black and White Video Signal
Problem Action/Explanation
Defective cable between Brainsuite NET and source device
Bent pin in connector plug. Replace cable.
Cable is too long Replace cable with one specified in this manual.
Connector plug not com-pletely inserted
Insert cable connector plug completely.
Display configured incor-rectly
Refer to the display manufacturer’s documentation.
S-Video and Y/C video sig-nals swapped
Swap S-Video and Y/C video signals
RGB and VGA video sig-nals swapped
Swap RGB and VGA video signals
Too many active devices between Brainsuite NETand the source signal
Reduce the number of active devices (i.e., switches, distribution amplifiers, etc.)
Unsupported video signal or resolution
Check supported signals and resolutions in this manual.
Device overheated Check active devices between Brainsuite NET and source sig-nal for overheating.
Problem Action/Explanation
Signal is black and white Signal is intended to be black and white.
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6.3.3 Image Irregularities
Image Shifted
Image Distorted
One Source Distorted
Problem Action/Explanation
Refresh rate not supported Check supported refresh rates and resolutions in this manual.
Unsupported video signal or resolution
Check supported signals and resolutions in this manual.
Display configured incor-rectly (mainly analog dis-plays)
Check display for correct synchronization.
Brainsuite NET started wi th incorrect boot se-quence. Source device was booted before Brainsuite NET and may use an un-supported resolution or re-fresh rate.
Reboot source device.
Problem Action/Explanation
Display configured incor-rectly (mainly analog dis-plays)
Check display for correct synchronization.
Problem Action/Explanation
Resolution of source signal has changed
• Reboot source device for correct EDID information exchange.• Reconfigure source using the supported signals and resolu-
tions in this manual.
Source plugged into incor-rect input on the Device Connection Panel
Plug cable into correct input.
Brainsuite NET started wi th incorrect boot se-quence. Source device was booted before Brainsuite NET and may use an un-supported resolution or re-fresh rate.
Reboot source device.
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Display Errors
Image Noise
Video Delayed
Problem Action/Explanation
Defective cable between Brainsuite NET and source device
Bent pin in connector plug. Replace cable.
Cable is too long Replace cable with one specified in this manual.
Connector plug not com-pletely inserted.
Insert cable connector plug completely.
Too many active devices between Brainsuite NETand the source signal
Reduce the number of active devices (i.e., switches, distribution amplifiers, etc.).
Unsupported video signal or resolution
Check supported signals and resolutions in this manual.
Device overheated Check active devices between Brainsuite NET and source sig-nal for overheating.
Defective display Replace the source device.
Defective source device
Interference from a motor-driven source device (i.e., mic roscopes, zooming cameras)
Many devices can produce noise while they are being moved by an internal motor. Brainsuite NET cannot compensate for this noise. However, the signal should clear up when the motor stops.
Problem Action/Explanation
80 ms video processor de-lay
• The Brainsuite NET video processor introduces a delay of up to 80 ms.
• Brainlab support can configure a real-time path for devices that require real-time display (i.e., endoscopes, microscopes).
Too many active devices between Brainsuite NETand the source signal
Reduce the number of active devices (i.e., switches, distribution amplifiers, etc.).
Source does not produce real-time output
Many sources are not capable of real-time output. Check the rel-evant manufacturer documentation.
VectorVision sky does not produce real-time output
VectorVision sky does not produce real-time output.
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TROUBLESHOOTING
Blurry Image
Problem Action/Explanation
Cable between Brainsuite NET and source device too long
Replace cable with one specified in this manual.
Too many active devices between Brainsuite NETand the source signal
Reduce the number of active devices (i.e., switches, distribution amplifiers, etc.).
Device overheated Check active devices between Brainsuite NET and source sig-nal for overheating.
Display used with non-na-tive display resolution
• Brainsuite NET output resolution must be changed by Brain-lab support technicians.
• Use display with native resolution.
Scaled PAL or NTSC video is blurry
PAL or NTSC video sources must be converted from interlaced to progressive, which always results in a loss of information.
Scaled high resolution vid-eo is blurry
• Scaling video always causes a certain amount of blur. This is because the pixels do not match up exactly and must be recal-culated.
• To reduce this problem, use matching resolutions for the source and display as frequently as possible. For example, route an SXGA source to an SXGA display.
Composite video is blurry Composite video always produces a lower quality image. An al-ternative is to use S-Video instead.
Poor source signal Normally, low and high video resolution are standardized. How-ever, devices often do not comply with standards completely. Brainsuite NET can alleviate this problem to a certain extent. For a detailed analysis of the signal, contact Brainlab support.
Camera not focused Focus the camera.
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Display Errors
6.3.4 No Picture
No Picture
Problem Action/Explanation
Defective cable between Brainsuite NET and source device
Bent pin in connector plug. Replace cable.
Cable is too long Replace cable with one specified in this manual.
Connector plug not com-pletely inserted
Insert cable connector plug completely.
Display configured incor-rectly
Refer to the display manufacturer’s documentation.
RGB and VGA video sig-nals swapped
Swap RGB and VGA video signals.
Too many active devices between Brainsuite NETand the source signal
Reduce the number of active devices (i.e., switches, distribution amplifiers, etc.).
Unsupported video signal or resolution
Check supported signals and resolutions in this manual.
Device overheated Check active devices between Brainsuite NET and source sig-nal for overheating.
Source device not pow-ered on
Power on source device.
Source output not activated • Activate source output.• Reboot source device.
Video processor malfunc-tion
Reboot video processor.
Brainsuite NET started wi th incorrect boot se-quence. Source device was booted before Brainsuite NET and may use an un-supported resolution or re-fresh rate.
Reboot source device.
Defective display Replace the source device.
Defective source device
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6.4 Brainsuite NET Hardware
6.4.1 Non-Rack Hardware Malfunction
No Control over DVD Recorder
DVD Recorders Swapped
Problem Action/Explanation
Wrong cable Replace cable with one specified in this manual.
Cable defective
Cable loose Ensure that cable is tightly connected.
Incorrect port setting on the serial interface
Correct port setting using manufacturer’s documentation.
Recorder connected to wrong COM port on the De-vice Connection Panel
Check cable connection.
Problem Action/Explanation
Cables connected to incor-rect DVD recorders
Ensure that cables are connected to the correct DVD recorders.
Recorder connected to wrong COM port on the De-vice Connection Panel
Check cable connection.
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Brainsuite NET Hardware
Touchscreen Functionality Error
Figure 25
Problem Action/Explanation
Following an MR scan (and touchscreen shutdown), touchscreen functionality no longer works
• Exit the Brainsuite NET software. The Startup software inter-face is displayed.
• On the Application Selection screen, press the System but-ton. The System Tools screen is displayed (see below).
• Press Reset Touchscreens (see below) and wait approxi-mately 10 seconds. All touchscreens should now function nor-mally.
System error • Use the Application Switch Fallback Solution (see page 85)
• Call Brainlab support.• Reboot Brainsuite NET Server.• Reboot system.
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TROUBLESHOOTING
6.4.2 Audio Signals / Warning Sounds
19” Computer Rack
System Turned Off
Touchscreen Monitor Beeps
No Audio Feedback from Touchscreen Monitor
Problem Action/Explanation
No line power to UPS • The UPS will beep again when line power is reestablished.• If line power is not reestablished, check the fuse in the 19”
computer rack
UPS battery The battery is defective or needs replacement. Critical error. Call Brainlab support.
Fan Sensor Critical error. Check the rack for overheating and call Brainlab support.
Critical error. Check if the thermo sensor is connected and call Brainlab support.
Error with Brainsuite NET Server RAID array
Critical error. Call Brainlab support.
Brainsuite NET Serveroverheated
Video processor power supply RAID active
During startup, indicator lights on Brainsuite NET Server or Applicat ion Switch Server do not illu-minate.
Manually turn on Brainsuite NET Server or Application Switch Server
Problem Action/Explanation
UPS powered off Power on UPS.
Fuse switched off Critical error. Call Brainlab support.
Main fuse switched off
Problem Action/Explanation
Audio feedback The touchscreen monitors provide audio feedback during use.
Problem Action/Explanation
Input device error • Call Brainlab support.• Reboot system.
NOTE: The Brainsuite NET software does not provide audio feedback. This error only applies to navigation software.
System error
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TECHNICAL INFORMATION
7 TECHNICAL INFORMATION
7.1 Overview
7.1.1 Contents
Topics Covered
Section See
Power Specifications Page 96
Electrical Standards Page 97
Dimensions and Weight Page 98
Technical Specifications Page 99
Transport/Storage and Operating Conditions Page 101
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Power Specifications & Electrical Standards
7.2 Power Specifications & Electrical Standards
7.2.1 Power Specifications
Brainsuite NET System
Brainlab OR Display 19”
Brainsuite NET DVD Recorder
Data Billboard LCD (per monitor)
Data Wall Screen (per monitor)
Maximum operating voltage
120 V - 240 V
Frequency 50 or 60 Hz
Max. Power Consumption 3500 VA
Maximum operating voltage
110 V - 240 V
Frequency 50-60 Hz, single phase
Max. Power Consumption 45 W
Maximum operating voltage
100 V - 240 V
Frequency 50-60 Hz
Power output ratings 1.0-0.45 A
Maximum operating voltage
115 V AC - 230 V AC
Frequency 50/60 Hz
Max. Power Consumption 550 W
Display Type 47” TFT LCD, Barco 57” LCD, Conrac, 16:9 format
Maximum operating voltage
100 V AC - 240 V AC, 115 V AC - 230 V AC
Frequency 50 Hz/60 Hz 50 Hz/60 Hz
Max. Power Consumption
303 W 550 W
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TECHNICAL INFORMATION
7.2.2 Electrical Standards
Brainsuite NET System
Brainsuite OR Display 19”
Brainsuite NET DVD Recorder
Further Reading VectorVision System User Guide
Brainsuite Data Wall Screen 47” – Barco Planning and Installation Guide
Brainsuite Data Wall Screen 57” – Conrac Planning and Installation Guide
Brainsuite Data Billboard LCD Planning and Installation Guide
Certificates• IEC 60601-1-1• IEC 60601-1-2
Certificates
• EN6061-1-2• EN61000-4-2, EN61000-4-3, EN61000-4-4, EN61000-4-5, EN61000-4-6,
EN61000-4-8, EN61000-4-11,• EN55011 Class B• EN6100-3-2, EN6100-3-3• IEC 60601-1
Certificates
• UL60601-1• IEC 60601-1• EN 60601-1• CAN/CSA C22.2 No 601.1 56PA• ICES-003• FCC Part 15
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System Specifications
7.3 System Specifications
7.3.1 Dimensions and Weight
Brainsuite OR Display 19”
Brainsuite NET DVD Recorder
Data Billboard LCD (per monitor/dimensions of wall cuttings)
Data Wall Screen (per monitor)
19” Computer Rack
Height 446 mm
Width 395 mm
Depth 95 mm
Weight 9 kg
Height 88 mm
Width 212 mm
Depth 352 mm
Weight 4.8 kg
Height 845 mm
Width 1402 mm
Depth approx. 500 mm
Weight (overall) approx. 155 kg + 20%
Display Type Barco 47” Conrac 57”
Height 685 mm 845 mm
Width 1140 mm 1402 mm
Depth 126 mm 170 mm
Weight 40.2 kg (+5 kg mounting) 64 kg±10% (+9 kg mounting)
Height 2120 mm
Width 600 mm
Depth 800 mm
Weight by configuration
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TECHNICAL INFORMATION
7.3.2 Technical Specifications
Brainsuite NET Server
Room Control Server
Brainsuite Control Touchscreen – Wall Embedded
Brainlab OR Display 19”
Processor/cache
min. Intel Core 2 Duo E6600 (2.4GHz, 4MB L2 Cache, FSB 1066)
Memory min. 2 GB
Hard disk 160 GB min. (SATAII, 7200rpm min., 8MB Cache min.)
I/O support• Wheel mouse• Keyboard • Audio in/out, Microphone in
Data drives• USB Memory Stick• CD/DVD writer
Graphics Quadro NVS 440 PCIe x1 Quad DVI graphics card, 256 MB physical RAM
RS-232 VScom 800H UPCI, 8x RS-232
Operating system Windows XP Professional SP2 or higher
Processor Intel® Xeon® Dual Core 3050 (2.13 GHz)
Memory 1 GB
Hard disk 2x 160 GB SATA (hot-plug) 7200 rpm
Data drives CD/DVD-RW
Graphics ATI Rage XL 8MB physical RAM
Operating system Windows 2003
Display Type 17”, Citron
Max. Resolution
1280 x 1024
Input DVI, RS-232
Display Type 19” TFT active matrix, Medisol
Max. Resolution
1280 x 1024
Input DVI-D, VGA, S-Video, Composite Video
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Data Billboard LCD (per monitor)
Data Wall Screen (per monitor)
Display Type 57” LCD, Conrac, 16:9 format
Max. Resolution
1920 x 1080
Input HDMI (DVI-D), VGA
Display Type 47” TFT LCD, Barco 57” LCD, Conrac, 16:9 format
Max. Resolution
1920 x 1080 1920 x 1080
Input HDMI (DVI-D), VGA HDMI (DVI-D), VGA
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TECHNICAL INFORMATION
7.4 Environmental Requirements
7.4.1 Transport/Storage and Operating Conditions
Location Restrictions
• The system should be stored or operated at locations which are protected against moisture, wind, sunlight, dust, salinity, and sulfur.
• The system should not be stored in the vicinity of chemical products or gas. • Ambient requirements are for the entire system.
Please adhere to all Brainsuite NET environmental requirements.
Condensation
To avoid the possible risk of electric shock or product damage due to condensation, always allow the hardware components to become acclimatized to ambient tempera-ture and humidity before switching them on. This is particularly important when mov-ing the units from a cold to a warm location.
Brainsuite NET System: Operation
Brainsuite NET System: Transport/Storage
Brainsuite NET Server
Environmental Conditions Permitted Values
Ambient temperature Components inside operating room: 15°C to 27°C [50°F to 81°F]
Components outside operating room: 5°C to 35°C [41°F to 95°F]
Relative humidity 20% to 75% (non-condensing)
Barometric Pressure 700 to 1060 hPa
Environmental Conditions Permitted Values
Ambient temperature 0°C to 40°C [32°F to 104°F]
Relative humidity 20% to 75% (non-condensing)
Barometric Pressure 700 to 1060 hPa
Transport/Storage Conditions Operating Conditions
Temperature -10°C to 50°C (14°F to 122°F)
15°C to 35°C (59°F to 95°F)
Humidity 20% to 90% non condensing 20% to 80% non condensing
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Environmental Requirements
Room Control Server
Brainsuite Control Touchscreen – Wall Embedded
Brainsuite NET DVD Recorder
Brainlab OR Display 19”
Data Billboard LCD (per monitor)
Data Wall Screen (per monitor)
Device Connection Panel
Transport/Storage Conditions Operating Conditions
Temperature -25°C to 60°C (-13°F to 140°F)
10°C to 35°C (50°F to 95°F)
Humidity 10% to 85%1 non condensing
1.Storage maximum humidity of 90% is based on a maximum temperature of 45°C (113°F)
10% to 85% non condensing
Transport/Storage Conditions Operating Conditions
Temperature -25°C to 70°C (-13°F to 158°F)
0°C to 40°C (32°F to 104°F)
Humidity 10% to 85% non condensing 10% to 75% non condensing
Transport/Storage Conditions Operating Conditions
Temperature 0°C to 40°C (32°F to 104°F)
5°C to 35°C (41°F to 95°F)
Humidity 20% to 80% non condensing 20% to 80% non condensing
Transport/Storage Conditions Operating Conditions
Temperature -20°C to 60°C (-4°F to 140°F)
5°C to 35°C (41°F to 95°F)
Humidity 5% to 95% non condensing 5% to 95% non condensing
Transport/Storage Conditions Operating Conditions
Temperature 0°C to 40°C (32°F to 104°F)
5°C to 35°C (41°F to 95°F)
Humidity 20% to 90% non condensing 20% to 80% non condensing
Transport/Storage Conditions Operating Conditions
Temperature -20°C to 60°C (-4°F to 140°F)
5°C to 40°C (41°F to 104°F)
Humidity max. 90% non condensing max. 90% non condensing
Operating Conditions
Temperature 15°C to 27°C (59°F to 81°F)
Humidity 20% to 80% non condensing
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TECHNICAL INFORMATION
Uninterruptable Power Supply
Altitude Considerations
• All temperature ratings are for sea level. • If used above this altitude, the above ranges should be derated from 1°C per 300 m [1.8°F per
1,000 ft.]. • The altitude maximum for storage corresponds to a pressure minimum of 700 hPa.
Brainsuite NET is intended to be used up to an altitude of 2000 m above sea level.
Operating Conditions
Temperature 5°C to 35°C (41°F to 95°F)
Humidity 20% to 80% non condensing
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CLEANING
8 CLEANING8.1 Chapter Overview
8.1.1 Contents
Topics Covered
Section See
General Information Page 106
Brainsuite Components Page 107
Room Control Terminals Page 114
Advanced Network Integration Page 118
Computer Rack and Terminal Page 119
Surgical Devices Page 123
Anesthesiology Devices Page 126
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General Information
8.2 General Information
8.2.1 Before You Begin
Overview
Cleaning and disinfection must be carried out by trained personnel.
For all cleaning and disinfection work, power off the equipment from the main power switch and protect the equipment from being switched on again. If required, allow the end device to cool down first. Make sure that no cleaning fluid enters the equipment.
MR Environment
Brainsuite iMRI includes an MR scanner with a 1.5 T high-field magnet or equivalent. The hazards and risks associated with this magnetic field can result in injury to per-sons or damage to equipment when entering the MR environment. Brainlab recom-mends that only personnel trained in MR safety an d approved by the hospital administration should enter the MR environment. Reasons for entry include cleaning, disinfection, and sterilization.
Sterile Field For instructions on using ceiling mounted components in a sterile field, consult the VectorVision System User Guide.
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CLEANING
8.3 Brainsuite Components
8.3.1 Brainsuite Control Touchscreen
Cleaning & Disinfection
Figure 26
Using other cleaning fluid may damage the touchscreen or the housing of the monitor.
Sterilization
Do not sterilize.
Steps
1. Shut down the system.
2. Turn off the system.
3. Wipe the monitor with a moist cloth.
4. Use an ammonia-based glass cleaner or an isopropyl alcohol-based cleaner.
5. Disinfect by wiping with a bactericidal solution.
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Brainsuite Components
8.3.2 Brainsuite Data Billboard LCD and Brainsuite Data Wall Screen
Before You Begin Always verify that the viewing surface of the Brainsuite Data Billboard LCD or Brainsuite Data Wall Screen is in good condition prior to cleaning.
If you are unsure – or if the surface is damaged – contact Brainlab immediately.
Cleaning a damaged Brainsuite Data Billboard LCD or Brainsuite Data Wall Screen screen may result in further damage to the screen and injury to cleaning staff should slivers of glass break off the screen. Brainlab does not assume responsibility if you continue to clean the screen in such cases.
Cleaning Clean the Brainsuite Data Billboard LCD or Brainsuite Data Wall Screen carefully, using a lint-free cloth, with any of the following products.
- Warm distilled water containing mild soap- ZEP® All Purpose Cleaner & Degreaser- Sparkle® Glass Cleaner- LMS 12®, L22®, L52®.
Clean the glass screen surface with care.
Sterilization & Disinfection
No sterilization or disinfection!
Do Not Use
The Brainsuite Data Billboard LCD and Brainsuite Data Wall Screen glass screens are covered with an an ti-reflex coating. Inappropriate mechanical or chemical cleaning may damage the coating and result in a loss of viewing quality.
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CLEANING
8.3.3 Brainsuite Glass and Stainless Steel OR Panels
Cleaning Clean the OR panels using a lint-free wipe moistened with diluted Isopropanol (2/3 distilled water and 1/3 Isopropanol).
Disinfection • For glass: Use a disinfectant containing Alkyl Ammonium Chloride.• For stainless steel: Use a disinfectant based on ammonium compounds. Only use chlorine or
oxygen separator-based disinfectants if sufficient rinsing off can be guaranteed.
Sterilization No sterilization!
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Brainsuite Components
8.3.4 Brainsuite OR Display
Cleaning & Disinfection
Using other cleaning fluid may damage the touchscreen or the housing of the monitor.
Sterilization
Do not sterilize.
Steps
1. Shut down the software.
2. Turn off the system.
3. Wipe the monitor with a moist cloth.
4. Use an ammonia-based glass cleaner or an isopropyl alcohol-based cleaner.
5. Disinfect by wiping with a bactericidal solution.
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CLEANING
8.3.5 Brainsuite Data Panel
Cleaning & Disinfection
Using other cleaning fluid may damage the touchscreen or the housing of the monitor.
Do not disinfect.
Sterilization
Do not sterilize.
Steps
1. Shut down the monitors.
2. Turn off the system.
3. Wipe the monitor with a moist cloth.
4. Use an ammonia-based glass cleaner or an isopropyl alcohol-based cleaner.
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Brainsuite Components
8.3.6 Device Connection Panel
Cleaning Wipe the surface with a slightly moistened piece of cloth and, if required, add a mild solution of de-tergent (pH4 - pH9).
Sterilization & Disinfection
Disinfect by wiping with a bactericidal solution.
No sterilization!
Do Not Use To avoid damage to plastic parts, do not use the following to clean parts and surfaces:
- Cleaning solutions - Solvents- Abrasive cleaners - Scouring agents- Alkalines- Cleaning agents containing acid or alcohol- Organic solvents- Aolvent-based cleaners (such as petrol-based cleaners, alcohol, or stain removers)- Ultrasonic cleaners (exception: cold soak, e.g., Cidex Solution)- Caustic solvents with a pH value higher than 9.5- Acid solvents- Alcohol
To prevent damage to the device, only use compatible solutions and procedures for cleaning and disinfection.
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CLEANING
8.3.7 Remote Control
Before You Begin The remote control must not be disassembled for cleaning.
NOTE: The remote control of the Data Billboard LCD should not be used intraoperatively and should only be touched with clean and dry hands.
Cleaning & Disinfection
Wipe the remote control surface with a dry or slightly dampened cloth.
The remote control contains batteries.
Sterilization & Disinfection
No sterilization or disinfection!
Do Not Use
Do not use chemicals or alcohol.
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Room Control Terminals
8.4 Room Control Terminals
8.4.1 Important Information
Authorization
All cleaning procedures must be validated by the user.
Computer Rack Components
Room Control computer components are located in the 19” computer racks. The computer itself may only be cleaned by Brainlab service personnel. Cleaning instructions for the racks are provided on page 121.
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CLEANING
8.4.2 Brainsuite Control Touchscreen – Wall Embedded
Before You Begin - It is not necessary to shut down the touchscreen prior to cleaning, however, ensure that you do not inadvertently activate or deactivate the light functions.
- Clean the Brainsuite Control Touchscreen – Wall Embedded daily after use.
Do not disassemble any part of the Brainsuite Control Touchscreen – Wall Embedded.
Cleaning & Disinfection
- Wipe the touchscreen face with a moist cloth or commercial glass cleaner.- Wipe the black frame with a moist cloth.
Suitable Disinfectants
- Meliseptol - Hydrogen peroxide (up to 40% in water)
Do Not Use To avoid damage to plastic parts, avoid using the following to clean parts and surfaces:
- Alcohol- Hydrogen peroxide with concentrations higher than 40% in water- Cidex
To prevent damage to the device, only use compatible solutions and procedures for cleaning and disinfection.
Sterilization
No sterilization!
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Room Control Terminals
8.4.3 Multi-Button Switch
Before You Begin Clean the Multi-Button Switch daily after use.
Do not disassemble any part of the Multi-Button Switch. Disassembling the Multi-But-ton Switch may damage the Room Control System.
Cleaning Wipe the Multi-Button Switch with a moist cloth or commercial glass cleaner.
Do Not Use
Do not use alcohol!
Sterilization & Disinfection
No sterilization or disinfection!
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CLEANING
8.4.4 VectorVision sky
VectorVision sky Refer to the VectorVision System User Guide for cleaning instructions.
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Advanced Network Integration
8.5 Advanced Network Integration
8.5.1 Important Information
Before You Begin • Advanced network integration components are not accessed during normal use. Cleaning, dis-infection and sterilization are therefore not required for these components.
• All advanced network integration components (except the wiring) are installed in the Brainsuite computer racks (page 121). Only authorized Brainlab support personnel may clean the internal network components, if required.
Manufacturer’s Instructions
Please refer to the manufacturer’s cleaning, disinfection and sterilization guide for detailed informa-tion.
Cleaning
Only Brainlab service personnel are authorized to clean the advanced network inte-gration components.
Sterilization & Disinfection
No sterilization or disinfection!
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8.6 Computer Rack and Terminal
8.6.1 Important Information
Device Verification Always verify that the device to be used is in good working condition prior to use. If you are unsure, or if the device is damaged, contact Brainlab immediately.
Always examine the cleaned device after reprocessing to ensure that it is clean, undamaged, and functions properly.
Damaged devices may no longer be used.
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Computer Rack and Terminal
8.6.2 Console Computer Terminal
Before You Begin Do not turn off or disassemble the terminal for cleaning purposes.
In order to prevent electric shock and system damage, liquids should not be allowed to enter the console computer terminal.
Cleaning
Use only a soft dry tissue to clean the terminal.
Sterilization & Disinfection
No sterilization or disinfection!
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8.6.3 19” Computer Rack
Cleaning & Disinfection
Do Not Use To avoid damage to plastic parts, do not use the following to clean parts and surfaces:
- Cleaning solutions - Solvents- Abrasive cleaners - Scouring agents- Alkalines- Cleaning agents containing acid or alcohol- Organic solvents- Solvent-based cleaners (such as petrol-based cleaners, alcohol, or stain removers)- Ultrasonic cleaners (exception: cold soak, e.g., Cidex Solution)- Caustic solvents with a pH value higher than 9.5- Acid solvents- Alcohol
To prevent damage to the device, only use compatible solutions and procedures for cleaning and disinfection.
Sterilization
Do not sterilize.
Steps
1. Shut down the system.
2. Turn off the system.
3. Clean the outside of the rack using a dry cloth.
4. If particularly dirty, use a cloth slightly moistened with a mild detergent solution (pH4 - pH9).
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Computer Rack and Terminal
8.6.4 Brainsuite NET
Before You Begin The Brainsuite NET Server and video processing equipment is located in the 19” computer racks and does not require any cleaning, disinfection or sterilization.
Cleaning
No cleaning!
Sterilization & Disinfection
No sterilization or disinfection!
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CLEANING
8.7 Surgical Devices
8.7.1 Microscope
Before You Begin The microscope power supply can be switched off via the Room Control computer terminals or the wall mounted hardware switch. Details are provided in the Room Control section of the Brainsuite NET and Room Control Software User Guide.
Manufacturer’s Instructions
Please refer to the manufacturer’s cleaning, disinfection and sterilization guide for detailed informa-tion.
MR Safety
The surgical microscope is not MR safe. Extreme caution is therefore required during preparation and disassembly. Any tool or co mponent of the microscope that is brought too close to the magnetic field may result in injury to the user and/or patient. All microscope components and tools must remain outside of the red dotted 50 Gauss (5 mT) line.
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Surgical Devices
8.7.2 OR Light
Before You Begin The OR light power supply can be switched off via the Room Control computer terminals or the wall mounted hardware switch. Details are provided in the Room Control section of Brainsuite NET and Room Control Software User Guide.
Manufacturer’s Instructions
Please refer to the manufacturer’s cleaning, disinfection and sterilization guide for detailed informa-tion.
MR Safety
The OR light is not MR safe. Extreme caution is therefore required during preparation and disassembly. Any tool or component of the OR light that is brought too close to the magnetic field may result in injury to the user and/or patient. All OR light compo-nents and tools must remain outside of the red dotted 50 Gauss (5 mT) line.
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CLEANING
8.7.3 Ceiling Supply Unit (CSU)
Before You Begin The CSU and its integrated normal power and network outlets can be switched off via the Room Control computer terminals or the wall mounted hardware switch. Details are provided in the Room Control section of Brainsuite NET and Room Control Software User Guide.
The CSU is also equipped with emergency power outlets. These are supplied with bat-tery-based power and cannot be switched off via the Room Control interfaces. Contact your Brainsuite NET facility manager if you need to switch off these ou tlets via the electrical cabinets.
Manufacturer’s Instructions
Please refer to the manufacturer’s cleaning, disinfection and sterilization guide for detailed informa-tion.
MR Safety
The CSU is not MR safe. Extreme caution is therefore required during preparation and disassembly. Any tool or component of the CSU that is brought too close to the mag-netic field may result in injury to the user and/or patient. All CSU components and tools must remain outside of the red dotted 50 Gauss (5 mT) line.
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Anesthesiology Devices
8.8 Anesthesiology Devices
8.8.1 Anesthesia Components
Overview Anesthesia components include:
• Anesthesiology devices• Monitoring devices• Syringe pumps
Manufacturer’s Instructions
Please refer to the manufacturer’s cleaning, disinfection and sterilization guide for detailed informa-tion.
MR Safety
Not all parts of the above devices are MR safe. Extreme caution is therefore required during preparation and disassembly. Any tool or component of these devices that is brought too close to the magnetic field may result in injury to the user and/or patient. All device components and tools must remain outside of the red dotted 50 Gauss (5 mT) line during cleaning, disinfection, sterilization and other maintenance proce-dures.
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CLEANING
8.8.2 Electrical Cabinets
Manufacturer’s Instructions
- For more information on cleaning the electrical cabinets, refer to the electrical cabinet manu-facturer’s documentation.
- Generally, the electrical cabinets do not need to be cleaned, disinfected or sterilized.
Authorization Only trained and authorized personnel are allowed to open the electrical cabinets.
Do not open the electrical cabinets if you are not trained and authorized by Brainlab, the cabinet manufacturer, or the hospital administration. Opening the cabinets may lead to severe injury, death and/or a damaged system.
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DRAPING
9 DRAPING9.1 Chapter Overview
9.1.1 Contents
Topics Covered
Section See
The Touchscreen Drape Page 130
Draping the Touchscreen Page 131
Sterile Field Page 133
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Touchscreen Drape
9.2 Touchscreen Drape
9.2.1 The Touchscreen Drape
Overview • The Brainsuite Control Touchscreen is draped using the sterile Touchscreen Drape pro-vided by Brainlab.
• The drape allows you to intraoperatively access all the software functions and position the mon-itor during the surgery without compromising the sterile field.
Sterility of the Drape
To ensure the sterility of the drape, make sure that the packaging does not have any holes and tears.
Before use, check the expiration date on the packaging of the drape.
Disposing of the Drape
The Touchscreen Drape is delivered sterile and must be disposed of after use.
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9.2.2 Draping the Touchscreen
Putting the Drape on the Touchscreen
Figure 27
Sticking on the Tab
Figure 28
Fastening the Elastic Band
Figure 29
a
s d
f
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Touchscreen Drape
Drape Components
How to Drape the Touchscreen
No. Component
a Orientation label
s Protection film
d Tab
f Tie
Steps
1. Open the package under sterile conditions.
2. Hold the drape using both hands on either side of the orientation label a.
3. Place the drape on the touchscreen.
4. Remove the protective film s from the tab d and stick the tab to the back of the mon-itor.
5. Fasten the drape using the tie f.
6. Verify that drape sits securely on the touchscreen.
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9.2.3 Sterile Field
Using the Drape
Carefully drape the touchscreen. The drape maintains the surgeon's sterile field and provides a sterile barrier between the patient and the Brainsuite Control Touchscreen.
Maintaining the sterile field can only be guaranteed by using the Touchscreen Drapeprovided by Brainlab. The use of other drapes may cause the monitor to malfunction.
Operating the Draped Touchscreen
Do not touch the drape of the touchscreen with sharp tools.
To keep the sterile field, only touch the touchscreen and the monitor where it is cov-ered by the drape.
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Touchscreen Drape
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MAINTENANCE
10 MAINTENANCE10.1 Overview
10.1.1 Contents
Topics Covered
Section See
Inspections Page 136
Damaged Equipment Page 141
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Inspections
10.2 Inspections
10.2.1 Guidelines
Interval A detailed inspection should be performed by Brainlab support once a year.
The Brainsuite NET system should be maintained and inspected on a regular basis to ensure functionality and safety.
Authorized Personnel
Only Brainlab and/or authorized partners are allowed to repair the system and the equipment.
Risk of electrical shock: There are no user-serviceable parts. All servicing is to be car-ried out by trained technicians or referred to Brainlab.
Only trained personnel or Brainlab technicians are permitted to c arry out electrical safety measurements such as protective earth, high voltage, and leakage current mea-surements.
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10.2.2 Annual Inspection
Authorized Persons Only Brainlab support specialists are authorized to perform annual inspections.
Arrangement • If a service contract has been purchased, Brainlab will automatically perform the annual inspec-tion.
• If you do not have a service contract, contact Brainlab support to arrange the inspection.
Scope This inspection covers all components and functions as well as the items specified on the safety in-spection form.
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Inspections
10.2.3 Weekly and Monthly Inspections
Authorized Persons Only qualified clinical personnel are authorized to perform weekly and monthly inspections.
Weekly Inspections Inspect the following components once a week:
Monthly Inspections
Inspect the following components once a month:
Other Inspections
Component Inspection
Cabling Visual control (e.g., twists, cracks)
UPS battery charge The UPS battery charges whenever it is connected to utility power and takes approximately 3 hours to achieve 90% capacity after a full discharge.
Component Inspection
UPS Press the Power I/0 switch of Brainsuite NET system. Utility power is supplied to the system.
Perform a simulated utility blackout test to confirm that the UPS unit can switch from utility power to battery power and back again, without affecting the equipment powered by the UPS. The system must still be “On”.
Monitor and arms Functionality and visual control (wear and tear)
Bal l jo int – camera arm
Functionality
Labeling Legibility
Component Inspection / Period
Video processor air in-lets
Cleanliness / Every six months
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10.2.4 Safety Inspection
Interval The safety inspection should be performed once a year.
According to IEC 60601-1-1, the safety check must be performed after every relevant change or repair within the hardware system.
Scope The safety inspection must include all the items specified on the safety inspection form.
Inspections by Non-Brainlab Personnel
The safety inspection must be performed by a qualified engineer who:
• Is qualified for carrying out safety inspections on electrical medical equipment.• Is familiar with the product safety information and product instructions, and has read and under-
stood the user guides.• Is up-to-date with current local regulations regarding industrial and non-industrial accident pre-
vention.• Informs Brainlab immediately in writing if the equipment is deemed unsafe.
Inspections by Brainlab Personnel
• If a suitably qualified person is not available at the customer site, Brainlab’s support specialist will carry out this inspection for a set fee.
• If you require a Brainlab support specialist, contact Brainlab support.
Safety Inspection Form
• Make a copy of the form shown on page 140. • Enter the inspection results.• Keep it as a record of the inspection.
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Inspections
10.2.5 Safety Inspection Form
Tests to be Performed
Operational Values
Signature Serial number of testing device: ____________________________
Calibration valid through (date): ____________________________
Tests performed:
Date: ____________________________By: ____________________________
Measured Quantity Instructions
Earth leakage current
Perform an earth leakage current test according to a standard that is effec-tive and applicable for the geographic region (e.g., UL2601-1).
Impedance for protective con-tact to earth
Measure the impedance between the protective contact in the mains plug and any accessible metal part which is protectively earthed according to a standard that is effective and applicable for the geographic region (e.g., UL2601-1).
Normal Conditions Short-Circuit Conditions Passed/ Not Passed
Required Value
Measured Value
Required Value Measured Value
Earth leakage current
≤ 0 .5 mA max (230 V)
≤ 0 .3 mA max (115 V)
≤ 1 mA max (230 V)
≤ 0.3 mA max (115 V)
Impedance for protective con-tact to earth
≤ 0.2Ω ---
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10.3 Damaged Equipment
10.3.1 When the System Should Not Be Used
Detected Damage Do not use the system or system components if:
• The power cable or plug is damaged or frayed.• Liquid has been spilled into the computer.• The system does not operate normally when the operating instructions are followed.• System components have been dropped or the cabinet has been damaged.• System components exhibit a distinct decrease in performance, indicating the need for servic-
ing.• Liquids leak from the system.• Smoke is emitted by the system.
What to do
If you continue to use equipment that has been found to be defective during an inspec-tion, you risk causing injury to the patient.
Steps
1. Turn off system.
2. Unplug system from wall outlet.
3. Contact Brainlab support.
4. Attach a notice such as “DO NOT USE” to equipment to prevent it from being used inad-vertently.
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Damaged Equipment
10.3.2 Returning Damaged Equipment
Reporting Damaged Equipment
Any damaged equipment should be immediately reported to Brainlab support.
Brainlab support will ask you for the following information:
• System serial number (located on the system’s type plate)• Serial number of the faulty component (inscribed on the component)• A description of the problem
Repair and Replacement
Brainlab support will:
• Provide you with a cost estimate for repair or replacement.• Inform you when your system is expected to be operational again
(usually within 48 hours).
Removing Damaged Equipment
Only remove defective components if instructed by Brainlab support.
Return Instructions Use suitable packaging material. Properly wrap and package each defective component in its orig-inal box, in the replacement product box, or in a suitable box so that it is not damaged further.
Complete and return “Return Material Authorization” form (RMA) that was faxed to you or accompa-nied the replacement part.
Securely tape the box shut.
Ship the defective product to a return addresses. If you are not sure where to return the product, contact Brainlab support specialist.
Return Addresses Brainlab Logistikzentrum Brainlab Inc.RMA Dept. 3 Westbrook Corporate Center Suite 400Westchester, IL 60154 USA
Brainlab Ltd. RMA Dept.8/F 100 Queen’s Road Central Hong Kong
RMA Dept.Marsstr. 6a 85551 Kirchheim-Heimstetten Germany
Brainlab KKRMA Dept.Shibakoen 32 Mori Bldg. 4F3-4-30 Shibakoen,Minato-ku,Tokyo 105-0011Japan
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APPENDIX I: TERMINOLOGY
11 APPENDIX I: TERMINOLOGY
11.1 Overview
11.1.1 Contents of This Chapter
Topics Covered
Section See
Terminology Page 144
Resolution Types Page 147
Power Plug Types Page 148
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11.1.2 Terminology
Analog Signal Any variable signal continuous in both time and amplitude. As opposed to digital signals, small fluc-tuations in the signal are significant.
Application Switch Client
The client application of Application Switch. It contains a GUI for switching between applications.
Application Switch Server
Central application of the Application Switch that distributes touch input to the Application Switchclients.
AS Application Switch
BAS Analog black and white video signal.
Bandwidth The rate at which data -- analog or digital -- can be correctly transmitted or processed through a pro-cessor, a wire, or a complete system.
CAN Controller Area Network. A serial interface standard. It is normally used for industrial or rugged en-vironments.
Component Signal A type of video information that is transmitted or stored as 3 separate signals. It is used in TVs and DVD players. Not supported by Brainsuite NET.
Composite Signal The format of an analog television picture signal. Resolution: 480i (NTSC) or 576i (PAL). Also known as F-BAS.
CRT Cathode Ray Tube. Used in most televisions and older computer monitors.
DICOM Digital Imaging and Communications in Medicine. Standard for handling and storing information from medical imaging devices.
Digital Signal A signal with only two discrete values. As opposed to analog signals, small fluctuations in the signal are insignificant.
DVI Digital Video Interface. A video interface standard designed to maximize the visual quality of digital display devices (LCDs, computer displays, and digital projectors).
E/O Converter Electrical-to-Optical converter. Converts electrical signals to optical signals.
Ethernet A standard for accessing LAN (Local Area Network) networks. Brainsuite NET supports the 100Base-T and Gigabit Ethernet standards.
Frame Rate How often a device can change from one image to another. A 100Hz television set runs at 25 frames per second, but has a 100Hz refresh rate (this eliminates flickering).
Fiber Optics A type of wire or fiber that transmits information using light instead of electrons.
Firewire A serial bus interface standard, also known as IEEE 1394. It is often found on digital camcorders and personal computers.
GUI Graphical User Interface. Allows a user to interact with a program using windows, icons, and other graphical images.
HIS Hospital Information System. A computer-based integration system used within a hospital.
HTB Hovering Task Button. The toolbar component of the Application Switch. It provides direct access to other programs and servers. It is installed on every PC controllable from Brainsuite NET.
HU Height Unit. Used for measuring space in a computer rack. A standard PC occupies 4 HU, the Room Control server occupies 1 HU.
HW-Controller Application that controls the video processing hardware.
IDMS Image Data Management System. The precursor of Brainsuite NET.
Interlacing The process of projecting a picture onto a video screen that fills all the video scan lines in two passes (every other line). Often used in conventional television sets. It is often denoted with an "i," for ex-ample 1080i.
KVM Switch Keyboard Video Mouse switch. Device to used to allow one display, keyboard and mouse set to con-trol multiple computers. A KVM drawer is installed in the 19” computer racks.
LCD Liquid Crystal Display. A type of video display.
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APPENDIX I: TERMINOLOGY
Letterbox A technique for displaying video of one resolution on a display with a different resolution. In letter-boxing, all data is displayed. Unused areas of the display appear as black bars. Often seen when displaying a widescreen film on a conventional television set.
Matrix Switch Unit to actively route an audio/video signal to one or more outputs. No processing is involved.
Monochrome Signal
The format of an analog television black and white picture signal. The resolution is 480i (EIA/RS-170) or 576i (CCIR).
Mini-DIN A multi-pin electrical connector. Examples include S-Video and PS/2 mouse connectors.
Network Switch Device for connecting computers or networks.
NTSC Analog video standard primarily used in North America and Japan. The resolution is 720x480 60Hz interlaced.
OR Operating Room
PACS Picture Archiving and Communication System. A medical image system -- either a computer or a network -- for handling images.
PC Signal A signal (normally RGB or DVI) generated by PCs or other devices.
Pan & Scan A technique for displaying video of one resolution on a display with a different resolution. One sec-tion of the video image is enlarged until it fills the entire screen. The remaining part of the video im-age is no longer visible.
PAL Analog video standard used in Europe and large parts of the world. The resolution is 720x576 50Hz interlaced.
Pixel Picture element consisting of 3 dots. In video, typically red, green, and blue (RGB).
Progressive A method by which all the video scan lines are presented on the screen in one pass instead or two (as opposed to interlaced). Typically denoted by the letter "p," for example 1080p.
PDU Power Distribution Unit.
Plenum Cable Cable with a covering (jacket) that meets UL specifications for resistance to fire.
PSU Power Supply Unit.
Quantum Video processor manufactured by Electrosonic.
Refresh Rate The number of times in a second that a display is illuminated.
RGBHV Red, Green, Blue, Horizontal synch, Vertical synch. Analog component video signal from a PC (sometimes known as VGA).
Routing The process of moving packets of data between computers, devices, or networks.
Routing Provider Application that controls the video processing equipment. It provides routing functions for the "Brain-suite NET GUI" and "Application Switch Server."
RS-232 A standard for connecting serial devices. RS-232 devices use serial port connectors. An example is the port used for the Brainsuite NET DVD Recorder.
Scaling To process a certain input resolution to a certain output resolution. For example, to show a 1024x768 video on a 1600x1200 LCD display, the image has to be blown-up.
Scan Conversion To process a certain input refresh rate to a certain output refresh rate. For example, to show a 50Hz PAL video on a 60Hz LCD display.
Screenshot A still image or snapshot created from a display.
Sourceshot A still image or snapshot created from an input of the video processor. It differs from a screenshot in that it is made at the original resolution of the source. A screenshot only has the resolution of the display it is being viewed on, and can thus have a resolution higher or lower than the original.
Serial Port See RS-232.
S-Video See Y/C Signal.
UPS Uninterruptible Power Supply. A power supply with a battery to provide electricity in the case of an outage.
USB Universal Serial Bus. A serial bus interface standard. Most modern, external PC devices, including MP3 players, connect to PCs using USB connections.
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VGA Although it is also a PC display resolution (800x600), VGA is also used to denote PC video signals in general, as well as a 15-pin, RGB connector.
Video Processor Unit to actively process a video signal (scale up & down, overlay, mix, etc.). It can also convert one form of video signal to another.
Video Signal Any signal that carries video information.
XML eXtensible Markup Language. A general purpose format/markup language for storing and exchang-ing data.
Y/C Signal An analog video signal that carries video data as two separate signals (brightness and color). Res-olution is either 480i (NTSC) or 576i (PAL). It is typically used in TVs and DVD players.
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APPENDIX I: TERMINOLOGY
11.1.3 Resolution Types
Overview Brainsuite NET supports the signal types and resolutions listed below; however, other resolutions can be accommodated. If other resolutions are required, contact Brainlab support.
Supported Resolutions: Signal Type
NOTE: Encoded HDMI signals (without audio) are not supported by Brainsuite NET.
Resolutions: Reference
Signal Type Resolutions Refresh Rate(s)
DVI XGA, 720p (HD), WXGA, SXGA, UXGA, 1080p (HD)
60Hz
RGBHV (VGA) (input)
XGA
SXGA
60, 75Hz
60 Hz
RGBHV (VGA) (output)
XGA, SXGA 60Hz
S-Video NTSC, PAL, Monochrome 60Hz, 50Hz, 50/60 Hz, respectively
Composite NTSC, PAL, Monochrome 60Hz, 50Hz, 50/60 Hz, respectively
RS-232
USB
Ethernet
Resolution Name Width in Pixels Height in Pixels Aspect Ratio
PAL 720 576 4:3
NTSC 720 480 4:3
XGA 1024 768 4:3
720p (HD) 1280 720 16:9
WXGA 1280 768 5:3
SXGA 1280 1024 5:4
UXGA 1600 1200 4:3
1080p (HD) 1920 1080 16:9
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11.1.4 Power Plug Types
Use of Specified Power Plugs
Only use power cords as specified by Brainlab. Do not extend power cords.
Reliable grounding can only be achieved when the system is connected an equivalent receptacle marked “Hospital Only” (“Hospital Grade” in North America). Only insert the main plug into a socket outlet with a protective earth contact. Do not negate the protective action by using an extension cable.
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APPENDIX I: TERMINOLOGY
Power Plugs
Plug Type Example
EU
UK/Singapore
USA/Japan
South Africa
Switzerland
Australia
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APPENDIX II: CABLES
12 APPENDIX II: CABLES12.1 Chapter Overview
12.1.1 Contents
Topics Covered
Section See
Introduction Page 152
Cables Page 153
Gender Changers, Adapters, and Extensions Page 172
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Introduction
12.2 Introduction
12.2.1 Overview
Cable Specifications
Brainsuite NET requires very specific cables, gender changers, and adapters in order to function optimally. These must conform to the following specifications:
• Only Brainlab cables shall be used within all Brainlab systems.• All cables are UL-listed.
Only devices with an interface connection listed in this section may be connected to system devices. Connecting incompatible devices could damage the system.
Other Manufacturers
When connecting non-Brainlab medical devices to a Brainlab system, please use the cables provided by the device manufacturer. Check if the cables fulfill the specifica-tions provided in this manual.
Cable Handling
Cables may not be kinked or crushed.
Fiber optic cables must be handled with care. Do not bend or step on fiber optic ca-bles.
Maximum Cable Length
When setting up a system, please note that the maximum cable length specified for each cable applies to the entire cable chain, e.g., length of entire cable chain = length of cable inside the Device Connection Panel + length of cable from the Device Connec-tion Panel to a medical device.
Plenum Rating Cables supplied by Brainlab are generally not “plenum rated.” They are not meant to be laid in the plenum spaces of buildings.
Crossed and Straight Cables
Within this manual, crossed and straight cables will be differentiated as follows:
• Straight cables have one female and one male connector• Crossed cables have two female or two male connectors
The only crossed cables in this manual are the Serial D-Sub 9 pin Cable and RJ45 ethernet cable.
Pinout Illustrations All pinouts are shown as viewed from the wiring side.
The pin numbering portrayed in this manual is only intended as an example. Check the connector itself for exact numbering.
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APPENDIX II: CABLES
12.3 Cables
12.3.1 RGB Cable with a D-Sub 15 pin plug
Overview These RGB cables have D-Sub 15 pin plugs at both ends.
Alternate D-Sub 15 pin Names
VGA, HD15, DA-15
Relevant Plug Types
Figure 30D-Sub 15 pin plugs (left - male, right - female)
Physical Characteristics
This cable should meet the following requirements:
• The plug should be molded onto the cable (preferred over removable metal plugs)• There should be a ferrite core at one end of the cable, preferably at both ends• Cables should have electromagnetic shielding• Cables with fixation screws should have ergonomic thumbscrews which can easily be hand-
operated
Extension Cables RGB extension cables with a male D-Sub 15 pin plug at one end and a female D-Sub 15 pin plug at the other end can also be used.
No. Pin No. Pin
1 Red video 9 Not connected
2 Green video 10 Ground
3 Blue video 11 Not connected
4 Not connected 12 I2C data
5 Ground 13 Horizontal sync
6 Red return 14 Vertical sync
7 Green return 15 I2C clock
8 Blue return
12345
678910
1112131415
Requirement Specification
Maximum length 20 m
Minimum specified resolution 1600 x 1200@75Hz 24 bit (216 Mhz bandwidth)
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12.3.2 RGB Cable with D-Sub 15 pin to 5x BNC
Overview These RGB cables have male D-Sub 15 pin plugs at one end and five BNC connectors at the other end.
Relevant Plug Types
Figure 31D-Sub 15 pin (female) and BNC (male)
Physical Characteristics
This cable should meet the following requirements:
• The plug should be molded onto the cable (preferred over removable metal plugs)• Cables should have electromagnetic shielding• Cables with fixation screws should have ergonomic thumbscrews which can easily be hand-
operated
Further Reading RGB Cable with a D-Sub 15 pin plug Q Page 153
Resolution Types Q Page 147
Requirement Specification
Maximum length 20 m
Minimum specified resolution 1600 x 1200@75Hz 24 bit (216 Mhz bandwidth)
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APPENDIX II: CABLES
12.3.3 RGB Cable with 5x BNC
Overview These RGB cables have five BNC connectors at each end.
Relevant Plug Types
Figure 32BNC plug (male)
Physical Characteristics
This cable should meet the following requirements:
Cables should have electromagnetic shielding
Requirement Specification
Maximum length 20 m
Minimum specified resolution 1600 x 1200@75Hz 24 bit (216 Mhz bandwidth)
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Cables
12.3.4 DVI-D Single Link Cable
Overview These cables have male, DVI-D single link plugs on both ends.
Brainlab DVI-D copper cables are single-link DVI cables. They cannot be used for dual link DVI sig-nal transmission.
Relevant Plug Types
Figure 33DVI-D Plug (male), DVI-D pinout (female)
DVI-D Types
Figure 34DVI-D Plug Types (male)
No. Pin No. Pin
1 T.M.D.S. Data2- 13 T.M.D.S. Data3+
2 T.M.D.S. Data2+ 14 +5V Power
3 T.M.D.S. Data2/4 Shield 15 Ground (for +5V)
4 T.M.D.S. Data4- 16 Hot Plug Detect
5 T.M.D.S. Data4+ 17 T.M.D.S. Data0-
6 DDC Clock 18 T.M.D.S. Data0+
7 DDC Data 19 T.M.D.S. Data0/5 Shield
8 No Connect 20 T.M.D.S. Data5-
9 T.M.D.S. Data1- 21 T.M.D.S. Data5+
10 T.M.D.S. Data1+ 22 T.M.D.S. Clock Shield
11 T.M.D.S. Data1/3 Shield 23 T.M.D.S. Clock+
12 T.M.D.S. Data3- 24 T.M.D.S. Clock-
No. Component
1 DVI-D Single Link
2 DVI-D Dual Link
a
s
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Physical Characteristics
This cable should meet the following requirements:
• The plug should be molded onto the cable (preferred over removable metal plugs)• There should be ferrite cores at both ends• Cables should have electromagnetic shielding• Cables with fixation screws should have ergonomic thumbscrews which can easily be hand-
operated
Requirement Specification
Maximum length 4.6 m
Minimum specified resolution 1920 x 1080@60Hz 24 bit (168 MHz bandwidth)
DVI Standard (DDWG) 1.0
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12.3.5 DVI-A to D-Sub 15 pin
Overview These cables have a DVI-A plug at one end and a D-Sub 15 pin on the other.
Relevant Plug Types
Figure 35DVI-A (female) a and D-Sub 15 pin (female) s plugs
Physical Characteristics
This cable should meet the following requirements:
• The plug should be molded onto the cable (preferred over removable metal plugs)• Cables with fixation screws should have ergonomic thumbscrews which can easily be hand-
operated
DVI to RGB pin connections
DVI-A to RGB cables provide a 5V power supply on pin 9 of the RGB plug (D-Sub 15 pin). Therefore, pin 14 of the DVI plug is connected to pin 9 of the D-Sub 15 pin plug.
DVI-A Pin
D-Sub 15 Pin
Function
C1 1 Analog red video out
C5 6 Analog common ground
C2 2 Analog green video out
C5 7 Analog common ground
C3 3 Analog blue video out
C5 6 Analog common ground
a
s
16
11
51015
Requirement Specification
Maximum length 4.6 m
Minimum specified resolution 1600 x 1200@75Hz 24 bit (216 MHz bandwidth)
DVI Standard (DDWG) 1.0
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Physical Characteristics
This cable should meet the following requirements:
• The plug should be molded onto the cable (preferred over removable metal plugs)• There should be ferrite cores at both ends• Cables should have electromagnetic shielding• Cables with fixation screws should have ergonomic thumbscrews which can easily be hand-
operated
Further Reading DVI-D Single Link Cable Q Page 156
RGB Cable with a D-Sub 15 pin plug Q Page 153
Resolution Types Q Page 147
Requirement Specification
Maximum length 20 m
Minimum specified resolution 1600 x 1200@75Hz 24 bit (216 MHz bandwidth)
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12.3.6 DVI to HDMI Cable
Overview These cables have a DVI-D connector on one end and an HDMI connector on the other.
Brainlab DVI-D copper cables are single-link DVI cables. Only cables specified for dual link trans-mission may be used for dual link DVI signal transmission.
Relevant Plug Types
Figure 36DVI-D (male) and HDMI (male) plugs
Physical Characteristics
This cable should meet the following requirements:
• The plug should be molded onto the cable (preferred over removable metal plugs)• Cables should have electromagnetic shielding• Cables with fixation screws should have ergonomic thumbscrews which can easily be hand-
operated
Further Reading DVI-D Single Link Cable Q Page 156
Resolution Types Q Page 147
Requirement Specification
Maximum length 4.6 m
Minimum specified resolution 1920 x 1080@60Hz 24 bit (168 MHz bandwidth)
DVI Standard (DDWG) 1.0
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12.3.7 S-Video Cable
Overview These cables have 4 pin mini-DIN (Hosiden) plugs on both ends.
Relevant Plug Types
Figure 37S-Video 4 pin mini-DIN plug (male) and pinout (female)
Physical Characteristics
This cable should meet the following requirements:
• 4 pin mini-DIN connectors can have a locking mechanism• Cables should have electromagnetic shielding
No. Pin No. Pin
1 Ground (Y) 3 Intensity (Luminance)
2 Ground (C) 4 Color (Chrominance)
Requirement Specification
Maximum length 10 m
Minimum specified resolution NTSC or PAL
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12.3.8 S-Video Cable mini-DIN to 2x BNC
Overview These cables have a 4 pin mini-DIN connector on one end and two BNC connectors on the other.
The two BNC connectors of S-Video cables are marked white for the Y-Signal (Luminance) and yel-low for the C-Signal (Chrominance). Additionally, the connectors are marked “Y” and “C”.
Relevant Plug Types
Figure 38S-Video mini-DIN (male) and BNC (male) plugs
Physical Characteristics
This cable should meet the following requirements:
• 4 pin mini-DIN connectors can have a locking mechanism• Cables should have electromagnetic shielding
Further Reading S-Video Cable Q Page 161
Resolution Types Q Page 147
Requirement Specification
Maximum length 10 m
Minimum specified resolution NTSC and PAL
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12.3.9 Composite BNC Cable
Overview These cables have BNC connectors (bayonet couplings) on both ends. They can be used for the transmission of S-Video signals (two cables required).
Relevant Plug Types
Figure 39BNC plug (male)
Physical Characteristics
This cable should meet the following requirements:
Cables should have electromagnetic shielding
Requirement Specification
Maximum length 10 m
Minimum specified resolution NTSC and PAL
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12.3.10 Composite Cinch Cable
Overview These cables have cinch (RCA) connectors on both ends.
Relevant Plug Types
Figure 40Cinch (male) connector
Physical Characteristics
This cable should meet the following requirements:
Cables should have electromagnetic shielding
Requirement Specification
Maximum length 10 m
Minimum specified resolution NTSC and PAL
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12.3.11 Serial D-Sub 9 pin Cable
Overview These cables have serial D-Sub 9 pin (DE-9) connectors on both ends.
Relevant Plug Types
Figure 41D-Sub 9 pin (male) plug and pinout (female)
Physical Characteristics
This cable should meet the following requirements:
• The plug should be molded onto the cable (preferred over removable metal plugs)• Cables should have electromagnetic shielding• Cables with fixation screws should have ergonomic thumbscrews which can easily be hand-
operated
No. Pin No. Pin
1 Carrier Detect 6 Data Set Ready
2 Received Data 7 Request to Send
3 Transmitted Data 8 Clear to Send
4 Data Terminal Ready 9 Ring Indicator
5 Common Ground
5 4 3 2 1
9 8 7 6
Requirement Specification
Maximum length 15 m
Baud rate at least 115 kB
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12.3.12 Serial D-Sub 25 pin Cable
Overview These cables have serial D-Sub 25 pin (DB-25) connectors on both ends.
Relevant Plug Types
Figure 42D-Sub 25 pin (male) plug and pinout (female)
Physical Characteristics
This cable should meet the following requirements:
• The plug should be molded onto the cable (preferred over removable metal plugs)• Cables should have electromagnetic shielding• Cables with fixation screws should have ergonomic thumbscrews which can easily be hand-
operated
Further Reading Serial D-Sub 9 pin Cable Q Page 165
No. Pin No. Pin
8 Carrier Detect 6 Data Set Ready
3 Received Data 4 Request to Send
2 Transmitted Data 5 Clear to Send
20 Data Terminal Ready 22 Ring Indicator
7 Common Ground
113
15 25
Requirement Specification
Maximum length 15 m
Baud rate at least 115 kB
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12.3.13 Serial Crossed D-Sub 9 pin Cable
Overview These cables have serial D-Sub 9 pin (DE-9) connectors on both sides. A crossed serial cable con-nects the transmit pin at one end with the receive port at the other end. Different cabelings are pos-sible.
Relevant Plug Types
Figure 43D-Sub 9 pin Cross Cable (female-to-female)
Physical Characteristics
This cable should meet the following requirements:
• The plug should be molded onto the cable (preferred over removable metal plugs)• Cables should have electromagnetic shielding• Cables with fixation screws should have ergonomic thumbscrews which can easily be hand-
operated
Further Reading Crossed and Straight Cables Q Page 152
Requirement Specification
Maximum length 15 m
Baud rate at least 115 kB
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Cables
12.3.14 Ethernet Cables
Overview These ethernet cables have RJ45 plugs on both ends.
This page applies to both straight and crossed cables.
Relevant Plug Types
Figure 44Ethernet (RJ45) plugs
Physical Characteristics
This cable should meet the following requirements:
Further Reading Crossed and Straight Cables Q Page 152
Requirement Specification
Maximum length 100 m
Specification minimum Cat 5e (ANSI/TIA/EIA-568-A)
Transmission speeds 100Mbit/s and 1Gbit/s
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12.3.15 USB Cables
Overview These cables have either:
• Type A plugs at both ends• A type A plug at one end and a type B plug on the other end
Relevant Plug Types
Figure 45Type A a and Type B s USB Plugs
Physical Characteristics
This cable should meet the following requirements:
a s
Requirement Specification
Maximum length 5 m
Specification USB 2.0
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12.3.16 Firewire Cables
Overview These cables have firewire (IEEE 1394) connectors on both ends.
Relevant Plug Types
Figure 466 pin a and 4 pin s Firewire Plugs
Physical Characteristics
This cable should meet the following requirements:
The plug should have ferrite cores on both ends
a
s
Requirement Specification
Maximum length 4.5 m
Specification IEEE 1394
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12.3.17 PS/2 Cables
Overview These cables have 6 pin mini-DIN plugs on both sides.
Relevant Plug Types
Figure 47PS/2 connector (male)
Physical Characteristics
This cable should meet the following requirements:
No. Pin No. Pin
1 Data 4 +5 V DC at 100 mA
2 Not Connected 5 Clock
3 Ground 6 Not Connected
Requirement Specification
Maximum length 4.5 m
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Gender Changers, Adapters, and Extensions
12.4 Gender Changers, Adapters, and Extensions
12.4.1 Gender Changers
Overview Within this manual, gender changers are always considered straight (see “Crossed and Straight Ca-bles” on page 152)..
RGB D-Sub 15 pin Must be specified for a resolution of at least 1600 x 1200@75Mhz, 24 bit (216 MHz bandwidth)
DVI_D • Must be specified for a resolution of at least 1920 x 1080@60Mhz, 24 bit (168 MHz bandwidth)• Must support the DVI 1.0 standard
Serial D-Sub 9 pin • Only applies to straight gender changers (see “Crossed and Straight Cables” on page 152).• Must be specified for a baud rate of at least 115 kB
Serial D-Sub 25 pin Must be specified for a baud rate of at least 115 kB
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12.4.2 Adapters
Composite BNC to Cinch Adapter
These adapters have a female BNC connector on one end and a male cinch (RCA) connector on the other.
This cable should meet the following requirements:
D-Sub 9 pin to D-Sub 25 pin
These adapters have a D-Sub 9 pin connector on one end and a D-Sub 25 pin on the other.
This cable should meet the following requirements:
• Cables with fixation screws should have ergonomic thumbscrews which can easily be hand-operated
• Baud rate of at least 115 kB
Requirement Specification
Maximum length 10 m
Minimum specified resolution NTSC and PAL
9 Pin Connector 25 Pin Connector
Pin 1 DCD Pin 8 DCD
Pin 2 RD Pin 3 RD
Pin 3 TD Pin 2 TD
Pin 4 DTR Pin 20 DTR
Pin 5 GND Pin 7 GND
Pin 6 DSR Pin 6 DSR
Pin 7 RTS Pin 4 RTS
Pin 8 CTS Pin 5 CTS
Pin 9 RI Pin 22 RI
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12.4.3 Extension Cables
KVM Extension • KVM extension cables have PS/2 plugs for the mouse and keyboard and a D-Sub 15 pin con-nector for RGB signals.
• The maximum length is 4.5 m.
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INDEXNumerics
19" computer rack .......................................... 53, 121brake .............................................................. 53brakes............................................................. 53cleaning......................................................... 121doors .............................................................. 53
AAdvanced Network Integration
cleaning......................................................... 118anesthesia device .......................................... 80, 126Application Switch Fallback Solution ............................ 85
BBrainSUITE
network system .................................................. 46user guides ....................................................... 21
BrainSUITE Control Touchscreen ............................... 38– Wall Embedded................................................ 42
cleaning .................................................. 115cleaning......................................................... 107
BrainSUITE Data Billboard LCD ................................. 37cleaning......................................................... 108remote control.................................................. 113
BrainSUITE Data Panelcleaning......................................................... 111
BrainSUITE Data Wall Screen ................................... 37cleaning......................................................... 108
BrainSUITE NETcleaning......................................................... 122overview .......................................................... 34restarting.......................................................... 51supported resolutions ......................................... 147supported signal types ........................................ 147
BrainSUITE NET DVD Recorder ................................ 36BrainSUITE NET Server .......................................... 60
drive indicator .................................................... 64powering on ...................................................... 65power-on indicator............................................... 64ventilation......................................................... 63
BrainSUITE OR Display .......................................... 39cleaning......................................................... 110
Ccables ............................................................. 153
specifications................................................... 152cautions............................................................. 12ceiling supply unit.................................................. 79compatibility
medical instruments ............................................. 15medical software................................................. 17non-BrainLAB software ......................................... 19
console computer terminalcleaning......................................................... 120
CSU .......................................................... 79, 125s-video connector................................................ 79
Ddamaged equipment ............................................ 141
returning ........................................................ 142Device Connection Panel......................................... 40
cleaning......................................................... 112diagnostic imaging ................................................ 14disposal instructions .............................................. 11documentation ..................................................... 21
Eelectrical cabinets ............................................... 127electrical standards................................................ 97environmental requirements ................................... 101
Iinspections ....................................................... 136
annual........................................................... 137monthly ......................................................... 138safety............................................................ 139safety inspection form......................................... 140weekly .......................................................... 138
installation .......................................................... 62
Mmains power ....................................................... 18matrix switch ....................................................... 59medical power supply ............................................. 73microscope .................................................. 77, 123MR
component compatibility ........................................ 26environment ...................................................... 25facility recommendations ....................................... 31manufacturer documentation................................... 76safety check recommendations ................................ 28sources of information .......................................... 24
MR safety recommendationsorganizational .................................................... 31safety check...................................................... 28scanning .......................................................... 30screening ......................................................... 29
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Nnetwork environment .............................................. 61non-BrainLAB devices ............................................ 18
Oon/off switch
VectorVision sky ................................................. 49OR light ...................................................... 78, 124OR panels
glass ............................................................ 109stainless steel .................................................. 109
Ppower failure ....................................................... 83power plug types ................................................ 148power specifications............................................... 96power switch
VectorVision sky ................................................. 49
RRF shielded OR cabin............................................. 45Room Control
Multi-Button Switch .............................................. 43cleaning .................................................. 116
Room Control Serverconnecting to multiple servers ................................. 69indicators ......................................................... 71powering on ...................................................... 68restarting.......................................................... 70ventilation......................................................... 67
Sservicing ............................................................ 62support.............................................................. 10surgical devices.................................................... 77switching on
VectorVision sky ................................................. 49symbols ............................................................. 12syringe pump....................................................... 80system
dimensions ....................................................... 98operating conditions ........................................... 101storage conditions ............................................. 101technical specifications ......................................... 99transport conditions ........................................... 101weights............................................................ 98
Ttechnical information .............................................. 95terminology ....................................................... 144Touchscreen Drape ............................................. 130
draping.......................................................... 131sterile field ...................................................... 133
training .............................................................. 20transfer lines ....................................................... 41troubleshooting
BrainSUITE NET hardware..................................... 91
display colors .................................................... 86image irregularities .............................................. 87main power ....................................................... 83Multi-Button Switch.............................................. 84no picture ......................................................... 90room control...................................................... 82warning sounds .................................................. 93
turning onVectorVision sky ................................................. 49
UUPS ........................................................... 55, 56
battery self-test .................................................. 55powering off ................................................ 55, 56
VVectorVision sky ................................................... 44
cleaning......................................................... 117main switch....................................................... 49on/off switch...................................................... 49power switch ..................................................... 49switching on ...................................................... 49turning on......................................................... 49
video processor.................................................... 58
Wwarnings ............................................................ 12WEEE............................................................... 11
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