userguides.brainlab.com...System User Guide Rev.1.4 Brainsuite Ver.1.0 3. TABLE OF CONTENTS. GENERAL...

System User Guide Rev.1.4 Brainsuite Ver.1.0 3

TABLE OF CONTENTSGENERAL INFORMATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Chapter Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Contact Data & Legal Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

Contact Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

Legal Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

Symbols Used in This Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

Using the System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

Compatibility with Medical Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Brainlab Medical Instruments, Brainsuite iMRI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Brainlab Medical Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

Medical Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

Non-Brainlab Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

Training & Documentation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

Training . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

Documentation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

THE MR ENVIRONMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

Chapter Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

Contents of This Chapter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

MR Scanning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

Basic Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

MR Environment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

MR Compatibility of Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

MR Safety Check Recommendations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

Recommendation Checklists . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

Personnel and Equipment Screening Measures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

Preparing and Performing a Patient Scan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

Establishing Safe and Effective Administration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

OPERATING ROOM

4 System User Guide Rev.1.4 Brainsuite Ver.1.0

HARDWARE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33


Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

Brainsuite NET . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

Introduction to Brainsuite NET . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

Brainsuite NET DVD Recorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36

Brainsuite Data Wall Screen and Brainsuite Data Billboard LCD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37

Brainsuite Control Touchscreen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38

Brainsuite OR Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39

Device Connection Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40

Brainsuite NET Transfer Lines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41

Room Control Hardware . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42

Brainsuite Control Touchscreen – Wall Embedded . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42

Multi-Button Switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43

Brainlab Hardware . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44

VectorVision sky Navigation Station . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44

RF Shielded OR Cabin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

Brainsuite Network System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46

RACK HARDWARE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47


Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47

Brainsuite NET Hardware . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48

Background . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48

Turning the System On and Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

Turning On Brainsuite NET . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

Turning off Brainsuite NET . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51

19” Computer Rack . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53

Uninterruptible Power Supply (UPS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54

Eaton UPS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55

Oneac UPS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56

Brainsuite NET Video Processing Hardware . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57

Video Processing System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57

Video Processor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

Matrix Switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59

Brainsuite NET Server . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60

Background . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60

Environment and Protection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61

Servicing, Installation and Access . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62

Ventilation and Airflow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63


Indicators on the Brainsuite NET Server . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64

Turning On the Brainsuite NET Server . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65

Additional Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66

Room Control Server . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67

Background . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67

Turning the System On . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68

Connecting to Multiple Servers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69

Restarting the Room Control Server . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70

Indicators on the Room Control Server . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71

Additional Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72

Power Supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73

Medical Power Supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73

3RD-PARTY OR DEVICES FOR BRAINSUITE IMRI . . . . . . . . . . . . . . . . . 75


Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75

Before You Begin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76

Surgical Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77

Microscope . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77

OR Lights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78

Ceiling Supply Unit (CSU) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79

Anesthesiology Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80

Integration into Brainsuite iMRI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80

TROUBLESHOOTING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81


Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81

Room Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82

Room Control Malfunction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82

Main Power Failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83

Multi-Button Switch Failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84

Display Errors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85

Application Switch Fallback Solution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85

Color Malfunction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86

Image Irregularities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87

No Picture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90

Brainsuite NET Hardware . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91

Non-Rack Hardware Malfunction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91

Audio Signals / Warning Sounds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93


TECHNICAL INFORMATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95

Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95

Power Specifications & Electrical Standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96

Power Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96

Electrical Standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97

System Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98

Dimensions and Weight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98

Technical Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99

Environmental Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101

Transport/Storage and Operating Conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101

CLEANING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105

Chapter Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105

Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105

General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106

Before You Begin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106

Brainsuite Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107

Brainsuite Control Touchscreen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107

Brainsuite Data Billboard LCD and Brainsuite Data Wall Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108

Brainsuite Glass and Stainless Steel OR Panels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109

Brainsuite OR Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110

Brainsuite Data Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111

Device Connection Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112

Remote Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113

Room Control Terminals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114

Important Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114

Brainsuite Control Touchscreen – Wall Embedded . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115

Multi-Button Switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116

VectorVision sky . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117

Advanced Network Integration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118


Computer Rack and Terminal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119


Console Computer Terminal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120

19” Computer Rack . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121

Brainsuite NET . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 122

Surgical Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123

Microscope . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123


OR Light . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124

Ceiling Supply Unit (CSU) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125

Anesthesiology Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126

Anesthesia Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126

Electrical Cabinets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127

DRAPING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129


Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129

Touchscreen Drape . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 130

The Touchscreen Drape . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 130

Draping the Touchscreen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131

Sterile Field . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133

MAINTENANCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135

Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135

Inspections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 136

Guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 136

Annual Inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137

Weekly and Monthly Inspections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 138

Safety Inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139

Safety Inspection Form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140

Damaged Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141

When the System Should Not Be Used . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141

Returning Damaged Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 142

APPENDIX I: TERMINOLOGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143

Contents of This Chapter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143

Terminology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 144

Resolution Types . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147

Power Plug Types . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 148

APPENDIX II: CABLES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151


Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151


Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 152

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 152

Cables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153

RGB Cable with a D-Sub 15 pin plug . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153

RGB Cable with D-Sub 15 pin to 5x BNC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 154

RGB Cable with 5x BNC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155

DVI-D Single Link Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 156

DVI-A to D-Sub 15 pin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 158

DVI to HDMI Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 160

S-Video Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 161

S-Video Cable mini-DIN to 2x BNC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 162

Composite BNC Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 163

Composite Cinch Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 164

Serial D-Sub 9 pin Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 165

Serial D-Sub 25 pin Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 166

Serial Crossed D-Sub 9 pin Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167

Ethernet Cables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 168

USB Cables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 169

Firewire Cables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 170

PS/2 Cables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 171

Gender Changers, Adapters, and Extensions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 172

Gender Changers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 172

Adapters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173

Extension Cables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 174

INDEX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 175


GENERAL INFORMATION

1 GENERAL INFORMATION1.1 Chapter Overview

1.1.1 Contents

Topics Covered

Section See

Legal Information Page 11

Symbols Used in This Guide Page 12

Intended Use Page 13

Compatibility with Medical Devices Page 15

Training & Documentation Page 20


Contact Data & Legal Information

1.2 Contact Data & Legal Information

1.2.1 Contact Data

Support If you cannot find information you need in this guide, or if you have questions or problems, contact Brainlab support:

Feedback Despite careful review, this manual may contain errors.

Please contact us at [email protected] if you have suggestions as to how we can improve this manual.

Manufacturer Brainlab AG

Olof-Palme-Str. 9

81829 Munich

Germany

Region Telephone Email

United States and Canada Tel: (800) 597-5911 Fax: (708) 409-1619 [email protected]

Africa, Asia, Australia, Europe

Tel: +49 89 991568-44 Fax: +49 89 991568 5811

[email protected] America Tel: +55 11 33 55 33 70 Fax: +55 11 33 55 33 79

Japan Tel: +81-3-3769-6900 Fax: +81-3-3769-6901

France and French-speaking regions Tel: +33-800-67-60-30 [email protected]


GENERAL INFORMATION

1.2.2 Legal Information

Copyright This guide contains proprietary information protected by copyright. No part of this guide may be re-produced or translated without the express written permission of Brainlab.

Brainlab Trademarks

• Brainsuite® is a registered trademark of Brainlab AG in Germany and/or the US.• VectorVision® is a registered trademark of Brainlab AG in Germany and/or the US and of

Brainlab KK in Japan.

Non-Brainlab Trademarks

• Microsoft® and Windows® are registered trademarks of Microsoft Corporation.• The LCN-47® is a registered trademark of Barco.• The 6057 PD® is a registered trademark of Conrac GmbH.

Integrated 3rd-Party Software

• This software is based in part on the work of the Independent JPEG Group.

CE Label

Disposal Instructions

Only dispose of electrical and electronic equipment in accordance with statutory regulations. For in-formation regarding the WEEE (Waste Electrical and Electronic Equipment) directive, visit:

www.brainlab.com/weee

Sales in the US US federal law restricts the sale of this product by or on the order of a physician.

• The CE label shows that the Brainlab product complies with the essential re-quirements of the Medical Device Directive (MDD).

• According to the MDD, Council Directive 93/42/EEC, Brainsuite NET is a Class IIb system.

• According to the MDD, Council Directive 93/42/EEC, the Application Switch is a Class IIb product.


Symbols

1.3 Symbols

1.3.1 Symbols Used in This Guide

Warnings

Warnings are indicated by triangular warning symbols. They contain safety-critical in-formation regarding possible injury, death or other serious consequences associated with equipment misuse.

Cautions

Cautions are indicated by a circular caution symbol. They contain safety-critical infor-mation regarding possible problems with the device. Such problems include device malfunctions, device failure, damage to device or damage to property.

Notes NOTE: Notes are formatted in italic type and indicate additional useful hints.


GENERAL INFORMATION

1.4 Intended Use

1.4.1 Using the System

Intended Audience This guide provides an introduction and reference for the effective and correct use of Brainsuite (Brainsuite NET, Brainsuite iMRI, Application Switch, and Room Control) hardware.

Indications for Use Brainsuite NET

Brainsuite NET from Brainlab is a platform for the integration of devices and for the distribution of video signals and multimedia content. It is intended to be used for communication between compat-ible Brainlab devices.

It provides centralized access for managing video data, medical images and patient data.

Brainsuite NET can be used in the operating theater for various surgical procedures involving video processing, image recording, patient data viewing and software application control.

Indications for Use Brainsuite iMRI

Brainsuite iMRI is a fully integrated neurosurgical operating room (OR) that features the Brainlab VectorVision system, intraoperative magnetic resonance imaging (MRI), Brainsuite NET, a large screen Data Billboard LCD, and Room Control functionality for lighting as well as for the power supply of standard OR devices. Brainsuite iMRI facilitates network data transfer between the MRI scanner and VectorVision system, automatic registration of the intraoperative data, and also Brain-suite NET and Room Control functionality via the VectorVision software. The system is indicated for any medical condition in which the use of integrated devices, intraoperative MRI data and ste-reotactic surgery may be considered appropriate.

Careful Hardware Handling

System components and accessory instrumentation comprise precise mechanical parts. Handle them carefully.

Only trained medical personnel may operate system components and accessory in-strumentation.


Intended Use

Symbols on the System Hardware Components

Plausibility Review

Before patient treatment, review the plausibility of all information input to and output from the system.

Diagnostic Imaging

Brainsuite NET and its components do not comply with DIN EN 6868. Consequently, they are not intended for diagnostic use or to be used for the transmission of diagnos-tic images.

Symbol Explanation

Attention! Consult accompanying documents

Potential equalization point

MR Unsafe

MR Conditional: The number shown on each label specifies the MR environment in which the device can be used with caution


GENERAL INFORMATION

1.5 Compatibility with Medical Devices

1.5.1 Brainlab Medical Instruments, Brainsuite iMRI

Application Switch Compatibility

The Application Switch is not intended to control and/or be used with any surgical devices and/or instruments.

Compatible Brainlab Medical Instruments

Brainsuite iMRI is compatible with the following medical instruments and devices:

Brainlab Medical Instruments Comment

VectorVision sky Navigation system platform

Sterilization Tray

Blakesly Clamp

Disposable Reflective Marker Spheres

Disposable Registration Marker CT, MR, OR

Frameless Biopsy System

IGSonic Hardware IGSonic Probe 10V5

IGSonic Adapter IGSonic Adapter Array IGSonic Device Box IGSonic Data Cable IEEE1394

Instrument Calibration Matrix (ICM) Versions 2 and 4

Mayfield Reference Clamp and Mayfield Reference Array

Microscope Adapters and Microscope Reference Array

Multiple Tip Pointers Starlink Interface

Pointer Pointer Sharp Tip Pointer Blunt Tip

Reference Headband and Reference Headband Array


Compatibility with Medical Devices

Compatible Brainlab Medical Instruments

Other Brainlab Instruments

Only instruments and spare parts specified by Brainlab may be used with this medical device. Using unauthorized instruments/spare parts may adversely affect the safety and/or the effectiveness of the medical device and endanger the safety of the patient, user and/or environment.

Brainlab Medical Instruments Comment

Softouch

Starlink Instrument Arrays Instrument Adapters Arrays Sizes M, ML, L, XL

Instrument Adapter Clamps Sizes S, M, L, XL

Suction Tube Starlink Interface

Skull Reference Array

Ultrasound Registration Phantom

Ultrasound Adapters

Vario Reference Clamp

Multiple Tip Pointers Starlink Interface

VectorVision Reference System iMRI

z-touch


GENERAL INFORMATION

1.5.2 Brainlab Medical Software

Authorization

Only authorized Brainlab employees may install software on the Brainlab system. The user may not install or remove any software applications.

Compatible Brainlab Medical Software

Brainsuite NET is compatible with the following medical software:

• VectorVision cranial/ENT 7.0, 7.5, 7.6, 7.7, 7.8• iPlan cranial 2.6• VectorVision spine 5.5.1• Room Control 1.5

Other Brainlab Software

If you are running software versions other than those specified above, please contact Brainlab sup-port for clarification regarding compatibility with Brainlab devices.

Only Brainlab medical software specified by Brainlab may be installed and used with the systems.


Compatibility with Medical Devices

1.5.3 Medical Devices

Non-Brainlab Devices

Equipment connected to the Brainsuite NET interfaces must be certified according to the relevant IEC standards (e.g., IEC 60950 for data processing equipment, IEC 60601-1 for medical equipment, IEC 60065 for A/V equipment). All configurations must com-ply with the valid version of the system standard IEC 60601-1-1. Anyone connecting additional equipment to the signal input part or signal output part configures a medi-cal system, and is therefore responsible for ensuring that the system complies with the requirements of the valid version of IEC 60601-1-1. If in doubt, consult Brainlab technical support or your local Brainlab representative.

Mains Power

All electrical, non-medical Brainsuite NET hardware devices which are located inside the operating room and are relevant for the electrical safety of the system must be powered by a medical power supply or medical isolation transform er (according to IEC 60601-1).

Devices which are galvanically connected to Brainsuite NET hardware (i.e., displays, recorders, endoscopes) and are located or can be located in the patient environment must be either:

- Medical electrical equipment according to IEC 60601, which is powered normally- Electrical devices certified according to an applicable IEC standard (e.g., IEC 60950, IEC

60065, etc.), which are powered via a medical isolation transformer

Devices which are not galvanically connected to Brainsuite NET (e.g., only connected via fiber optic cable) and are part of a fixed installation and are located outside the pa-tient environment (e.g., Brainsuite Data Billboard LCD and its corresponding electri-cal/optical converter) can be powered by a regular power outlet.


GENERAL INFORMATION

1.5.4 Non-Brainlab Software

Authorization

Only authorized Brainlab employees may install software on the Brainlab system. The user may not install or remove any software applications.

Compatible Non-Brainlab Software

Brainsuite NET is compatible with the following non-Brainlab software products:

Other Non-Brainlab Software

Only those non-Brainlab software applications specified by Brainlab may be installed and used with the Brainsuite NET system.

Software Comment

Microsoft Windows XP Brainsuite NET and the Application Switch Serv-er runs on the Microsoft XP operating system with service pack 2.

The Application Switch client runs on the Microsoft XP operating system with service packs 1 or 2.


Training & Documentation

1.6 Training & Documentation

1.6.1 Training

Brainlab Training To ensure safe and appropriate use, before using the system all users should participate in a training program held by a Brainlab representative.

Responsibility

There is no guarantee that single electronic components of the system will not fail, causing downtime. Consequently, this system solely provides additional assistance to the surgeon and does not by any means substitute or replace the surgeon’s expe-rience and/or responsibility during its use.


GENERAL INFORMATION

1.6.2 Documentation

Reading the User Guides

Using Brainsuite NET requires careful procedural planning and site preparation.

It is therefore important that:

• The relevant user guides are read carefully before beginning a procedure• Access is provided to these user guides at all times

Available User Guides User Guide Contents

Brainsuite NET and Room Cont ro l So f tware User Guide

• Software startup and shutdown instructions, and information on the required software settings

• General overview of available software functions

Brainsuite System User Guide

• Comprehensive information on system setup• Environmental requirements, system transport, system main-

tenance and safety information• Cleaning information for system hardware

Brainsuite Site Planning Manuals

• Architectural, structural, mechanical, electrical, and equip-ment implementation

• Construction site requirements• System positioning


Training & Documentation


THE MR ENVIRONMENT

2 THE MR ENVIRONMENT2.1 Chapter Overview

2.1.1 Contents of This Chapter

Topics Covered

Section See

Basic Information Page 24

MR Environment Page 25

MR Compatibility of Components Page 26

Recommendation Checklists Page 28

Personnel and Equipment Screening Measures Page 29

Preparing and Performing a Patient Scan Page 30

Establishing Safe and Effective Administration Page 31


MR Scanning

2.2 MR Scanning

2.2.1 Basic Information

Scope The following chapter only applies for systems with an MR environment.

Overview • MR safety is especially important for all persons entering the MR environment, including clean-ing staff, 3rd-party service providers, etc.

• To supplement manufacturer documentation, this chapter highlights certain safety-critical issues, provides suggestions for preventative measures, and references additional sources of information.

This chapter does not provide a complete list of the risks and corresponding MR safe-ty precautions applicable for patients, users and other persons entering an MR envi-ronment. The intention is to provide basic recommendations only; the information provided must be adapted to local circumstances and amended accordingly by the Brainlab technical consultants.

Manufacturer Documentation

• The magnetic resonance (MR) scanner is documented by the relevant manufacturer. Please refer to the manufacturer documentation, safety brochures, and introductory videos before reading this chapter.

• Please familiarize yourself with the MR terminology explained in the manufacturer documenta-tion before continuing.

The information provided in this chapter does not substitute the content of the manu-facturer documentation. If in doubt, the manufacturer documentation takes prece-dence, and should therefore be consulted before referring to this user guide.

Sources of MR Information

Various institutions and organizations provide detailed information regarding MR safety. The follow-ing internet links (available at time of publication) provide an introduction to these sources of infor-mation:

• ASTM (American Society for Testing and Materials): www.astm.org• ESMRMB (European Society for Magnetic Resonance in Medicine and Biology):

www.esmrmb.org• FDA information regarding MR safety: www.fda.gov/cdrh/safety/mrisafety.html• ISMRM (International Society for Magnetic Resonance Safety, Education and Research):

www.imrser.org• National Center for Patient Safety: www.patientsafety.gov/alerts/MRI.doc


THE MR ENVIRONMENT

2.2.2 MR Environment

Overview The following risks associated with magnetic fields generated by MR scanners must be considered in an MR environment.

MR Environment Risks

• The static magnetic field produced by the helium-cooled main coil may result in a strong mag-netic attraction that can transform a harmless object, like a pen, into a dangerous projectile. For a 1.5 Tesla magnet, the range of this field is marked by the red-dotted 50 Gauss (5 mTesla) line and the black-dotted 5 Gauss (0.5 mTesla) lines.

• The slowly alternating magnetic fields produced by the gradient magnets of the MR scanner may create electrical voltage potentials, resulting in possible currents.

• The rapidly alternating magnetic fields produced by the gradient magnets of the MR scanner may result in radio frequency hazards such as an increase in patient body temperature, over-heating of certain objects, and an increase in noise levels.

Mobile MR Scanners

When using a mobile MR scanner, remember that the mobile magnetic field can be dangerous, as its range and effect will vary depending on the scanner location.

When using a mobile MR scanner, the area surrounding and within the 5 Gauss line should remain clear. Before moving the MR scanner, this area must be checked thor-oughly in order to prevent collisions with magnetic objects.

Staff Responsibilities

To reduce the risks associated with dynamic magnetic fields, patients, staff and other persons in the OR should only move at normal speed through the static field. Do not rotate the patient on the table at an inappropriate speed.

A member of the surgical staff (e.g., a nurse), should ensure that all used instruments have been removed from the patient and are accounted for before the patient is moved into the scanner.

MR Safety Procedures

Procedures regarding MR safety must be dr awn up by a ded icated customer staff member.


For detailed information regarding the hazards and risks associated with a rapidly al-ternating magnetic field, refer to the manufacturer documentation for the MR scanner.

Further Reading VectorVision cranial Software User Guide


MR Scanning

2.2.3 MR Compatibility of Components

Components Outside the 5 Gauss Line

Components Outside the 50 Gauss Line

Component MR Status Conditions for Use / Notes

Brainsuite Control Touchscreen – Wall Embedded

MR conditional • Installed outside of the 5 Gauss line (0.5 mT). • No loose parts when installed and is permanently

fixed to the substructure.• Does not affect MR imaging.

Brainsuite OR Display 19"

• Installed outside of the 5 Gauss line (0.5 mT). • Turn off during MR scanning.• No loose parts when installed and is permanently

fixed to the substructure.Brainsuite Data Wall Screen 47"/57"

Brainsuite Data Billboard LCD

Brainsuite Data Panel 3x19"

Medical Power Supply (Power Box)

Transfer Lines (E/O converters)

Video Distribution Box

Video Sp l i t te rs , Switches, Convert-ers*

Device Connection Panel (incl. all internal components)


Brainsuite Control Touchscreen – Ceiling Mounted

MR conditional • Installed outside the 50 Gauss line (5 mT).

• Turn off during MR scanning.• No loose parts when installed and is permanently

fixed to the substructure.


THE MR ENVIRONMENT

Components Outside the MR Cabin

Brainsuite NET System Compatibility

Brainsuite NET is MR conditional. If not specified differently for specific devices, the components may not be installed or used inside an MR environment. Observe the con-ditions for use in an MR environment mentioned in this manual.

19” Rack Components

All system components located in the 19” compu ter rack (video processor, U PS, Brainsuite NET Server, matrix switch, Application Switch Server) are MR unsafe.

*Video Splitters Switches, and Converters

If it is not possible to install the video splitters, video converters, or video switches outside the 5 Gauss line, carry out an MRI compliance test for the specific power sup-ply. If it passes the test, the video splitters, video converters, or video switches may be installed outside the 50 Gauss line but as near as possible to the 5 Gauss line.


19" computer rack components

MR unsafe • Installed outside of the 5 Gauss line (0.5 mT). • Installed outside of the OR.

Applicat ion Switch Fallback Solution

Brainsuite NET DVD Recorder

• Installed outside of the 5 Gauss line (0.5 mT). • Installed outside of the OR.• May not be brought into the MR environment


MR Safety Check Recommendations

2.3 MR Safety Check Recommendations

2.3.1 Recommendation Checklists

General Information

When establishing a safety check procedure, consider the following issues. This list is not exhaus-tive and must be supplemented by intensive discussions with a specialist team proposed by the hos-pital.

Recommendation Checklist

Recommendations

Establish a screening checklist for patients and personnel.

Screen patients appropriately before anesthesia.

For unconscious emergency patients, perform passive screening twice and carefully evaluate safety risks. An example of passive screening is checking the patient for scars indicating implants.


THE MR ENVIRONMENT

2.3.2 Personnel and Equipment Screening Measures

Overview To ensure maximum safety, answer (at a minimum) the following questions using detailed personnel and equipment screening measures. These should then be established as a standard procedure.

Screening Recommendations

MR Environment

Ferromagnetic equipment and material should not be brought into the MR environ-ment if not specifically required for the operation to be performed.

Patients who are pregnant should only be scanned using MR if it is e xplicitly neces-sary and approved by a physician.

Checklist

Is the person/equipment really required in the MR environment?

Does the equipment contain any MR unsafe components or are other MR unsafe com-ponents connected to it (e.g., a ferromagnetic oxygen tank connected to an MR safe anesthesia device)?

Does the patient have dental implants or orthopedic implants (knee/hip joint, etc.)? Does the patient’s file contain information about the implant? Can the implant be re-moved? Can a risk evaluation be carried out if it cannot be removed?

Does the patient have electronic implants, such as a pacemaker? Does the patient’s file contain information about the implant?

Is the patient pregnant?



2.3.3 Preparing and Performing a Patient Scan

Overview When preparing and performing a patient scan, the following questions must be answered.

Scanning Recommendations

MR Environment

Pregnant staff members should leave the MR environment during scanning and re-main outside of the 50 Gauss line.

Checklist

Before unlocking the table and rotating it into the scanner, have all MR unsafe surgical instruments and other objects been removed from the surgical field, the patient, the ta-ble, etc.?

Has the unconscious patient been provided with ear protection?

Are staff members who remain inside the MR environment during scanning wearing ear protection?

Are staff members who remain inside the MR environment pregnant?

Have all MR unsafe active electrical devices inside the MR environment (OR devices, power outlets, lights, etc.) been switched off?


THE MR ENVIRONMENT

2.3.4 Establishing Safe and Effective Administration

Overview In order to establish safe and effective use and administration of the MR environment at your facility, Brainlab recommends performing the following actions.

Organizational / Facility Recommendations

Safety Checks

Always perform a safety check before a person enters the MR environment. Review any equipment to be brought into the MR environment to ensure conformance with the relevant guidelines for MR safety.

Recommendations

If your radiology department has not yet been involved in the MR development work at your site, ensure that you check your MR safety precautions with them. They have the relevant experience.

Establish a team responsible for the project. This team should include representatives from all relevant departments, such as neurosurgery, anesthesiology, radiology, nurs-ing, OR management, cleaning management, facility management, etc.

Organize frequent training sessions on MR safety and emergency procedures for all staff members who are either required to enter the MR environment, or who work near-by. MR safety training is recommended for all staff prior to entering a MR environment. Corresponding training records should be maintained for all staff members.

Provide scrub clothes without pockets to reduce the likelihood of MR unsafe material being brought into the room.

All equipment and material (including facility equipment, such as doors) in a defined area inside and around the MR environment must be color-coded in order to distinguish between MR safe and MR unsafe materials.

Do not bring any MR unsafe materials into the MR environment unless they are explic-itly labeled.

Establish procedures to ensure that corrective action for risk prevention is being fol-lowed up on a regular basis; for example, a quarterly ethic committee report regarding incidents and corresponding measures to ensure MR safety.


OPERATING ROOM HARDWARE

3 OPERATING ROOM HARDWARE

3.1 Chapter Overview

3.1.1 Contents

Topics Covered

Section See

Brainsuite NET Page 34

Room Control Hardware Page 42

Brainlab Hardware Page 44

Brainsuite Network System Page 46


Brainsuite NET

3.2 Brainsuite NET

3.2.1 Introduction to Brainsuite NET

Overview Brainsuite NET is comprised of dedicated image processing hardware, digital transfer lines, and the Brainsuite NET Server. Brainsuite NET can connect nearly any video or image source to display targets inside and outside of the operating room.

The 19” computer rack contains the Brainsuite NET Server, the UPS, and all video processing hard-ware.

Brainsuite NET Display Targets

Below are a few of the possible display targets accessible from Brainsuite NET:

Figure 1

Video and Image Sources

Brainsuite NET can accommodate most video or image sources (see Resolution Types on page 147). Devices include, but are not limited to:

No. Component

a Brainsuite Control Touchscreen – Wall Embedded

s Brainsuite Data Wall Screen

d Brainsuite Data Panel

f Brainsuite NET DVD Recorder

g Brainsuite OR Display

h VectorVision sky

f

s d

g h

a

• Anesthesia patient monitoring • Planning station• Angiography console • Room camera• C-arm • Room control workstation• DVD recorder • Surgical light camera• EEG • Ultrasound• Neurophysiologic patient monitoring



System Startup

It may take several minutes until all components are synchronized and ready for op-eration.

Ceiling Mounted Arm Systems

The use of ceiling mounted arm systems (i.e., Brainsuite Control Touchscreen, Vector-Vision sky) increases the possibility for collisions with personnel and/or surrounding medical equipment. Use of these devices for purposes other than those shown in this user guide may cause bodily injury or equipment damage.


Brainsuite NET

3.2.2 Brainsuite NET DVD Recorder

Overview • The Brainsuite NET DVD Recorder is a medical device (according to IEC 60601-1/UL 60601-1)

• It can play recorded DVDs as well as record on DVD-R and DVD-RW media (NTSC and PAL).• Other DVD recorders are compatible with Brainsuite NET, however, some software features

may be disabled.

NOTE: The Brainsuite NET DVD Recorder cannot record onto DVD+R and DVD+RW discs. En-sure that you only use DVD-R / DVD-RW media.

How to turn on the Brainsuite NET DVD Recorder

Figure 2

How to Finalize a DVD

The following instructions are valid for finalizing a disc from the DVD recorder. You can also finalize discs directly from Brainsuite NET.

NOTE: To have DVDs finalized automatically, activate Auto Finalize from the Disc menu .

Step

Press the Operate button to power the device on.

Steps

1. Press the Setup button on the front of the recorder.

This opens the Setup menu.

2. Select the Disc menu.

3. Select Finalize.

4. Press the Set button.

A progress bar is displayed on the front of the recorder.



3.2.3 Brainsuite Data Wall Screen and Brainsuite Data Billboard LCD

Overview The Brainsuite Data Wall Screen and Brainsuite Data Billboard LCD consist of up to three large monitors that display patient image information provided by other sources, such as nearby comput-ers, video systems, or OR devices. The Brainsuite Data Wall Screen is mounted upon the wall whereas the Brainsuite Data Billboard LCD is integrated into the wall.

The Brainsuite Data Billboard LCD screen is always powered on. It will automatically go into sleep mode when not in use.

Data Billboard LCD

Figure 3

MR Environment

To prevent artifacts in the MR images, switch off the Brainsuite Data Wall Screen orData Billboard LCD during imaging. This can be performed using the Room Controlsystem or remote control as described in the Brainsuite NET and Room Control Soft-ware User Guide.

Further Reading Brainsuite Data Billboard LCD Planning and Installation Guide

Brainsuite Data Wall Panel 47” – Barco Planning and Installation Guide

Brainsuite Data Wall Screen 57” – Conrac Planning and Installation Guide


Brainsuite NET

3.2.4 Brainsuite Control Touchscreen

Overview The Brainsuite Control Touchscreen is ceiling-mounted and uses an extension arm.

Brainsuite Control Touchscreen

Figure 4

MR Environment

To prevent artifacts in MR images, switch off the Brainsuite Control Touchscreen dur-ing imaging. This can be performed using the Room Control system as described in the Brainsuite NET and Room Control Software User Guide.

Touchscreen Surface

Do not use sharp tools to activate the touchscreen.



3.2.5 Brainsuite OR Display

Overview The ceiling-mounted Brainsuite OR Display is a 19" monitor that uses extension arms. The Brain-suite OR Display can also be wall-mounted or set on a level surface in the operating room.

Brainsuite OR Display, Ceiling Mounted

Figure 5

MR Environment

To prevent artifacts in MR images, switch off the Brainsuite OR Display during imag-ing. This can be performed using the Room Control system as described in the Brain-suite NET and Room Control Software User Guide.


Brainsuite NET

3.2.6 Device Connection Panel

Overview • The Device Connection Panel is mounted into the OR wall or control room. This is an interface unit for integrating imaging information from external devices such as MR workstations, micro-scopes, ultrasonographs, and endoscopes.

• When connected, live images are immediately available for surgical use.

Device Connection Panel

Figure 6

MR Environment

The Device Connection Panel is MR conditional and must be installed outside the 5 Gauss line (0.5 mT). All active components inside the Device Connection Panel, such as fans and other system devices mounted inside the panel, must be switched off dur-ing MR scans. They might emit electromagnetic radiation and interfere with the MR scanner, causing artifacts in the images.

Customization The Device Connection Panel contains various electric/optical conversion elements and adapters, depending upon the individual configuration (see page 41).

Servicing The Device Connection Panel contains two cooling fans for redundancy. They must be inspected for proper functionality and have their filters replaced annually.

The Device Connection Panel is only to be installed and serviced by trained and qualified Brainlab personnel. It may not be opened by other persons.

No. Component

a Cooling fan vents

s Connection panels

d Screws

s

a

d



3.2.7 Brainsuite NET Transfer Lines

Overview Brainsuite NET transfer lines convert electrical video signals into optical signals, allowing data to be transferred outside of the OR to distances of up to 100 meters.

The exact components depend upon your system configuration.

Certifications Brainsuite NET transfer lines:

• Are either UL certified or have a power consumption below 15 W• Fulfill EMC requirements according to UL, FCC, or and EN• Are CE certified


The electrical/optical converters are usually located inside the Device Connection Panel. Individual configurations vary.

Laser Safety

Transfer lines contain Class 1 laser devices. The modules’ optical ports must termi-nate with an optical connector or a dust plug.

IDMS Systems If your system has been upgraded from IDMS to Brainsuite NET, review the existing transfer line resolutions (DVI, ethernet, etc.) each time a new device is integrated into the system. Higher reso-lution devices may require newer transfer lines.


Room Control Hardware

3.3 Room Control Hardware

3.3.1 Brainsuite Control Touchscreen – Wall Embedded

Overview The Brainsuite Control Touchscreen – Wall Embedded is located inside the operating room, typ-ically mounted into the OR wall near the main entrance.

It is not certified according to IEC 60601-1 and may not be mounted in the patient environment.


Figure 7



3.3.2 Multi-Button Switch

Overview • The Multi-Button Switch is typically located outside of the operating room in the control room or next to the main entrance.

• It provides quick access to several Room Control functions. It is fully functional at all times and cannot be switched off by the user.

• When a button is pressed, the adjacent LED illuminates to indicate that the function is active.

NOTE: The Room Control screens and the Multi-Button Switch update each other automatically each time a function is used.

Scan Scenarios

Before using the Multi-Button Switch, carefully read the descriptions in the Brainsuite NET and Room Control Software User Guide for the Scan scenario, as well as the Sur-gery, Preparation and Standby scenarios.

The Multi-Button Switch

For customized solutions, the Multi-Button Switch layout and functionality may differ from the illus-tration.

Figure 8

Multi-Button Switch Buttons

Further Reading Room Control Software Q Brainsuite NET and Room Control Software User Guide

a s

fd

g h

kj

No. Component Function

aSurgery Scenario

Activates the Surgery scenario

sScanning Scenario

Activates the Scanning (MR Imaging) scenario

dPrepara t ion Scenario

Activates the Preparation scenario

fStandby Scenario

Activates the Standby scenario

g Surgical Light Switches the operating light on/off

h OR Dimming Controls downlights in the OR

j Central On Switches all devices and lights on

kConsole Dim-ming

Controls downlights in the control room


Brainlab Hardware

3.4 Brainlab Hardware

3.4.1 VectorVision sky Navigation Station

Overview More details on VectorVision products can be found in the VectorVision System User Guide.

For accessing Brainsuite NET, Application Switch, and Room Control features in the sterile field, the VectorVision sky navigation station touchscreen is also used as a terminal.

VectorVision sky Navigation Station

Figure 9

MR Environment

To prevent artifacts in the MR images, switch off the VectorVision sky navigation touchscreen during imaging. This can be performed using the Room Control system as described in the Brainsuite NET and Room Control Software User Guide.

Restarting

When restarting the VectorVision sky power data unit (PDU), be sure to wait at least 10 seconds before reconnecting.

Further Reading VectorVision System User Guide



3.4.2 RF Shielded OR Cabin


Please refer to the manufacturer documentation for detailed information on the RF shielded OR cabin and its accessories.

Further Reading Brainsuite iMRI Site Planning Manual


Brainsuite Network System

3.5 Brainsuite Network System

Overview The Brainsuite Network System is a secure, flexible system that links the Brainsuite computers for data and command transfer and connects them to a customer network. Together with a central-ized Brainsuite firewall, this ensures a high level of security.

Maintenance In the event of a malfunction, please contact Brainlab support.

Decentralized Building Automation

In the background, a decentralized building automation system is linked to the Brainsuite NET Server, Room Control Server, and to the VectorVision sky navigation station (depending on con-figuration). This ensures high availability at all times.


RACK HARDWARE

4 RACK HARDWARE4.1 Chapter Overview

4.1.1 Contents

Topics Covered

Section See

Brainsuite NET Hardware Page 48

Turning the System On and Off Page 49

Brainsuite NET Video Processing Hardware Page 57

Brainsuite NET Server Page 60

Room Control Server Page 67

Power Supply Page 73


Brainsuite NET Hardware

4.2 Brainsuite NET Hardware

4.2.1 Background

General Information

Brainsuite NET is comprised of dedicated hardware, all located in the 19” computer rack.

There is no fixed startup order; however, it may take several minutes until all compo-nents are synchronized and ready for operation.

Device Housing

Devices powered by a mains power feed may only be housed in a rack, external cabi-net, or box certified by Brainlab. It is strictly forbidden to operate them without a Brain-lab certified enclosure.

Servicing

Only qualified technicians may perform repairs or changes to the device or installa-tion. Unauthorized opening of devices and improper repairs or changes to the instal-lation can result in considerable danger to the user (danger of electrical shock).


RACK HARDWARE

4.3 Turning the System On and Off

4.3.1 Turning On Brainsuite NET

Main Switch The main switch is located inside the 19” rack.

Figure 10

How to Turn On: Eaton UPS

a

Steps

1. Open the 19” computer rack doors.

2. Turn the main power switch clockwise until it reaches the ON position.

3. Wait apporoximately 5-30 seconds until you hear a click.

4. Turn on the UPS by pressing and holding down the power on button (approxi-mately 3-5 seconds).

5. Wait approximately two minutes.

6. If you have a planning station, power it on and wait an additional 30 seconds.

7. Close front door of 19” rack.

8. Wait for system to boot.

NOTE: Once operating system has been initialized, the startup screen opens. Use the Ap-plication Switch to move between applications.

9. Follow instructions given in the Software User Guide.


Turning the System On and Off

How to Turn On: Oneac UPS

Waiting Period

If the system has been turned off, wait at least 15 seconds before turning it on again. Otherwise, high input current may trip the circuit breaker.

Abnormal Impacts

Do not use the system after an abnormal impact, such as an earthquake or explosion. Because of the possibility of fundamental structural damage to the bu ilding, a new structural evaluation must be performed.

Steps


2. Turn the main power switch clockwise until it reaches the ON position.

NOTE: If you have two racks with main switches, carry out the startup procedure on the rack containing the video processor (see page 58) first.

3. Set the power switch to the “I” position.

4. Wait approximately two minutes.

5. If you have a planning station, power it on and wait an additional 30 seconds.

6. Close front door of 19” rack.

7. Wait for system to boot.

NOTE: Once operating system has been initialized, the startup screen opens. Use the Ap-plication Switch to move between applications.

8. Follow instructions given in the Software User Guide.


RACK HARDWARE

4.3.2 Turning off Brainsuite NET

Overview Instructions for exiting Brainsuite NET and Brainlab navigation software (e.g., VectorVision crani-al) are described in the software user guides.

How to Turn Off: Eaton UPS

How to Turn Off: Oneac UPS

Emergency Shutdown

In the case of an emergency shutdown, turn off system by turning the main switch counter-clockwise to the “O” position.

StepsTo

uchs

cree

ns

1. Exit the navigation software (e.g., VectorVision cranial).

NOTE: Use the Application Switch to toggle between the navigation software, Room Control, and Brainsuite NET.

2. Press Shutdown. This shuts down the navigation workstation.

3. Exit Brainsuite NET.

4. Press Shutdown. This shuts down the Brainsuite NET Server.

5. If you have a planning station, exit the planning software and shut it down.

19” r

ack


7. If you have a Room Control Server, power it off using the power button.

8. Wait approximately one minute.

9. Turn the main power switch counter-clockwise to the “O” position.

Steps

Touc

hscr

eens

1. Exit the navigation software (e.g., VectorVision cranial).

NOTE: Use the Application Switch to toggle between the navigation software, Room Control, and Brainsuite NET.

2. Press Shutdown. This shuts down the navigation workstation.

3. Exit Brainsuite NET.

4. Press Shutdown. This shuts down the Brainsuite NET Server.

5. If you have a planning station, exit the planning software and shut it down.

19” r

ack


7. If you have a Room Control Server, power it off using the power button.

8. Wait approximately one minute.

9. Turn off the UPS by pressing the power switch to the “O” position.

10. Turn the main power switch counter-clockwise to the “O” position.

If you have a second rack, follow steps 1-5 again.



Waiting Periods

Do not turn off the system during boot-up. Otherwise, configuration files and other data on the hard disk may be damaged.

Loss of Data

Failure to follow system shutdown procedure prior to disconnecting the power may result in irreversible loss of data.

Switching off the system by putting the UPS into standby mode could lead to perma-nent data loss or malfunction of system components.


RACK HARDWARE

4.3.3 19” Computer Rack

19" Computer Rack

Figure 11

Cabling During installation, all cables are connected by Brainlab support.

Rewiring may only be performed by authorized personnel or Brainlab support.

Doors The front door of the 19" computer rack should always be closed.

Only Brainlab support specialists are permitted to open the back door of the 19" computer rack.

Do not open the back door of the 19" computer rack. Risk of electrical shock!

Brake

Ensure that the brake is locked at all times. The brake pedals a must be pushed down.

Only Brainlab support specialists are allowed to release the brake and move the 19" computer rack.

a



4.3.4 Uninterruptible Power Supply (UPS)

Overview The UPS guarantees a continuous supply of electrical power to critical Brainsuite NET components, even in the case of a main power failure. It can maintain critical functions for up to three minutes by switching to local battery power.

Brainsuite NET systems use one of the following UPS types:

• Eaton Powerware 9125• Oneac On Series 700

Manufacturer Information

Please refer to the manufacturer documentation for detailed information on the UPS and its accessories.

Battery Replacement

The batteries may need replacement if one of the following occurs. Contact Brainlab support for as-sistance.

• Eaton UPS: The battery indicator light flashes• Oneac UPS: The “System Code” light is on and the display shows “C6”

Have the battery replaced if it has not been replaced for more than three years.


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4.3.5 Eaton UPS

How to Turn On the UPS

Figure 12

NOTE: The system normally comes with a black version of the Eaton UPS.

How to Turn Off the UPS

Battery Self-Test

The battery must be checked at least once a year using the UPS battery self-test. Have the battery replaced if the self-test fails or if the UPS reports a defective battery.

Step

Press the Power On button on the front panel and hold it for 3-5 seconds.

Steps

1. Press the Power Off button and hold it for approximately three seconds. The UPS will go into standby mode.

2. Turn off the main switch (see page 49).

Steps

1. Press the Self-test button and hold it for approximately three seconds.

2. • A flashing battery indicator light means that your batteries need to be re-placed.

• If the battery indicator light turns off, your batteries are functioning prop-erly.



4.3.6 Oneac UPS

How to Turn On the UPS

Figure 13

How to Turn Off the UPS

Step

Press the Power switch on the front panel (“|” side pressed down).

Steps

1. Press the Power switch (“|” in up position) on the front panel. The UPS will go into standby mode.

2. Turn off the main switch (see page 49).


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4.4 Brainsuite NET Video Processing Hardware

4.4.1 Video Processing System

Overview The video processor, the matrix switch, the video splitters, the video switches and the video convert-ers:

• Are either UL certified or have a power consumption below 15 W• Fulfill EMC requirements according to UL, FCC, or and EN• Are CE certified


Brainsuite NET Video Processing Hardware

4.4.2 Video Processor

Overview The video and image processor controls the display of image data on multiple displays.

Video Processor

Figure 14

Resetting the Video Processor

Air Intake Filters

The air intake filters of the video processor must be serviced at least every six months. To clean the grill and filters, use a vacuum cleaner (and if necessary, a soft brush) to remove any dust deposits.


Please refer to the manufacturer documentation for detailed information on the video processor and its accessories.

No. Component

a Status indicators

s Latch for lower access panel

a s

Steps

1. In the center of the front panel, open the latch by turning it 90 degrees clockwise.

2. Pull the lower access panel open.

3. Press the System Reset button.


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4.4.3 Matrix Switch

Overview The matrix switch routes image information over the Brainsuite NET network.

Matrix Switch

Figure 15

Turning off the Matrix Switch

To turn off the matrix switch, shut down the complete system.


Please refer to the manufacturer documentation for detailed information on the matrix switch and its accessories.


Brainsuite NET Server

4.5 Brainsuite NET Server

4.5.1 Background

Overview The Brainsuite NET Server functions both as a workstation and a server and is located in the 19” computer rack.


Figure 16

DVD Drive/Writer This unit meets Class I laser criteria of FDA Laser Notice No. 50 and IEC 60825-1:1992 + A1:1997 +A2:2001. It contains a light emitting diode (LED) which may produce a stronger laser beam than a Class 1 laser.

It is dangerous to look directly at the laser beam. For this reason, you must not remove any drive covers.


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4.5.2 Environment and Protection

Protection Against Shocks and Intrusion

Protect the system from severe shocks.

Make sure that no objects (for example, jewelry chains, paper clips) get inside the de-vice. There is a risk of electrical shock.

MR Safety MR safety according to ASTM:

Computer accessories, such as USB flash drives, Zip disks, floppy disks, etc., are con-sidered to be MR unsafe. Furthermore, loss of data may o ccur if these devices are brought beyond the 5 Gauss field line.

Environmental Restrictions

Do not use the system in environments where there is a danger of explosion!

To prevent electric shock or permanent damage to the system, do not expose the com-puter to excessive moisture.

The system is not suitable for use in the presence of flammable anesthetic mixtures containing air, oxygen or nitrous oxide.

Network Environment

The system may only be operated in secured networking environments. Do not con-nect the system to a network that is not secure, as this may cause infections from ma-licious software. Brainlab cannot guarantee the proper functioning of the system if it is connected to a network that is not secure.



4.5.3 Servicing, Installation and Access

Servicing

Risk of electrical shock: There are no user serviceable parts. All servicing to be car-ried out by trained technicians or referred to Brainlab.

Unauthorized opening and/or improper repairs can result in considerable danger to the user (danger of electrical shock, high-voltage danger, fire danger).

Repairs should only be performed by Brainlab or its authorized partners.

Appropriate measures should be implemented (by a hospital system administrator or equivalent) to prevent unauthorized access to the system platform.

Installation • The Brainsuite NET Server contains medical software. • The Brainsuite NET Server’s installation properties or configuration settings may not be

altered by persons untrained/unauthorized by Brainlab (excluding local account settings regard-ing system security).

• No software, other than that provided, may be installed on the Brainsuite NET Server.


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4.5.4 Ventilation and Airflow

Ventilation

Do not obstruct the ventilation slots (cover, cabinet, etc.) of the system or other deliv-ered equipment. Air must be allowed to circulate through these slots in order to en-sure that the system operates properly and does not overheat.

To ensure adequate ventilation, a minimum c learance of 200 mm is required on all sides.



4.5.5 Indicators on the Brainsuite NET Server

The Indicators

Figure 17

Power-on Indicator The illumination of the power-on indicator s may have the following meanings:

Do not disconnect the device from mains power while it is in energy saving mode, as this may result in data loss.

Drive Indicator • The drive indicator d illuminates when the CD-ROM or DVD drive is accessed. • You may only remove the DVD when the indicator is unlit.

No. Component

a Hard disk indicator

s Power-on indicator

d Drive indicator, e.g., DVD

ad

s

Options

If green, the workstation is on.

If orange, the workstation is ready-to-operate or in energy-saving mode.

After being switched on with the power button, the device switches on or returns to the state it was in before the energy-saving mode.

If unlit, the workstation is shutting down.


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4.5.6 Turning On the Brainsuite NET Server

The Button

Figure 18

How to Turn On the System

Hard Disk Indication During Boot up

The status of the hard disk is reported during system boot up. You can see the report before the “Brainlab booting up” logo appears:

Power Source

Operate the system using the source indicated on the type plate. If you are unsure of the type of power available, consult Brainlab support or your local power company.

No. Component

a On/Off button

a

Steps

1. Press the On/Off button a.

The power-on indicator lights up green and the workstation starts up.

2. Wait for the system to boot and follow the instructions given in the Brainsuite NET and Room Control Software User Guide.

Options

If the status is in green, the hard disk is working properly.

If the status is in yellow or red, the hard disk is defective. Call Brainlab support to replace the faulty hard disk.



4.5.7 Additional Information

Emergencies

In emergencies (such as damaged casing, elements or cables, penetration of liquids or foreign matter), switch off the device immediately and contact Brainlab support.

Waiting Period

When turning the system off, you must wait at least 15 seconds before turning it on again. Otherwise, high input current may trip the circuit breaker.

When turning the system on, you must allow Windows to completely boot up before you can turn it off again. Otherwise, configuration files and other data on the hard disk may be damaged.

RF Emissions Interferences

• The Brainsuite NET Server only uses RF energy for internal functions. • For this reason, the RF emissions are very low and are not likely to cause any interference in

nearby electronic equipment.

FCC Compliance The Brainsuite NET Server has been tested and found to comply with the limits for a “Class B” dig-ital device, according to Part 15 of the FCC rules.


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4.6 Room Control Server

4.6.1 Background

Overview The Room Control Server controls the Room Control software.

Room Control Server

Figure 19

DVD Drive

This unit meets Class I laser criteria of FDA Laser Notice No. 50 and IEC 60825-1:1992 + A1:1997 +A2:2001. It contains a light emitting diode (LED) which may produce a stronger laser beam than a Class 1 laser.

It is dangerous to look directly at the laser beam. For this reason, do not remove any drive covers.

Ventilation

Do not obstruct the ventilation slots (cover, cabinet, etc.) of the system or other deliv-ered equipment. Air must be allowed to circulate through these slots in order to en-sure that the system operates properly and does not overheat.

To ensure adequate ventilation, a minimum c learance of 200 mm is required on all sides.


Room Control Server

4.6.2 Turning the System On

How to Turn the System On

• If you have rebooted the Room Control Server, you may have to log on via the Windows logon prompt.

• Use the KVM drawer in the 19" computer rack and switch to the Room Control Server.

Logging In

Room Control User Interface

Figure 20

Correct Usage

Wait until a screen similar to the one above is displayed before performing any addi-tional tasks. Software startup may take up to 2 minutes.

If connected to the Room Control Server, the KVM drawer’s screen and the Room Con-trol touchscreen are identical.

Workstation: Displaying Room Control

If you are using the Room Control computer terminal, it is possible that other applications may ob-scure the Room Control touchscreen user interface. Use the following step to display it (the Room Control Server must be connected).

Steps

1. Log in using the user name “Room Control.”

2. Leave the password field blank.

3. Click OK or press the Enter key. The system will then start the necessary software. You will see a screen similar to the one below.

Step

Press and hold down the left Alt key, then press the Tab key to toggle between running applica-tions.


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4.6.3 Connecting to Multiple Servers

Overview The Room Control workstation has its own workflow for connecting to other workstations.

NOTE: For all installations that include the Application Switch, users can access other programs using the Hovering Task Button.

Workstation: Connecting to Multiple Servers

NOTE: You can exit the command line at any time by pressing Esc.

Steps

1. Press and hold down the Num key, then press the - key on the numeric keyboard. A com-mand line will be displayed.

2. Release the keys.

3. • To connect to the navigation station, type a• To connect to the planning station, type b• To connect to the Room Control Server, type c

4. Press Enter.

The terminal will be connected to the selected workstation.


Room Control Server

4.6.4 Restarting the Room Control Server

Overview Generally, the Room Control Server should not be switched off by the user, especially if the oper-ating system has not yet been shut down. Nevertheless, in the event of a malfunction, it might be necessary to reboot the server by completely switching it off and on again.

The Room Control system must remain activated at all times.

Powering down Room Control

Do not switch the server off unless the Brainsuite Control Touchscreen – Wall Embed-ded does not react to commands for more than 3 minutes.

Steps

1. Locate the Room Control Server in the second computer rack (this may vary, depending on configuration).

2. To turn the server off, press the power button on the server, and verify that the LEDs are switched off.

3. To turn the server on, press the power button and wait until the server prompts you to log on.


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4.6.5 Indicators on the Room Control Server

The Indicators

Figure 21

No. Component Explanation

a DVD-RW access indicator Green: CD-ROM busy

sHDD indicator (hot-plug hard disk drives only)

Green: HDD busy

d HDD indicator Amber: HDD fault

f HDD access indicator Green: Hard disk busy

g Identification indicator Blue: System selected using the identification button

h Reset button Reboots system

j Identification button Lights up identification indicators

k ON/OFF button Turns system on and off

l NMI button Shuts system down immediately

; Power-on indicator (bicolor)

Green: Server switched on

Green (flashing): Standy mode

Amber: Shutdown mode/off

A Global error indicator (amber) Amber: Global error


Room Control Server

4.6.6 Additional Information

Emergencies

In emergencies (such as damaged casing, elements or cables, penetration of liquids or foreign matter), switch off the device immediately and contact Brainlab support.

Waiting Period

When turning the system off, you must wait at least 20 seconds before turning it on again. Otherwise, high input current may trip the circuit breaker.

Do not turn off the system during boot up. Otherwise, configuration files and other data on the hard disk may be damaged.

RF Emissions Interferences

• The Room Control Server only uses RF energy for internal functions. • For this reason, the RF emissions are very low and are not likely to cause any interference in

nearby electronic equipment.

FCC Compliance The Room Control Server has been tested and found to comply with the limits for a “Class A” digital device, according to Part 15 of the FCC rules.


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4.7 Power Supply

4.7.1 Medical Power Supply

Overview The medical power supply is usually located in the 19” computer rack or the power box.

The medical power supply can be shut off either using Room Control or by disconnecting mains power.

Power Draining

Only Brainlab service personnel or personnel authorized and trained by Brainlab are allowed to connect any additional power source to a Brainlab system (e.g., medical power supply). It is strictly forbidden for all other persons to connect any power drain-ing device to the system.


Power Supply


3RD-PARTY OR DEVICES FOR BRAINSUITE IMRI

5 3RD-PARTY OR DEVICES FOR BRAINSUITE IMRI

5.1 Chapter Overview

5.1.1 Contents

Topics Covered

Section See

Surgical Devices Page 77

Anesthesiology Devices Page 80


5.1.2 Before You Begin

Overview Brainsuite iMRI is equipped with a selection of standard neurosurgical OR devices which can be used either independently, or in conjunction with the Brainsuite iMRI system.

Brainsuite iMRI is also equipped with a selection of MR safe/MR conditional anesthesiology devic-es.


The information provided in this chapter does not substitute for the manufacturer doc-umentation. If in doubt, the manufacturer documentation takes precedence, and should therefore be consulted first, before referring to the Brainsuite System User Guide.

MR Environment

All 3rd-party devices used with Brainsuite iMRI are located in an MR environment. This means that the information provided in the manufacturer documentation is not suffi-cient to ensure safe handling of the devices in the MR environment. For this reason, the customer must provide the Brainsuite System User Guide to the manufacturer ser-vice team, and to other personnel before they enter the MR environment or use the rel-evant 3rd-party devices.



5.2 Surgical Devices

5.2.1 Microscope


Detailed information on microscope use is provided in the manufacturer documentation.

Microscope in Room Control

Figure 22

The microscope power supply is regulated by Room Control and can be switched on and off via different user interfaces.

Switching off the microscope via Room Control means that it is completely discon -nected from the power supply. All microscope components, such as the light source and video control, will be deactivated simultaneously. In order to deactivate different components separately, use the on/off switches provided on the individual devices.

MR Environment

The microscope must be switched off during MR scanning.

Video Signals • Video images from the microscope video camera are integrated into Brainsuite NET and can be displayed on single or multiple screens.

• To enable video data display, the microscope video control box must be switched on. This is usually located inside the OR.

• Outside the OR, a connection to the video feed is provided in the computer racks. For further information and assistance, contact Brainlab support.

Further Reading Microscope Setup in Navigation System Q VectorVision cranial Software User Guide

Brainsuite NET and Room Control Software User Guide


Surgical Devices

5.2.2 OR Lights


Detailed information on OR light use is provided in the manufacturer documentation.

OR Lights in Room Control

Figure 23

The power supply to the OR light is regulated by Room Control and can be switched on and off via different user interfaces.

Switching off the OR light using Room Control means that it is completely disconnect-ed from the power supply. All OR light components, such as the light source and video control, will be deactivated simultaneously. In order to deactivate different compo-nents separately, use the on/off switches provided on the individual devices.

MR Environment

The OR light must be switched off during MR scanning.

Floor stand OR lights are considered MR unsafe. They should not be brought into theBrainsuite iMRI OR due to the high risk of magnetic attraction and resulting injury to the patient and/or medical staff.

Video Signals • Video images from the OR light video camera are integrated into Brainsuite NET and can be displayed on single or multiple screens.

• To enable video data display, the OR light video control box must be switched on. This is usu-ally located inside the OR.

• Outside the OR, a connection to the video feed is provided in the computer racks. For further information and assistance, contact Brainlab support.

Further Reading Brainsuite NET and Room Control Software User Guide



5.2.3 Ceiling Supply Unit (CSU)


Detailed information on CSU use is provided in the manufacturer documentation.

Room Control The normal power supply to the CSU – as well as its network and video integration – is regulated by Room Control and can be switched on and off via different user interfaces.

Switching off the CSU via Room Control means that it is completely disconnected from the power supply. All CSU components, such as the light source and video control, will be deactivated simultaneously. To deactivate different components separately, use the on/off switches provided on the individual devices.

MR Environment

The normal power supply outlets of the CSU, as well as the network and/or video inte-gration equipment, must be switched off during MR scanning.

The emergency power outlets in the CSU (usua lly color-coded in red) cannot be switched off! Only MR comp atible medical devices should be connected to these emergency power outlets!

Video Signals • The CSU includes an S-Video connector for connecting S-Video sources (for example, endo-scopes or ultrasound devices), and provides this video feed outside of the OR.

• The video images are integrated into Brainsuite NET and can be displayed on single or multi-ple screens.

• Outside the operating room, a connection to the video feed is provided in the computer racks. For further information and assistance, contact Brainlab support.

Network Connectors

The CSU also integrates two network connectors, one on each extended arm. The network line is provided outside of the OR in the computer racks and is usually connected to the customer network.


Anesthesiology Devices

5.3 Anesthesiology Devices

5.3.1 Integration into Brainsuite iMRI

Before You Begin

Before using a 3rd-party anesthesiology device, inform yourself in detail about the MR safety properties of the device by reading the manufacturer documentation.

Anesthesia and/or Monitoring Devices

Detailed information on anesthesiology and/or monitoring device usage is provided in the manufac-turer documentation.

MR conditional/MR safe anesthesia and/or monitoring devices should only be con-nected to the emergency power outlets. These outlets are not switched off during scanning and will continue supplying power to the attached devices.

Syringe Pump Detailed information on syringe pump usage is provided in the manufacturer documentation.

MR conditional/MR safe syringe pumps should only be connected to the emergency power outlets. These outlets are not switched off during scanning and will continue supplying power to the attached devices.


TROUBLESHOOTING

6 TROUBLESHOOTING6.1 Chapter Overview

6.1.1 Contents

Topics Covered

Section See

Room Control Page 82

Display Errors Page 85

Brainsuite NET Hardware Page 91


Room Control

6.2 Room Control

6.2.1 Room Control Malfunction

No Response

If the Room Control system does not respond to your commands, try to activate it with the Multi-Button Switch. If the system still fails to respond, check the relevant fuses in the electrical cabinet and contact Brainlab support.

User Experience

Only experienced, trained personnel should open the electrical cabinets.

The electrical cabinets contain open, high voltage cabling. Any actions in this cabinet must be performed with extreme care. Do not proceed if you are unsure, or if the re-quired procedure is in any way unclear. Careless handling can lead to severe injury (electric shock or burns) or even death.


TROUBLESHOOTING

6.2.2 Main Power Failure

Overview Main power failure means that the main Brainsuite power supply in the clinic for critical equipment is down.

The system is able to bridge short failures of the hospital mains power supply for up to three minutes.

System Response

For safety reasons, all devices and lights are automatically switched on in the case of a main power failure.

The Room Control system itself will not be operational during a main power failure.

Main Power Restoration

• Once main power has been restored, the Multi-Button Switch is immediately operational. • Generally, the other Room Control terminals will reboot automatically, however, in certain

cases, it may be necessary to reboot these manually.


Room Control

6.2.3 Multi-Button Switch Failure

Power Failure The Multi-Button Switch will still be operational if the screen-based Room Control user interfaces are out of order. It is also the first terminal that will become operational after a main power failure.

Multi-Button Switch Malfunction Problem Explanation/Action

Multi-Button Switch fails to respond

• Try using the other Room Control terminals.• If these terminals are also out of order, the devices and lights

can still be activated manually in the electrical cabinets in the event of an emergency. Refer to the labels and plans in these cabinets and/or to your Brainlab system operator manual for more information on the appropriate switches, and contact your Brainlab service representative immediately.


TROUBLESHOOTING

6.3 Display Errors

6.3.1 Application Switch Fallback Solution

When to Use In the case of a system failure, the Application Switch comes with a hardware backup solution for manually switching between different applications.

Use the Fallback Solution if one the following occurs:

• Touchscreen functionality doesn’t work• No image on monitor• Image frozen on monitor

This solution should only be used when a system or network failure prevents normal, software-based application switching. The Application Switch Fallback Solution can only route server in-formation to your primary touchscreen monitor.

Application Switch Fallback Solution

Figure 24

Although configurations vary, the first button on the Application Switch Fallback Solution is gen-erally reserved for normal operation using the Application Switch software. The second button is normally reserved for the hardware routing of navigation data to your primary touchscreen monitor.

NOTE: Software routing is not possible while the Navigation button is selected!

Using the Application Switch Fallback Solution Steps


2. Locate the Application Switch Fallback Solution (see image).

3. Press the button of the application you would like displayed on your primary touchscreen monitor, for example the navigation software.

An application key is displayed on a label to the left of the monitor selection buttons. For example, the navigation button (2 in image) routes the navigation application to the touchscreen monitor.

4. To switch to another application, press the corresponding button.


Display Errors

6.3.2 Color Malfunction

Colors Display Incorrectly

Black and White Video Signal

Problem Action/Explanation

Defective cable between Brainsuite NET and source device

Bent pin in connector plug. Replace cable.

Cable is too long Replace cable with one specified in this manual.

Connector plug not com-pletely inserted

Insert cable connector plug completely.

Display configured incor-rectly

Refer to the display manufacturer’s documentation.

S-Video and Y/C video sig-nals swapped

Swap S-Video and Y/C video signals

RGB and VGA video sig-nals swapped

Swap RGB and VGA video signals

Too many active devices between Brainsuite NETand the source signal

Reduce the number of active devices (i.e., switches, distribution amplifiers, etc.)

Unsupported video signal or resolution

Check supported signals and resolutions in this manual.

Device overheated Check active devices between Brainsuite NET and source sig-nal for overheating.


Signal is black and white Signal is intended to be black and white.


TROUBLESHOOTING

6.3.3 Image Irregularities

Image Shifted

Image Distorted

One Source Distorted


Refresh rate not supported Check supported refresh rates and resolutions in this manual.



Display configured incor-rectly (mainly analog dis-plays)

Check display for correct synchronization.

Brainsuite NET started wi th incorrect boot se-quence. Source device was booted before Brainsuite NET and may use an un-supported resolution or re-fresh rate.

Reboot source device.


Display configured incor-rectly (mainly analog dis-plays)

Check display for correct synchronization.


Resolution of source signal has changed

• Reboot source device for correct EDID information exchange.• Reconfigure source using the supported signals and resolu-

tions in this manual.

Source plugged into incor-rect input on the Device Connection Panel

Plug cable into correct input.




Display Errors

Image Noise

Video Delayed





Connector plug not com-pletely inserted.



Reduce the number of active devices (i.e., switches, distribution amplifiers, etc.).




Defective display Replace the source device.

Defective source device

Interference from a motor-driven source device (i.e., mic roscopes, zooming cameras)

Many devices can produce noise while they are being moved by an internal motor. Brainsuite NET cannot compensate for this noise. However, the signal should clear up when the motor stops.


80 ms video processor de-lay

• The Brainsuite NET video processor introduces a delay of up to 80 ms.

• Brainlab support can configure a real-time path for devices that require real-time display (i.e., endoscopes, microscopes).



Source does not produce real-time output

Many sources are not capable of real-time output. Check the rel-evant manufacturer documentation.

VectorVision sky does not produce real-time output

VectorVision sky does not produce real-time output.


TROUBLESHOOTING

Blurry Image


Cable between Brainsuite NET and source device too long

Replace cable with one specified in this manual.




Display used with non-na-tive display resolution

• Brainsuite NET output resolution must be changed by Brain-lab support technicians.

• Use display with native resolution.

Scaled PAL or NTSC video is blurry

PAL or NTSC video sources must be converted from interlaced to progressive, which always results in a loss of information.

Scaled high resolution vid-eo is blurry

• Scaling video always causes a certain amount of blur. This is because the pixels do not match up exactly and must be recal-culated.

• To reduce this problem, use matching resolutions for the source and display as frequently as possible. For example, route an SXGA source to an SXGA display.

Composite video is blurry Composite video always produces a lower quality image. An al-ternative is to use S-Video instead.

Poor source signal Normally, low and high video resolution are standardized. How-ever, devices often do not comply with standards completely. Brainsuite NET can alleviate this problem to a certain extent. For a detailed analysis of the signal, contact Brainlab support.

Camera not focused Focus the camera.


Display Errors

6.3.4 No Picture

No Picture





Connector plug not com-pletely inserted


Display configured incor-rectly

Refer to the display manufacturer’s documentation.

RGB and VGA video sig-nals swapped

Swap RGB and VGA video signals.






Source device not pow-ered on

Power on source device.

Source output not activated • Activate source output.• Reboot source device.

Video processor malfunc-tion

Reboot video processor.



Defective display Replace the source device.

Defective source device


TROUBLESHOOTING

6.4 Brainsuite NET Hardware

6.4.1 Non-Rack Hardware Malfunction

No Control over DVD Recorder

DVD Recorders Swapped


Wrong cable Replace cable with one specified in this manual.

Cable defective

Cable loose Ensure that cable is tightly connected.

Incorrect port setting on the serial interface

Correct port setting using manufacturer’s documentation.

Recorder connected to wrong COM port on the De-vice Connection Panel

Check cable connection.


Cables connected to incor-rect DVD recorders

Ensure that cables are connected to the correct DVD recorders.

Recorder connected to wrong COM port on the De-vice Connection Panel

Check cable connection.



Touchscreen Functionality Error

Figure 25


Following an MR scan (and touchscreen shutdown), touchscreen functionality no longer works

• Exit the Brainsuite NET software. The Startup software inter-face is displayed.

• On the Application Selection screen, press the System but-ton. The System Tools screen is displayed (see below).

• Press Reset Touchscreens (see below) and wait approxi-mately 10 seconds. All touchscreens should now function nor-mally.

System error • Use the Application Switch Fallback Solution (see page 85)

• Call Brainlab support.• Reboot Brainsuite NET Server.• Reboot system.


TROUBLESHOOTING

6.4.2 Audio Signals / Warning Sounds

19” Computer Rack

System Turned Off

Touchscreen Monitor Beeps

No Audio Feedback from Touchscreen Monitor


No line power to UPS • The UPS will beep again when line power is reestablished.• If line power is not reestablished, check the fuse in the 19”

computer rack

UPS battery The battery is defective or needs replacement. Critical error. Call Brainlab support.

Fan Sensor Critical error. Check the rack for overheating and call Brainlab support.

Critical error. Check if the thermo sensor is connected and call Brainlab support.

Error with Brainsuite NET Server RAID array

Critical error. Call Brainlab support.

Brainsuite NET Serveroverheated

Video processor power supply RAID active

During startup, indicator lights on Brainsuite NET Server or Applicat ion Switch Server do not illu-minate.

Manually turn on Brainsuite NET Server or Application Switch Server


UPS powered off Power on UPS.

Fuse switched off Critical error. Call Brainlab support.

Main fuse switched off


Audio feedback The touchscreen monitors provide audio feedback during use.


Input device error • Call Brainlab support.• Reboot system.

NOTE: The Brainsuite NET software does not provide audio feedback. This error only applies to navigation software.

System error


TECHNICAL INFORMATION

7 TECHNICAL INFORMATION

7.1 Overview

7.1.1 Contents

Topics Covered

Section See

Power Specifications Page 96

Electrical Standards Page 97

Dimensions and Weight Page 98

Technical Specifications Page 99

Transport/Storage and Operating Conditions Page 101


Power Specifications & Electrical Standards

7.2 Power Specifications & Electrical Standards

7.2.1 Power Specifications

Brainsuite NET System

Brainlab OR Display 19”


Data Billboard LCD (per monitor)

Data Wall Screen (per monitor)

Maximum operating voltage

120 V - 240 V

Frequency 50 or 60 Hz

Max. Power Consumption 3500 VA


110 V - 240 V

Frequency 50-60 Hz, single phase

Max. Power Consumption 45 W


100 V - 240 V

Frequency 50-60 Hz

Power output ratings 1.0-0.45 A


115 V AC - 230 V AC

Frequency 50/60 Hz

Max. Power Consumption 550 W

Display Type 47” TFT LCD, Barco 57” LCD, Conrac, 16:9 format


100 V AC - 240 V AC, 115 V AC - 230 V AC

Frequency 50 Hz/60 Hz 50 Hz/60 Hz

Max. Power Consumption

303 W 550 W



7.2.2 Electrical Standards

Brainsuite NET System

Brainsuite OR Display 19”


Further Reading VectorVision System User Guide

Brainsuite Data Wall Screen 47” – Barco Planning and Installation Guide

Brainsuite Data Wall Screen 57” – Conrac Planning and Installation Guide

Brainsuite Data Billboard LCD Planning and Installation Guide

Certificates• IEC 60601-1-1• IEC 60601-1-2

Certificates

• EN6061-1-2• EN61000-4-2, EN61000-4-3, EN61000-4-4, EN61000-4-5, EN61000-4-6,

EN61000-4-8, EN61000-4-11,• EN55011 Class B• EN6100-3-2, EN6100-3-3• IEC 60601-1

Certificates

• UL60601-1• IEC 60601-1• EN 60601-1• CAN/CSA C22.2 No 601.1 56PA• ICES-003• FCC Part 15


System Specifications

7.3 System Specifications

7.3.1 Dimensions and Weight

Brainsuite OR Display 19”


Data Billboard LCD (per monitor/dimensions of wall cuttings)


19” Computer Rack

Height 446 mm

Width 395 mm

Depth 95 mm

Weight 9 kg

Height 88 mm

Width 212 mm

Depth 352 mm

Weight 4.8 kg

Height 845 mm

Width 1402 mm

Depth approx. 500 mm

Weight (overall) approx. 155 kg + 20%

Display Type Barco 47” Conrac 57”

Height 685 mm 845 mm

Width 1140 mm 1402 mm

Depth 126 mm 170 mm

Weight 40.2 kg (+5 kg mounting) 64 kg±10% (+9 kg mounting)

Height 2120 mm

Width 600 mm

Depth 800 mm

Weight by configuration



7.3.2 Technical Specifications


Room Control Server



Processor/cache

min. Intel Core 2 Duo E6600 (2.4GHz, 4MB L2 Cache, FSB 1066)

Memory min. 2 GB

Hard disk 160 GB min. (SATAII, 7200rpm min., 8MB Cache min.)

I/O support• Wheel mouse• Keyboard • Audio in/out, Microphone in

Data drives• USB Memory Stick• CD/DVD writer

Graphics Quadro NVS 440 PCIe x1 Quad DVI graphics card, 256 MB physical RAM

RS-232 VScom 800H UPCI, 8x RS-232

Operating system Windows XP Professional SP2 or higher

Processor Intel® Xeon® Dual Core 3050 (2.13 GHz)

Memory 1 GB

Hard disk 2x 160 GB SATA (hot-plug) 7200 rpm

Data drives CD/DVD-RW

Graphics ATI Rage XL 8MB physical RAM

Operating system Windows 2003

Display Type 17”, Citron

Max. Resolution

1280 x 1024

Input DVI, RS-232

Display Type 19” TFT active matrix, Medisol

Max. Resolution

1280 x 1024

Input DVI-D, VGA, S-Video, Composite Video


System Specifications



Display Type 57” LCD, Conrac, 16:9 format

Max. Resolution

1920 x 1080

Input HDMI (DVI-D), VGA

Display Type 47” TFT LCD, Barco 57” LCD, Conrac, 16:9 format

Max. Resolution

1920 x 1080 1920 x 1080

Input HDMI (DVI-D), VGA HDMI (DVI-D), VGA



7.4 Environmental Requirements

7.4.1 Transport/Storage and Operating Conditions

Location Restrictions

• The system should be stored or operated at locations which are protected against moisture, wind, sunlight, dust, salinity, and sulfur.

• The system should not be stored in the vicinity of chemical products or gas. • Ambient requirements are for the entire system.

Please adhere to all Brainsuite NET environmental requirements.

Condensation

To avoid the possible risk of electric shock or product damage due to condensation, always allow the hardware components to become acclimatized to ambient tempera-ture and humidity before switching them on. This is particularly important when mov-ing the units from a cold to a warm location.

Brainsuite NET System: Operation

Brainsuite NET System: Transport/Storage


Environmental Conditions Permitted Values

Ambient temperature Components inside operating room: 15°C to 27°C [50°F to 81°F]

Components outside operating room: 5°C to 35°C [41°F to 95°F]

Relative humidity 20% to 75% (non-condensing)

Barometric Pressure 700 to 1060 hPa

Environmental Conditions Permitted Values

Ambient temperature 0°C to 40°C [32°F to 104°F]

Relative humidity 20% to 75% (non-condensing)

Barometric Pressure 700 to 1060 hPa

Transport/Storage Conditions Operating Conditions

Temperature -10°C to 50°C (14°F to 122°F)

15°C to 35°C (59°F to 95°F)

Humidity 20% to 90% non condensing 20% to 80% non condensing


Environmental Requirements

Room Control Server








Temperature -25°C to 60°C (-13°F to 140°F)

10°C to 35°C (50°F to 95°F)

Humidity 10% to 85%1 non condensing

1.Storage maximum humidity of 90% is based on a maximum temperature of 45°C (113°F)

10% to 85% non condensing



0°C to 40°C (32°F to 104°F)



Temperature 0°C to 40°C (32°F to 104°F)

5°C to 35°C (41°F to 95°F)




5°C to 35°C (41°F to 95°F)




5°C to 35°C (41°F to 95°F)




5°C to 40°C (41°F to 104°F)

Humidity max. 90% non condensing max. 90% non condensing

Operating Conditions


Humidity 20% to 80% non condensing



Uninterruptable Power Supply

Altitude Considerations

• All temperature ratings are for sea level. • If used above this altitude, the above ranges should be derated from 1°C per 300 m [1.8°F per

1,000 ft.]. • The altitude maximum for storage corresponds to a pressure minimum of 700 hPa.

Brainsuite NET is intended to be used up to an altitude of 2000 m above sea level.

Operating Conditions


Humidity 20% to 80% non condensing


Environmental Requirements


CLEANING

8 CLEANING8.1 Chapter Overview

8.1.1 Contents

Topics Covered

Section See

General Information Page 106

Brainsuite Components Page 107

Room Control Terminals Page 114

Advanced Network Integration Page 118

Computer Rack and Terminal Page 119

Surgical Devices Page 123

Anesthesiology Devices Page 126


General Information

8.2 General Information

8.2.1 Before You Begin

Overview

Cleaning and disinfection must be carried out by trained personnel.

For all cleaning and disinfection work, power off the equipment from the main power switch and protect the equipment from being switched on again. If required, allow the end device to cool down first. Make sure that no cleaning fluid enters the equipment.

MR Environment

Brainsuite iMRI includes an MR scanner with a 1.5 T high-field magnet or equivalent. The hazards and risks associated with this magnetic field can result in injury to per-sons or damage to equipment when entering the MR environment. Brainlab recom-mends that only personnel trained in MR safety an d approved by the hospital administration should enter the MR environment. Reasons for entry include cleaning, disinfection, and sterilization.

Sterile Field For instructions on using ceiling mounted components in a sterile field, consult the VectorVision System User Guide.


CLEANING

8.3 Brainsuite Components

8.3.1 Brainsuite Control Touchscreen

Cleaning & Disinfection

Figure 26

Using other cleaning fluid may damage the touchscreen or the housing of the monitor.

Sterilization

Do not sterilize.

Steps

1. Shut down the system.

2. Turn off the system.

3. Wipe the monitor with a moist cloth.

4. Use an ammonia-based glass cleaner or an isopropyl alcohol-based cleaner.

5. Disinfect by wiping with a bactericidal solution.


Brainsuite Components

8.3.2 Brainsuite Data Billboard LCD and Brainsuite Data Wall Screen

Before You Begin Always verify that the viewing surface of the Brainsuite Data Billboard LCD or Brainsuite Data Wall Screen is in good condition prior to cleaning.

If you are unsure – or if the surface is damaged – contact Brainlab immediately.

Cleaning a damaged Brainsuite Data Billboard LCD or Brainsuite Data Wall Screen screen may result in further damage to the screen and injury to cleaning staff should slivers of glass break off the screen. Brainlab does not assume responsibility if you continue to clean the screen in such cases.

Cleaning Clean the Brainsuite Data Billboard LCD or Brainsuite Data Wall Screen carefully, using a lint-free cloth, with any of the following products.

- Warm distilled water containing mild soap- ZEP® All Purpose Cleaner & Degreaser- Sparkle® Glass Cleaner- LMS 12®, L22®, L52®.

Clean the glass screen surface with care.

Sterilization & Disinfection

No sterilization or disinfection!

Do Not Use

The Brainsuite Data Billboard LCD and Brainsuite Data Wall Screen glass screens are covered with an an ti-reflex coating. Inappropriate mechanical or chemical cleaning may damage the coating and result in a loss of viewing quality.


CLEANING

8.3.3 Brainsuite Glass and Stainless Steel OR Panels

Cleaning Clean the OR panels using a lint-free wipe moistened with diluted Isopropanol (2/3 distilled water and 1/3 Isopropanol).

Disinfection • For glass: Use a disinfectant containing Alkyl Ammonium Chloride.• For stainless steel: Use a disinfectant based on ammonium compounds. Only use chlorine or

oxygen separator-based disinfectants if sufficient rinsing off can be guaranteed.

Sterilization No sterilization!



8.3.4 Brainsuite OR Display



Sterilization

Do not sterilize.

Steps

1. Shut down the software.




5. Disinfect by wiping with a bactericidal solution.


CLEANING

8.3.5 Brainsuite Data Panel



Do not disinfect.

Sterilization

Do not sterilize.

Steps

1. Shut down the monitors.






8.3.6 Device Connection Panel

Cleaning Wipe the surface with a slightly moistened piece of cloth and, if required, add a mild solution of de-tergent (pH4 - pH9).


Disinfect by wiping with a bactericidal solution.

No sterilization!

Do Not Use To avoid damage to plastic parts, do not use the following to clean parts and surfaces:

- Cleaning solutions - Solvents- Abrasive cleaners - Scouring agents- Alkalines- Cleaning agents containing acid or alcohol- Organic solvents- Aolvent-based cleaners (such as petrol-based cleaners, alcohol, or stain removers)- Ultrasonic cleaners (exception: cold soak, e.g., Cidex Solution)- Caustic solvents with a pH value higher than 9.5- Acid solvents- Alcohol

To prevent damage to the device, only use compatible solutions and procedures for cleaning and disinfection.


CLEANING

8.3.7 Remote Control

Before You Begin The remote control must not be disassembled for cleaning.

NOTE: The remote control of the Data Billboard LCD should not be used intraoperatively and should only be touched with clean and dry hands.


Wipe the remote control surface with a dry or slightly dampened cloth.

The remote control contains batteries.



Do Not Use

Do not use chemicals or alcohol.


Room Control Terminals

8.4 Room Control Terminals

8.4.1 Important Information

Authorization

All cleaning procedures must be validated by the user.

Computer Rack Components

Room Control computer components are located in the 19” computer racks. The computer itself may only be cleaned by Brainlab service personnel. Cleaning instructions for the racks are provided on page 121.


CLEANING

8.4.2 Brainsuite Control Touchscreen – Wall Embedded

Before You Begin - It is not necessary to shut down the touchscreen prior to cleaning, however, ensure that you do not inadvertently activate or deactivate the light functions.

- Clean the Brainsuite Control Touchscreen – Wall Embedded daily after use.

Do not disassemble any part of the Brainsuite Control Touchscreen – Wall Embedded.


- Wipe the touchscreen face with a moist cloth or commercial glass cleaner.- Wipe the black frame with a moist cloth.

Suitable Disinfectants

- Meliseptol - Hydrogen peroxide (up to 40% in water)

Do Not Use To avoid damage to plastic parts, avoid using the following to clean parts and surfaces:

- Alcohol- Hydrogen peroxide with concentrations higher than 40% in water- Cidex


Sterilization

No sterilization!


Room Control Terminals

8.4.3 Multi-Button Switch

Before You Begin Clean the Multi-Button Switch daily after use.

Do not disassemble any part of the Multi-Button Switch. Disassembling the Multi-But-ton Switch may damage the Room Control System.

Cleaning Wipe the Multi-Button Switch with a moist cloth or commercial glass cleaner.

Do Not Use

Do not use alcohol!




CLEANING

8.4.4 VectorVision sky

VectorVision sky Refer to the VectorVision System User Guide for cleaning instructions.


Advanced Network Integration

8.5 Advanced Network Integration


Before You Begin • Advanced network integration components are not accessed during normal use. Cleaning, dis-infection and sterilization are therefore not required for these components.

• All advanced network integration components (except the wiring) are installed in the Brainsuite computer racks (page 121). Only authorized Brainlab support personnel may clean the internal network components, if required.

Manufacturer’s Instructions

Please refer to the manufacturer’s cleaning, disinfection and sterilization guide for detailed informa-tion.

Cleaning

Only Brainlab service personnel are authorized to clean the advanced network inte-gration components.




CLEANING

8.6 Computer Rack and Terminal


Device Verification Always verify that the device to be used is in good working condition prior to use. If you are unsure, or if the device is damaged, contact Brainlab immediately.

Always examine the cleaned device after reprocessing to ensure that it is clean, undamaged, and functions properly.

Damaged devices may no longer be used.


Computer Rack and Terminal

8.6.2 Console Computer Terminal

Before You Begin Do not turn off or disassemble the terminal for cleaning purposes.

In order to prevent electric shock and system damage, liquids should not be allowed to enter the console computer terminal.

Cleaning

Use only a soft dry tissue to clean the terminal.




CLEANING

8.6.3 19” Computer Rack


Do Not Use To avoid damage to plastic parts, do not use the following to clean parts and surfaces:

- Cleaning solutions - Solvents- Abrasive cleaners - Scouring agents- Alkalines- Cleaning agents containing acid or alcohol- Organic solvents- Solvent-based cleaners (such as petrol-based cleaners, alcohol, or stain removers)- Ultrasonic cleaners (exception: cold soak, e.g., Cidex Solution)- Caustic solvents with a pH value higher than 9.5- Acid solvents- Alcohol


Sterilization

Do not sterilize.

Steps

1. Shut down the system.


3. Clean the outside of the rack using a dry cloth.

4. If particularly dirty, use a cloth slightly moistened with a mild detergent solution (pH4 - pH9).


Computer Rack and Terminal

8.6.4 Brainsuite NET

Before You Begin The Brainsuite NET Server and video processing equipment is located in the 19” computer racks and does not require any cleaning, disinfection or sterilization.

Cleaning

No cleaning!




CLEANING

8.7 Surgical Devices

8.7.1 Microscope

Before You Begin The microscope power supply can be switched off via the Room Control computer terminals or the wall mounted hardware switch. Details are provided in the Room Control section of the Brainsuite NET and Room Control Software User Guide.



MR Safety

The surgical microscope is not MR safe. Extreme caution is therefore required during preparation and disassembly. Any tool or co mponent of the microscope that is brought too close to the magnetic field may result in injury to the user and/or patient. All microscope components and tools must remain outside of the red dotted 50 Gauss (5 mT) line.


Surgical Devices

8.7.2 OR Light

Before You Begin The OR light power supply can be switched off via the Room Control computer terminals or the wall mounted hardware switch. Details are provided in the Room Control section of Brainsuite NET and Room Control Software User Guide.



MR Safety

The OR light is not MR safe. Extreme caution is therefore required during preparation and disassembly. Any tool or component of the OR light that is brought too close to the magnetic field may result in injury to the user and/or patient. All OR light compo-nents and tools must remain outside of the red dotted 50 Gauss (5 mT) line.


CLEANING

8.7.3 Ceiling Supply Unit (CSU)

Before You Begin The CSU and its integrated normal power and network outlets can be switched off via the Room Control computer terminals or the wall mounted hardware switch. Details are provided in the Room Control section of Brainsuite NET and Room Control Software User Guide.

The CSU is also equipped with emergency power outlets. These are supplied with bat-tery-based power and cannot be switched off via the Room Control interfaces. Contact your Brainsuite NET facility manager if you need to switch off these ou tlets via the electrical cabinets.



MR Safety

The CSU is not MR safe. Extreme caution is therefore required during preparation and disassembly. Any tool or component of the CSU that is brought too close to the mag-netic field may result in injury to the user and/or patient. All CSU components and tools must remain outside of the red dotted 50 Gauss (5 mT) line.



8.8 Anesthesiology Devices

8.8.1 Anesthesia Components

Overview Anesthesia components include:

• Anesthesiology devices• Monitoring devices• Syringe pumps



MR Safety

Not all parts of the above devices are MR safe. Extreme caution is therefore required during preparation and disassembly. Any tool or component of these devices that is brought too close to the magnetic field may result in injury to the user and/or patient. All device components and tools must remain outside of the red dotted 50 Gauss (5 mT) line during cleaning, disinfection, sterilization and other maintenance proce-dures.


CLEANING

8.8.2 Electrical Cabinets


- For more information on cleaning the electrical cabinets, refer to the electrical cabinet manu-facturer’s documentation.

- Generally, the electrical cabinets do not need to be cleaned, disinfected or sterilized.

Authorization Only trained and authorized personnel are allowed to open the electrical cabinets.

Do not open the electrical cabinets if you are not trained and authorized by Brainlab, the cabinet manufacturer, or the hospital administration. Opening the cabinets may lead to severe injury, death and/or a damaged system.


DRAPING

9 DRAPING9.1 Chapter Overview

9.1.1 Contents

Topics Covered

Section See

The Touchscreen Drape Page 130

Draping the Touchscreen Page 131

Sterile Field Page 133


Touchscreen Drape

9.2 Touchscreen Drape

9.2.1 The Touchscreen Drape

Overview • The Brainsuite Control Touchscreen is draped using the sterile Touchscreen Drape pro-vided by Brainlab.

• The drape allows you to intraoperatively access all the software functions and position the mon-itor during the surgery without compromising the sterile field.

Sterility of the Drape

To ensure the sterility of the drape, make sure that the packaging does not have any holes and tears.

Before use, check the expiration date on the packaging of the drape.

Disposing of the Drape

The Touchscreen Drape is delivered sterile and must be disposed of after use.


DRAPING

9.2.2 Draping the Touchscreen

Putting the Drape on the Touchscreen

Figure 27

Sticking on the Tab

Figure 28

Fastening the Elastic Band

Figure 29

a

s d

f


Touchscreen Drape

Drape Components

How to Drape the Touchscreen

No. Component

a Orientation label

s Protection film

d Tab

f Tie

Steps

1. Open the package under sterile conditions.

2. Hold the drape using both hands on either side of the orientation label a.

3. Place the drape on the touchscreen.

4. Remove the protective film s from the tab d and stick the tab to the back of the mon-itor.

5. Fasten the drape using the tie f.

6. Verify that drape sits securely on the touchscreen.


DRAPING

9.2.3 Sterile Field

Using the Drape

Carefully drape the touchscreen. The drape maintains the surgeon's sterile field and provides a sterile barrier between the patient and the Brainsuite Control Touchscreen.

Maintaining the sterile field can only be guaranteed by using the Touchscreen Drapeprovided by Brainlab. The use of other drapes may cause the monitor to malfunction.

Operating the Draped Touchscreen

Do not touch the drape of the touchscreen with sharp tools.

To keep the sterile field, only touch the touchscreen and the monitor where it is cov-ered by the drape.


Touchscreen Drape


MAINTENANCE

10 MAINTENANCE10.1 Overview

10.1.1 Contents

Topics Covered

Section See

Inspections Page 136

Damaged Equipment Page 141


Inspections

10.2 Inspections

10.2.1 Guidelines

Interval A detailed inspection should be performed by Brainlab support once a year.

The Brainsuite NET system should be maintained and inspected on a regular basis to ensure functionality and safety.

Authorized Personnel

Only Brainlab and/or authorized partners are allowed to repair the system and the equipment.

Risk of electrical shock: There are no user-serviceable parts. All servicing is to be car-ried out by trained technicians or referred to Brainlab.

Only trained personnel or Brainlab technicians are permitted to c arry out electrical safety measurements such as protective earth, high voltage, and leakage current mea-surements.


MAINTENANCE

10.2.2 Annual Inspection

Authorized Persons Only Brainlab support specialists are authorized to perform annual inspections.

Arrangement • If a service contract has been purchased, Brainlab will automatically perform the annual inspec-tion.

• If you do not have a service contract, contact Brainlab support to arrange the inspection.

Scope This inspection covers all components and functions as well as the items specified on the safety in-spection form.


Inspections

10.2.3 Weekly and Monthly Inspections

Authorized Persons Only qualified clinical personnel are authorized to perform weekly and monthly inspections.

Weekly Inspections Inspect the following components once a week:

Monthly Inspections

Inspect the following components once a month:

Other Inspections

Component Inspection

Cabling Visual control (e.g., twists, cracks)

UPS battery charge The UPS battery charges whenever it is connected to utility power and takes approximately 3 hours to achieve 90% capacity after a full discharge.

Component Inspection

UPS Press the Power I/0 switch of Brainsuite NET system. Utility power is supplied to the system.

Perform a simulated utility blackout test to confirm that the UPS unit can switch from utility power to battery power and back again, without affecting the equipment powered by the UPS. The system must still be “On”.

Monitor and arms Functionality and visual control (wear and tear)

Bal l jo int – camera arm

Functionality

Labeling Legibility

Component Inspection / Period

Video processor air in-lets

Cleanliness / Every six months


MAINTENANCE

10.2.4 Safety Inspection

Interval The safety inspection should be performed once a year.

According to IEC 60601-1-1, the safety check must be performed after every relevant change or repair within the hardware system.

Scope The safety inspection must include all the items specified on the safety inspection form.

Inspections by Non-Brainlab Personnel

The safety inspection must be performed by a qualified engineer who:

• Is qualified for carrying out safety inspections on electrical medical equipment.• Is familiar with the product safety information and product instructions, and has read and under-

stood the user guides.• Is up-to-date with current local regulations regarding industrial and non-industrial accident pre-

vention.• Informs Brainlab immediately in writing if the equipment is deemed unsafe.

Inspections by Brainlab Personnel

• If a suitably qualified person is not available at the customer site, Brainlab’s support specialist will carry out this inspection for a set fee.

• If you require a Brainlab support specialist, contact Brainlab support.

Safety Inspection Form

• Make a copy of the form shown on page 140. • Enter the inspection results.• Keep it as a record of the inspection.


Inspections

10.2.5 Safety Inspection Form

Tests to be Performed

Operational Values

Signature Serial number of testing device: ____________________________

Calibration valid through (date): ____________________________

Tests performed:

Date: ____________________________By: ____________________________

Measured Quantity Instructions

Earth leakage current

Perform an earth leakage current test according to a standard that is effec-tive and applicable for the geographic region (e.g., UL2601-1).

Impedance for protective con-tact to earth

Measure the impedance between the protective contact in the mains plug and any accessible metal part which is protectively earthed according to a standard that is effective and applicable for the geographic region (e.g., UL2601-1).

Normal Conditions Short-Circuit Conditions Passed/ Not Passed

Required Value

Measured Value

Required Value Measured Value

Earth leakage current

≤ 0 .5 mA max (230 V)

≤ 0 .3 mA max (115 V)

≤ 1 mA max (230 V)

≤ 0.3 mA max (115 V)

Impedance for protective con-tact to earth

≤ 0.2Ω ---


MAINTENANCE

10.3 Damaged Equipment

10.3.1 When the System Should Not Be Used

Detected Damage Do not use the system or system components if:

• The power cable or plug is damaged or frayed.• Liquid has been spilled into the computer.• The system does not operate normally when the operating instructions are followed.• System components have been dropped or the cabinet has been damaged.• System components exhibit a distinct decrease in performance, indicating the need for servic-

ing.• Liquids leak from the system.• Smoke is emitted by the system.

What to do

If you continue to use equipment that has been found to be defective during an inspec-tion, you risk causing injury to the patient.

Steps

1. Turn off system.

2. Unplug system from wall outlet.

3. Contact Brainlab support.

4. Attach a notice such as “DO NOT USE” to equipment to prevent it from being used inad-vertently.


Damaged Equipment

10.3.2 Returning Damaged Equipment

Reporting Damaged Equipment

Any damaged equipment should be immediately reported to Brainlab support.

Brainlab support will ask you for the following information:

• System serial number (located on the system’s type plate)• Serial number of the faulty component (inscribed on the component)• A description of the problem

Repair and Replacement

Brainlab support will:

• Provide you with a cost estimate for repair or replacement.• Inform you when your system is expected to be operational again

(usually within 48 hours).

Removing Damaged Equipment

Only remove defective components if instructed by Brainlab support.

Return Instructions Use suitable packaging material. Properly wrap and package each defective component in its orig-inal box, in the replacement product box, or in a suitable box so that it is not damaged further.

Complete and return “Return Material Authorization” form (RMA) that was faxed to you or accompa-nied the replacement part.

Securely tape the box shut.

Ship the defective product to a return addresses. If you are not sure where to return the product, contact Brainlab support specialist.

Return Addresses Brainlab Logistikzentrum Brainlab Inc.RMA Dept. 3 Westbrook Corporate Center Suite 400Westchester, IL 60154 USA

Brainlab Ltd. RMA Dept.8/F 100 Queen’s Road Central Hong Kong

RMA Dept.Marsstr. 6a 85551 Kirchheim-Heimstetten Germany

Brainlab KKRMA Dept.Shibakoen 32 Mori Bldg. 4F3-4-30 Shibakoen,Minato-ku,Tokyo 105-0011Japan


APPENDIX I: TERMINOLOGY

11 APPENDIX I: TERMINOLOGY

11.1 Overview

11.1.1 Contents of This Chapter

Topics Covered

Section See

Terminology Page 144

Resolution Types Page 147

Power Plug Types Page 148


11.1.2 Terminology

Analog Signal Any variable signal continuous in both time and amplitude. As opposed to digital signals, small fluc-tuations in the signal are significant.

Application Switch Client

The client application of Application Switch. It contains a GUI for switching between applications.

Application Switch Server

Central application of the Application Switch that distributes touch input to the Application Switchclients.

AS Application Switch

BAS Analog black and white video signal.

Bandwidth The rate at which data -- analog or digital -- can be correctly transmitted or processed through a pro-cessor, a wire, or a complete system.

CAN Controller Area Network. A serial interface standard. It is normally used for industrial or rugged en-vironments.

Component Signal A type of video information that is transmitted or stored as 3 separate signals. It is used in TVs and DVD players. Not supported by Brainsuite NET.

Composite Signal The format of an analog television picture signal. Resolution: 480i (NTSC) or 576i (PAL). Also known as F-BAS.

CRT Cathode Ray Tube. Used in most televisions and older computer monitors.

DICOM Digital Imaging and Communications in Medicine. Standard for handling and storing information from medical imaging devices.

Digital Signal A signal with only two discrete values. As opposed to analog signals, small fluctuations in the signal are insignificant.

DVI Digital Video Interface. A video interface standard designed to maximize the visual quality of digital display devices (LCDs, computer displays, and digital projectors).

E/O Converter Electrical-to-Optical converter. Converts electrical signals to optical signals.

Ethernet A standard for accessing LAN (Local Area Network) networks. Brainsuite NET supports the 100Base-T and Gigabit Ethernet standards.

Frame Rate How often a device can change from one image to another. A 100Hz television set runs at 25 frames per second, but has a 100Hz refresh rate (this eliminates flickering).

Fiber Optics A type of wire or fiber that transmits information using light instead of electrons.

Firewire A serial bus interface standard, also known as IEEE 1394. It is often found on digital camcorders and personal computers.

GUI Graphical User Interface. Allows a user to interact with a program using windows, icons, and other graphical images.

HIS Hospital Information System. A computer-based integration system used within a hospital.

HTB Hovering Task Button. The toolbar component of the Application Switch. It provides direct access to other programs and servers. It is installed on every PC controllable from Brainsuite NET.

HU Height Unit. Used for measuring space in a computer rack. A standard PC occupies 4 HU, the Room Control server occupies 1 HU.

HW-Controller Application that controls the video processing hardware.

IDMS Image Data Management System. The precursor of Brainsuite NET.

Interlacing The process of projecting a picture onto a video screen that fills all the video scan lines in two passes (every other line). Often used in conventional television sets. It is often denoted with an "i," for ex-ample 1080i.

KVM Switch Keyboard Video Mouse switch. Device to used to allow one display, keyboard and mouse set to con-trol multiple computers. A KVM drawer is installed in the 19” computer racks.

LCD Liquid Crystal Display. A type of video display.



Letterbox A technique for displaying video of one resolution on a display with a different resolution. In letter-boxing, all data is displayed. Unused areas of the display appear as black bars. Often seen when displaying a widescreen film on a conventional television set.

Matrix Switch Unit to actively route an audio/video signal to one or more outputs. No processing is involved.

Monochrome Signal

The format of an analog television black and white picture signal. The resolution is 480i (EIA/RS-170) or 576i (CCIR).

Mini-DIN A multi-pin electrical connector. Examples include S-Video and PS/2 mouse connectors.

Network Switch Device for connecting computers or networks.

NTSC Analog video standard primarily used in North America and Japan. The resolution is 720x480 60Hz interlaced.

OR Operating Room

PACS Picture Archiving and Communication System. A medical image system -- either a computer or a network -- for handling images.

PC Signal A signal (normally RGB or DVI) generated by PCs or other devices.

Pan & Scan A technique for displaying video of one resolution on a display with a different resolution. One sec-tion of the video image is enlarged until it fills the entire screen. The remaining part of the video im-age is no longer visible.

PAL Analog video standard used in Europe and large parts of the world. The resolution is 720x576 50Hz interlaced.

Pixel Picture element consisting of 3 dots. In video, typically red, green, and blue (RGB).

Progressive A method by which all the video scan lines are presented on the screen in one pass instead or two (as opposed to interlaced). Typically denoted by the letter "p," for example 1080p.

PDU Power Distribution Unit.

Plenum Cable Cable with a covering (jacket) that meets UL specifications for resistance to fire.

PSU Power Supply Unit.

Quantum Video processor manufactured by Electrosonic.

Refresh Rate The number of times in a second that a display is illuminated.

RGBHV Red, Green, Blue, Horizontal synch, Vertical synch. Analog component video signal from a PC (sometimes known as VGA).

Routing The process of moving packets of data between computers, devices, or networks.

Routing Provider Application that controls the video processing equipment. It provides routing functions for the "Brain-suite NET GUI" and "Application Switch Server."

RS-232 A standard for connecting serial devices. RS-232 devices use serial port connectors. An example is the port used for the Brainsuite NET DVD Recorder.

Scaling To process a certain input resolution to a certain output resolution. For example, to show a 1024x768 video on a 1600x1200 LCD display, the image has to be blown-up.

Scan Conversion To process a certain input refresh rate to a certain output refresh rate. For example, to show a 50Hz PAL video on a 60Hz LCD display.

Screenshot A still image or snapshot created from a display.

Sourceshot A still image or snapshot created from an input of the video processor. It differs from a screenshot in that it is made at the original resolution of the source. A screenshot only has the resolution of the display it is being viewed on, and can thus have a resolution higher or lower than the original.

Serial Port See RS-232.

S-Video See Y/C Signal.

UPS Uninterruptible Power Supply. A power supply with a battery to provide electricity in the case of an outage.

USB Universal Serial Bus. A serial bus interface standard. Most modern, external PC devices, including MP3 players, connect to PCs using USB connections.


VGA Although it is also a PC display resolution (800x600), VGA is also used to denote PC video signals in general, as well as a 15-pin, RGB connector.

Video Processor Unit to actively process a video signal (scale up & down, overlay, mix, etc.). It can also convert one form of video signal to another.

Video Signal Any signal that carries video information.

XML eXtensible Markup Language. A general purpose format/markup language for storing and exchang-ing data.

Y/C Signal An analog video signal that carries video data as two separate signals (brightness and color). Res-olution is either 480i (NTSC) or 576i (PAL). It is typically used in TVs and DVD players.



11.1.3 Resolution Types

Overview Brainsuite NET supports the signal types and resolutions listed below; however, other resolutions can be accommodated. If other resolutions are required, contact Brainlab support.

Supported Resolutions: Signal Type

NOTE: Encoded HDMI signals (without audio) are not supported by Brainsuite NET.

Resolutions: Reference

Signal Type Resolutions Refresh Rate(s)

DVI XGA, 720p (HD), WXGA, SXGA, UXGA, 1080p (HD)

60Hz

RGBHV (VGA) (input)

XGA

SXGA

60, 75Hz

60 Hz

RGBHV (VGA) (output)

XGA, SXGA 60Hz

S-Video NTSC, PAL, Monochrome 60Hz, 50Hz, 50/60 Hz, respectively

Composite NTSC, PAL, Monochrome 60Hz, 50Hz, 50/60 Hz, respectively

RS-232

USB

Ethernet

Resolution Name Width in Pixels Height in Pixels Aspect Ratio

PAL 720 576 4:3

NTSC 720 480 4:3

XGA 1024 768 4:3

720p (HD) 1280 720 16:9

WXGA 1280 768 5:3

SXGA 1280 1024 5:4

UXGA 1600 1200 4:3

1080p (HD) 1920 1080 16:9


11.1.4 Power Plug Types

Use of Specified Power Plugs

Only use power cords as specified by Brainlab. Do not extend power cords.

Reliable grounding can only be achieved when the system is connected an equivalent receptacle marked “Hospital Only” (“Hospital Grade” in North America). Only insert the main plug into a socket outlet with a protective earth contact. Do not negate the protective action by using an extension cable.



Power Plugs

Plug Type Example

EU

UK/Singapore

USA/Japan

South Africa

Switzerland

Australia


APPENDIX II: CABLES

12 APPENDIX II: CABLES12.1 Chapter Overview

12.1.1 Contents

Topics Covered

Section See

Introduction Page 152

Cables Page 153

Gender Changers, Adapters, and Extensions Page 172


Introduction

12.2 Introduction

12.2.1 Overview

Cable Specifications

Brainsuite NET requires very specific cables, gender changers, and adapters in order to function optimally. These must conform to the following specifications:

• Only Brainlab cables shall be used within all Brainlab systems.• All cables are UL-listed.

Only devices with an interface connection listed in this section may be connected to system devices. Connecting incompatible devices could damage the system.

Other Manufacturers

When connecting non-Brainlab medical devices to a Brainlab system, please use the cables provided by the device manufacturer. Check if the cables fulfill the specifica-tions provided in this manual.

Cable Handling

Cables may not be kinked or crushed.

Fiber optic cables must be handled with care. Do not bend or step on fiber optic ca-bles.

Maximum Cable Length

When setting up a system, please note that the maximum cable length specified for each cable applies to the entire cable chain, e.g., length of entire cable chain = length of cable inside the Device Connection Panel + length of cable from the Device Connec-tion Panel to a medical device.

Plenum Rating Cables supplied by Brainlab are generally not “plenum rated.” They are not meant to be laid in the plenum spaces of buildings.

Crossed and Straight Cables

Within this manual, crossed and straight cables will be differentiated as follows:

• Straight cables have one female and one male connector• Crossed cables have two female or two male connectors

The only crossed cables in this manual are the Serial D-Sub 9 pin Cable and RJ45 ethernet cable.

Pinout Illustrations All pinouts are shown as viewed from the wiring side.

The pin numbering portrayed in this manual is only intended as an example. Check the connector itself for exact numbering.


APPENDIX II: CABLES

12.3 Cables

12.3.1 RGB Cable with a D-Sub 15 pin plug

Overview These RGB cables have D-Sub 15 pin plugs at both ends.

Alternate D-Sub 15 pin Names

VGA, HD15, DA-15

Relevant Plug Types

Figure 30D-Sub 15 pin plugs (left - male, right - female)

Physical Characteristics

This cable should meet the following requirements:

• The plug should be molded onto the cable (preferred over removable metal plugs)• There should be a ferrite core at one end of the cable, preferably at both ends• Cables should have electromagnetic shielding• Cables with fixation screws should have ergonomic thumbscrews which can easily be hand-

operated

Extension Cables RGB extension cables with a male D-Sub 15 pin plug at one end and a female D-Sub 15 pin plug at the other end can also be used.

No. Pin No. Pin

1 Red video 9 Not connected

2 Green video 10 Ground

3 Blue video 11 Not connected

4 Not connected 12 I2C data

5 Ground 13 Horizontal sync

6 Red return 14 Vertical sync

7 Green return 15 I2C clock

8 Blue return

12345

678910

1112131415

Requirement Specification

Maximum length 20 m

Minimum specified resolution 1600 x 1200@75Hz 24 bit (216 Mhz bandwidth)


Cables

12.3.2 RGB Cable with D-Sub 15 pin to 5x BNC

Overview These RGB cables have male D-Sub 15 pin plugs at one end and five BNC connectors at the other end.

Relevant Plug Types

Figure 31D-Sub 15 pin (female) and BNC (male)



• The plug should be molded onto the cable (preferred over removable metal plugs)• Cables should have electromagnetic shielding• Cables with fixation screws should have ergonomic thumbscrews which can easily be hand-

operated

Further Reading RGB Cable with a D-Sub 15 pin plug Q Page 153

Resolution Types Q Page 147


Maximum length 20 m



APPENDIX II: CABLES

12.3.3 RGB Cable with 5x BNC

Overview These RGB cables have five BNC connectors at each end.

Relevant Plug Types

Figure 32BNC plug (male)



Cables should have electromagnetic shielding


Maximum length 20 m



Cables

12.3.4 DVI-D Single Link Cable

Overview These cables have male, DVI-D single link plugs on both ends.

Brainlab DVI-D copper cables are single-link DVI cables. They cannot be used for dual link DVI sig-nal transmission.

Relevant Plug Types

Figure 33DVI-D Plug (male), DVI-D pinout (female)

DVI-D Types

Figure 34DVI-D Plug Types (male)

No. Pin No. Pin

1 T.M.D.S. Data2- 13 T.M.D.S. Data3+

2 T.M.D.S. Data2+ 14 +5V Power

3 T.M.D.S. Data2/4 Shield 15 Ground (for +5V)

4 T.M.D.S. Data4- 16 Hot Plug Detect

5 T.M.D.S. Data4+ 17 T.M.D.S. Data0-

6 DDC Clock 18 T.M.D.S. Data0+

7 DDC Data 19 T.M.D.S. Data0/5 Shield

8 No Connect 20 T.M.D.S. Data5-

9 T.M.D.S. Data1- 21 T.M.D.S. Data5+

10 T.M.D.S. Data1+ 22 T.M.D.S. Clock Shield

11 T.M.D.S. Data1/3 Shield 23 T.M.D.S. Clock+

12 T.M.D.S. Data3- 24 T.M.D.S. Clock-

No. Component

1 DVI-D Single Link

2 DVI-D Dual Link

a

s


APPENDIX II: CABLES



• The plug should be molded onto the cable (preferred over removable metal plugs)• There should be ferrite cores at both ends• Cables should have electromagnetic shielding• Cables with fixation screws should have ergonomic thumbscrews which can easily be hand-

operated


Maximum length 4.6 m

Minimum specified resolution 1920 x 1080@60Hz 24 bit (168 MHz bandwidth)

DVI Standard (DDWG) 1.0


Cables

12.3.5 DVI-A to D-Sub 15 pin

Overview These cables have a DVI-A plug at one end and a D-Sub 15 pin on the other.

Relevant Plug Types

Figure 35DVI-A (female) a and D-Sub 15 pin (female) s plugs



• The plug should be molded onto the cable (preferred over removable metal plugs)• Cables with fixation screws should have ergonomic thumbscrews which can easily be hand-

operated

DVI to RGB pin connections

DVI-A to RGB cables provide a 5V power supply on pin 9 of the RGB plug (D-Sub 15 pin). Therefore, pin 14 of the DVI plug is connected to pin 9 of the D-Sub 15 pin plug.

DVI-A Pin

D-Sub 15 Pin

Function

C1 1 Analog red video out

C5 6 Analog common ground

C2 2 Analog green video out


C3 3 Analog blue video out


a

s

16

11

51015






APPENDIX II: CABLES



• The plug should be molded onto the cable (preferred over removable metal plugs)• There should be ferrite cores at both ends• Cables should have electromagnetic shielding• Cables with fixation screws should have ergonomic thumbscrews which can easily be hand-

operated

Further Reading DVI-D Single Link Cable Q Page 156

RGB Cable with a D-Sub 15 pin plug Q Page 153



Maximum length 20 m



Cables

12.3.6 DVI to HDMI Cable

Overview These cables have a DVI-D connector on one end and an HDMI connector on the other.

Brainlab DVI-D copper cables are single-link DVI cables. Only cables specified for dual link trans-mission may be used for dual link DVI signal transmission.

Relevant Plug Types

Figure 36DVI-D (male) and HDMI (male) plugs




operated

Further Reading DVI-D Single Link Cable Q Page 156







APPENDIX II: CABLES

12.3.7 S-Video Cable

Overview These cables have 4 pin mini-DIN (Hosiden) plugs on both ends.

Relevant Plug Types

Figure 37S-Video 4 pin mini-DIN plug (male) and pinout (female)



• 4 pin mini-DIN connectors can have a locking mechanism• Cables should have electromagnetic shielding

No. Pin No. Pin

1 Ground (Y) 3 Intensity (Luminance)

2 Ground (C) 4 Color (Chrominance)


Maximum length 10 m

Minimum specified resolution NTSC or PAL


Cables

12.3.8 S-Video Cable mini-DIN to 2x BNC

Overview These cables have a 4 pin mini-DIN connector on one end and two BNC connectors on the other.

The two BNC connectors of S-Video cables are marked white for the Y-Signal (Luminance) and yel-low for the C-Signal (Chrominance). Additionally, the connectors are marked “Y” and “C”.

Relevant Plug Types

Figure 38S-Video mini-DIN (male) and BNC (male) plugs



• 4 pin mini-DIN connectors can have a locking mechanism• Cables should have electromagnetic shielding

Further Reading S-Video Cable Q Page 161



Maximum length 10 m

Minimum specified resolution NTSC and PAL


APPENDIX II: CABLES

12.3.9 Composite BNC Cable

Overview These cables have BNC connectors (bayonet couplings) on both ends. They can be used for the transmission of S-Video signals (two cables required).

Relevant Plug Types

Figure 39BNC plug (male)





Maximum length 10 m



Cables

12.3.10 Composite Cinch Cable

Overview These cables have cinch (RCA) connectors on both ends.

Relevant Plug Types

Figure 40Cinch (male) connector





Maximum length 10 m



APPENDIX II: CABLES

12.3.11 Serial D-Sub 9 pin Cable

Overview These cables have serial D-Sub 9 pin (DE-9) connectors on both ends.

Relevant Plug Types

Figure 41D-Sub 9 pin (male) plug and pinout (female)




operated

No. Pin No. Pin

1 Carrier Detect 6 Data Set Ready

2 Received Data 7 Request to Send

3 Transmitted Data 8 Clear to Send

4 Data Terminal Ready 9 Ring Indicator

5 Common Ground

5 4 3 2 1

9 8 7 6


Maximum length 15 m

Baud rate at least 115 kB


Cables

12.3.12 Serial D-Sub 25 pin Cable

Overview These cables have serial D-Sub 25 pin (DB-25) connectors on both ends.

Relevant Plug Types

Figure 42D-Sub 25 pin (male) plug and pinout (female)




operated

Further Reading Serial D-Sub 9 pin Cable Q Page 165

No. Pin No. Pin

8 Carrier Detect 6 Data Set Ready

3 Received Data 4 Request to Send

2 Transmitted Data 5 Clear to Send

20 Data Terminal Ready 22 Ring Indicator

7 Common Ground

113

15 25


Maximum length 15 m



APPENDIX II: CABLES

12.3.13 Serial Crossed D-Sub 9 pin Cable

Overview These cables have serial D-Sub 9 pin (DE-9) connectors on both sides. A crossed serial cable con-nects the transmit pin at one end with the receive port at the other end. Different cabelings are pos-sible.

Relevant Plug Types

Figure 43D-Sub 9 pin Cross Cable (female-to-female)




operated

Further Reading Crossed and Straight Cables Q Page 152


Maximum length 15 m



Cables

12.3.14 Ethernet Cables

Overview These ethernet cables have RJ45 plugs on both ends.

This page applies to both straight and crossed cables.

Relevant Plug Types

Figure 44Ethernet (RJ45) plugs



Further Reading Crossed and Straight Cables Q Page 152


Maximum length 100 m

Specification minimum Cat 5e (ANSI/TIA/EIA-568-A)

Transmission speeds 100Mbit/s and 1Gbit/s


APPENDIX II: CABLES

12.3.15 USB Cables

Overview These cables have either:

• Type A plugs at both ends• A type A plug at one end and a type B plug on the other end

Relevant Plug Types

Figure 45Type A a and Type B s USB Plugs



a s


Maximum length 5 m

Specification USB 2.0


Cables

12.3.16 Firewire Cables

Overview These cables have firewire (IEEE 1394) connectors on both ends.

Relevant Plug Types

Figure 466 pin a and 4 pin s Firewire Plugs



The plug should have ferrite cores on both ends

a

s



Specification IEEE 1394


APPENDIX II: CABLES

12.3.17 PS/2 Cables

Overview These cables have 6 pin mini-DIN plugs on both sides.

Relevant Plug Types

Figure 47PS/2 connector (male)



No. Pin No. Pin

1 Data 4 +5 V DC at 100 mA

2 Not Connected 5 Clock

3 Ground 6 Not Connected




Gender Changers, Adapters, and Extensions

12.4 Gender Changers, Adapters, and Extensions

12.4.1 Gender Changers

Overview Within this manual, gender changers are always considered straight (see “Crossed and Straight Ca-bles” on page 152)..

RGB D-Sub 15 pin Must be specified for a resolution of at least 1600 x 1200@75Mhz, 24 bit (216 MHz bandwidth)

DVI_D • Must be specified for a resolution of at least 1920 x 1080@60Mhz, 24 bit (168 MHz bandwidth)• Must support the DVI 1.0 standard

Serial D-Sub 9 pin • Only applies to straight gender changers (see “Crossed and Straight Cables” on page 152).• Must be specified for a baud rate of at least 115 kB

Serial D-Sub 25 pin Must be specified for a baud rate of at least 115 kB


APPENDIX II: CABLES

12.4.2 Adapters

Composite BNC to Cinch Adapter

These adapters have a female BNC connector on one end and a male cinch (RCA) connector on the other.


D-Sub 9 pin to D-Sub 25 pin

These adapters have a D-Sub 9 pin connector on one end and a D-Sub 25 pin on the other.


• Cables with fixation screws should have ergonomic thumbscrews which can easily be hand-operated

• Baud rate of at least 115 kB


Maximum length 10 m


9 Pin Connector 25 Pin Connector

Pin 1 DCD Pin 8 DCD

Pin 2 RD Pin 3 RD

Pin 3 TD Pin 2 TD

Pin 4 DTR Pin 20 DTR

Pin 5 GND Pin 7 GND

Pin 6 DSR Pin 6 DSR

Pin 7 RTS Pin 4 RTS

Pin 8 CTS Pin 5 CTS

Pin 9 RI Pin 22 RI


Gender Changers, Adapters, and Extensions

12.4.3 Extension Cables

KVM Extension • KVM extension cables have PS/2 plugs for the mouse and keyboard and a D-Sub 15 pin con-nector for RGB signals.

• The maximum length is 4.5 m.


INDEXNumerics

19" computer rack .......................................... 53, 121brake .............................................................. 53brakes............................................................. 53cleaning......................................................... 121doors .............................................................. 53

AAdvanced Network Integration

cleaning......................................................... 118anesthesia device .......................................... 80, 126Application Switch Fallback Solution ............................ 85

BBrainSUITE

network system .................................................. 46user guides ....................................................... 21

BrainSUITE Control Touchscreen ............................... 38– Wall Embedded................................................ 42

cleaning .................................................. 115cleaning......................................................... 107

BrainSUITE Data Billboard LCD ................................. 37cleaning......................................................... 108remote control.................................................. 113

BrainSUITE Data Panelcleaning......................................................... 111

BrainSUITE Data Wall Screen ................................... 37cleaning......................................................... 108

BrainSUITE NETcleaning......................................................... 122overview .......................................................... 34restarting.......................................................... 51supported resolutions ......................................... 147supported signal types ........................................ 147

BrainSUITE NET DVD Recorder ................................ 36BrainSUITE NET Server .......................................... 60

drive indicator .................................................... 64powering on ...................................................... 65power-on indicator............................................... 64ventilation......................................................... 63

BrainSUITE OR Display .......................................... 39cleaning......................................................... 110

Ccables ............................................................. 153

specifications................................................... 152cautions............................................................. 12ceiling supply unit.................................................. 79compatibility

medical instruments ............................................. 15medical software................................................. 17non-BrainLAB software ......................................... 19

console computer terminalcleaning......................................................... 120

CSU .......................................................... 79, 125s-video connector................................................ 79

Ddamaged equipment ............................................ 141

returning ........................................................ 142Device Connection Panel......................................... 40

cleaning......................................................... 112diagnostic imaging ................................................ 14disposal instructions .............................................. 11documentation ..................................................... 21

Eelectrical cabinets ............................................... 127electrical standards................................................ 97environmental requirements ................................... 101

Iinspections ....................................................... 136

annual........................................................... 137monthly ......................................................... 138safety............................................................ 139safety inspection form......................................... 140weekly .......................................................... 138

installation .......................................................... 62

Mmains power ....................................................... 18matrix switch ....................................................... 59medical power supply ............................................. 73microscope .................................................. 77, 123MR

component compatibility ........................................ 26environment ...................................................... 25facility recommendations ....................................... 31manufacturer documentation................................... 76safety check recommendations ................................ 28sources of information .......................................... 24

MR safety recommendationsorganizational .................................................... 31safety check...................................................... 28scanning .......................................................... 30screening ......................................................... 29


Nnetwork environment .............................................. 61non-BrainLAB devices ............................................ 18

Oon/off switch

VectorVision sky ................................................. 49OR light ...................................................... 78, 124OR panels

glass ............................................................ 109stainless steel .................................................. 109

Ppower failure ....................................................... 83power plug types ................................................ 148power specifications............................................... 96power switch

VectorVision sky ................................................. 49

RRF shielded OR cabin............................................. 45Room Control

Multi-Button Switch .............................................. 43cleaning .................................................. 116

Room Control Serverconnecting to multiple servers ................................. 69indicators ......................................................... 71powering on ...................................................... 68restarting.......................................................... 70ventilation......................................................... 67

Sservicing ............................................................ 62support.............................................................. 10surgical devices.................................................... 77switching on

VectorVision sky ................................................. 49symbols ............................................................. 12syringe pump....................................................... 80system

dimensions ....................................................... 98operating conditions ........................................... 101storage conditions ............................................. 101technical specifications ......................................... 99transport conditions ........................................... 101weights............................................................ 98

Ttechnical information .............................................. 95terminology ....................................................... 144Touchscreen Drape ............................................. 130

draping.......................................................... 131sterile field ...................................................... 133

training .............................................................. 20transfer lines ....................................................... 41troubleshooting

BrainSUITE NET hardware..................................... 91

display colors .................................................... 86image irregularities .............................................. 87main power ....................................................... 83Multi-Button Switch.............................................. 84no picture ......................................................... 90room control...................................................... 82warning sounds .................................................. 93

turning onVectorVision sky ................................................. 49

UUPS ........................................................... 55, 56

battery self-test .................................................. 55powering off ................................................ 55, 56

VVectorVision sky ................................................... 44

cleaning......................................................... 117main switch....................................................... 49on/off switch...................................................... 49power switch ..................................................... 49switching on ...................................................... 49turning on......................................................... 49

video processor.................................................... 58

Wwarnings ............................................................ 12WEEE............................................................... 11

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