Operations/Service Manual

Smith & Nephew

640 Image
Management System

Smart Media

MMC & SD
Stick
Memo ry

sh
Comp actFla
Glossary of Symbols

Ethernet
Power On Ethernet Port

Power Off Microphone Input

Main Menu Audio Output

Capture or Still Capture Tally Light Output

Serial Port
Save Menu

Keyboard
Aux Video Input

Date of Manufacture
Headphone Input

UL Classification
Variability

Bidirectional Port
Eject

Non-ionizing Electromagnetic Radiation

Caution: See Instructions for Use

Parallel Port

Electrical Shock Hazard Universal Serial Bus (USB) Port

Type B Equipment Y/C Input

Y/C Output
Fuse Rating

RGB Input
Still Freeze

RGB Output
Still Capture Loop Thru

Video Graphics Array (VGA)

Video Capture

Disconnect Before Shipping

Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F 1
Table of Contents
Glossary of Symbols . . . . . . . . . . . . . . .1 Recording Video . . . . . . . . . . . . . . . . .24 Environmental Protection . . . . . . . . . . . . .43
Preface . . . . . . . . . . . . . . . . . . . . . . . . . .3 Reviewing Images and Video Clips . . .24 Service Philosophy . . . . . . . . . . . . . . . . .43
Indications for Use . . . . . . . . . . . . . . . .3 Adding Text Notes . . . . . . . . . . . . . . . .25 Troubleshooting . . . . . . . . . . . . . . . . .44
Contraindications . . . . . . . . . . . . . . . . .3 Save and Reports . . . . . . . . . . . . . . . . . .26 Ordering Information . . . . . . . . . . . . . .45
Product Description . . . . . . . . . . . . . . .3 Saving Procedures . . . . . . . . . . . . .26–27 Frequently Asked Questions
Warnings and Precautions Saving to Multiple CDs . . . . . . . . . . . .27 (FAQS) . . . . . . . . . . . . . . . . . . . . . .46–47
Warnings . . . . . . . . . . . . . . . . . . . . . . . . . .4 Generating a Report/Printing . . . . . . .28 Warranty . . . . . . . . . . . . . . . .Back Cover
Precautions . . . . . . . . . . . . . . . . . . . . . .4–5 Auto Print . . . . . . . . . . . . . . . . . . . . . . .28 Service Replacement
Program . . . . . . . . . . . . . . . . .Back Cover
Introduction . . . . . . . . . . . . . . . . . . . . . .5 System Administration . . . . . . . . . . .29–30
Figures
HERMES-READY System Information . .5
…
Integration Broker Introduction . . . . . .30-31
1. Front Panel. . . . . . . . . . . . . . . . . . . . . . 6
System Components DORAWEB Related . . . . . . . . . . . . . . . .31 2. Rear Panel . . . . . . . . . . . . . . . . . . . . . . 7
Unpacking the Components . . . . . . . . . . .5 HIS Related . . . . . . . . . . . . . . . . . . . . . .31 3. System Keyboard . . . . . . . . . . . . . . . . 9
Component List . . . . . . . . . . . . . . . . . . . . .5 PACS Related . . . . . . . . . . . . . . . . . . . .31 4. Touchpad . . . . . . . . . . . . . . . . . . . . . . . 9
Front Panel . . . . . . . . . . . . . . . . . . . . . . . . .6 IMS Folder and Sub Folders . . . . . . . . .31 5. IEC 60601-1-1 System Configuration. . 11
Rear Panel . . . . . . . . . . . . . . . . . . . . . . .7–8 DORAWEB System Integration . . . . . . . . .32 6. USB Connection . . . . . . . . . . . . . . . . . 12
Keyboard . . . . . . . . . . . . . . . . . . . . . . . . . .9 Overview . . . . . . . . . . . . . . . . . . . . . . .32 7. Cable Configuration . . . . . . . . . . . . . . 13
Touchpad . . . . . . . . . . . . . . . . . . . . . . . . . .9 Configuring DORAWEB System 8. 640 System Login Dialog Box . . . . . . 15
System Installation Integration . . . . . . . . . . . . . . . . . . . . . .32 9. 640 System Screen . . . . . . . . . . . . . . 16
Overview . . . . . . . . . . . . . . . . . . . . . . . . . .10 Configuring the DICOM Send Utility . .33 10. Add New Procedure Box. . . . . . . . . . 20
Recommended System Configuration . . .11 Configuring the 640 Image 11. Change Current Procedure Box . . . . . 21
Step A: Attaching Cables . . . . . . . . . . . . .12 Management System . . . . . . . . . .34–35 12. Video Settings Dialog Box. . . . . . . . . 22
Cable Configuration . . . . . . . . . . . . . . . . .13 Cleaning the Hard Disk . . . . . . . . . . . .36 13. Note Dialog Box . . . . . . . . . . . . . . . . 25
Step B: Attaching HERMES Digital O.R. ®
Advanced Topics . . . . . . . . . . . . . . . . . . .37 14. Save Dialog Box. . . . . . . . . . . . . . . . . 26
Control Center . . . . . . . . . . . . . . . . . . .14 Notes on the DVD Drive 15. Report Dialog Box . . . . . . . . . . . . . . . 28
Step C: Attaching the and Media . . . . . . . . . . . . . . . . . . . . . .37 16. System Tools Dialog Box. . . . . . . . . . 29
Windows ®-Compatible Printer . . . . . . .14 Notes on the Multi-card 17. Integration Folder. . . . . . . . . . . . . . . . 30
System Operation Drive and Media . . . . . . . . . . . . . . . . .37 18. DORAWEB System Dialog Box . . . . . 32
Overview . . . . . . . . . . . . . . . . . . . . . . . . . .15 Notes on the 640 Image 19. DICOM Send Utility Dialog Box . . . . . 33
Network Connection . . . . . . . . . . . . . .15 Management System . . . . . . . . . . . . . .37
20. DICOM Send Configuration
Auto Login . . . . . . . . . . . . . . . . . . . . . .15 Folders and Files on the 640 Dialog Box . . . . . . . . . . . . . . . . . . . . . 33
Image Management System . . . . . . . .37
System Tools Login . . . . . . . . . . . . . . . .15 21. System Configuration Dialog Box -
Login Type . . . . . . . . . . . . . . . . . . . . . . .15 System Specifications . . . . . . . . . . . . .38 Policies . . . . . . . . . . . . . . . . . . . . . . . 34
Basic Operation . . . . . . . . . . . . . . . . . . . .15 Guidance and Manufacturer’s 22. System Configuration Dialog Box -
Declaration – Electromagnetic Data Systems and Devices . . . . . . . . 35
Turning Power On . . . . . . . . . . . . . . . . .15 Immunity . . . . . . . . . . . . . . . . . . . .39-40 23. Disk Maintenance Dialog Box. . . . . . 36
Using the 640 Image Management Guidance and Manufacturer’s
System Screens . . . . . . . . . . . . . . .16–17 Tables
Declaration – Electromagnetic
Emissions . . . . . . . . . . . . . . . . . . . . . . .41 1. Guidance and Manufacturer’s
Using the Pointing Devices and
Declaration - Electromagnetic
Function Keys . . . . . . . . . . . . . . . . .17–18 Guidance for Separation Distances . .42
Immunity . . . . . . . . . . . . . . . . . . . 39–40
Using the Touchpad . . . . . . . . . . . . . . .18 Maintenance/Service 2. Guidance and Manufacturer’s
Shutting the System Down . . . . . . . . .18 System and Keyboard: Declaration - Electromagnetic
Patients and Procedures . . . . . . . . . . . . .19 Cleaning the System . . . . . . . . . . . . . .43 Emissions . . . . . . . . . . . . . . . . . . . . . . 41
Procedure States . . . . . . . . . . . . . . . . .20 Protecting the Keyboard . . . . . . . . . . .43 3. Guidance for Separation Distances . 42
Adding a New Procedure . . . . . . . . . .20 Moving the 640 Image Management
System . . . . . . . . . . . . . . . . . . . . . . . . .43
Changing a Current Procedure . . . . . .21
Data Storage Media:
Deleting a Procedure . . . . . . . . . . . . . .21
Caring For Removable Disks and CD
Images . . . . . . . . . . . . . . . . . . . . . . . . . .22
Media . . . . . . . . . . . . . . . . . . . . . . . . . .43
Setting Video Options . . . . . . . . . .22–23
Preventative Maintenance:
Capturing Images . . . . . . . . . . . . . . . .23
Recommended Annual Performance
Checks . . . . . . . . . . . . . . . . . . . . . . . . .43
Electrical Interference . . . . . . . . . . . . . . .43

2 Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F
Preface/Indications for Use/Contraindications/
Product Description

Preface
This manual contains general information, together
with setup, operation, and maintenance instructions,
for the Smith & Nephew 640 Image Management
System. It is essential that all materials in this manual
be read and understood before any attempt is made
to operate or maintain the system.

Indications for Use

To capture intraoperative still and motion images.

Contraindications
None known.

Product Description
The 640 Image Management System is designed to
be used to capture intraoperative still and motion
images using the camera system, front panel,
keyboard, or using optional voice-activated or touch
panel control via the HERMES Digital O.R. Control
Center. Images are then stored as standard image file
formats on transportable media, or exported to an
Ethernet network for long-term archival, retrieval, or
printing using third-party image application software
or the Smith & Nephew DORAWEB™ Surgical
Documentation System.

Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F 3
Warnings and Precautions

To ensure maximum performance, safe operation, and full warranty protection of the Smith & Nephew 640 Image
Management System, please read and follow these warnings and cautions.

Warnings Precautions
U.S. Federal law restricts this device to sale by or
• To reduce the risk of electric shock, do not on the order of a physician.
remove the unit's cover or back panel. Refer
servicing to qualified service personnel. • This 640 Image Management System does not
ship with virus scanning software installed. Before
• DANGER: Risk of explosion if used in the operation, it is important to install virus scanning
presence of flammable anesthetics. software on the 640 Image Management System
• If a power strip is used, ensure that it is not if the 640 Image Management System is to be
placed on the floor. networked or if the user will use non-blank or
reusable recording media such as flash media
• Prior to initiating system installation ensure
or compact discs.
that there is no electrical power to any of the
system components. • The 640 Image Management System complies to
IEC 60601-1-2, however, the user must be aware
• If this unit is configured as part of a system,
that this does not necessarily ensure protection of
the entire system should be tested for
the unit against interference from other devices.
compliance with IEC 60601-1-1.
• Electrical safety testing should be performed by a
• If the leakage current of the configured system
biomedical engineer or other qualified person.
exceeds the limits of IEC 60601-1-1, install an
appropriately rated UL 60601-1/IEC 60601-1 • This equipment is designed and tested to
approved isolation transformer and retest the minimize interference with other electrical
system. equipment. However, if interference occurs with
other equipment it may be corrected by one or
• The use of accessory equipment not complying
more of the following measures:
with the equivalent safety requirements of this
equipment may lead to a reduced level of Reorient or relocate this equipment, the other
safety of the resulting system. Consideration equipment, or both.
relating to the choice shall include: Increase the separation between the pieces
of equipment.
Use of the accessory in the patient vicinity.
Evidence that the safety certification of the Connect the pieces of equipment into different
accessory has been performed in accordance outlets or circuits.
with UL 60601-1/IEC 60601-1/IEC 60601-1-1 Consult a biomedical engineer.
and/or CAN/CSA C22.2 No. 601.1. • Handle unit with care. If the unit is dropped
• Check leakage currents when interconnecting or damaged in any way, it must be returned
this unit with other equipment. immediately to Smith & Nephew for service.
• Do not operate at line voltages other than • Maintenance: At least annually, the electrical
those stipulated on the back of the unit. safety conditions should be checked to ensure
• Prior to cleaning the system turn off all power compliance with IEC 60601-1.
to the system and disconnect it from the • Do not unplug the system power cable or interrupt
power source. the power source at any time while data is being
acquired. Images and video clips may be lost.
• Do not allow water or other fluids to enter the
multi-card reader or CD/DVD drives on the front
panel.

4 Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F
Precautions/Introduction/HERMES-Ready™ System Information/
System Components

• The CD/DVD drive unit should only be used with Center Operating and Maintenance Manual for the
blank CD-R and/or CD-RW 650 MB or 700 MB proper setup, use, and troubleshooting of the device.
disk media and blank DVD-R and/or DVD-RW
4.7 GB disk media.
System Components
• Do not unplug the system power cable or interrupt
the power source at any time while the data is Unpacking the Components
being written to the CD/DVD-R/CD/DVD-RW Carefully unpack and inspect all of the components
media. Doing so will render the CD/DVD-R/ shipped with the 640 Image Management System.
CD/DVD-RW disk unusable. Compare components received with those shown
• This equipment contains electronic printed circuit below.
assemblies. At the end of the useful life of the Component List
equipment it should be disposed of in accordance
with any applicable national or institutional related You should have received the following:
policy relating to obsolete electronic equipment. Quantity Description
1 640 Image Management System
Introduction 1 Keyboard (Installed)
The Smith & Nephew 640 Image Management 1 650 MB or 700 MB CD-R
System enables the acquisition, review, export, Compact Disk
and printing of still images and video clips. A 1 4.7 GB DVD-R
basic patient record containing patient demographic 1 Touchpad (Installed)
information and notes is also created directly on the 1 Power Cord, Hospital-Grade
system. The patient record and all still images and
2 Service Stickers
video clips can be stored on flash media, 650 MB or
700 MB CD media, 4.7 GB DVD media or exported to 1 Cable, Y/C (S-Video), 6 ft, M to M
an Ethernet network. Exported data can be viewed 1 Cable, RGBS, 6 ft, M to M
using standard third-party software or the Smith & 3 Cable, 3.5 mm Mini-Plug
Nephew DORAWEB™ Surgical Documentation System. 1 Cable, Mini-Plug/RCA Phono Plug
To obtain a copy of the Release Notes and “bug 1 VGA Termination Plug
fixes” for Version 2.0, please contact your authorized 1 Tally Light Cable
Smith & Nephew Representative. 1 Software Agreements
Windows ® License
HERMES-Ready… System If any parts are missing or damaged, please contact
your authorized Smith & Nephew sales
Information representative.
The 640 Image Management System is configured
to be connected to the HERMES Digital O.R. Control Save the carton and packing materials in the event
Center via the HERMES port, which uses RS-232 a component needs to be returned for repair.
serial communications protocol. When connected, For information about ordering additional supplies,
the system functions may be accessed by direct refer to the “Ordering Information” section.
voice commands or by manual use of a touch screen
control.
It is recommended that the physician and support
personnel are thoroughly familiar with the setup and
operation of the HERMES Digital O.R. Control Center.
Please refer to the HERMES Digital O.R. Control

Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F 5
System Components

Front Panel

Figure 1. Smith & Nephew 640 Image Management System Front Panel

Power Switch: Activates power to the unit. MAIN MENU Button:

Displays 640 System screen
Multi-card Reader: Accepts the following media
of the user interface on the
types: Smart Media, Compact Flash, SD/MMC or
surgical display.
Memory Stick. LED flashes when media is inserted
and recognized. Storage capacity varies CAPTURE Button: Acquires
depending on user preference and market still image shown on the
availability. screen.
CD/DVD Drive: Accepts 650 MB or 700 MB SAVE MENU Button:
CD-R/RW or 4.7 GB DVD-R/RW media. Includes Displays the Procedure
a Headphone input (not used with this system), Save dialog box of the
Volume control (not used with this system), and user interface on the
Eject button. The Eject button is used to open and surgical display.
close the CD/DVD-RW tray.
LED Display: Lights flash
AUX VIDEO INPUT: Accepts to indicate activity.
any composite video signal
from an external source such
as a C-Arm or ultrasound
device.
AUX Button: Switches
between AUX and camera
input signals.

6 Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F
System Components

Rear Panel

Figure 2. Smith & Nephew 640 Image Management System Rear Panel

Safety and Regulatory Labels Y/C Input: From camera

system's Y/C output.
Hospital Grade AC Input Receptacle
Y/C Output: Y/C output to
Removable Fuse Block additional video components.

Fan:
Cools the system. Keyboard Input: System
keyboard.
Keyboard

RGB Input: From

camera system's Still Capture: Accepts input
RGB/SYNC output. activated by camera head
button or optional footswitch.
RGB Output:
RGB/SYNC signal
to additional video
components. Still Capture Loop Thru:
The Still Capture input port
Bidirectional Port: Serial communication is simultaneously routed as
connection to HERMES ® Digital O.R. Control an output signal to this port.
Center. The Loop Thru port can be
connected to a video printer
so both the system and the
Ethernet: Ethernet network connection. video printer can be operated
from the same camera head
button or the optional footswitch
control.

Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F 7
System Components

Rear Panel

Still Freeze: Accepts input Serial Port: Touch panel input

activated by camera head port.
button or optional footswitch
instructing system to freeze
presently displayed video
image. A second press
returns display to live video.
Universal Serial Bus (USB) Port:
Video Capture: Accepts input Bidirectional input/output port
activated by camera head button for use with USB peripherals
or optional footswitch instructing such as printer and pointing
system to start video acquisition. devices (touchpad, mouse, etc.)
A second press stops
acquisition.
Parallel Port: Bidirectional
parallel communication port
Microphone: Audio input for use with local printers.
from line level audio source.

Video Graphics Array (VGA):

Outputs video graphics array
Audio Out: Outputs line level signal for use with optional
audio signal when playing back computer monitor/touch panel.
captured video.

Disconnect Before Shipping:

Disconnect the keyboard and
Tally Light: Outputs signal touchpad cables and wrap
instructing Tally Light to turn on them securely with the Velcro ®
during video acquisition. Used fastener before shipping the
only with compatible surgical system.
displays.

8 Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F
System Components

Keyboard

Display Mode

Figure 3. Smith & Nephew 640 Image Management System Keyboard

The keyboard and touchpad are located in the

bottom drawer of the 640 Image Management
System. The keyboard and cable are secured in
the drawer with a Velcro ® fastener. To minimize
drawer obstruction, rewrap the cable securely
with the Velcro fastener when storing.
General Keyboard Functions Right
Left
Button Button
Left and Right Arrows =
Move cursor on the selected
highlighted line entry. Figure 4. Touchpad

Up and Down Arrows =

Move cursor between fields.

For information regarding function keys, refer to

the “Using the Pointing Devices and Function
Keys” section.

Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F 9
System Installation

Overview
The following pages summarize the steps required to
install and configure the Smith & Nephew 640 Image
Management System.
Each 640 Image Management System configuration
may vary depending on the camera system and
components used. Figure 5 indicates a system
configuration that complies with IEC 60601-1-1
requirements. Figure 7 indicates one example of
component configuration and interconnection.
Important: Prior to initiating system installation all
the Warnings and Cautions (reference Page 4) must
be thoroughly read and understood.
Caution: This 640 Image Management System does
not ship with virus scanning software installed.
Before operation, it is important to install virus
scanning software on the 640 Image Management
System if the 640 Image Management System is to
be networked or if the user will use non-blank or
reusable recording media such as compact discs,
DVDs or removable flash media.

10 Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F
System Installation

Recommended System Configuration

IEC 60601-1-1 Compliant UL 2601-1/IEC 60601-1 approved isolation transformer and retest
the system.
System Configuration • The use of accessory equipment not complying with the equivalent
Figure 5 indicates a system configuration that complies with IEC 60601-1- safety requirements of this equipment may lead to a reduced level
1 requirements. of safety of the resulting system. Consideration relating to the
choice shall include:
Warning: If this unit is configured as part of a system,
– Use of the accessory in the patient vicinity.
the entire system should be tested for compliance with
– Evidence that the safety certification of the accessory
IEC 60601-1-1.
has been performed in accordance with the appropriate
• If the leakage current of the configured system exceeds UL 2601-1/IEC 60601-1 and/or IEC 60601-1-1.
the limits of IEC 60601-1-1, install an appropriately rated

IEC 60601-1/UL 60601-1

MEDICAL GRADE ISOLATION TRANSFORMER
COLOR VIDEO MONITOR
WITH A VA RATING ≥ 1000
Toroid ISB-100W
Sony PVM-20M2MDU
REF 7206091 Note: Isolation Transformer required for
or 220/240 VAC setup only
DYONICS™ Vision 818
REF 7209067 AC Input AC Output
AC Input

COLOR VIDEO PRINTER Wall Receptacle

Sony UP-51MD
REF 7207801
or MEDICAL GRADE POWER STRIP
Sony UP-51MDU SUITABLE FOR EXPECTED LOAD
REF 7207812
AC Input SL Waber XULMC6-023
AC Output AC Input

SMITH & NEPHEW CAMERA CONTROL UNIT

DYONICS™ ED-3 Camera Control Unit

NTSC REF 7206063/PAL REF 7206065 LIQUID CRYSTAL DISPLAY TOUCH PANEL
or Smith & Nephew 15" REF 7210344
DYONICS™ Vision 325Z Camera Control Unit National 15" 90M0312
NTSC REF 7207445/PAL REF 7207446 Smith & Nephew 19" REF 7210345
National 19" 90M0225
or AC Input
DYONICS™ HD 900 Camera Control Unit
NTSC REF 7206080/PAL REF 7207395
or
DYONICS™ Vision 325Z DV Camera Control Unit
NTSC REF 7209070
AC Input

SMITH & NEPHEW LIGHT SOURCE SMITH & NEPHEW 640 IMAGE
MANAGEMENT SYSTEM
REF 7210233
DYONICS™ 300XL Xenon Light Source
REF 7206084
AC Input
or
TriVex™ System 300XL Xenon Light Source
REF 7207449
AC Input HERMES® DIGITAL O.R. CONTROL CENTER
REF 7209756

Figure 5. IEC 60601-1-1 Compliant System Configuration AC Input

Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F 11
System Installation

Step A: Attaching Cables

Use the following instructions to attach the system
to a Smith & Nephew camera (or similar device) and
other devices.
One standard configuration is presented in Figure 7.
This configuration enables still images and video
clips to be acquired using two camera head buttons.
Other configurations can be used.
1. Connect RGB/SYNC and Y/C Output on
the back of the camera control unit to the
RGB/SYNC and Y/C Input on the rear of the
640 Image Management System. Figure 6. USB Connection
Note: The 640 Image Management System can 6. (Optional) Connect the Tally Light cable from the
capture still images from RGB/SYNC, Y/C, or Tally Light output on the system to the Remote 1
composite video input and it can only capture input on the back of the surgical display. This will
video clips from Y/C or composite video input. enable the Tally Light to illuminate while digital
2. Connect two mini-plug cables from the SW1/SW2 video clips are being acquired.
or Blue/Gray Output on the back of the camera 7. Connect a network cable (optional) to the
control unit to the Still Capture and Video Capture Ethernet port using a standard RJ45 Cat 5
input ports on the back of the system. (The Ethernet cable.
optional footswitch can be used in lieu of the Caution: This 640 Image Management System
camera head buttons.) does not ship with virus scanning software
3. To print to a color video printer when a digital still installed. Before operation, it is important to
image is acquired, connect the video printer to install virus scanning software on the 640
the Still Capture Loop Thru port using the third Image Management System if the 640 Image
mini-plug cable. Connect the RGB/SYNC and Y/C Management System is to be networked or if the
outputs on the 640 Image Management System user will use non-blank or reusable recording
to the RGB/SYNC and Y/C inputs on the printer. media such as flash media, DVDs or compact
Connect the RGB/SYNC and Y/C outputs on the discs.
printer to the RGB/SYNC and Y/C inputs on the
monitor. 8. Connect the power cord to the rear of the
system.
4. Connect the multi-pin, circular connector
attached to the keyboard, to the Keyboard
port on the back of the system.
5. Connect the touchpad to the bottom USB
port (port #2).

12 Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F
System Installation

Cable Configuration

Figure 7. Standard Cable Configuration for Still Image and Video Clip Acquisition

Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F 13
System Installation

Step B: Attaching HERMES ® Digital

O.R. Control Center
Refer to Figure 7 and the HERMES Digital O.R. Control
Center Operating and Maintenance Manual for
operation and configuration of the HERMES Control
Center with the 640 Image Management System.

Step C: Attaching the Windows ®-

Compatible Printer
You can install and configure a standard Windows-
compatible printer with the 640 Image Management
System in three different ways:
• Connected locally to the USB port.
• Connected locally to the LPT parallel port.
• Connected as a network printer.
Configure the printer via the System Tools dialog box.

14 Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F
System Operation

Overview System Tools Login

The Smith & Nephew 640 Image Management
Network Connection System will always require an Administrator Login
The Smith & Nephew 640 Image Management (Figure 8) to access the System Tools dialog box,
System may be configured as part of a system review System Administration on page 28.
connected to an Ethernet network allowing exported
data to be viewed using Smith & Nephew’s Login Type
DORAWEB™ Surgical Documentation System, your
The login type may be configured as “Simple”
institution’s Picture Archiving Communication System
requiring only a password to be entered in the Login
(PACS), or standard third party image viewing tools.
Boxes (User Name and Domain lines will be grayed
If your system is to be configured as part of a out [Figure 8]) or as “Windows” requiring all three
network you should review System Administration lines of information.
section, DORAWEB System, Integration Broker
The 640 Image Management System comes from the
Introduction, and System Configuration.
factory with the Login Type set as “Simple” and the
If your installation is not configured as part of a simple password as “SNE640”.
network you should disregard all references to
Caution: If the Windows ® Login is required the system
DORAWEB or PACS or Integration Broker functionality
administrator must confirm that the appropriate
in the following section.
accounts and policies are set up using standard
Windows System Tools. See Release notes for details
Auto Login on restrictions to using Windows 2000 Login Type.
The 640 Image Management System comes from the
factory configured to Auto Login when the system is Basic Operation
powered up. If required the system may be
configured to require a System Login (Figure 8) at Turning Power On
power up, review System Administration section To turn on the power:
System Configuration on page 28 and Configuring 1. Press the POWER switch on the front panel
the 640 Image Management System on page 32. to ON.
Initialization begins and the surgical display
displays the “Please Stand By” message.
2. After initialization is complete, the 640 System
screen displays either on the surgical display or
on the computer monitor/touch panel, if one is
installed and configured on your system.

Figure 8. 640 System Login Dialog Box

The system administrator can also configure the

640 System Login to verify multiple user accounts.

Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F 15
System Operation

Using the 640 Image Management • Capture Controls are provided to preview and
System Screens capture still video images and to capture and
play back video clips.
The left side of the 640 System screen contains:
• The Disk Usage Progress Bar display the amount
• Procedure Information describing the current of space used by the currently stored images. It
procedure by the patient’s full name, Medical may be configured to display the usage of a
Record Number (MRN), date of birth, sex, CD/DVD or flash media. It may also be
surgeon’s name, and procedure type. configured to display the usage of the system’s
• Buttons provide access to additional dialog Hard Disk. Each increment on the bar is equal to
screens for Patient Information, Note Creation, 5% of total disk space.
Save Functions, Report Print, and Close • The progress bar will come configured to indicate
Procedure Functions. CD/DVD usage. To reconfigure the bar refer to
Note: The Close Procedure button should be the “Configuring the 640 Image Management
used with caution. This operation will close the System” section.
current procedure. Once closed, features such • The System Tools button provides the system
as image capture will not be functional. administrator password protected access to a
• Display Mode controls the output to the Surgical System Tools dialog for system configuration.
Display. Live Video mode displays the live video Refer to the “System Administration” section.
signal from the Camera Control Unit (CCU) on the • The Video Settings button provides the user
surgical display. access to Video Input Option, Capture File
• Main Menu Mode displays the 640 Image Option, and Surgical Display Option settings.
Management System Screen on the Refer to the “Setting Video Options” section.
surgical display. • The Shut Down button initiates a controlled
system shut down. Refer to the “Shutting the
System Down” section.

Figure 9. 640 System Screen

16 Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F
System Operation

• At the top of the right side of the 640 System • Press the equivalent function key for a button –
Main Screen is the Review Box. The last image for example, press <F12> instead of clicking the
captured will automatically be displayed in the Save button.
Review Box. Note: The instructions in this manual describe using
• Below the review box is the Thumbnail Display the first technique, clicking buttons, but you can use
Box where all available images and video clips for the navigation technique that you find most
the current procedure are listed. Still images are convenient.
displayed as thumbnails (small versions), video
All of the function keys are defined as follows:
clips are indicated by the icon. They are listed
in time order, with the newest at the end of the <ESC> Toggle Video Mode (equivalent to the
list, and are each labeled with a capture time Display Mode: Live Video/Main Menu
stamp in the form “HHMMSS” where “HH” is the button on the 640 System screen).
hour, “MM” is the minute, and “SS” is the
<F1> Reserved for future use.
second. The file extension (the characters after
the period) indicates the file type: BITMAP (.bmp), <F2> Display the 640 System screen with the
JPEG (.jpg), or MPEG (.mpg). most recently captured image on the surgical
• The name of the captured still image or video clip monitor (equivalent to the Display Mode:
is editable by placing the cursor on the name, Main Menu button on the 640 System
left-clicking the touch pad pointing device once, screen).
pausing and clicking again. The name may then <F3> Preview captured image (equivalent to the
be changed. The file extension; however, should Preview button on the 640 System screen).
not be changed.
<F4> Capture the still image currently displayed
• Any previously captured still images may be
on the video monitor (equivalent to the
displayed in the review box by clicking on it’s
Capture button on the 640
thumbnail to select and display it. A video clip
System screen).
may be reviewed by clicking on the icon and
pressing the Playback button. Refer to the <F5> Start or stop recording a video clip
“Reviewing Images and Video Clips” section. (equivalent to the Record and
• The Print button allows the user to print the Stop buttons on the 640 System
currently selected still image. All the images screen).
available for the current procedure may be <F6> Turn on the screen display of image
printed in one report by accessing the Report sequence numbers (equivalent to the
dialog. Refer to the “Generating a Report” On-Screen Display: On radio button
section. in the Video Settings dialog box).
• The Delete button allows individual or multiple <F7> Turn off the screen display of image
selected images and video clips to be deleted by sequence numbers (equivalent to the
the user. For additional information regarding On-Screen Display: Off radio button
deleting multiple images refer to the “Cleaning in the Video Settings dialog box).
the Hard Disk” section.
<F8> Set the video input to RGB (equivalent to the
Using the Pointing Devices Input: RGB radio button in the Video
and Function Keys Settings dialog box).
There are two ways to navigate or move through the <F9> Set the video input to S-Video (equivalent to
system screens: the Input: S-Video radio button in the Video
• Click a button using your touchpad pointing Settings dialog box).
device. Refer to the “Using the Touchpad” <F10> Equivalent to the OK button.
section. If the system has been configured with
the optional VGA touch panel, buttons may be
activated by touching them directly on the
screen.

Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F 17
System Operation

<F11> Play the most recently recorded video clip Shutting the System Down
(equivalent to the Playback and To shut down the Smith & Nephew 640 Image
Stop buttons on the 640 System Management System:
screen).
<F12> Open the Save Dialog (equivalent to the 1. On the 640 System screen, click Shut Down. A
Save button on the 640 System screen). dialog box will first appear to confirm or cancel
shutdown.
In addition, you can use the up and down arrow keys 2. If you confirm shutdown and a procedure is
and the left and right arrow keys to move through the current, you are prompted to close the
text fields and lists in the dialog boxes, making each procedure. If you decide to not close the
successive one active. The Enter button may also be procedure, the procedure will remain current
used to move through the text fields. when the system is started up again.
3. Important: Wait for the system to prompt the
Using the Touchpad operator that it is now safe to turn off the system.
The touchpad is an easy way to control your 4. Turn the POWER switch on the front panel of the
computer screen. Simply glide your finger over the 640 Image Management System to OFF.
surface of the touchpad to move the cursor on the
screen.
To click a button on the screen, glide your finger to
move the screen cursor over the desired button and
then gently tap your finger. You can also use the
buttons on the bottom of the touchpad to left- or
right-click. To double-click, click the left button twice
or click the right button once.
To scroll, place your finger down on the right
edge of the touchpad and glide up or down.
Note: The touchpad responds best to a very
light, crisp tap of the finger.

18 Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F
System Operation

Patients and Procedures For non-DORAWEB™ users the MRN field is a required
field.
The following describes the information stored in the
system about each procedure: Note: Users who do not use the DORAWEB System
may skip the following.
Last Name: The patient’s last name (a maximum
of 26 characters for the entire name). For DORAWEB users the following fields are required
fields:
First Name: The patient’s first name (a maximum
of 26 characters for the entire name). Last Name
First Name
M. Initial: The patient’s middle initial
(one character maximum). MRN
Surgeon
DOB: The patient’s date of birth
(mm/dd/yyyy). Procedure
In earlier versions of the 640 System software this
Sex: The patient’s sex (F or M). information was available to the 640 System via the
MRN: The patient’s Medical Record Update List function in the Patient module. Users can
Number (a maximum of 26 continue to use this option; however, they can also
characters). enter patient information in the 640 System and then
transfer the information to the DORAWEB System
Surgeon: The surgeon’s name (a maximum when the procedure is completed. The DORAWEB
of 26 characters). software requires the above five fields to process the
Procedure: Indicates Type of procedure being information, therefore, they are required fields in the
performed. May be input manually 640 software for DORAWEB users. Users who intend
or selected from the Procedure Type to enter patient information for DORAWEB in the 640
pull down list that will be available if System for the first time are required to check the
the Smith & Nephew 640 Image DORAWEB/Network check box in the Save module
Management System is networked (Figure 14). This action will put an * next to all the
as part of a DORAWEB™ Surgical required fields.
Documentation System, PACS or a The default screen does not show the Procedure ID.
Hospital Information System (HIS). Users who want to enter a Procedure ID manually can
Procedure ID: Visible only when Show Procedure do so. First, the user must click on Data Systems
ID is checked. and Devices in “System Configuration”. The Show
Procedure ID box needs to be checked (Figure 22).
On the Main Menu there will now be an additional
field called Procedure ID.

Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F 19
System Operation

Procedure States 2. If using DORAWEB/PACS/HIS, click Update List.

Each procedure will be in one of three states at any The system will acquire the most recent schedule
of procedures from these systems. Users who
given time:
want to transfer procedure information to the
• Queued – The procedure has been scheduled DORAWEB System after "first" entering it at the
and appears in the Procedure List, but does not 640 System must have the DORAWEB/Network
yet have any acquired images or video clips. check box selected in the Save module. This
• Current – There is only one current procedure - action will cause the procedure information to
the procedure that is currently being displayed show up with five required fields, making it
on the 640 System screen. compatible to transfer to the DORAWEB System
• In Process – The procedure has at least one later.
acquired image or video clip. 3. Select the first entry. The Procedure Information
When you create a new procedure, it begins in the fields display the blank data fields.
queued state and displays in the Procedure List. 4. Click on a field and enter information. Use
the ‰ and the ¬ arrows or the enter button, on
When a procedure is selected from the list it is the keyboard or the touchpad to move from field
marked as “Current” and remains current until a new to field.
procedure is selected from the list. The original
5. To enter the Procedure Type, select a procedure
procedure is then marked “In Process” and remains
type from the drop-down list or click within the
available through the Save and Report functions.
Procedure field’s text area and then type in the
Refer to the “Save and Reports” section. new information.
6. Click Save to save the new information or click
Adding a New Procedure Cancel to not add the new procedure.
To add a new procedure: 7. Click OK to close the dialog box.
1. On the 640 System screen, click Patient. The
Patient dialog box displays. In the Procedure
List, the first entry is labeled <Add new
procedure> (Figure 10). If you are not using
DORAWEB/PACS/HIS, proceed to Step 3.

Figure 10. Add New Procedure Box

20 Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F
System Operation

Changing a Procedure 6. Click Save to save the new information or click

When a procedure is current or in process (at least Cancel to leave the stored data unchanged.
one image or video clip has been acquired) stored 7. Click OK to close the dialog box.
information regarding the procedure cannot be
Deleting a Procedure
changed.
To delete a procedure:
To change the stored information for a queued or
current procedure (not allowed for procedure in 1. On the 640 System screen, click Patient. The
process): Patient dialog box displays. If you are not using
DORAWEB/PACS/HIS, proceed to Step 3.
1. On the 640 System screen, click Patient. The 2. If you are using DORAWEB/PACS/HIS, click
Patient dialog box displays. If you are not using Update List. The system acquires the most
DORAWEB™/PACS/HIS, proceed to Step 3. recent schedule of procedures from the
2. If using DORAWEB/PACS/HIS, click Update List. DORAWEB System.
The system will acquire the most recent schedule 3. In the Procedure List, click the entry for the
of procedures from these systems. patient whose procedure you want to delete.
3. In the Procedure List, click the entry for the If there is more than one procedure scheduled
patient whose procedure you want to change. If for this patient there will be multiple entries in
there is more than one procedure scheduled for the list.
this patient, there will be multiple entries in the The Procedure Information fields display the
list. The Procedure Information fields display the stored data.
stored data.
4. Click Delete to delete the procedure.
4. Click Edit to change the data.
Note: Once you delete a procedure, it can be
5. To change the type of Procedure, select a recovered by reloading the procedure list via the
different procedure type from the Procedure DORAWEB/PACS/HIS Systems using the Update
Type drop-down list or click within the List button.
Procedure field’s text area and then type in the
new information. To change any of the other 5. Click OK to close the dialog box.
fields, click within the field’s text area and then
type in the new information.

Figure 11. Change Current Procedure Box

Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F 21
System Operation

Images • If JPEG is enabled and selected on the 640

System screen you will also capture images
Setting Video Options in JPEG (.jpg) format. You can set the quality
to Standard (higher compression of 20:1,
To set the video options: with an average file size of 50 KB) or High (lower
1. On the 640 System screen, click Video Settings. compression of 10.5:1, with an average file size of
The Video Settings dialog box displays, with 85 KB).
areas for video options, capture file options, and Note: The DORAWEB™ System imports Bitmap,
surgical display options. JPEG, and DICOM still images and video clips.
2. Set the type of video input. You can choose one When capturing images for export to the
type of input from RGB, S-Video, and Auxiliary. DORAWEB System, JPEG is the recommended
If any of these types are not available on your format to allow image annotation.
installation, they are grayed out so you cannot • For video clips select MPEG1 or MPEG2 (.mpg)
select them. format. MPEG1 generates half the video
Note: Video clips can only be recorded using the resolution with smaller file sizes. MPEG2
S-Video or composite video (front panel) input generates full video resolution with larger file
channel. sizes.
3. By default all still images are captured in Bitmap • To help ensure that all information acquired for
(.bmp) format. Bitmap files are uncompressed a given patient fits onto the target medium
files that are approximately 1 MB in size. (including flash and CD), set the maximum
You can set additional image capture file options: MPEG File size to 100 MB, 200 MB, or 600 MB.
This will automatically break long video clips into
• If DICOM is enabled and selected on the 640 smaller, more manageable file sizes. You can
System screen you will also capture images in capture data up to a maximum of 2 GB total per
a DICOM-compatible (.dcm) format. procedure, which is stored on the 640 internal
hard disk.

Figure 12. Video Settings Dialog Box

22 Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F
System Operation

• The Smith & Nephew proprietary Motion image will display in the review area on the 640
Correction Filter for analog video can be turned System screen and will have its thumbnail added
on or off. The filter reduces blurring artifacts in to the end of the list, identified by the capture
acquired images. This is a post-processing filter time stamp.
that runs for approximately three seconds per Note: The CAPTURE button will be grayed out if
image. there is no current procedure or if the system
Note: When acquiring images from devices such does not detect a video input signal.
as C-arms or ultrasound units, the recommended Note: You can also acquire images using the
setting is off. CAPTURE button on the 640 Image Management
4. Set the surgical display options: System’s front panel, the optional footswitch
• Turn the On-Screen Display of image connected to the Still Capture input port on the
sequence numbers on, off, or set to rear panel, or the camera head buttons if they are
momentary (three second display). configured appropriately. For more information, refer
• Turn the display of captured images off or to the “System Components” section.
set to momentary (the live video is replaced Note: The 640 System may occasionally miss a
by the captured image for three seconds). camera button click when the camera button (or foot
• Set the playback of video clips on the surgical pedal) is pushed in rapid succession and the 640
display to Yes or No. System is performing a large number of tasks
5. Click OK to save the video settings and close simultaneously (i.e., multi-tasking). These tasks
the dialog box. include video recording, momentary display of
captured image, motion correction filtering, and
Capturing Images auto printing. Under these circumstances, a
In Live Video Mode images from the camera control camera button click may not register in the 640
unit are displayed on the surgical display. If the on- software. Image capture responsivity can be
screen display is turned to on or momentary, the improved by reducing the number of background
sequence number in the lower left corner of the tasks that are concurrently performed and increasing
screen indicates the number of still images and video the time between image captures.
clips that have been acquired. The letters in the lower
To confirm a successful image capture, the user may
left corner of the screen indicate the video input
also enable the on-screen display (OSD) option found
(RGB, Y/C or AUX).
in the Video Setting dialog. With this option activated,
Still images are initially configured in Bitmap format. an image counter will appear in the lower left-hand
To capture images in JPEG and/or DICOM format, corner of the surgical display and will increment when
click the associated checkboxes on the 640 System an image or video is successfully captured.
screen.
To acquire still images and print them simultaneously
To capture images for the current procedure: on a video printer, connect the camera head button
or the optional footswitch to the Still Capture Loop
1. If you want to first freeze the live video, click the
Preview button on the 640 System screen. Note Thru input port on the 640 Image Management
that this is not necessary. Click Capture and System’s rear panel and acquire the image as
Close or Cancel to return to live video. described above.
2. On the 640 System screen, click Capture Still images are saved on the internal hard disk in
. The image currently displayed on order to minimize the chance of data loss if power is
the surgical display is acquired. During image interrupted. To save images to other media, refer to
acquisition, the video image will freeze the “Save and Reports” section.
momentarily and the CAPTURE light on the front
panel will illuminate indicating that the still image Caution: Do not unplug the system power cable or
was acquired successfully. After the capture, the interrupt the power source at any time while data is
being acquired. Images and video clips may be lost.

Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F 23
System Operation

Recording Video Reviewing Images and Video Clips

Video clips are recorded in MPEG1 or MPEG2 format To view the most recently acquired still image:
depending on the video options settings. Refer to the
1. On the 640 System screen, click the Main Menu
“Setting Video Options” section for more information. button. The last still image captured displays in
To record a video clip for the current procedure: the review area on the 640 System screen.
1. On the 640 System screen, click Record 2. To return to live video, click the Live Video
. During recording, the Stop button will button.
turn red indicating that recording is in progress. To play the most recently recorded video clip:
In addition, the CAPTURE light on the front panel 1. On the 640 System screen, click Playback
will illuminate and the Tally Light on the surgical . The video clip will play on the full
display will also illuminate if the Tally Light cable screen of the 640 System display and the
is connected. surgical display if selected. It plays to the end
Note: The Record button will be grayed out if unless you press any key on the keyboard.
there is no current procedure or if the system To view any acquired still image or video clip:
does not detect a video input signal.
1. On the lower right side of the 640 System
Note: If a video clip becomes as large as the
screen, locate the thumbnail of the desired still
maximum MPEG size set on the video settings
image or the MPEG icon of the desired video clip.
dialog box, the system stops recording the video
clip and begins a new one. 2. To view the desired still image in the review area,
click it.
2. To stop the recording, on the 640 System screen
click Stop . 3. To play a desired video clip, click on its’ icon. On
If the on-screen display is turned to on or the 640 System screen, click Playback .
The video clip will play on the full screen of the
momentary, the total number of acquired video clips
640 System display and the surgical display if
and still images is displayed in the lower left corner
selected. It plays to the end unless you press any
of the screen. After the recording, the video clip will
key on the keyboard.
be listed as an MPEG icon at the end of the list,
identified by the capture time stamp. 4. To print the displayed image, click Print.
5. To delete the displayed image or video clip from
Note: You can also record video clips using the the procedure, click Delete.
optional footswitch or the camera head buttons
Note: Once you delete an image or video clip, it
if they are configured appropriately. For more
cannot be recovered.
information, refer to the “System Components”
section.
Video clips are saved on the internal hard disk in
order to minimize the chance of data loss if power is
interrupted. To save video clips to other media, refer
to the “Save and Reports” section.
Caution: Do not unplug the system power cable or
interrupt the power source at any time while data is
being acquired. Images and video clips may be lost.
If a microphone is connected to the 640 rear panel
microphone audio input, audio can be recorded on
to the MPEG file while video recording is enabled.

24 Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F
System Operation

Adding Text Notes

You can add text notes to the current procedure at
any time.
To add text notes for the current procedure:
1. On the 640 System screen, click Note. The Note
dialog box displays.
2. Type your free-format text into the text box.
3. If you want to delete all of your text, click Clear to
clear the text box and begin again.
4. Click OK to save the note or click Cancel to not
save the note. In both cases, the dialog box
closes.

Figure 13. Note Dialog Box

Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F 25
System Operation

Save and Reports 2. Choose one, two, three, or four destinations for
the procedure or procedures from among Media,
Saving Procedures the DORAWEB/Network System, your
installation’s PACS or HIS system. If you select
You can save the current procedure or all procedures
media, you have a choice between the CD/DVD
by copying the procedure data to the flash or
and the flash media. If any of these destinations
CD/DVD removable media. At the same time you can
except CD/DVD is not currently available, it will
also transfer the procedure data to the DORAWEB™ be grayed out so you cannot select it.
System and/or your installation’s PACS or HIS.
Note: When saving to CD/DVD, the drive must
Note: The Save does not automatically delete the contain an empty CD/DVD-R or CD/DVD-RW
procedure data from the 640 Image Management disk. If one is not present, the system reminds
System. you to insert one in the drive after it has
attempted to initialize the disk.
Note: Before saving procedure data to the
DORAWEB/PACS/HIS System, make sure that your Note: When saving to flash media, the
system administrator has configured the DORAWEB/ information can be appended to previously
PACS/HIS System integration. For more information, existing procedure information provided there is
enough storage capacity available on the media.
refer to Integration Broker and the “IMS folder and
If there is not enough storage capacity, the
sub-folders”, and “Configuring DORAWEB System/
Zip/Flash radio button will be grayed out. It will
Integration” section.
also be grayed out if the appropriate flash media
To save the current selected, or all procedures: is not present.
1. On the 640 System screen, click Save. The Save 3. Choose one, two, or three types of data to be
dialog box displays. included for each procedure. You can choose
among Pictures (images), Notes, and Video
Clips.

Figure 14. Save Dialog Box

26 Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F
System Operation

4. Choose Current procedure, All procedures, Saving to Multiple CDs

(including current and in process procedures), or The 640 software supports saving to multiple
Selected procedures. When Selected is chosen
CD/DVDs. If a Save operation requires more data
the checkboxes for the appropriate procedures
than a single CD can store, the software will allow the
should be checked to indicate which procedures
recording to continue on multiple CDs.
are being saved. Total Archive Size indicates the
size, in megabytes, of the procedure(s) being When one CD's data has been stored the drive will
saved. be ejected and the user will be prompted to insert a
5. Click Start Save. The progress bar indicates new C. A new CD should be inserted and the OK
how much of the save has been completed button should be pressed to continue. The software
in 5% increments. will then continue writing to the subsequent CD until
To delete files, refer to the “Cleaning the Hard all data is written.
Disk” section.
For more information about folders and files,
refer to the “Folders and Files on the 640 Image
Management” section.
When saving to a network folder location you can
save all data providing you have sufficient
network folder memory.
For more information regarding CD/DVD and flash
media, refer to the “Advanced Topics” section.
Note: If the total data to be saved is less than
600 MB it is recommended that it be saved to a CD.

Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F 27
System Operation

Generating a Report/Printing 6. The Cancel Printing button allows the user to

To generate a report for the current, selected, or all cancel printing in process. This button is
activated only after the Print button has been
procedures:
depressed and printing is in process.
1. On the 640 System screen, click Report. The 7. Print Copies list bar allows the user to select the
Report dialog box displays. number of copies to print.
2. Choose one or two types of data to be included 8. Click OK to close the Report dialog box.
in the report. You can choose among Pictures
(images) and Notes. If you selected Notes, they Auto Print
will print on a separate page once the pictures The Auto Print function checkbox selection tells the
have printed. 640 System if the user wants to print a page of
3. Choose Current procedure, All procedures images in the selected layout immediately after
(including current and in-process procedures, or enough images have been captured to fill a page.
Selected procedures). When Selected is chosen As an example, if the 2x3 format is selected and the
the checkboxes for the appropriate procedures Auto Print checkbox is checked, the 640 System will
should be checked to indicate which reports are print out a single page of images when six images
to be generated. have been captured. It will print another single page
4. Choose an image layout for the report: when six more images have been captured. The
• 1x1 – one image per page (the default) Print button will be disabled when Auto Print is
• 1x2 – two rows of one image per page checked. It can be enabled by unchecking Auto
(two images per page) Print.
• 2x3 – three rows of two images per page In the Report dialog, the Procedure Selected and All
(six images per page) radio button selections will be grayed out when the
• 3x5 – five rows of three images per page Auto Print checkbox is checked, since these
(fifteen images per page) procedure buttons are not relevant for auto printing;
5. To print the report, click Print. If the print button if the auto print box is unchecked then all three
is grayed out, the printer is not available for Procedure radio buttons are activated.
printing (e.g., turned off or disconnected).

Figure 15. Report Dialog Box

28 Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F
System Operation

System Administration • Network Connections – displays the Windows

Network and Dial-up Connections dialog box so
As the system administrator, you can configure the that you can manage your network connections.
640 Image Management System for your particular
• International – displays the Windows Regional
installation via the System Tools dialog box. Display
Options dialog box so that you can set regional
the dialog box by clicking System Tools on the 640
options including numbers, currency, time, and
System screen and enter password “SNE640” which date. To change the language used by the 640
may be changed by the system administrator (refer to System, select from the list of languages in the
Figure 8). Access to the System Tools option should Menus and Dialogs drop-down list box and
be limited to users proficient in Windows 2000 restart the system.
Operating System configuration and authorized to
• Date and Time – displays the Windows
network computer systems. Date/Time Properties dialog box so that
System administration includes the following you can set the date and time as necessary.
Windows configuration tasks: • Printers – displays the Windows Printer dialog
• System Management Tools – displays the box so that you can configure and manage the
Windows Computer Management dialog box so local and network printers.
that you can manage the user accounts and disk
drives.

Figure 16. System Tools Dialog Box

Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F 29
System Operation

The following system administration tasks are specific The Integration Broker is the software component
to the 640 Image Management System: responsible for communication between the Smith &
Nephew 640 Image Management System, the Smith
• DORAWEB™/PACS/HIS System – enables you to
configure the connection with the DORAWEB & Nephew DORAWEB Surgical Documentation
and PACS/HIS System. Refer to the “Configuring System, PACS and HIS. The Integration Broker can
DORAWEB System Integration” section. be installed on a DORAWEB server or on a hospital
server. An integration folder with the share name IMS
• System Configuration – displays the 640 System
is automatically created on this shared drive during
configuration for editing. Refer to the “Configuring
the installation. The following sub-folders are also
the 640 Image Management System” section.
automatically created:
• Disk Maintenance – enables you to remove files
from the hard disk to increase storage space. DORA
Refer to the “Cleaning the Hard Disk” section. PACS
• About 640 System – to display the version HIS
number of the 640 Image Management System, In addition to the IMS folder, there are also the PACS
click the About 640 System button. This will and HIS folders. These folders are mapped to the
display the current system version and PACS or HIS system that is being used and may
associated software version numbers. To close reside on a different server. The Integration Broker
the About 640 System dialog, simply click OK. therefore transfers information between different
folders on shared drives. Figure 17 shows how the
Integration Broker Introduction Integration Broker software handles the transfer of
All users who do not use DORAWEB, PACS or HIS to information across different systems.
interface to the 640 System may skip this section.

Figure 17. Integration Folder

30 Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F
System Operation

The Integration Broker performs the following IMS Folder and Sub Folders
functions: When saving procedure information from the 640
System, the PACS or DORAWEB/Network options can
DORAWEB™ Related be selected. Depending on those selections,
• Once daily at a configured time, transfers all the procedure information is either stored in the
patient demographics for the day's scheduled IMS/DORAWEB or IMS/PACS folders. The information
procedures from DORAWEB to the IMS\DORA in these folders is structured as a set of procedure
folder. These procedures will be listed in the directories, one for each procedure. Each directory is
Procedure List in the 640 Image Management named by the last name of the patient followed by
System. In addition, the previous day’s data is the medical record number (MRN). For example, a
deleted from this folder. procedure directory may be named “Smith123456”.
• Once daily, transfers the current Procedure List
from DORAWEB to the IMS\DORA folder. Each procedure directory contains an image
subdirectory named by the procedure name followed
• In addition, transfers new patient demographics
by the date and time (MMDDYYYYHHMMSS) and the
(from DORAWEB) for a procedure to be performed
640 System location. For example, an image
that day, but after the export described above, to
the IMS\DORA folder. These procedures are subdirectory may be named “10212003120510”
appended to the end of the Procedure List on the “ArthroplastyRoom1”.
640 Image Management System. The image subdirectory may contain these
• Transfers saved still images (.bmp or .jpg or types of image/video files:
.dcm), video clips (.mpeg), and Note (.txt) files
• MPEG 1 or MPEG 2 (.mpg) video files
(originating from the 640 Image Management
System) from the IMS\DORA folder into the • Note (.txt) files
DORAWEB System. • JPEG (.jpg) image files
• DICOM (.dcm) image files
PACS Related
• Bitmap (.bmp) image files
• Transfers saved DICOM images (originating from
the 640 Image Management System) from the Each procedure has an associated text (.txt) file
IMS\PACS folder into the PACS folder. in the image subdirectory with the name of the last
• Once daily at a configured time, transfers all captured image. The text file contains the patient
DICOM images associated with the day's demographics for the associated patient and the
scheduled procedures from the PACS folder to notes entered during the procedure. It will also have
the IMS\PACS folder. The procedure related text an associated Text (.txt) file named “alldone.txt”.
information will then be extracted from these Note: The DORAweb Surgical Documentation System
images and will be placed in the IMS\PACS operates with still images, JPEG (.jpg), Bitmap (.bmp),
folder. These procedures will be listed in the MPEG (.MPG), DICOM (.dcm), and Note (.txt) files.
Procedure List in the 640 Image Management DICOM (.dcm) images can also be saved separately
System. In addition, the previous day’s images to your institution’s PACS.
will be deleted from this folder.
HIS Related
• Once daily at a configured time, transfers HL7
text messages relating to the procedures from
the HIS folder to the IMS\HIS folder. These
procedures will be listed in the Procedure List in
the 640 Image Management System. In addition,
the previous day’s images will be deleted from
this folder.

Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F 31
System Operation

DORAWEB™ System Integration Configuring DORAWEB System Integration

The Smith & Nephew 640 Image Management
Overview System needs to be configured with User Name,
At the time of DORAWEB Surgical Documentation Password and Share Directory.
System installation the system administrator setup In the case of DORAWEB, these values will have
a server on the local network and created a share to be configured based on the configuration of
directory to receive procedure files from the Smith & the DORAWEB Surgical Documentation System
Nephew 640 Image Management System. A user established by the system administrator.
name and password were also established at that
time to allow the Smith & Nephew 640 Image To integrate the 640 Image Management System with
Management System to be recognized by the server. the DORAWEB and/or PACS/HIS System:
Note: In order to setup the Smith & Nephew 640 1. In the System Tools dialog box, click DORAWEB/
Image Management System on the network you will PACS/HIS System.
need to know the User Name, Password, Server The DORAWEB/PACS/HIS System dialog box
Name, and Share Name established by the system displays.
administrator. 2. Enter user name and password in the provided
Refer to DORAWEB Installation Guide, REF 1061336, fields.
under Software Installation reference “Config”. 3. Enter the share directory information.
4. Click Test Connection to connect to the
An example for User Name is “dora640”
appropriate Server. If the connection succeeds,
An example for Password is “Dora!640” the system displays “Connection Test Pass.” If
the connection is unsuccessful, the system
An example for Share Directory is displays “Connection Test Fail"; check your
“\\DORAWEBServer\IMS\” network connections.
5. Click OK to save the information and close the
dialog box.

Figure 18. DORAWEB System Dialog Box

32 Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F
System Operation

Configuring the DICOM Send Utility 3. Enter the local name of the 640 Image
Note: Users not currently using DICOM Send may Management System in the Local AE Title
field, typically “smith&nephew 640.”
skip this section.
4. Enter the full path name of the Directory
The Integration Broker will replace the DICOM Send containing the image files that are to be
Utility to transfer DICOM images to PACS. It is being copied to the PACS. Select the option to
retained to allow existing users of this utility to scan subdirectories.
transition over at a time of their choosing. 5. Specify the Remote IP Address, Remote Port
The DICOM Send Utility enables you to send Number, and Remote AE Title (the registered
stored DICOM images to your Picture Archiving name) of the PACS.
Communication System (PACS). You must configure 6. Click OK to save the information and close the
the utility with information about your particular dialog box.
PACS installation. 7. On the DICOM Send Utility dialog box, click Echo
To configure the DICOM Send Utility: to start a communications test with the PACS.
8. If the test is successful, a dialog box will display.
1. In the System Tools dialog box, click DICOM Click OK to close the box.
Send Utility. The DICOM Send Utility dialog
9. Click Quit to end the configuration and close the
box displays.
dialog box.
10. Stop and restart 640 service in order for changes
to take effect. See Windows 2000 administrator
documentation for information on starting and
stopping Windows services.

Figure 19. DICOM Send Utility Dialog Box

2. Click Settings. The DICOM Send Configuration

dialog box displays.

Figure 20. DICOM Send Configuration Dialog Box

Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F 33
System Operation

Configuring the 640 Image The Policies tab contains three settings groups to
Management System control system behavior.
The System Configuration dialog screen provides In the System Identification group, set the customer
control over many options of the 640 system that name to the name of the medical institution you want
allow the user to customize it to best fit his/her to appear on the 640 System reports; set the system
needs. Changes made in this dialog take effect name to something that will uniquely identify which
after the user presses OK and restarts the system. 640 System produced a report or set of images. In

Figure 21. System Configuration Dialog Box - Policies

the Startup and Login Options group, there are three which requires only a password to use the system.
choices that control access to the 640 System. The The password can be set and confirmed in the same
VGA Monitor setting is used to control the dialog but only applies to the Simple method of login.
appearance of the 640 System control display on the
The Prompt to Show Disk Maintenance after Save
surgical monitor at startup. Yes means the main
gives the user the opportunity to delete the
menu will not be presented on the surgical display at
procedure from the system after save. Yes means
startup, only on the VGA display. No means main
show a prompt to go to Disk Maintenance utility. No
menu will be presented on surgical display at startup.
means do not prompt and do not allow user to delete
The Startup Login option is used to control the
the procedure unless the user enters through System
appearance of a logon dialog when the system is
Tools.
powered on. If users are required to logon before
using the 640 System then choose Yes; if not choose The Video Standard setting is either NTSC or PAL.
No. The Login Type setting is used to select between Typically NTSC is chosen for North America and
the Windows authentication, which requires system Japan while PAL is the broadcast video standard for
accounts to be created for each user, and Simple, Europe.

34 Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F
System Operation

Figure 22. System Configuration Dialog Box - Data Systems and Devices

The Data Systems and Devices tab contains three The HERMES ® selection activates or deactivates
settings groups to select 640 System interface the HERMES message exchange interface for
options. voice commands from a HERMES controller.
The Network group provides selections to activate The Storage Device Mapping group gives three
PACS, HIS and/or the DORAWEB System interfaces. choices for what media to monitor on the main
Networking must be configured and enabled for menu while acquiring procedure data.
communications with these systems to exchange
In order for your changes to take effect you must shut
data with the 640 System. Both the DICOM Send
the system down and restart it. Refer to the “Shutting
Utility and DORAWEB have their own utilities available
the System Down” and “Turning the Power On”
through System Tools to provide connection details.
sections.
The Network share drive letter should not be
changed unless the drive letter is already reserved
for another share directory on your network.

Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F 35
System Operation

Cleaning the Hard Disk 3. To delete a particular procedure and all its files,
All procedure files except the current procedure are click the Selected procedure radio button and
select the procedure from list. Click Delete
stored on the system hard disk. If you do not delete
Procedure(s) under Procedure(s).
them after they have been saved or uploaded to a
network share the hard disk will eventually become OR
full. To delete a set of files from a particular
procedure, select the procedure from Procedure
To clean the hard disk: list. Select the files from those listed under
1. Confirm that all procedures have been properly Procedure Files. Click Delete Files.
saved to external media or uploaded. OR
2. In the System Tools dialog box, click Disk To delete all procedures, select All procedures
Maintenance. The Disk Maintenance dialog radio button. Click Delete Procedure(s).
box displays the folder structure of the disk. 4. Click OK to close the dialog box.

Figure 23. Disk Maintenance Dialog Box

36 Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F
System Operation

Advanced Topics Folders and Files on the 640 Image

Management System
Notes on the DVD Drive and Media Image files are stored on the hard disk and saved
• Only use 650 MB or 700 MB data CDs or 4.7 GB to flash media or CD/DVD in a folder named
DVDs. Music CDs are not compatible. “SNE640data”. Below this folder there is a folder
• The DVD tray will open on completion of the write for each patient named using the patient’s last
process. Remove the disk from the tray and then name followed by the patient’s MRN (for example,
press the Eject button or gently push in the tray “Smith123456”). This folder contains a folder for
to close. each of the patient’s procedures, named using
• Data is written to the CD/DVD in the ISO 9660 the procedure name followed by the machine name
Standard CD-RW format. of the particular 640 Image Management System
(for example, “ArthroplastyOR1”). If there are multiple
Notes on the Multi-card Drive procedures for a patient that would generate
and Media duplicate folder names, the folder names are
• The multi-card drive is operating correctly when appended with a sequential counter.
the green activity light blinks for a few seconds
Within the procedure folder, individual image files
after the media is inserted. If there is no blinking,
are named using a capture time stamp of the form
remove the media and then reinsert it.
“HHMMSS” where “HH” is the hour, “MM” is the
• Never remove the flash media when the green minute, and “SS” is the second. Each image file has
activity light is blinking. Removing the media the file extension “.bmp” for Bitmap images, “.jpg” for
during a write or read process could corrupt JPEG images, or “.dcm” for DICOM images. Video
data.
clips are also named using the time stamp but have
Notes on the 640 Image an “.mpg” file extension. If notes have been created
Management System for the procedure, the text is stored in a file named
“notes.txt”.
• Avoid placing the 640 Image Management
System against item(s) that could block or impair
the cooling vents on the sides or the cooling fan
located on the back of the unit.
• Avoid placing items in excess of 40 pounds
directly on top of the 640 Image Management
System.
• Save at the end of each surgical case to avoid
running into time delays. The time required for
data transfer depends on the number of images
acquired.

Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F 37
System Specifications

Video Inputs Serial Port: UART port with male DB-9 receptacle
RGBS – BNC connector x 4: RGB = .7Vp-p/ configured as COM 2.
SYNC = .3 to 4Vp-p, 75 ohms terminated. Video Graphics Array (VGA) Port: 16-pin female VGA
S-Video (Y/C) – 4-pin mini-DIN x 1: Y = 1Vp-p/ port.
C = NTSC/EIA standards (286mVp-p for NTSC, Ethernet Port: Auto-select 10Base-T/100Base-TX.
300mV for PAL), 75 ohms terminated. Storage Drives
AUX VIDEO INPUT (Front Panel) – BNC Multi-card Drive, IDE Interface. (Supports read/write
connector x 1: 1Vp-p, Composite B/W of flash media of different sizes.) Storage capacity is
Video. 75 ohms terminated. as per user preference and market availability.
Video Formats – NTSC and PAL. CD-R, 650 MB or 700 MB, DVD-R, 4.7 GB. (Writes
All Video Inputs are diode protected for data in standard ISO 9660 CD-R format only.
over-voltage conditions. Supports CD-R, CD-RW, DVD-R, and DVD-RW media.)
Video Outputs Processor 700 MHz Intel P111 Processor.
RGBS – BNC connector x 4: RGB = .7Vp-p/ Operating System Windows 2000.
SYNC = .3 to 4Vp-p, 75 ohms terminated. Hard Drive
S-Video (Y/C) – 4-pin mini-DIN x1: Y = 1Vp-p/ 60 GB drive with Ultra DMA data transfer.
C = NTSC/EIA standards (.3Vp-p), 75 ohms Still Image File Format
terminated.
24-bit RGB bitmap (.bmp) file.
Video Formats – NTSC and PAL.
24-bit JPEG (.jpg) file.
All Video Outputs are diode protected for
over-voltage conditions. 24-bit DICOM (.dcm) file.
Keyboard Input Still Image Resolution
Mini PS/2 Keyboard. NTSC – 640 x 480 @ 24-bit color depth.
Front Panel Inputs PAL – 640 x 480 @ 24-bit color depth.
Four buttons – AUX VIDEO INPUT, MAIN MENU, Still Image Color Resolution
CAPTURE, and SAVE MENU. 16.77 million True Color.
One AUX VIDEO INPUT BNC. Still Image Aspect Ratio 4:3.
Rear Panel Inputs Motion Video File Format
4 X 3.5 mm mini-jacks – STILL CAPTURE, STILL MPEG1 and MPEG2 (.mpg) file.
FREEZE, STILL CAPTURE LOOP THRU, and VIDEO Motion Video Resolution
CAPTURE. MPEG1 = 352 x 240 – NTSC, 352 x 288 – PAL.
MIC In – 1000 mV RMS @ 10K ohm Impedance MPEG2 = 704 x 480 – NTSC, 704 x 576 – PAL.
(typical).
Display Output
Audio Out – 1000 mV RMS @ 4.7K ohm Impedance
(minimum). NTSC – Real Time RGBS and S-Video outputs.
Tally Light – Interface for Sony PVM Medical Grade PAL – Real Time RGBS and S-Video outputs.
Series Monitors with Remote Port ONLY. Power Requirements
Rear Panel Ports Input Voltage 100–120/200–230 VAC,
Bidirectional Port: RS-232 Communication Port with 50/60 Hz @ 150 VA.
USB Type B receptacle. (Not a USB protocol- Leakage Current <70 µA.
supported connection. Connect to HERMES ® Dimensions
Digital O.R. Control Center only.) (L x W x H) 18.00 x 17.00 x 6.64 inches
Parallel Port: Bidirectional input/output port with (45.72 x 43.18 x 16.87 cm).
female DB-25 receptacle. Weight
Universal Serial Bus (USB) Ports: Two USB ports with 21 lbs.
USB Type A receptacle, software compatible with Classification
NS16C550. CISPR 11 Class A.
38 Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F
Guidance and Manufacturer’s Declaration – Electromagnetic Immunity

Table 1. Guidance and Manufacturer's Declaration – Electromagnetic Immunity

The Smith & Nephew 640 Image Management System (REF 7210233) is intended for use in the electromagnetic
environment specified below. The customer or the user of the 640 Image Management System should assure that
it is used in such an environment.

IEC 60601 Compliance

Immunity Test Test Level Level Electromagnetic Environment - Guidance
Portable and mobile RF communications equipment should be used
no closer to any part of the 640 System, including cables, than the
recommended separation distance calculated from the equation
applicable to the frequency of the transmitter.
Recommended separation distance
d = 1.2√ p
Conducted RF 3 Vrms 1 Vrms
IEC 61000-4-6 150 KHz
to 80 MHz d = 1.2√ p 80 MHz to 800 MHz
Radiated RF 3 Vrms 3 V/m d = 2.3√ p 800 MHz to 2.5 GHz
IEC 61000-4-3 80 MHz Where p is the maximum output power rating of the transmitter in
to 2.5 GHz watts (W) according to the transmitter manufacturer and d is the
recommended separation distance in meters (m).
Field strength from fixed RF transmitters, as determined by an
electromagnetic site survey,a should be less than the compliance
level in each frequency range.b
Interference may occur in the vicinity of equipment marked with the
following symbol:

Note 1: At 80 MHz and 800 MHz, the higher frequency range applies.
Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption
and reflection from structures, objects, and people.
a
Field strengths from fixed transmitters, such as base stations for radio, (cellular/cordless) telephones, land mobile
radios, amateur radios, AM and FM radio broadcasts, and TV broadcasts cannot be predicted theoretically with
accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey
should be considered. If the measured field strength in the location in which the 640 Image Management System is
used exceeds the applicable RF compliance level above, the 640 Image Management System should be observed to
verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as
reorienting or relocating the 640 Image Management System.
b
Over the frequency range 150 KHz to 80 MHz, field strengths should be less than 3 V/m.

Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F 39
Guidance and Manufacturer’s Declaration – Electromagnetic Immunity

Table 1: Guidance and Manufacturer's Declaration – Electromagnetic Immunity (continued)

The Smith & Nephew 640 Image Management System (REF 7210233) is intended for use in the electromagnetic
environment specified below. The customer or the user of the 640 Image Management System should assure
that it is used in such an environment.
IEC 60601 Compliance
Immunity Test Test Level Level Electromagnetic Environment - Guidance
Electrostatic +/- 6kV contact +/- 6kV contact Floors should be wood, concrete or ceramic tiles. If floors are
(ESD) covered with synthetic material, the relative humidity should be
discharge +/- 8kV air +/- 8kV air at least 30%.
IEC 61000-4-2
Electrical fast +/- 2kV for +/- 2kV for Mains power quality should be that of a typical commercial or
transient/burst power supply power supply hospital environment.
IEC 61000-4-4 lines lines
+/- 1kV for input/ +/- 1kV for input
output lines /output lines
Surge +/- 1kV +/- 1kV Mains power quality should be that of a typical commercial or
IEC 61000-4-5 differential mode differential mode hospital environment.
+/- 2kV +/- 2kV
common mode common mode
+/- .5kV input/ +/- .5kV input/
output output
Voltage dips, >95% Reduction >95% Reduction Mains power quality should be that of a typical commercial
short for 10ms for 10ms or hospital environment. If the user of the 640 Image
interruptions 60% Reduction 60% Reduction Management System requires continued operation during
and voltage for 100ms for 100ms power mains interruptions, it is recommended that the 640
variations on 30% Reduction 30% Reduction Image Management System be powered from an uninterruptible
power supply for 500ms for 500ms power supply or a battery.
input lines >95% Reduction >95% Reduction
IEC 61000-4-11 for 5s for 5s

Power 3A/m 3A/m The power frequency magnetic field should be at levels
frequency characteristic of a typical location in a typical commercial
(50/60 Hz) or hospital environment.
magnetic field
IEC 61000-4-8

40 Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F
Guidance and Manufacturer’s Declaration – Electromagnetic Emissions

Table 2: Guidance and Manufacturer's Declaration – Electromagnetic Emissions

The Smith & Nephew 640 Image Management System (REF 7210233) is intended for use in the electromagnetic
environment specified below. The customer or the user of the 640 Image Management System should assure
that it is used in such an environment.

Emissions Test Test Level Electromagnetic Environment - Guidance

Radiated emissions Class A The 640 Image Management System uses RF energy only for
CISPR 11 its internal function. Therefore, its RF emissions are very low
and are not likely to cause any interference in nearby electronic
equipment.
Conducted emissions Class A The 640 Image Management System is suitable for use in all
CISPR 11 establishments other than domestic and those directly connected
to the public low-voltage power supply network that supplies
buildings used for domestic purposes.
Harmonic Complies
IEC 61000-3-2
Voltage fluctuations and Complies
flicker emissions
IEC 61000-3-3

Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F 41
Guidance for Separation Distances

Table 3: Recommended separation distances between portable and mobile RF communications equipment and
the Smith & Nephew 640 Image Management System
The Smith & Nephew 640 Image Management System (REF 7210233) is intended for use in an electromagnetic
environment in which radiated RF disturbances are controlled. The customer or user of the 640 Image Management
System can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile
RF communications equipment (transmitters) and the 640 Image Management System as recommended below, according
to the maximum output power of the communications equipment.

Rated Maximum Separation distance according to frequency of transmitter M

Output Power
of Transmitter W 150 KHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2.5 GHz
d = 1.2√ p d = 1.2√ p d = 2.3√ p

0.01 0.12 0.12 0.23

0.1 0.38 0.38 0.73
1 1.2 1.2 2.3
10 3.8 3.8 7.3
100 12 12 23

For transmitters rated at a maximum output power not listed above, the recommended separation distance d in meters (m) can
be estimated using the equation applicable to the frequency of the transmitter, where p is the maximum output power rating of
the transmitter in watts (w) according to the transmitter manufacturer.
Note 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption
and reflection from structures, objects, and people.

42 Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F
Maintenance/Service

Maintenance Do not drop flash or CD/DVD media onto hard

surfaces as this can result in disk damage and
Smith & Nephew 640 Image Management data loss.
System and Keyboard Keep flash and CD/DVD media clean and dry by
always storing them in their cases.
Cleaning the System
Avoid storing at temperatures greater than 120° F.
Warning: Prior to cleaning the system, turn off
all power to the system and disconnect it from Do not allow water or other fluids to enter the multi-
the power source. card reader or CD/DVD drives on the front panel.

The exterior of the 640 Image Management System Preventative Maintenance

may be cleaned with a mild detergent on a damp (not Recommended Annual Performance Checks
wet), lint-free cloth. Do not use abrasives, alcohol, or
other solvents. Smith & Nephew recommends that dielectric
strength, earth leakage current, and protective earth
Do not allow moisture to enter the inside of the unit, testing be performed annually to assure continued
or damage to the internal components may result. compliance with applicable safety requirements.
Do not open the unit or remove the cover. These tests should be conducted in accordance
with specifications UL 60601-1/IEC 60601-1.
Protecting the Keyboard Caution: Electrical safety testing should be performed
Liquid can permanently damage the keyboard. Use by a biomedical engineer or other qualified person.
the keyboard in such a position that it is protected
from spills. Electrical Interference
Caution: This equipment is designed and tested
If liquid is spilled on the keyboard, disconnect it
to minimize interference with other electrical
immediately from the back of the system, and turn
equipment. However, if interference occurs with other
the keyboard upside down to allow the liquid to drain
equipment it may be corrected by one or more of the
out. The keyboard should be allowed to dry for at
following measures:
least eight hours before plugging it in and using it
again. Reorient or relocate this equipment, the other
equipment, or both.
If the keyboard is not responding, make sure
the connector is properly aligned and securely Increase the separation between the pieces
connected to the back of the system. Refer to of equipment.
Rear Panel illustration for connector location. Connect the pieces of equipment into different
outlets or circuits.
Moving the 640 Image Management System Consult a biomedical engineer.
Always turn off power to the system before moving
it. Even though the system is on a movable cart, it Environmental Protection
should be turned off before relocating it. The Caution: This equipment contains electronic printed
sensitive disk drive heads are less vulnerable to circuit assemblies. At the end of the useful life of the
jarring or damage if the system is turned off before equipment it should be disposed of in accordance
being moved. Do not drop or jar the system as with any applicable national or institutional related
damage to components and loss of data may result. policy relating to obsolete electronic equipment.

Data Storage Media Service

Caring for Removable Disks Service Philosophy
and CD/DVD Media The 640 Image Management System is not field-
Flash and CD/DVD media are used to record and serviceable. When service is required, return the
store images and data created while using the 640 unit to Smith & Nephew, or an authorized Smith &
Image Management System. Nephew Service Center.

Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F 43
Troubleshooting

Refer to the table below for information on problem solving for the Smith & Nephew 640 Image Management
System. Additionally, review the “Frequently Asked Questions” section for frequently asked questions regarding
proper use of the system.

Symptom Cause What To Do

No video image Video cables loose or disconnected. Check video cable connections.
Video source turned OFF. Turn video source power ON.
Monitor turned OFF. Turn monitor power ON.
Video out of sync (for example, Monitor sync setting incorrect. Set monitor sync to EXT (external).
partial rolling images)
Keyboard does not respond to Keyboard cable loose or Check keyboard cable connection
typing disconnected. on rear of unit.
Screen displays “A SYSTEM ERROR An internal system error has Try resetting the system by
HAS OCCURRED” “PLEASE CALL occurred and the system cannot powering down and then back on
CUSTOMER SUPPORT” continue to operate normally. A code again. If condition persists, call
number may be shown on the Customer Support with error code
screen. number which displays on the
screen.
Screen displays “SYSTEM DATA You have reached the maximum Refer to the “Saving Procedures”
DISK FULL” allowable hard disk storage. section to save the procedures
before removing the procedure
records from the system.
Camera control buttons or the Camera SW1/SW2 or the optional Check SW1/SW2 or the optional
optional footswitch not working footswitch cables loose or footswitch cable connections.
disconnected.
Can’t establish contact with • Network not physically connected Verify that all network information is
the network to the system. valid and try logging-on again. If the
problem persists, contact your IT/IS
• Network information not valid.
administrator.
• Network busy or down.
Printer cannot be configured • Local printer not installed. Install a local printer or contact your
for the system IT/IS administrator.
• No network printer available.

Printer configured but The printer has not been configured Configure printer as the default
not printing as the default printer. printer.

44 Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F
Ordering Information

Smith & Nephew 640 Image

Management System
REF Description
7210235 Smith & Nephew 640 Image
Management System—ENGLISH
On-Screen Display, Operations Manual,
U.S. Power Cord
7210237 Smith & Nephew 640 Image
Management System—Multi-Language
On-Screen Display, Operations Manual,
Continental Power Cord
7210239 Smith & Nephew 640 Image
Management System—ENGLISH
On-Screen Display, Operations Manual,
U.K. Power Cord

Accessories
7207447 Iomega® 250 MB Zip… disk
7207448 Iomega 100 MB Zip disk
7209338 650 MB or 700 MB CD-R media
7210534 DVD-R media
81013395 Integration Broker Software CD
7209339 Single-pedal footswitch
7209340 Dual-pedal footswitch
7210344 15" LCD touch panel
7210345 19" LCD touch panel

Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F 45
Frequently Asked Questions (FAQs)

Flash and CD/DVD Media Internal Memory vs. Writing to Disk

How many video clips/still images can be Why can’t the unit store the images to flash media
acquired per patient case? or CD/DVD media as they are acquired and
There is a 2.0 GB limit per procedure. Video clips are eliminate the wait time after the case is
acquired and exported in either an MPEG1 or MPEG2 completed?
format. Both file names end with .mpg suffix. MPEG2 • Data is written to CD/DVD in a batch format,
files provide better image quality but are larger in not in a real-time continuous method.
size. To help ensure that all information acquired for • Data is most likely to be lost when being written
a given patient fits into manageable chunks, the to disk or CD/DVD media. The writing speed is
system enables you to set the maximum video clip much slower than the speed of the system's
size in minutes to 100 MB (approximately 4 minutes), internal memory.
200 MB (approximately 8 minutes), 600 MB • In the event of a power loss, the wait time is a
(approximately 24 minutes). If the video clip becomes trade-off between having a reliable way of
as large as the maximum size, the system stops storing the images (in the system) vs. saving the
recording the video clip and begins a new one. You images as they are acquired then losing several
can record clips until the procedure limit is reached. on a disk. The current method is the most
The system allows the user to record to multiple CDs reliable, considering there is likely only one
opportunity to acquire a desired image.
and DVDs, e.g., if the 600 MB limit has been reached
on a CD the system will prompt the user to insert a Power Loss
second CD and recording will continue when the Will data be lost if you lose power after images
new CD is inserted. Recording limit for flash media have been acquired to the internal hard disk
depends on the memory capacity of the flash media. but before they get written to flash media?
How many bitmap images will a 128 MB flash No. The internal hard disk saves images during the
media hold? How about the 256 MB flash media? acquisition process and is only cleared by the disk
Each bitmap image uses approximately 900 KB maintenance function.
of memory storage. The number of images that can Can you lose images if a power glitch or
be stored depends on the flash media. accidental power plug pull occurs while
A 256 MB flash card will hold 284 images. writing to flash media, CD/DVD, or to the network?
No. Since the image transfer was not complete due
If you enter patient information before inserting
the flash media, does the patient information get to the loss of power, the system's image buffering
lost when you put the flash media into the drive? design assures that the images ARE NOT LOST. Smith
& Nephew understands these problems and has
No. The 640 Image Management System can actually
tried to greatly reduce the chances of ever losing
be used without flash media inserted. The flash
images due to accidental power loss.
media is ONLY needed when transferring images
from the internal memory to the flash media.

46 Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F
Frequently Asked Questions (FAQs)

Multiple Patients without Saving Perceived image quality is also greatly influenced by
to Disk color depth. Because we use a 24-bit color pixel bit
depth we can acquire images in what is called “True
What if you do not save the image data after a
surgical case and you want to enter another Color.” If a system uses less than a 24-bit format it
patient's information? loses color and brightness information in the
acquired images. The full color and brightness areas
Go to the 640 System screen, click Patient and
of the image would then be replaced with black or
enter the new patient information for the next case.
white “dots” or pixels, which would basically be
The previous patient information has already been
missing picture information.
acquired and stored by a unique filing system in the
internal memory. When a save is performed, ALL The type of VGA computer display or VGA video
image data from each case will be transferred to the projector used to view the final images also makes a
flash, CD, DVD or to the network. substantial difference in perceived image quality. As
just mentioned, a system needs to start with a high
Bitmap Images picture bit depth.
What is a bitmap image format, and is the
image compressed? Again, 24-bit picture bit depth is considered True
Color. If a VGA computer display or VGA video
In bitmap format, an image file is made up of all the
projector cannot “display” all 24-bit possible color
individual picture elements—called pixels—which
combinations for Red, Green and Blue (over 16.77
are “mapped” into a grid in their actual positions
million possible colors) then the image information
and colors. Pixels can represent many colors–over
on the display is replaced with color and brightness
16.77 million true color pixels are possible with the
levels that are not the same as what was originally
640 Image Management System. The image file is
acquired. If the system displays less color bit depth
not compressed, so the image artifacts that
than the format in which the image information was
sometimes plague compressed image files
acquired, it is losing picture information.
will not occur.
System Resolution
What is the 640 Image Management System’s
image resolution? My colleague perceives the
image quality somewhat differently than I do.
What are some of the image quality concepts that
I need to know in order to understand differences
in image quality perception?
The 640 Image Management System’s image
resolution—the grid of pixels making up the image—
is 640 x 480 pixels (horizontal x vertical). This is the
maximum pixel resolution due to the source of the
signal—in this case, an analog video camera, e.g.,
the system cannot obtain (acquire) more resolution
than what is provided by NTSC video.

Smith & Nephew 640 Image Management System Operations/Service Manual 1061407 Rev. F 47
Warranty
Smith & Nephew products are guaranteed to be free
from defects in material and workmanship for the
warranty period for a particular product, beginning Smith & Nephew
York Science Park
from date of invoice. Refer to the current Smith & Heslington, York YO10 5DF
Nephew Product Catalog or contact Smith & Nephew United Kingdom
Customer Service for specific warranty information.
This limited warranty is restricted to repair or
replacement by Smith & Nephew, at its option,
of any product found to be defective during the
warranty period. Damage inflicted to a product
by the user that causes it to be unsuitable for
refurbishment may result in additional charges,
regardless of warranty status. All warranties apply
to the original buyer only. In no event shall Smith &
Nephew be liable for any anticipated profits,
consequential damages or loss of time incurred by
the buyer with the purchase or use of any product.
NO OTHER WARRANTY, EXPRESSED OR IMPLIED, IS
GIVEN.

Service Replacement Program

Smith & Nephew offers a 24-hour Service
Replacement Program for its products to minimize
downtime in your operating room. Our goal is to ship
you a service replacement unit within 24 hours**
of your call (during normal business hours). For a
Return Authorization (RA) number or for additional
information on this program, call Customer Service at
1-800-343-5717 in the U.S., or contact your authorized
representative.
**24-hour shipment is not offered in all countries.

™Trademarks of Smith & Nephew. Certain marks registered U.S. Patent & Trademark Office.
All other trademarks acknowledged.

Endoscopy www.smith-nephew.com ©2003, 2004 Smith & Nephew, Inc.

Smith & Nephew, Inc. 978 749 1000 All Rights Reserved.
Andover, MA 01810 978 749 1108 Fax Printed in USA
USA 800 343 5717 U.S. Customer Service
09/04 1061407 Rev. F