GE Healthcare

Mac-Lab/CardioLab/Centricity
Cardiology INW Service Manual
Version 6.5.6

Instructions
2021423-503

Revision H

The information in this manual only applies to Mac-Lab/CardioLab/Centricity Cardiology INW Service
Manual software version 6.5.6. It does not apply to earlier software versions. Due to continuing productinnovation, specifications in this manual are subject to change without notice.

Listed below are GE Medical Systems Information Technologies trademarks used in this document.
MAC-LAB®, CARDIOLAB®, CENTRICITY®, TRAM®, TRAMNET®, and TRAM-RAC® are trademarks of GE
Medical Systems Information Technologies, a division of General Electric Company going to market as GE
Healthcare.
All other trademarks contained herein are the property of their respective owners.
© GE Medical Systems Information Technologies, 2009 - 2014. All rights reserved.

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CE Marking Information

CE Marking Information
Compliance
The Mac-Lab/CardioLab/ComboLab system bears CE mark CE-0459
indicating its conformity with the provisions of the Council Directive 93/
42/EEC concerning medical devices and fulfills the essential
requirements of Annex I of this directive.
For devices manufactured in the United States, the CE mark is applied
under the authority of Notified Body GMED (0459).
The country of manufacture and appropriate Notified Body can be foundon the equipment labeling.
The product complies with the requirements of standard IEC 60601-1-2.
The safety and effectiveness of this device has been verified against
previously distributed devices. Although all standards applicable topresently marketed devices may not be appropriate for prior devices(that is, electromagnetic compatibility standards), this device will not
impair the safe and effective use of those previously distributed devices.
Refer to the user’s information.
Refer to the Mac-Lab/CardioLab Service Manual for Compliance
Information.

Recommendations
Users should be aware of known RF sources, such as radio or TV stations
and hand-held or mobile two-way radios, and consider them when
installing a medical device or system.
Be aware that adding accessories or components, or modifying the
medical device or system may degrade the EMI performance. Consult
with qualified personnel regarding changes to the system configuration.
The Mac-Lab/CardioLab System, if operating under the conditions
defined in the EMC Standard IEC 60601-1-2 (Radiated Immunity 3 V/m)and at field strengths above 3 volts per meter may cause waveform
distortions at radio frequency (RF) electromagnetic interference (EMI).
MEDICAL ELECTRICAL EQUIPMENT needs special precautions
regarding EMC and needs to be installed and put into service according
to the EMC information provided in the ACCOMPANYING SERVICEMANUAL.
Portable and mobile RF communications equipment can affect
MEDICAL ELECTRICAL EQUIPMENT.

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CE Marking Information
The use of ACCESSORIES, transducers and cables other than thosespecified, with the exception of transducers and cables sold by the
manufacturer of the Mac-Lab/CardioLab System as replacement partsfor internal components, may result in increased EMISSIONS or
decreased IMMUNITY of the Mac-Lab/CardioLab System.
The Mac-Lab/CardioLab System should not be used adjacent to or
stacked with other equipment and that if adjacent to or stacked use isnecessary, the Mac-Lab/CardioLab System should be observed to verify
normal operation in the configuration in which it will be used.
Review the AAMI Committee Technical Information Report (TIR) 18,“Guidance on Electromagnetic Compatibility of Medical Devices forClinical/Biomedical Engineers”. This guidance document provides ameans to evaluate and manage the EMI environment in the hospital.
The following actions can be taken to reduce the risk of medical device
EMI and achieve EMC:

Assess the EMC environment of the healthcare facility (for example,
identify radio transmitters in around the facility) and identify areas
where critical medical devices are used (for example, ER, ICU, CCU,
NICU).



Increase the distance between sources of EMI and susceptible
devices.



Remove the devices that are highly susceptible to EMI.



Lower power transmitted from electrical and electronic equipment(EMI sources) under hospital control (that is, paging systems).

Label devices susceptible to EMI.



Educate healthcare facility staff (nurses and doctors) to be aware of,and to recognize, potential EMI related problems.

Exception
ECG ParameterIEC 60601-1-2 clause 36.202.1 - Immunity: Radiated Immunity –The level of compliance is less than 1V/m
If operating under the conditions defined in EMC Standard EN 60601-12 (Radiated Immunity 3V/m), field strengths less than 1V/m may cause
waveform distortions and erroneous numeric data at various
electromagnetic interference (EMI) frequencies.

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CE Marking Information

Recommendations
Review the AAMI EMC Committee technical information report (TIR-18)
titled Guidance on electromagnetic compatibility of medical devices forclinical / biomedical engineers - Part 1: Radiated radio-frequency
electromagnetic energy. This TIR provides a means to evaluate andmanage the EMI environment in the hospital.
The following actions can be taken:

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managing (increasing) distance between sources of EMI andsusceptible devices

managing (removing) devices that are highly susceptible to EMIlower power from internal EMI sources under hospital control (i.e.
paging systems)labeling devices susceptible to EMIeducating staff (nurses and doctors) to be aware of, and to recognize,
potential EMI related problems

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CE Marking Information

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Contents
1

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-1
Manual Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Purpose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2
Intended Audience . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2
Revision History . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2
Conventions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-3
Product References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-3
Related Documents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-3
Illustrations and Names . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-4
Chapter Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-4
Safety Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5
Safety Messages. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5
ITE Conformance Statement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-12
Types of Systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-13
Mac-Lab System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-13
CardioLab EP System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-13
ComboLab System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-14
CardioLab II Plus Amplifier . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-14
Security Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-15
Non-Validated Software Applications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-15
Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-15
Validated Third Party Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-16
Service Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-19
Service Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-19
Product Identification. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-19
Required Tools and Supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-22
Power Input Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-22
Safety Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-23
Electromagnetic Compatibility and Interference . . . . . . . . . . . . . . . . . . . . . . . . . .1-23
Exception . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-23
EU Battery Directive 2006/66/EC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-24
Responsibility of the Manufacturer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-25
General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-25
Equipment Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-26
Compliance Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-29
Mac-Lab/CardioLab System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-29

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Equipment Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-1
Typical System Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
Control Room Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-3
Procedure Room Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-3
IT Control Room Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-4
Network Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-4
System Hardware . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5
Acquisition Workstation System Components. . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5
GE Client Workstation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-33
Mobile Workstand . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-36
Monitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-37
TRAMNet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-37
CardioLab II Plus Amplifier . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-39
CARTO™ System (Patient Interface Unit) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-45
Analog Output Box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-47
Network Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-48
Cabling and Connections. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-53
HP z600 Computer I/O Backplane Connections . . . . . . . . . . . . . . . . . . . . . . . . .2-53
HP xw8400 Computer I/O Backplane Connections . . . . . . . . . . . . . . . . . . . . . . .2-54
Power Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-55
HP z600 Video Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-56
HP xw8400 Video Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-57
Communications Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-58
TRAM/Amplifier Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-59
Amplifier/Stimulator Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-60
Audio . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-64
CARTO™XP System Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-65
CARTO™ 3 System Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-66
Review Workstations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-69
Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-72
Operating System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-72
Database . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-72
Application Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-72

3

Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-1
Mac-Lab/CardioLab Service Performance Testing . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-2
FRU Checkout Procedure Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-3
Tools Recommended . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-5
Visual Inspection/Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-6
Electrical Safety Checks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-6
Functional Checkout Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8
Mac-Lab SCOP (Standard Checkout Procedure) . . . . . . . . . . . . . . . . . . . . . . . . .3-8
CardioLab SCOP (Standard Check Out Procedure) . . . . . . . . . . . . . . . . . . . . . .3-10
TRAM Module Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-12

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CardioImage/Image Capture Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-12
IEB Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-12
Printer Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-12
CARTO Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-13
Audible Indicators Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-13
RF Ablation Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-13
Stimulator Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-14
DASH / Solar Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-14
Remote Operators Terminal Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-14
Analog Out Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-14
Centricity Cardiology INW Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-15
Remote Connection Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-16
Planned Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-16
Mobile Workstand Preventative Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-18
Tools Required . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-18
Adjusting Tilt and Tilt Tension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-18
Adjusting Swivel or Pivot Tension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-18
Routine Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-18

4

Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-1
Initial Inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2
Hardware . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
Clean Fiber Optic Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-3
Initial Check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-3
Troubleshooting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
Matrox Parhelia Fan Alert . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-4
Replace Main Video Board with Matrox M9140 Quad Video Board . . . . . . . . . . . 4-5
Prevent Failure of the Matrox Odyssey Driver Service . . . . . . . . . . . . . . . . . . . .4-12
CardioLab Amplifier Troubleshooting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-13
Noise on Intracardiac Signals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-15
Real-Time Testing During a Case . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-15
CardioImage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-22
Normal Operation and Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-22
Troubleshooting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-23
Switching Ablation Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-29
Windows XP/2003 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-30
Normal Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-30
Troubleshooting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-30
GEMS_TaskMonitor Service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-32
Networking. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-33
Normal Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-33

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Troubleshooting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-33
Centricity Cardiology INW Server . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-36
Replication. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-37
Normal Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-37
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-37
Cleanup Database Corruption . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-37
INNOVA CENTRAL/Touch screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-39
Check Connection Status . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-39
Determine IP Addresses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-39
CARTO XP/CARTO 3 System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-40
Normal Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-40
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-40
EtCO2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-43
EtCO2 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-43
Capnostat Module Setup. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-44
Capnostat Module Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-56
Calibrate the CapnoFlex LF Module (Sensor + Pump) . . . . . . . . . . . . . . . . . . . .4-58
Mac-Lab Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-59
Troubleshooting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-61
CVIS to Mac-Lab/CardioLab Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-65
Problem Scenarios . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-67
Test DICOM Connectivity (CVIS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-68
Test DICOM Connectivity (X-Ray) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-70
HL7 Export to CVIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-71
InSite ExC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-72
Normal Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-72
GEMS Log Collector Task. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-72
List of Log Events . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-75
List of SNMP Faults . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-75
Application Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-77
Prerequisite . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-77
Option Codes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-78
Normal Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-78
Troubleshooting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-78
Event Viewer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-79
Log Files . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-80
Application Logs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-80
Install/Update Logs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-80
Install Log Files . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-81
Upgrade Log Files . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-82

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Maintenance Log Files . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-83
Replication Log Files . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-84
Device Log Files . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-85
Log File Locations for Mac-Lab/CardioLab System . . . . . . . . . . . . . . . . . . . . . . . 4-86

5

Recovery Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1
Acquisition System Disaster Recovery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2
High-Level Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2
Log On to the Acquisition System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Save Acquisition System Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
INW Networked Acquisition Systems Only . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8
Restore System Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-10
Set Default Baseline Phase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-31
Install/Enable Software Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-32
Configure the Acquisition System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-32
Configure the Acquisition System on the INW Network . . . . . . . . . . . . . . . . . . . 5-40
Initialize Applications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-48
Confirm File Paths and Network Storage Settings . . . . . . . . . . . . . . . . . . . . . . . . 5-51
Additional Installation for Purchased Options . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-51
Reconfigure Printer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-52
Reconfigure Mapped Drives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-52
Configure Data Export . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-52
Reload CVIS Client . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-54
Update Operator Manuals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-54
Review System Disaster Recovery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-55
High-Level Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-55
Log On to the Review System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-56
Save Review System Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-56
Gather Information from INW Server . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-60
Configure New Hardware . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-61
Configure the Review System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-63
Configure the Review System on the INW Network . . . . . . . . . . . . . . . . . . . . . . 5-75
Initialize Applications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-81
Confirm Windows XP is Activated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-84
Confirm File Paths and Network Storage Settings . . . . . . . . . . . . . . . . . . . . . . . . 5-84
Additional Installation for Purchased Options . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-84
Reconfigure Printer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-84
Reconfigure Mapped Drives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-85
Configure Data Export . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-85
Reload CVIS Client . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-85
Update Operator Manuals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-86
Perform Necessary Software Updates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-86
System Checkout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-87
Review Workstation Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-87
INW Server Disaster Recovery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-88
High-Level Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-88
Record Server Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-90
Reimaging Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-91

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G4/G5/G6 Server Setup and Data Restore . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-98
Reconfigure Centricity Cardiology INW Network . . . . . . . . . . . . . . . . . . . . . . . 5-119
Post Configuration Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-128
Cardiovascular Information System (CVIS) Configuration . . . . . . . . . . . . . . . . 5-148
Perform On Demand Backup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-155
Verify Backups Ran Successfully . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-156
Update Operator Manuals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-157
System Checkout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-158
Verify Functionality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-158

6

Parts List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1
HP z600 Computer with ADA Drive . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
HP z600 Computer with DVD-RAM Drive . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4
HP xw8400 Computer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6
GE Client Workstation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-8
DASH Connection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-9
Solar Connection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-9
Centricity Cardiology INW G6 Server . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-9
Centricity Cardiology INW G5 Server . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-10
Centricity Cardiology INW G4 Server . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-11
Integrated Electronics Box (IEB) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-12
Uninterrupted Power Source (UPS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-13
Monitors and Printers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-14
TRAMNet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-15
Amplifier . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-17
MicroPace . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-18
RMOT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-19
Speakers and Miscellaneous . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-19

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A

Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-1
Electrical and IT Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-2
Hospital Staff . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-4
Medical Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-5

Miscellaneous Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-18

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viii

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1

2021423-503H

Introduction

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

1-1Introduction

Manual Information
PurposeThis manual contains the instructions necessary to operate and service
the Mac-Lab/CardioLab system safely in accordance with its function
and intended use. These instructions include but are not limited to:Describing fundamental controls and indicators.

Operating procedures.

Connecting and disconnecting detachable parts and accessories.



Troubleshooting and service procedures.

Intended Audience
This manual is intended for the person who maintains and troubleshoots
this equipment.

Revision History

1-2

Revision

Date

Comment

A

6 November 2009

Initial release of the manual.

B

21 April 2010

Updated with serviceability
improvements.

C

1 August 2011

Updated to address new hardware.

D

8 November 2011

Added power cords.

E

28 February 2012

Updated Hard Drive, Memory and RMOT
parts.

F

7 May 2013

Updated to include installation andtroubleshooting procedures for the
Matrox Quad video board.

G

18 November
2013

Updated to include information for new
speakers.

H

24 March 2014

Updated to include information for EIZO
monitors.

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2021423-503H

Introduction

Conventions
The following conventions are used throughout this manual.
Bold

Indicates keys on the keyboard, text to be entered, or hardware items
such as buttons or switches on the equipment.

Italics

Indicates software terms that identify menu items, buttons, or
options in various windows.

[Key1] + [Key2]

Indicates a keyboard operation. A (+) sign between the names of two
keys indicates that you must press and hold the first key while pressing
the second key once.
For example, “Press Ctrl + Esc” means to press and hold down the
Ctrl key while pressing the Esc key.

<Space>Indicates you must press the spacebar on the keyboard when typing aprecise text string with one or more spaces. The point where thespacebar must be pressed is indicated as: <Space>. The purpose of
the < > brackets is to ensure you press the spacebar when required.

Enter

Indicates you must press the “Enter” or “Return” key on the keyboard.
Do not type “enter”.

Product References
The name of the product described in this manual is Mac-Lab/CardioLab/Centricity Cardiology INW System.

Related Documents

Part Number

2021423-503H

Document

2021423-015

Mac-Lab Operator’s Manual

2021423-016

CardioLab Operator’s Manual

2021423-017

Centricity Cardiology INW Operator’s Manual

2021423-021

Mac-Lab/CardioLab/Centricity Cardiology INW Pre-Installation Manual

2021423-022

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual(v6.5.4 and earlier)2027332-103

Mac-Lab/CardioLab Security Guide

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

1-3Introduction

Illustrations and Names
All illustrations in this manual are provided as examples only. They may
not necessarily reflect your system’s configuration or the data on yoursystem.
In this manual, all names appearing in examples and illustrations are
fictitious. The use of any real person’s name is purely coincidental.

Chapter Contents

1-4Chapter 1, Introduction: This chapter describes the Service
manual and chapter contents. Also included are general safety
requirements, service requirements, equipment symbols, and serial
number identification information.



Chapter 2, Equipment Overview: This chapter describes theequipment and its technical characteristics, connector locations, andpreparation for use.



Chapter 3, Maintenance: This chapter contains preventive
maintenance information and cleaning guidelines.



Chapter 4, Troubleshooting: This chapter contains
troubleshooting instructions and functional test directions.



Chapter 5, Recovery Procedures: This chapter details procedures
to restore a workstation or server in the field after failure.



Chapter 6, Parts List: This chapter contains a list of Field
Replaceable parts.

Appendix A, Abbreviations: This appendix lists all abbreviations
used with the system.

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Introduction

Safety Information
Safety Messages
Definitions
DANGER— Safety messages which indicate an imminently
hazardous situation which, if not avoided, WILL result indeath or serious injury.

WARNING— Safety messages which indicate a potentiallyhazardous situation which, if not avoided, COULD result
in death or serious injury.

CAUTION— Safety messages which indicate a potentiallyhazardous situation which, if not avoided may result inminor or moderate injury, loss of data or system failure.
NOTE
Messages which provide additional user information.

Applicable Messages

DANGEREXPLOSION HAZARD — Using this equipment in thepresences of flammable gasses (including anesthetics andoxygen) may cause an explosion or fire.
Always use this equipment in a well ventilated area awayfrom the presence of potentially flammable gasses

WARNINGSYSTEM STABILITY — All systems should be installed
and maintained according to installation instructions andmanufacturers specifications. Any alterations may affectthe stability of the system.

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1-5Introduction

WARNINGPATIENT MONITORING — The system is intended to
be used as a recording system for catheterization,
electrophysiology and related specialty laboratories. A
defibrillator or ECG monitor should be attached forpatients in need of uninterrupted ECG display. An
additional means to display SPO2 should be available forpatients in need of uninterrupted SPO2 display. A
temporary pacemaker needs to be available for patients inneed of uninterrupted delivery of pacing.

WARNING
SUPERVISED USE — This device is intended for use
under the direct supervision of a licensed health carepractitioner.

WARNINGACCESSORIES — All system components sold by GE
Healthcare for use with this system are tested to meet
IEC 60601-1 when used with the system. All othercomponents used with the system must meet IEC
60601-1.

WARNING
IEC — All equipment not complying with IEC 60601-1
should be placed outside the patient environment.

WARNINGSHOCK HAZARD — DO NOT allow hydraulic fluid fromany device to contact any conductive surface. Hydraulicfluid is electrically conductive.
An electrical shock hazard exists between chassis groundand isolated (floating) ground when power is applied.
Unplug the unit from the power source before proceeding.
To reduce the risk of electric shock or damage to yourequipment, do not disable the power cord grounding
feature. This equipment is designed for connection to aearth grounded power outlet. The grounding plug is an
important safety feature.

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WARNINGSHOCK HAZARD — Keep the conductive parts of leadelectrodes and associated parts away from otherconducting parts, including earth.

WARNINGSHOCK HAZARD — Total system earth leakage current
must not exceed 500 microamperes.
Voltages between the three power outlet connections mustbe accurate BEFORE measuring power outlet ground-toneutral loop resistance.
Electrostatic discharge (ESD) can damage electronic
components. Be sure you are properly grounded whenusing or servicing the system.

WARNINGSHOCK HAZARD — To reduce the risk of electric shock
or damage to the equipment, do not disable the power cord
grounding feature. This equipment is designed forconnection to a grounded (earthed) power outlet.

WARNINGSHOCK HAZARD — Use appropriate Lock Out/Tag Out
procedures whenever an energy hazard exists, such as
disconnecting equipment to perform maintenance.

WARNINGSHOCK HAZARD — Electrical shock hazard between
chassis ground and isolated (floating) ground when power
is applied. Unplug the unit from the power source before
proceeding.
To reduce the risk of electric shock or damage to yourequipment, do not disable the power cord grounding
feature. This equipment is designed for connection to agrounded (earthed) power outlet. The grounding plug is
an important safety feature.

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Introduction

WARNINGSHOCK HAZARD — High voltages exist in the unit. Use
insulated tools. Remove jewelry and use only one handwhen possible.
Always disconnect power from the equipment before
attempting service.

WARNINGSHOCK HAZARD — Only connect IEC 60601-1 certified
medical equipment. If fluid of any kind should leak into
the system, discontinue use of the equipment and contact
GE Healthcare immediately.

WARNINGSHOCK HAZARD — To reduce the risk of electric shock,
DO NOT remove cover or back. This equipment contains
no user serviceable parts. Refer servicing to qualified
service personnel.

WARNINGSHOCK HAZARD — Proper connections to the patientare critical for the proper operation of the CardioLab II
Plus Amplifier and patient safety. Use extreme caution
when making patient connections. Do NOT connect nonisolated equipment to the amplifier. Proper connections tothe stimulator are critical for the proper operation of the
CardioLab II Plus Amplifier and patient safety. Use
extreme caution when making stimulator connections.
The stimulator must be a IEC 60601-1 certified product
Ablation operations should NOT be executed when astimulator unit is connected.

WARNINGSHOCK HAZARD — Do not allow any foreign materials
such as fluids to come in contact with the CardioLab II
Plus Amplifier. If fluid of any kind should leak into the
CardioLab II Plus Amplifier, discontinue using theamplifier and contact GE Healthcare. DO NOT allow
hydraulic fluid from any device to contact any conductive
surface. Hydraulic fluid is electrically conductive.

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Introduction

WARNINGSHOCK HAZARD — Use appropriate Lock Out/Tag Out
procedures before performing any service on potentiallyenergized equipment.

WARNINGSHOCK HAZARD — Remote speakers must be poweredby a 60601-1 certified power supply.

WARNINGCONDUCTION HAZARD — Do not leave conductive
parts of lead electrodes open. This condition could leave
the patient or user more susceptible to shock.

WARNINGGROUNDING — Electrostatic discharge (ESD) can
damage electronic components. Be sure you are properly
grounded before opening any equipment.

WARNING
POWER SUPPLY — The supply line must be fused andcapable of delivering 16A.
Route the AC power cable away from moving parts.
Connect only to a properly earth grounded outlet.

WARNINGDEFIBRILLATOR PRECAUTIONS — DO NOT contact
the amplifier or patient during defibrillation.
Defibrillation equipment is required in the event that thepatient needs to be cardioverted or defibrillated.

WARNING
INTERNAL DEFIBRILLATION — Prior to internal
defibrillation, disconnect the intercardiac catheters fromthe system to prevent damage to the amplifier.

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WARNING
INTERPRETATION HAZARD — A qualified physician
must overread all computer-generated measurements andtracings. Computerized interpretation is only significant
when used in conjunction with clinical findings.
Signal quality should be checked only by a licensed healthcare practitioner.
All computer assisted measurement functions must be
verified by a licensed health care practitioner.

WARNING
ANNUAL EQUIPMENT MAINTENANCE — The
system should be checked yearly to ensure compliancewith medical device standards.

WARNINGPINCH POINT HAZARD — Keep hands, hair, jewelry
and loose clothing away from moving parts. Otherwise,
serious injury could result.

WARNINGREPLACEMENT PARTS — Replace only with the same
type and rating of fuse.

WARNINGSOFTWARE — DO NOT add unauthorized software to
the system. Doing so may make the software unstable.

WARNINGREMOVABLE MEDIA — Exit the software application
properly before turning off the system. Failure to do so
may result in loss of ability to store the data properly.
Follow recommended instructions when exiting theapplication or turning off the system to ensure data
integrity.

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CAUTION
ELECTROSTATIC SHOCK — Working on electronic
devices while not properly grounded my cause damage tothe equipment.
Always use a wrist grounding strap and grounding padwhen working on electronic equipment.

CAUTION
SALE OF DEVICE — Federal (USA) law restricts thisdevice to sale by or on the order of a physician.

CAUTION
EQUIPMENT CABLING DAMAGE — Route opticalcables thorough conduit in the ceiling or floor to avoid
damage to the cables or cable connectors.

CAUTION
EQUIPMENT USE — DO NOT reuse single use devices.

CAUTION
EMC — No known electromagnetic or other interference
between the system exists. However, precautions should
be taken to avoid the use of cellular telephones, pagers, orother transmitters.

CAUTION
TRANSDUCER — All air must be removed from thetransducer or associated tubing before calibration for
accuracy.
Pressure channels should be calibrated to a knownpressure value if the pressure value is in question.

CAUTION
REMOTE MONITOR — Always power the systemthrough separate isolation transformers which are
independently connected to a wall outlet.

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Introduction

ITE Conformance Statement

1-12



The Mac-Lab/CardioLab/Centricity Cardiology INW Server software
applications are intended to be installed and run on an applicable
ITE compliant hardware platforms (minimum Hardware Essential
Performance be ITE compliant) which may not meet leakage and/or
EMC requirements of patient care area equipment. This means but
is not limited to the following (unless the medical electrical standard[EN60601-1-1 and EN60601-1-2] is followed):The Mac-Lab/CardioLab/Centricity Cardiology INW Server
hardware does not directly deliver energy to the Patient.

The Mac-Lab/CardioLab/Centricity Cardiology INW Server
hardware does not indirectly control energy delivered to the Patient.

The Mac-Lab/CardioLab/Centricity Cardiology INW Server
hardware is not directly connected to the Patient.

The Mac-Lab/CardioLab/Centricity Cardiology INW Server
hardware is not installed or used in the Patient vicinity.



Patient Vicinity summarized as follows:A space, within a location intended for the examination andtreatment of patients, extending 6 ft (1.83 m) beyond the normal
location of the bed, chair, table, treadmill, or other device that
supports the patient during examination and treatment andextending vertically to 8 ft 2.4 in. (2.5 m) above the floor.



Areas where health care staff members monitor patients andperform charting and administrative tasks are not considered to
be Patient Vicinity areas.

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Types of Systems
Mac-Lab System
The Mac-Lab System is intended for use in a catheterization and related
cardiovascular specialty laboratories under the direct supervision of alicensed healthcare practitioner. It is intended to monitor, calculate and/or record cardiovascular data from adult and pediatric patients
undergoing cardiac catheterization procedures. The data may be
manually entered or acquired via interfaced devices. Data includes:
ECG, heart rate, pulse oximetry (SpO2), respiration rate, EtCO2,
temperature, valve gradients and areas, cardiac output, hemodynamic
measurements, invasive and noninvasive blood pressure and procedural
information and optional intracardiac electrocardiogram (IECG).
Physiological parameters such as diastolic, systolic, and mean bloodpressure, heart rate, and cycle length may be derived from the signal
data, displayed and recorded. The system allows the user to monitor theacquisition of data, review the data, and generate reports on the data.
Additionally, the system may acquire, amplify, display and record data
received from other interfaced medical devices typically used during
these procedures, such as imaging devices. The Mac-Lab System does notcontrol the delivery of energy, administer drugs, perform any lifesupporting or life-sustaining functions, or analyze data acquired during
the procedure. The Mac-Lab System does not transmit alarms or
arrhythmias and does not have arrhythmia detection capabilities.

CardioLab EP System
The CardioLab EP System is intended for use in an electrophysiologicallaboratory and related specialty laboratories under the directsupervision of a licensed healthcare practitioner. It is intended tomonitor, calculate and/or record electrophysiological data from adult andpediatric patients undergoing electrophysiological studies. Data
includes: ECG, pressure, and intracardiac electrocardiogram (IECG)
waveforms, heart rate, pulse oximetry (SpO2), respiration rate, EtCO2,
temperature, invasive and noninvasive blood pressure, and procedural
information. Physiological parameters such as diastolic, systolic, andmean blood pressure, heart rate, and cycle length may be derived fromthe signal data, displayed and recorded. The system allows the user tomonitor the acquisition of data, review the data, and generate reports on
the data. Additionally, the system may acquire, amplify, display andrecord data received from other interfaced medical devices typically usedduring these procedures, such as imaging devices and RF generators.
The CardioLab EP System does not control the delivery of energy,
administer drugs, perform any life-supporting or life-sustaining
functions, or analyze data acquired during the procedure. The CardioLab
EP System does not transmit alarms or arrhythmias and does not havearrhythmia detection capabilities.

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Introduction

ComboLab System
The ComboLab System is the combination of the both the Mac-Lab andCardioLab EP systems. The ComboLab System is intended for use ineither a catheterization laboratory or electrophysiological laboratory andrelated speciality laboratories under the direct supervision of a licensed
healthcare practitioner. The ComboLab System allows the user to run
either the Mac-Lab System or the CardioLab EP System, although only
one may be used at a time.

CardioLab II Plus Amplifier
The CardioLab II Plus Amplifier is intended for use in anelectrophysiological catheter laboratory or catheterization laboratory
where ECG, direct cardiac, intracardiac and pressure signals need to berecorded from a patient. This device is intended for use under the directsupervision of a licensed health care practitioner.

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Security Information
Validated configurations consist of product scenario implementations
that are tested against GE product failure and sample cases run tosimulate a real environment while conducting testing. GE provides
service and support based on validated configurations only and bears
responsibility for GE products only.

Non-Validated Software Applications
This is to detail the policy for non-validated software applications
applied to the following products:



Mac-Lab Hemodynamic Systems



CardioLab Electrophysiology Systems

ComboLab Hemodynamic and Electrophysiology Systems

Centricity Cardiology INW Server

PolicyOur policy is that we do not recommend installations of any other third
party software applications (that is, not mentioned above) on the
products above as they could affect performance, warranty andserviceability. Examples of such might include other Anti-Virus
programs, print servers, interface engines, anti-spyware, anti-adware,viruses, malware, and so on. GE does not support the use or installationof these non-validated applications or tools. If such programs are
installed the customer bears the risk of the product not functioning
properly and any risks that are introduced for patient safety. GE will notguarantee support for an environment that is different than a validated
implementation. In cases where this is found and technical assistance isrequested, GE will provide support, by first eliminating the third party
software on the product and bringing it back to a known and validated
configuration. If it is found that the third party software is the cause of
product failure, any costs associated with this will be the responsibility of
the hospital.
At GE Healthcare we understand the uniqueness of our customers andpride ourselves in the personalized solutions we provide to help you inyour quest to care for patients. We hope this section will help you tobetter understand our policy on non-validated software applications andwe hope you can work with us as we proceed in further developing our
products for your future benefit.

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Introduction

Validated Third Party Software
Currently validated and allowed third party software such as Enterprise
Back-up, Archival, Anti-virus and other applications to run on the same
computer are:Enterprise Backup Software
Mac-Lab/CardioLab/ComboLab

IT (Version 6.5.6)

IBM Tivoli Storage Manager

v6.1

Symantec Backup Exec for Windows Server

v12.5

CA ARCserv Backup for Windows

r12.5

EMC Networker

v7.5 + SP1

Validated Anti-Virus Software
The Mac-Lab/CardioLab 6.5.6 system has been validated to run with thesoftware listed below. Except where noted, the software below supports
English, French, German, Italian, Spanish, Swedish, Chinese, andJapanese:
Supported Anti-Virus Software

Supported Anti-Virus Software Version

CA eTrust Antivirus

r8.1

McAfee® VirusScan® (with McAfee
ePolicy Orchestrator v4.0, Patch 5)8.7i, Patch 2

Norton Antivirus™

2009

Symantec EndPoint Protection

11.0.5 (English, French, German, Italian,
Spanish, Chinese)
11.0.4 MR4 + MP2 (Japanese)

Trend Micro OfficeScan Client/Server
Edition

10.0

The Antivirus Server software can be installed at a hospital domain level
and the Centricity Cardiology INW server can be a client for the
Antivirus software.

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Previously Validated Anti-Virus Software
The Mac-Lab/CardioLab system has previously been validated to run
with the software listed below. It is recommended that systems run with
one of the currently validated Anti-Virus software packages to avoid any
unforeseen issues. Please refer to “Validated Anti-Virus Software” onpage 1-16.
Supported Anti-Virus Software

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Supported Anti-Virus Software Version

CA eTrust™ AntiVirus Enterprise (for asingle Acquisition, Review, or Server)

r8.1

McAfee® VirusScan® (with McAfee
ePolicy Orchestrator v4.0, Patch 3)

8.7i

McAfee Active VirusScan SMB Edition (forAcquisition, Review, or Server).

8.0

McAfee ProtectionPilot™

1.0.1, 1.5

McAfee ViruScan Enterprise

8.5i

Norton AntiVirus Edition (for Acquisition
and Review) (Norton AntiVirus softwaremust be the boxed copy. Do not download
the software from internet.)

2005

Norton Antivirus™ (Norton AntiVirus
software must be the boxed copy. Do not
download the software from internet.)

2007

Symantec EndPoint Protection

11.0.4

Symantec AntiVirus (for Acquisition,
Review, or Server)

9.0

Symantec AntiVirus Corporate Edition (forAcquisition, Review, or Server)

10.2

Trend Micro OfficeScan Client/Server
Edition

8.0 + SP1

Trend Micro OfficeScan Client/Server
Edition (for Acquisition, Review, or Server)

8.0 (English)
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Introduction

3rd Party: PedCath
Language

PedCath Version

Englishv7.6.7

Frenchv7.5.5

Swedish/German (see note)

v7.6.5

Italianv7.5.5

Spanishv7.5.5

Japanese

v7.4.3J

Chinese (see note)

v7.4.3J

NOTE
Chinese systems will use the Japanese version of PedCath. Swedish
and German systems will use the English version of PedCath.

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Service Information
Service Requirements
Follow the service requirements listed below:
Equipment servicing should be performed by GE Healthcare
authorized service personnel only.

Any unauthorized attempt to repair equipment under warranty voids
that warranty.



It is the user’s responsibility to report the need for service to GE
Healthcare or one of their authorized agents.



Failure on the part of the responsible individual, hospital, or
institution using this equipment to implement a satisfactory
maintenance schedule may cause undue equipment failure andpossible health hazards.

Regular maintenance, irrespective of usage, is essential to ensurethat the system is always functional when required.

Product Identification
Every system has a unique serial number for identification. The serial
number appears on the product labels which are located on the top of theCPU, the back of the Integrated Electronics Box (IEB), the right side of
the RAC 4A, the back of the TRAM and the back of the Amplifier.

3

2
1

4
5
Identification Tag

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Item

Name

Description

1

Manufacture Date

Date of manufacture in YYYY-MM format.

2Part Number of Product

GE Healthcare part number for product.

3

Product Code Description

Identifier for type of product.

4

Serial Number

Unique serial number for identification.
Encoded as barcode below displayed
number.

5

Manufacturer Information

Name and address of device
manufacturer.

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Introduction

Old Identification Tags
Systems manufactured earlier may have one of the two following stylesof identification labels instead.

A

XXXXXXXXXXXXXXB

XXXXXXXXXXXXXXXXXXXXXXXXXXXXXCXXXXXXXXXXXXXXXXXXXXXXXX
AA5 XX XX XXXX X X
D

E

G

H I

F

Identification Tag
Item

1-20

Name

A

Name of Device

B

Manufacturer

C

Serial NumberD

3-digit Product CodeE

Year Manufactured

F

Fiscal Week

G

Product Sequence Number

H

Manufacturing Site

I

Miscellaneous

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IntroductionA

XXXXXXXXXXXXXXXB

XXXXXXXXXXXXXXXXXXXXXXXXXXXXXCXXXXXXXXXXXXXXXXXXXXA X XX XXXX XX
G

H

D
E
F

Identification Tag
Item2021423-503H

Name

A

Name of Device

B

Manufacturer

C

Serial Number

D

Facility CodeE

Product Sequence Number

F

Product CodeG

Year Manufactured

H

Month Manufactured

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Introduction

Required Tools and Supplies
The following is a list of tools needed to service the Mac-Lab/CardioLabsystem:

Adjustable wrench with a 1-inch capacity

Phillips screwdriver

Needle nose pliers

Pliers

Socket wrench (3/16 inch to 1 inch size bits)

Phillips head screwdriver (small and large sizes)

Flat head screwdriver (small and large sizes)



Cutting pliersPower outlet ground testerGrounding strap



Simulator with ECG, pressure, cardiac output, and temperature
outputs



Cables to connect simulator to ECG inputs of amplifier and TRAM

Cables to connect the simulator to the catheter input modules (2 mmshielded)

Adapter cable to connect the simulator to the amplifier and TRAM
pressure inputs

Cables to connect the simulator to the TRAM, cardiac output, andtemperature inputs

Power Input Requirements
If the equipment is installed in the USA and uses 240V rather than
120V, the source must be a center-tapped, 240V single phase circuit(120V, 20A; 240V, 10A).

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Safety Information
Follow all of the instructions and warnings included in this manual andsave these instructions for later use. However, these instructions in noway supersede current medical practices regarding patient care andsafety.

Electromagnetic Compatibility and InterferenceThis catheterization system meets the requirements of the European
Medical Device Directive, and by reference, the requirements forelectromagnetic compatibility specified by EN 60601-1-2. This equipment
is not likely to interfere with other equipment, except with certain typesof rate adaptive pacemakers that rely on bioelectric impedance
measurement (BIM) technology. Also, interference with the operation ofthis equipment is not likely to result from proximity to generalequipment.
This equipment meets or exceeds Class A immunity levels. However,avoid the use of strong intentional radio transmitters in the immediate
vicinity, including cellular telephones. The use of strong unintentionalradiators, such as electrosurgical equipment, may cause some level ofinterference. GE Healthcare offers optional ECG patient cables withelectrosurgical noise filtering, which reduces the level of interference on
ECG traces.
The Mac-Lab/CardioLab system and CardioLab Plus II Amplifier meetsthe requirements of IEC 60601-1-2 Medical Electrical Equipment, Part 1:
General Requirements for Safety, 2. Collateral Standard:
Electromagnetic compatibility - Requirements and tests.
If using electrosurgical or RF ablation equipment in conjunction withthis equipment, select an ESU filtered cable. For more information about
management of the equipment in the clinical environment (from anelectromagnetic compatibility perspective) consult the Association for the
Advancement of Medical Instrumentation's technical information report
Guidance on Electromagnetic Compatibility of Medical Devices forClinical/Biomedical Engineers.

Exception
ECG ParameterIEC 60601-1-2 clause 36.202.1 - Immunity: Radiated Immunity –The level of compliance is less than 1V/m
If operating under the conditions defined in EMC Standard EN 60601-12 (Radiated Immunity 3V/m), field strengths less than 1V/m may cause
waveform distortions and erroneous numeric data at various
electromagnetic interference (EMI) frequencies.

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Introduction
Recommendations:
Review the AAMI EMC Committee technical information report (TIR-18)
titled Guidance on electromagnetic compatibility of medical devices forclinical / biomedical engineers - Part 1: Radiated radio-frequency
electromagnetic energy. This TIR provides a means to evaluate andmanage the EMI environment in the hospital.
The following actions can be taken:
managing (increasing) distance between sources of EMI andsusceptible devices

managing (removing) devices that are highly susceptible to EMIlower power from internal EMI sources under hospital control (i.e.
paging systems)labeling devices susceptible to EMIeducating staff (nurses and doctors) to be aware of, and to recognize,
potential EMI related problems

EU Battery Directive 2006/66/EC
The Mac-Lab/CardioLab product conforms to the EU Battery Directive
2006/66/EC.
The Uninterruptable Power Supply (UPS) supplied with the IEB of the
Mac-Lab/CardioLab contains lead/acid storage batteries. These batteries
are a permanent part of the UPS assembly and are not intended to be
removed or changed. Attempting to remove or change these batteries
may result in an unsafe condition.
The separate collection symbol is affixed to a battery, or its packaging,to advise you that the battery must be recycled or disposed of inaccordance with local or country laws. The letters below the separate
collection symbol indicate whether certain elements (Pb=Lead,
Cd=Cadmium, Hg=Mercury) are contained in the battery. To minimize
potential effects on the environment and human health, it is importantthat all marked batteries that you remove from the product areproperly recycled or disposed. Information on the potential effects on
the environment and human health of the substances used in batteries
is available at the urls below:
http://www.gehealthcare.com/euen/weee-recycling/index.html
http://www.epa.gov/mercury/about.htm
http://www.cdc.gov/niosh/npg/npgd0383.html
http://www.epa.gov/lead/
http://www.cdc.gov/niosh/npg/npgd0368.html
http://www.cdc.gov/niosh/npg/npgd0087.html
http://www.epa.gov/waste/hazard/wastemin/minimize/factshts/
cadmium.pdf
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Introduction

Responsibility of the Manufacturer
GE Healthcare is responsible for the effects of safety, reliability, andperformance only if:
Installation operations, extensions, readjustments, modifications, or
repairs are performed by persons authorized by GE Healthcare.

The equipment is used in accordance with the instructions provided.



The user attaches only accessory equipment recommended forinteraction with the amplifier.

GeneralThis system is intended for use under the direct supervision of a licensed
health care practitioner.
The Mac-Lab/CardioLab system, including the CardioLab Plus II
Amplifier, maintains leakage currents below medical limits with anisolation transformer which is incorporated into the design of theintegrated electronics box (IEB). The system power is supplied by a
dedicated power supply on an isolated circuit for proper behavior of thesystem.
To ensure patient safety, use only parts and accessories manufactured orrecommended by GE Healthcare. Parts and accessories used must meetthe requirements for the applicable EN 60601 series safety standards,
and the system configuration must meet the requirements of the EN
60601-1 medical electrical systems standard. Contact GE Healthcare
before connecting any device to this system that is not recommended foruse in this manual.
If the equipment is installed in the USA and uses 240V rather than
120V, the source must be a center-tapped, 240V single-phase circuit.
To ensure patient safety, use only parts and accessories manufactured orrecommended by GE Healthcare.
This equipment should only be connected as specified by GE Healthcare.
Installation of the equipment should only be performed by qualified GE
Healthcare service representatives.
Contact GE Healthcare for information before connecting any device tothis equipment that is not recommended in this manual. Only cables andaccessory equipment purchased from GE Healthcare should be used inconjunction with the system.
It is important that all of the instructions in this manual be followed.
However, these instructions in no way supersede current medical
practices regarding patient care and safety.
Refer servicing of the equipment to GE Healthcare authorized service
personnel. Any attempt to repair equipment under warranty will voidthat warranty.

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Introduction
Failure on the part of responsible individuals or institutions to
implement a satisfactory equipment maintenance schedule may lead toundue equipment failure and possible health hazards.
The use of ACCESSORY equipment not complying with the equivalentsafety requirements of this equipment may lead to a reduced level ofsafety of the resulting system. Consideration relating to the choiceincludes:

Use of the accessory in the Patient Vicinity.



Evidence that the safety certification of the Accessory is performed inaccordance with the appropriate EN 60601-1 and EN 60601-1
harmonized national standard.

The CardioLab II Plus Amplifier is a component/accessory of a Class II
medical device.

Equipment Symbols
Equipment Symbols

Descriptions
CE Marking

Underwriters Laboratories, Inc.
Classified by Underwriters Laboratories Inc. with respect to electric shock, fire, mechanicaland other specified hazards, only in accordance with UL 2601-1, CAN/CSA C22.2 No.
601.1, IEC 60601-1 and IEC 60601-1-1.
Power Ratings Chart:
V~ = V = Voltage, ~ = Alternating Current
I= Current

Fuse =
Equipotential Ground Point
A nonessential electrical connection which may be used to connect the chassis to otherequipment to achieve the same potential.

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Equipment Symbols

Descriptions
Type CF Equipment that is Defibrillator Proof
Type CF Applied Part: Isolated (floating) applied part suitable for intentional external andinternal application to the patient excluding direct cardiac application. The “paddles” outside
the box indicate that the part is defibrillator proof.
(Medical Standard Definition:) F-Type applied part (floating/isolated) complying with thespecified requirements of IEC 60601-1/UL 2601-1/CSA 601.1 Medical Standards provide ahigher degree of protection against electric shock than that provided by Type B appliedparts.
Type CF Equipment
Type CF Applied Part: Isolated (floating) applied part suitable for intentional external andinternal application to the patient excluding direct cardiac application.
(Medical Standard Definition:) F-Type applied part (floating/isolated) complying with thespecified requirements of IEC 60601-1/UL 2601-1/CSA 601.1 Medical Standards provide ahigher degree of protection against electric shock than that provided by Type B appliedparts.
Type BF Equipment that is Defibrillator Proof
Type BF Applied Part that is defibrillator proof: Isolated (floating) applied part suitable forintentional external and internal application to the patient excluding direct cardiac
application. “Paddles outside the box indicate the applied part is defibrillator proof.
(Medical Standard Definition:) F-Type applied part (floating/isolated) complying with thespecified requirements of IEC 60601-1/UL 2601-1/CSA 601.1 Medical Standards provide ahigher degree of protection against electric shock than that provided by Type B appliedparts.
Atmospheric Pressure Limits

Temperature Limits

Humidity Limits

Attention
Pay attention to the documents delivered with the equipment.

Input Symbol

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Introduction

Equipment Symbols

Descriptions
General Warning

Manufacturer

Date of Manufacture

Consult Instructions for Use

WARNING: SHOCK HAZARD
Remove power cord from the mains source by grasping the plug. Do not pull on the cable.
This may cause cable damage, which could result in loss of protective earthing or exposure
to mains voltage.

1-28

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Introduction

Compliance Information
Mac-Lab/CardioLab System
Declaration - Electromagnetic Emissions
The Mac-Lab / CardioLab System is intended for use in the electromagnetic environment specified below. The customer or the user ofthe Mac-Lab / CardioLab System should assure that it is used in such an environment.
Emissions Tests

ComplianceElectromagnetic environment guidance

RF emissions CISPR 11

Group 1The Mac-Lab / CardioLab System uses RF
energy only for its internal function. Therefore,
its RF emissions are very low and are not likely
to cause any interference in nearby electronicequipment.

RF emissions CISPR 11

Class A

Harmonic emissions IEC 61000-3-2Class A

Voltage fluctuations/Flicker emissions IEC
61000-3-3

Complies

The Mac-Lab / CardioLab System is suitablefor use in all establishments other thandomestic and those directly connected to the
public low-voltage power supply network that
supplies buildings used for domestic purposes.

Declaration - Electromagnetic Immunity
The Mac-Lab / CardioLab System is intended for use in the electromagnetic environment specified below. The customer or the user ofthe Mac-Lab / CardioLab System should assure that it is used in such an environment.
IEC 60601
Test Level

Compliance
Level

Electromagnetic Environment - GuidanceElectrostatic
discharge (ESD)
IEC 61000-4-2± 6 kV contact± 8 kV air± 6 kV contact±8 kV airFloors should be wood, concrete or ceramic tile. If floors are covered withsynthetic material, the relative humidity should be at least 30%.

Electrical fasttransient/burst
IEC 61000-4-4± 2kV for power
supply lines(signal lines
exempt fromtesting, length isless than 3 m)

± 2kV for power
supply lines

Mains power quality should be that of a typical commercial or hospitalenvironment.

Surge
IEC 61000-4-5± 1kV differential
mode ± 2kV
common mode

± 1kV differential
mode ±2kV
common mode

Mains power quality should be that of a typical commercial or hospitalenvironment.

Immunity Test

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Introduction

Declaration - Electromagnetic Immunity
The Mac-Lab / CardioLab System is intended for use in the electromagnetic environment specified below. The customer or the user ofthe Mac-Lab / CardioLab System should assure that it is used in such an environment.
Immunity Test
Voltage dips,
shortinterruptions andvoltagevariations on
power supply
input lines IEC
61000-4-11

Power frequency(50/60 Hz)
magnetic field
IEC 61000-4-8

1-30

IEC 60601
Test Level

Compliance
Level<5% 100-120Vac<5% 200-240Vac(>95% dip) for
0.5 cycle<5% 100-120Vac<5% 200-240Vac(>95% dip) for
0.5 cycle

40% 100-120Vac
40% 200-240Vac(>60% dip) for 5
cycles

40% 100-120Vac
40% 200-240Vac(>60% dip) for 5
cycles70% 100-120Vac
70% 200-240Vac(>30% dip) for 25
cycles70% 100-120Vac
70% 200-240Vac(>30% dip) for 25
cycles

<5% 100-120Vac<5% 200-240Vac(>95% dip) for 5
seconds<5% 100-120Vac<5% 200-240Vac(>95% dip) for 5
seconds

3 A/m

3 A/m

Electromagnetic Environment - Guidance
Mains power quality should be that of a typical commercial or hospitalenvironment. If the user of the Mac-Lab / CardioLab System requires
continued operation during power mains interruptions, it is recommended
that the Mac-Lab / CardioLab System be powered from an Uninterruptable
power supply or a battery.

Power frequency magnetic fields should be at levels characteristic of atypical location typical commercial or hospital environment.

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Introduction

Declaration - Electromagnetic Immunity
The Mac-Lab / CardioLab System is intended for use in the electromagnetic environment specified below. The customer or the user ofthe Mac-Lab / CardioLab System should assure that it is used in such an environment.
Immunity Test

IEC 60601
Test Level

Compliance
Level

Electromagnetic Environment - GuidancePortable and mobile RF communications equipment should be used nocloser to any part of the Mac-Lab / CardioLab System, including cables,
than the recommended separation distance calculated from the equation
applicable to the frequency of the transmitter.
Recommended separation distance (d)Conducted RF
emissions
IEC 61000-4-6

3 Vrms105kHz to 80
MHz with 2 Hz
modulation

3 Vrmsd = 1.2 P

Radiated RF
emissions
IEC 61000-4-3

3V/m80 MHz to
2.5 GHz3 V/md = 1.2 P

d = 2.3 P
where P is the maximum output power rating of the transmitter in watts(W) according to the transmitter manufacturer and d is the recommended
separation distance in meters(m).Field Strengths from fixed RF
transmitters, as determined by a electromagnetic site survey1, should beless than the compliance level in each frequency range2. Interference may
occur in the vicinity of equipment marked with the following symbol:

NOTE
At 80 MHz and 800 MHz, the higher frequency range applies.
These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflected fromstructures, objects and people.
1

Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios, amateur radio, AM and FM
radio broadcast and TV broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters,
an electromagnetic site survey should be considered. If the measured field strength in the location in which the Mac-Lab / CardioLab System is used
exceeds the applicable RF compliance level above the Mac-Lab / CardioLab System should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as re-orienting or relocating the Mac-Lab / CardioLab System.

2

Over the frequency range 150 kHz to 80 MHz. Field strengths should be less than 3 V/m

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Introduction

Recommended Separation Distances Between
Portable and Mobile RF Communications Equipment and the Mac-Lab/CardioLab system
The Mac-Lab/CardioLab system is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled.
The customer or the user of the Mac-Lab/CardioLab system can help prevent electromagnetic interference by maintaining a minimum
distance between portable and mobile RF communications equipment (transmitters) and the Mac-Lab/CardioLab system asrecommended below, according to the maximum output power of the communications equipment.
Rated Maximum Output
Power of Transmitter
W

Separation Distance According to Frequency of Transmitterm
150 kHz to 80 MHz

80 MHz to 800 MHz

800 MHz to 2.5 GHz

d = 1.2 P

d = 1.2 P

d = 2.3 P

0.01

0.12

0.12

0.23

0.1

0.38

0.38

0.73

1

1.2

1.2

2.3

10

3.8

3.8

7.3

100

12

12

23

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

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Equipment Overview

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual2-1

Equipment Overview

Typical System Configuration
NOTE
For configuration, component and connection information for HP
xw8200 and HP xw8000 computers, refer to the Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual v6.5 (PN 2021423-022).
This system may consist of either Mac-Lab (hemodynamic), CardioLab(electrophysiologic), or ComboLab (both systems).
The system may be standalone or connected to a network. Network
installations include a Centricity Cardiology INW server. In this manual,
INW refers to Centricity Cardiology INW. It may be connected to an
optional CVIS server.
The system may also include a CardioLab II Plus Amplifier, also referred
to as CLab II Plus.
The following block diagram shows a typical setup.
Dashed lines indicate CardioLab/ComboLab only

Real-Time
MonitorRemoteReal-Time
Monitor

Image
Monitor

Review
MonitorStimulator

Remote
Review
MonitorMonitorBoom

3" Ceiling Conduit
UPS

Speakers
Mouse

HP
CPU

Catheter
TRAM
RAC4A

IEB
Printer

Keyboard
CIM

Workstation

Personality
ModuleBed
AmplifierRF
Generator

3" Floor Conduit

3" Floor Conduit
Procedure RoomControl Room

INW
ServerIT Control Room

2-2

Network
SwitchCVIS

To Hospital Network

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Equipment Overview

Control Room Components
Acquisition Computer

USB MouseKeyboard

Barcode scanner

Integrated Electronics Box (IEB): The IEB provides power tolocal system components, signal pass through video andcommunications.



Uninterruptible Power Supply (UPS): The UPS provides
emergency power to the HP computer.



Monitors: Two monitors (Real-Time and Review) are standard. A
third Image monitor is optional.

Local speakers: Provide output for ECG QRS tone and optional
audible indicators.



Laser Printer: Prints images or reports.

Cardiac Stimulator: Provides direct cardiac stimulation to assist
the physician during an EP case.

Procedure Room Components

2021423-503H



Monitors: One remote monitor is standard (and is software
switchable between Real-Time and Review windows). A second
monitor is optional.

Remote speakers: Provide output for ECG QRS tone and optional
audible indicators in the procedure room.



TRAMNet: The TRAMNet gathers patient data for the Mac-Lab
system. The TRAMNet consists of a Remote Acquisition Case (RAC4A) and a Transport Remote Acquisition Module (TRAM).



CardioLab II Plus Amplifier: The Amplifier gathers data for both
the ComboLab and CardioLab systems.



CARTO™ System (Patient Interface Unit): Provides 3D
electroanatomical cardiac maps to the CardioLab.



Analog Output Box: Distributes Heart rate and blood pressure
signals from the TRAMNet and Amplifier to other equipment.



Review Workstation: Client installed in physician office or outside
lab. Provides post-procedure analysis capabilities such as generating
reports.



Nurses Workstation: Client used during the study. Provides theoperator with the ability to participate in an active study andperform actions such as document administered medications andsupplies consumed.

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual2-3Equipment Overview

IT Control Room Equipment
Network SwitchCentricity Cardiology INW Server



CVIS Server

Network Connections

DMS Express Server(Interface Server)
Hospital
Enterprise

INW Server

OR

Mac-Lab

2-4

CardioLab

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

ReviewWorkstation

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Equipment Overview

System Hardware
WARNINGSHOCK HAZARD — Use appropriate Lock Out/Tag Out
procedures before performing any service on potentiallyenergized equipment.

Acquisition Workstation System Components
HP Computer
The HP computer is used for either Acquisition systems or Review
workstations and has the following components:Primary Hard Drive with two partitions:

C: Application partition



D: Data partition

Optional Magneto-Optical drive (Drive E:).
NOTE
The optional Magneto-Optical drive is only available on HP
xw8400 computers.



DVD-RAM drive (Drive F:).
NOTE
The drive used to store application studies is determined by thefile paths set in under System Settings in the main application
menu.



Secondary Hard Drive (Drive G:).



Four standard expansion cards (plus optional cards):
HP xw8400: Matrox Parhelia video board provides video out for
the Real-Time (Video 1) and Review (Video 2) monitors.

HP z600: Matrox M9140 video board provides video out for the
Real-Time (Video 1), Review (Video 2), and optional (Video 3)
monitors.



TRAMNet to Ethernet Adapter board for communication with
the TRAM in the RAC 4A.



PCI Communication board to provides Amplifier
Communication, Analog and Digital I/O, and Switched video(video out from the IEB).

Dual NIC Adapter board provides Network connection.



Optional on HP xw8400: Adaptec Ultra320 SCSI PCIe board forsupporting MO drive.

2021423-503H

Optional on HP xw8400: Matrox Odyssey XA board used tocapture images from an X-Ray or other imaging system.

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

2-5Equipment Overview



Optional on HP xw8400: ATI FIREGL V5200 256MB PCI-E or
ATI FIREGL V3350 256MB PCI-E Video board. Provides video
out for optional (video 3) monitor.



Optional on HP z600: Matrox Odyssey EA board used to capture
images from an X-Ray or other imaging system.

External Components and Connections for the HP z600

2

4

1
5
2

3

2-6

Label

Part Number

Description

12028599-002

DVD-RAM Drive

2

N/A

Power Switch

3

N/A

LEDs, USB, Firewire, and Audio connections

4

N/A

Backplane I/O panel

5

N/A

Board Slots

6

N/A

AC Power

Not Shown2026539-001

Not Shown

Various

HP USB 2-Button Optical Mouse with Wheel
Keyboard (dependent on language)

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Equipment Overview

External Components and Connections for the HP xw8400

2021423-503H

LabelPart Number

Description

12028599-002

2

N/A

Power Switch, LEDs, USB, Firewire, and Audio
connections

3

N/A

AC Power

4

N/A

Backplane I/O panel

5

N/A

Board Slots

Not Shown2003340-001

Magneto-Optical Drive (optional)

Not Shown2026539-001

HP USB 2-Button Optical Mouse with Wheel

Not Shown

Various

DVD-RAM Drive

Keyboard (dependent on language)

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual2-7Equipment Overview

Disassembly
WARNINGGROUNDING HAZARD — Electrostatic discharge(ESD) can damage electronic components. Be sure you areproperly grounded before opening any equipment.

Remove Case Side Panel
1.

Lift the tab near the top.

2.

Swing the side panel out.

Remove Front Panel - HP
xw8400 only

2-8

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

1.

Lift tabs indicated.

2.

Swing the front panel out.

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Equipment Overview

Remove Hard Drive - HP
xw8400 only1.

Press tabs as indicated.

2.

Slide drive out.

Remove Hard Drive - HP z600
only

1

1.

Press tab to release handle.

2.

Pull drive out.

2

Remove the AGP/PCI Card
Support Assembly - HP
xw8400 only:

2

1.

Squeeze in the tabs, whereindicated. Gently push in,then pull out.

2.

Lift off the clamp.

2

12021423-503H

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual2-9Equipment Overview

Remove PCI Boards
1.

Open the PCI retainer bypressing down on the green
tabs and moving the retainer
away.

2.

Matrox M9140 only:
Carefully hold the board
release tab toward the top of
the case.

3.

Gently pull the board out of
the computer case.

1

Remove DVD-RAM Drive
1.

Remove screw, if present.

2.

Lift tab indicated.

3.

Slide drive out.

Remove Power Supply - HP
z600 only

1

2-10

1.

Pull green handle to releasepower supply.

2.

Slide power supply out.

2

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Equipment Overview

DVD-RAM Drive
The DVD-RAM drive can also read/write to CDs. The recommended disks
have a capacity of approximately 4.7 GB per side.
NOTE
The drive used to store application studies is determined by the filepaths set in under System Settings in the main application menu.

1

2



1: DVD-RAM Drive Jumpers



2: IDE Connector

3: Power Connector

3

SATA-to-IDE Converter - HP z600 Only
The DVD-RAM drive is connected using a SATA-to-IDE converter.

2
1
Label
1

SATA Connection

24-pin Power Connection

Not Shown2021423-503H

Description

IDE Connection (on back of device)

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual2-11

Equipment Overview

Optical Drive
The optical drive is an optional upgrade to HP Computers.
NOTE
The optional Magneto-Optical drive is not available on HP z600
computers.
NOTE
Drive use is determined by the file paths set in under System
Settings in the main application menu.



1: Optical Drive Jumpers



2: SCSI Adapter (PN 2012522-002)
NOTE
Two sets of DIP switches are located on the top optical drive.
These are factory preset and must not be changed.

2-12

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Equipment Overview

HP z600 Installed Boards
HP z600 Custom Dual NIC Adapter Board

1
2
3
4
5
6



Part Number: 2047766-001

Location: Slot 1Function: Network connection card, ablation connection card.



I/O: Two network connection jacks, one serial port (for connection toablation devices)
Uses internal serial connection from motherboard:

2021423-503H

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Equipment Overview
HP z600 Matrox Quad Board M9140 LP Video Board

1
2
3
4
5
6

2-14



Part Number: 2049434-001



Location: Slot 2

Function: Video out for Monitor 1, Monitor 2 and Monitor 3 (optional)

I/O: One proprietary connector. Provides four DVI/VGA output ports
through a custom connector.

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Equipment Overview
HP z600 Matrox Odyssey eA Board (Optional)

1
2
3
4
5
6

2021423-503H

Part Number: 2049435-001

Location: Slot 3Function: Image capture for X-Ray or other imaging systems

I/O: Two DVI connectors

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

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Equipment Overview
HP z600 TRAMNet to Ethernet Adapter board

1
2
3
4
5
6

2-16



Part Number: 2009937-003

Location: Slot 5Function: Provides communication with the TRAM in the RAC 4A,
and converts signals from the TRAM to the ethernet.

I/O: Network Interface Port and 9-Pin D connector

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Equipment Overview
HP z600 PCI Communication Board

1
2
3
4
5
6



Part Number: 2014935-002

Location: Slot 6Functions:

2021423-503H

Communicates with the CardioLab II Plus Amplifier via the fiber
optic connectors



Analog and Digital communication with the IEB via the DConnectorProvides the video switching signal for the Switched Video
output on the IEB via the D-Connector

I/O: D-Connector to IEB, Fiber Optic Jacks to the Amplifier

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

2-17Equipment Overview

HP xw8400 Installed Boards
HP xw8400 PCI Communication Board

Part Number: 2014935-002

Location: Slot 1Functions:



2-18



Communicates with the CardioLab II Plus Amplifier via the fiber
optic connectors



Analog and Digital communication with the IEB via the DConnectorProvides the video switching signal for the Switched Video
output on the IEB via the D-Connector

I/O: D-Connector to IEB, Fiber Optic Jacks to the Amplifier

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

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Equipment Overview
HP xw8400 ATI FIREGL V5200 256MB PCI-E Video Board (Optional)

2021423-503H

Part Number: 2026189-002

Location: Slot 2

Function: Video out for optional (video 3) monitor



I/O: Two DVI connectors (only the left one is used)

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

2-19Equipment Overview
HP xw8400 Dual NIC Adapter Board

2-20



Part Number: 2017795-002

Location: Slot 3Function: Network connection card

I/O: Two network connection jacks

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Equipment Overview
HP xw8400 PCIX 2 SCSI Card
NOTE
This board is optional with the MO upgrade kit (available only for2034493-002 – 2034493-004 Acquisition configurations).

2021423-503H

Part Number: 2038632-001



Location: Slot 4Function: Provides SCSI cable connection internally to an optional
MO Drive.



I/O: Two SCSI connectors (only internal SCSI is used)

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual2-21

Equipment Overview
HP xw8400 Matrox Parhelia PCI 256 MB Video Card

2-22



Part Number: 2026188-001

Location: Slot 5 (PCI slot)

Function: Provides video out for the Real-Time (Video 1) and Review(Video 2) monitors. This board supports resolutions of 1280x1024 for
Mac-Lab, 1600x1200 for CardioLab.



I/O: Two DVI connectors



Included adaptors: DVI to HD15 Video Adapter (2021697-001).

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

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Equipment Overview
HP xw8400 Matrox Odyssey XA Board (Optional)

2021423-503H

Part Number: 2030688-001

Location: Slot 6Function: Image capture for X-Ray or other imaging systems

I/O: Two DVI connectors

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual2-23

Equipment Overview
HP xw8400 TRAMNet to Ethernet Adapter board

2-24



Part Number: 2009937-002

Location: Slot 7Function: Provides communication with the TRAM in the RAC 4A,
and converts signals from the TRAM to the ethernet.

I/O: Network Interface Port and 9-Pin D connector

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Equipment Overview

Integrated Electronics Box (IEB)The IEB provides power to local system components and signal passthrough video and communications. Three versions of the IEB areavailable to handle different line voltages: 100, 120, and 240 VAC.
The IEB consists of the following components:Video Multiplexer (VID MUX) board to distribute video signals fromthe video cards in the HP computer to the monitors.

I/O board to provide signal pass through for other systemcomponents.



Isolation transformer:Conforms to IEC 60601-1



2.0 kVA medical grade high-isolation transformation

Provides either 120 VAC (for 100 and 120 VAC systems) or 240
VAC. The primary and secondary windings are wired in parallelfor 120 VAC and in series for 240 VAC.
CAUTION
CONNECTIONS — If the transformer must be
disconnected for any reason, ensure the connections arecorrect.



UPS (either 100, 120, or 240 VAC) and Power Distribution panel
provide conditioned power to local system components.
NOTE
The UPS is external to the IEB and provides uninterrupted
power to the HP computer. The monitors and other peripherials
will not remain on if power is lost.
Depending on which IEB is installed, a modem and modem
power supply for dial-up communication may be present. The
power supply accepts any line voltage and converts it into 9 VDC.

2021423-503H

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2-25

Equipment Overview

External Components and Connections

Label

Part Number

Description

1

2003681-003

VID MUX board

2

2003680-001

I/O Board

3

N/A

Power Connections. The bottom right connector is for the HP
computer and the four vertical connectors on the right and left
are for peripheral equipment.

4

N/A

Thermal Overcurrent Circuit Breaker. This breaker protects all
internal components and external devices connected to the
IEB.

5

N/A

Main Power Switch. This switch controls power to all internal
components and external devices except the HP computer.

Both the Main Power switch on the front of the IEB and the Thermal
Overload circuit breaker on the back must be on for the system to power
up.

2-26

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Equipment Overview

Video Multiplexer (VID/MUX) Board

Label

Description

1

Switched video out (Video 1 or 2). This is used when the facility has only
one remote monitor. To switch monitors:
Mac-Lab: Go to the main menu and select Windows > Physician Video

CardioLab: Use the dropdown box just under the main menu.

2

Video 1 (Real-time) out to local monitor (bottom) and remote monitor (top)3Video 2 (Review) out to local monitor (bottom) and remote (top)4Video 3 (CardioImage) out to local monitor (bottom) and remote (top)5(L to R) Video 1, Video 2, Video 3 in from HP Computer Matrox AGP Videoboard (Vid 1 and Vid 2) and the Matrox PCI Video board (Vid 3)

The VID/MUX board amplifies (±5V 1.25A from the internal IEB DC
power supply. See “Internal Components and Connections” on page 2-31)
and distributes the video signals from the HP Computer (See“HP xw8400
Video Connections” on page 2-57 or “HP z600 Video Connections” onpage 2-56).

2021423-503H

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Equipment Overview

I/O Board

Label

Description

1

Analog I/0 Communications. Connects to the HP Computer PCI
Comms board.

2

Analog in from another system (Fluoro, and so on).

3

Connection to the Analog Output Box.

4

Analog out (Stimulator, and so on).

5

I/O TRAM (includes 16.5VDC power).

6

Output to HP Computer TRAMNet to Ethernet to Adapter board.

Refer to the following cabling diagrams:

2-28



“Communications Connections” on page 2-58.

“TRAM/Amplifier Connections” on page 2-59.

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Equipment Overview

Power Connections

Label

Description

1 and 5AC out to local equipment (6A @ 120 VAC max.; 3A @ 240 VAC max.)

2

Thermal Overcurrent circuit breaker. Protects all internal components
and external devices connected to the IEB.

3

AC main power in (15A @ 120 VAC max; 7A, @ 240 VAC max.)

4

AC power out to UPS (2A @ 120 VAC max; 1A, @ 240 VAC max.)

Refer to the cabling diagram, “Power Connections” on page 2-55.

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Equipment Overview

Disassembly
Open Case1.

Remove 7 side-panel screws.

2.

Lift the side panel out.

Remove Connection Boards
1.

Open the case.

2.

Remove the board screws.

3.

Disconnect interior cables.

WARNINGGROUNDING HAZARD — Electrostatic discharge(ESD) can damage electronic components. Be sure you areproperly grounded before opening any equipment.

2-30

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Equipment Overview

Internal Components and Connections

Label

Part Number

1

2003681-003

VID/MUX Board Assembly

2003680-001

I/O DB Connect Board Assembly

2013535-001

Power Supply: Provides ±5 VDC 1.25A for the Vid/
MUX board and +16.5 VDC for the RAC-4A.

22021423-503H

Description

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Equipment Overview

Uninterruptible Power Supply (UPS)The UPS is designed to maintain power to the computer during a power
outage.
NOTE
The UPS is external to the IEB and provides uninterrupted power tothe HP computer. The monitors and other peripherials will not
remain on if power is lost.

Part Number

2-32

Description

2034077-001

UPS Powercom, 120V, 50/60 Hz, 1500 VA, BNT

2034078-001

UPS Powercom, 230V, 50/60 Hz, 1500 VA, BNT

2034079-001

UPS Powercom, 100V, 50/60 Hz, 1500 VA, BNT

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Equipment Overview

GE Client Workstation
There are several configuration options for use of the Review
workstations in a networked system environment.


Nursing Workstation software allows the user to join a Mac-Lab or
CardioLab case in progress to chart and to document within the caselog.

Remote Review Workstation software allows the user to review a
Mac-Lab or CardioLab case in full disclosure in order to compose orcomplete reports or coronary diagrams or to review patient
waveforms and measurements.



Pre/Post Procedure Workstation software allows the user to startor continue a Mac-Lab or CardioLab case in order to chart and to
document within the case log.
NOTE
Automatic vitals logging is also available with the optional
DASH and Solar monitor interface.
NOTE
When used in a patient care area, the hardware must meet
IEC60601-1. This can be achieved through the use of a medical
grade computer, separate isolation transformer or other means
as determined by appropriate hospital personal.

The GE Client Review computer has the following components:Primary Hard Drive with two partitions:

C: Application partition



D: Data partition

DVD-RAM drive (Drive E:).
NOTE
The drive used to store application studies is determined by thefile paths set in under System Settings in the main application
menu.



2021423-503H

Secondary Hard Drive (Drive G:).

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Equipment Overview

External Components and Connections for the GE Client Workstation

4

1

2

5

3

2-34

Label

Part Number

Description

1

N/A

Power and Reset Switches

2

N/A

DVD Drive

3

N/A

USB and Audio connections (behind cover)4

N/A

AC Power

5

Various

Keyboard (dependent on language)

6

N/A

Com Port for DASH/Solar connection

7

N/A

Video Input

8

N/A

USB 2-Button Optical Mouse with Wheel

9

N/A

RJ-45 Port to Network

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Equipment Overview

Disassembly
WARNINGGROUNDING HAZARD — Electrostatic discharge(ESD) can damage electronic components. Be sure you areproperly grounded before opening any equipment.

Remove Case Side Panel

1

1.

Loosen thumbscrews.

2.

Pull side panel off.

1

Remove Hard Drive
1.

Remove screws for hard
drive.

2.

Slide drive out anddisconnect cables.

11Remove DVD Drive
1.

Disconnect cables fromDVD drive.

2.

Remove DVD drive cagescrews.

3.

Remove DVD drive cagefrom case.

4.

Remove screws for DVD
drive.

5.

Remove DVD drive from
cage.

2

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Equipment Overview

Mobile Workstand
Refer to the instructions included with the mobile workstand for details
on how to place the GE hardware on an assembled GE mobile workstand(PN 2008203-001).

6
1

3

2

2

4
5

2-36

Label

Part Number

Description

1

N/A

DASH Monitor

2

N/A

Mouse or Barcode Scanner location

3

N/A

Keyboard location

4

2017588-001, 2021331-001, 2026192-001,
2037934-001 or 2048966-001

52004195-001

Isolation Transformer 120/220V 50/60HZ 600VA

62079070-002

LCD Monitor

Review Workstation Computer

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Equipment Overview

Monitors
The standard workstation comes with two monitors and may have athird optional monitor. The monitors include:

A Real-Time monitor to display current patient information. It is
usually located on the left.



A Review monitor to display past patient information.



An optional Image monitor (used with the CardioImage option)
displays live or frozen video images.

A single remote monitor is standard and receives input from theswitched video out (Video 1 or 2) jack on the IEB (see “External
Components and Connections” on page 2-26).
To switch video for the Mac-Lab go to the main menu and selectWindows > Physician Video.
To switch video for the CardioLab use the drop-down box just underthe main menu.

TRAMNetLabel

Description

1

TRAM Module

2

To Analog Out Box

3

To IEB TRAM Connector

The TRAMNet consists of a Remote Acquisition Case (RAC-4A) and one
or more TRAM modules. The TRAMNet is located in the procedure roomnear the procedure table.

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Equipment Overview
The TRAM module receives patient inputs and then transmits signal
data to the IEB and other equipment through the Analog Output Box(refer to the cabling diagrams in “TRAM/Amplifier Connections” onpage 2-59.
TRAM Module Inputs:

2-38



Electrocardiogram (ECG) - green connector (5 or 10 leads)



Thermal Dilution Cardiac Output (TDCO) - brown connectorInvasive Blood Pressure (IBP) - 3 red connectors



Non-Invasive Blood Pressure (NIBP) - black connector

Pulse Oximetry (SpO2) - blue connector

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Equipment Overview
Outputs: Analog output connector.
The following TRAM modules are supported by the Mac-Lab system:


200SL



400/450SL (Ohmeda, Nellcor)

451/451N/451M (Ohmeda, Nellcor, Massimo)

600/650SL (Ohmeda, Nellcor)

The following software versions are supported by the Mac-Lab system:

7A, 7B, 7C, 7D, 7E, 7F, 7H



8A, 8B, 8C, 8D



9A, 9B

10A, 10B



11A, 11B, 11C

CardioLab II Plus Amplifier
The CardioLab II Plus Amplifier is designed to amplify various types ofcardiac signals that are acquired from a patient and transmit them backto the CardioLab system. These signals include 12 Lead ECG,
intracardiac and pressure signals.

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Equipment Overview

Front View

Front View 64/32 Channels- CardioLab II Plus Amplifier
Name

Description

Pressure Inputs

Four pressure inputs will each accept a pressure transducer that is calibrated to 5uV/V/mmHg. See the Accessory
Parts List for GE Healthcare Systems Information Technologies recommended pressure transducers.

ECG Input

The ECG input connector will accept a 10 lead ECG input cable.

Stimulator Input

The stimulator input will accept a stimulator input cable. Use the 3 ft, 15 ft or 30 ft Touchproof Stimulator Cables(part numbers, 301-00204-03, 301-00204-15, 301-00204-30, respectively) with the CardioLab II Plus Amplifier.

Catheter Inputs

Up to three catheter inputs will each accept a 32 pole catheter input module. Use the CardioLab II Plus Catheter
Input Modules (part number 301-00202-08) with the CardioLab II Plus Amplifier.

Auxiliary Inputs

The auxiliary input will accept the Auxiliary Input Cable (part number 301-00205-08).

Power Indicator

The power indicator is on as long as the CardioLab II Plus Amplifier is turned on.

Communication
Indicators

Three communication indicators show the status of the communication between the acquisition computer and theCardioLab II Plus Amplifier.

2-40



When the XMT indicator is on, the CardioLab II Plus Amplifier is transmitting data to the acquisition computer.
The XMT indicator should remain on as long as the power indicator is on.

When the RCV CMD indicator is on, the CardioLab II Plus Amplifier is receiving data from the acquisition
computer. The RCV CMD indicator will turn on as long as an instruction is being received by the amplifier.

When the RCV ERR indictor is on, the CardioLab II Plus Amplifier may not be receiving data from theacquisition computer in a valid format or there may be a problem with the fiber optic cable.

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Equipment Overview

Front View 128/96 Channels- CardioLab II Plus Amplifier
Name

Description

Pressure Inputs

Four pressure inputs will each accept a pressure transducer that is calibrated to 5uV/V/mmHg. See the Accessory
Parts List for GE Healthcare Systems Information Technologies recommended pressure transducers.

ECG Input

The ECG input connector will accept a 10 lead ECG input cable.

Stimulator Input

The stimulator input will accept a stimulator input cable. Use the 3 ft, 15 ft or 30 ft Touchproof Stimulator Cables(part numbers, 301-00204-03, 301-00204-15, 301-00204-30, respectively) with the CardioLab II Plus Amplifier.

Catheter Inputs

Up to seven catheter inputs will each accept a 32 pole catheter input module. Use the CardioLab II Plus Catheter
Input Modules (part number 301-00202-08) with the CardioLab II Plus Amplifier.

Auxiliary Inputs

The auxiliary input will accept the Auxiliary Input Cable (part number 301-00205-08).

Power Indicator

The power indicator is on as long as the CardioLab II Plus Amplifier is turned on.

Communication
Indicators

Three communication indicators show the status of the communication between the acquisition computer and theCardioLab II Plus Amplifier.

2021423-503H

When the XMT indicator is on, the CardioLab II Plus Amplifier is transmitting data to the acquisition computer.
The XMT indicator should remain on as long as the power indicator is on.

When the RCV CMD indicator is on, the CardioLab II Plus Amplifier is receiving data from the acquisition
computer. The RCV CMD indicator will turn on as long as an instruction is being received by the amplifier.

When the RCV ERR indictor is on, the CardioLab II Plus Amplifier may not be receiving data from theacquisition computer in a valid format or there may be a problem with the fiber optic cable.

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Equipment Overview

Back View

Back View - CardioLab II Plus Amplifier
Name

Description

FDDI Connection
to ComputerThis connector will accept a FDDI type fiber optic cable. The fiber optic cable allows for two-way communication
between the amplifier and the CardioLab system.

Power Input

The GE-supplied power cord connects to the Power Input.

Equipotentiality
Terminal

The Equipotentiality Terminal is connected to earth ground.

2-42

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Equipment Overview

CardioLab II Plus Catheter Input Module

The equivalent to the Stimulus Inputs 1-4 on the Stimulator Input Cable
are labelled on the CardioLab II Plus Amplifier as Stimulus Inputs A1,
A2, B1 and B2.
The four stimulus inputs on the Stimulator Input Cable connect to thestimulator.
Each Catheter Input Module is broken down into two groups of 16 poles
each. For example, Block A is broken into A (1-16) and A (17-32).
Each pacing channel, requires one positive and one negative pole. In
order to maximize the number of pacing channels, only one positive andone negative designation should be made for each group.
For detailed instructions on how to designate pacing channels and enablepacing for particular sites, refer to the on-line help in the software
application.

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Equipment Overview

Accessory Parts List
GE Healthcare Systems Information Technologies recommends thefollowing accessory parts be used with the CardioLab II Plus Amplifier:Accessory Parts List
Accessory Name

Part Number

Abbott Transpac IV Disposable Transducer
with 4 ft extension Cable*

Abbott #42582-08

Abbott Transpac Reusable Cable*

Abbott #42661-04-42

3M Disposable Electrode for ECG
Monitoring*

3M Red Dot #2256* This accessory is not stocked by GE Healthcare Systems Information Technologies.

2-44

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Equipment Overview

CARTO™ System (Patient Interface Unit)

Label

Description

1

CARTO XP PIU Output to Amplifier

CAUTIONEXCESSIVE SIGNAL NOISE — Using a CARTO XP
PIU earlier than version 10 with a crossover cable may
cause excessive signal noise.
If this excessive signal noise occurs, then discontinue
using the crossover cable until the PIU is replaced with alater version. (The new PIU must be purchased from
Biosense Webster).

1

2021423-503H

Label

Description

1

CARTO 3 PIU Output to Amplifier

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Equipment Overview
NOTE
For specific information related to the operation, troubleshooting, or
repair of the CARTO System, refer to the OEM documentation. For
information about the CardioLab/CARTO System interface, refer tothe CardioLab Operator manual.
The CARTO System acquires and displays electroanatomical 3D imagesof heart chambers. This information is displayed on the CARTO Systemand can be exported into the CardioLab application.
Two connections are required: one from the CARTO System PatientInterface Unit to the CardioLab II Plus Amplifier and another from the
CARTO System computer to the HP computer. Refer to the cabling
diagram in “CARTO™XP System Connections” on page 2-65 or“CARTO™ 3 System Connections” on page 2-66 for specific information.
To quickly view the status of the interface, check the CARTO System
icon at the bottom-right of the Real-Time window (a heart against agrid). The color changes, depending on the system state:

2-46



Gray: Disconnected

Blue: StandbyGreen: Passive InterfaceYellow: Active Interface

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Equipment Overview

Analog Output Box

Label



Description

1

Input from TRAMNet

2

Input from Amplifier through the IEB

The analog output box distributes heart rate and blood pressure
signals to multiple outputs (refer to the connection diagram in“TRAM/Amplifier Connections” on page 2-59. This may be done tosynch auxiliary equipment or display the information on a scope orother device.

Patient information comes from either the TRAMNet or the Amplifier(through the IEB) and is output through the output jacks on the top of
the box:2021423-503H



Channels 2-4 and 13-16 are switchable between the TRAMNet (MacLab) and CardioLab II Plus Amplifier (CardioLab).

The remaining channels are used exclusively by CardioLab.



Channels 1-12 may be distributed to up to 4 other devices using theselector switch.

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Equipment Overview

Network ComponentsCentricity Cardiology INW Server provides


Network repository for patient studies



Acquisition system and Review workstation access to patientstudies

CVIS Server provides
Central list management for staff, supplies, and so on.

Patient scheduling

Patient informationInventory Management



Statistical Reports

Servers
Centricity Cardiology INW G6 Server
The G6 server has the following specifications:Intel Xeon E5504, Quad-Core, 2.00 GHz, 4MB L3 Cache, 80W

Two tiers:

Low: Three 146GB DrivesHigh: Six 300GB Drives

Separate C: and D: drives (see the following chart):The C: drive is RAID 1

The D: drive is RAID 5
Disk 1
146GB

Disk 2
146GB

Disk 3300GB

Disk 4300GB

Disk 5300GB

Disk 6300GB

Disk 7300GB

Disk 8300GB

ParityParityParityMirrorR A I D 1 +0
(C–Drive)

ParityParityParity2-48

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Equipment Overview

1

3

2

4
Label

PictureDescription

1

CD/DVD Drive

2

Tape Drive

3

Power Switch, USB Connectors, External Monitor Connection

4

Hard Drives

Name

HP Network Interface Card

HP Tape Drive Controller

DescriptionPart Number: 2050659-001

Function: Network Interface Card

Location: Slot 4, 5

Part Number: 2050328-001

Function: Tape Drive Controller Card

Location: Slot 4, 5

Centricity Cardiology INW G5 Server
The G5 server has the following specifications:Intel Dual-Core Xeon 5120/1.86 GHz (1066 MHz) with 4MB Level 2cache (2MB per core)Three tiers:

2021423-503H



Low: Three 72 GB drivesMid: Three 146 GB drivesHigh: Eight 146 GB drives

Separate C: and D: drives (see the following chart):

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual2-49Equipment Overview



The C: drive is RAID 1 mirroredThe D: drive is RAID 5 mirrored

1

2

3
4

Label

PictureDescription

1

Hard Drives

2

CD/DVD Drive3

Floppy Disk Drive

4

Tape Drive

Name

HP SMART ARRAY P/400

2-50

DescriptionPart Number: 2036800-038

Function: Hard drive RAID controller

Location: Slot 4, 5

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Equipment Overview

Centricity Cardiology INW G4 Server
The G4 server has the following specifications:
3.2 GHz Xeon processor with 1 GB RAM


Three tiers:

Low: Three 72 GB drivesMid: Three 146 GB drivesHigh: Four 300 GB drives

Separate C: and D: drives (see the following chart):The C: drive is RAID 1 mirroredThe D: drive is RAID 5 mirrored

2

3
4

1

Label

2021423-503H

Description

1

Hard Drives

2

AIT Drive

3

CD/DVD Drive4

Floppy Drive (behind cover)

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Equipment Overview

PictureName

DescriptionPart Number: 2026881-001



Function: Provides reliable network connection
NOTE

HP PCI GIGABIT NIC

HP SMART ARRAY 641

HP BBWC ENABLE - MEM 128 MB DDR

2-52

On G4 servers, connect the ethernet cable to the
NIC card. Do not use the motherboard network port.


Location: Slot 5Part Number: 2016993-001



Function: Hard drive RAID controller

Location: Slot 2

Part Number: 2026817-001

Function: Improves server performance and decreases
data loss potential if power is lost

Location: Connected to the SMART ARRAY card in Slot 2

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Equipment Overview

Cabling and Connections
WARNINGSHOCK HAZARD — Use appropriate Lock Out/Tag Out
procedures before performing any service on potentiallyenergized equipment.

HP z600 Computer I/O Backplane Connections

1
2

3

6
4
5

z600 Computer

I/O Backplane
LabelPart Number

1

N/A

2

2020280-001(Note: This number isfor the cable only)3

HP 237241-001

4

N/A

RJ-45 Port to Network

5

N/A

To Speakers

62025965-002

2021423-503H

Description
PS2 Connection for Keyboard
PS2 connection for Barcode Scanner Y-Cable (other side connects to Keyboard)

USB Port for Mouse (Must use this port)

USB Port for Printer (cable to use depends on the printer)

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Equipment Overview

HP xw8400 Computer I/O Backplane Connections

Label

Part Number

1

N/A

2

2020280-001(Note: This number isfor the cable only)

36119-101
2031697-001

HP xw8400 only: To Local Printer (cable to use depends on the printer).

4

HP 237241-001

USB Port for Mouse (Must use this port)

5

N/A

To Speakers

6

N/A

HP xw8400 only: To Ablation Interface

7

N/A

RJ-45 Port to Network

82025965-002

2-54

Description
PS2 Connection for Keyboard
PS2 connection for Barcode Scanner Y-Cable (other side connects to Keyboard)

USB Port for Printer (cable to use depends on the printer)

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Equipment Overview

Power Connections
NOTE
The following diagram shows the backplane of the HP xw8400
computer. The HP z600 uses the same connection diagram, with the
exception that the workstation computer connection is located at thebottom of the HP z600 backplane.

LabelPart Number

1

700775-001
700774-001

120 VAC main power in
250 VAC main power in

8 ft

2

405535-013

AC power to HP CPU (100V)

8 ft

80274-006

AC power to HP CPU (120V)

2003927-001

AC power to HP CPU (230V)

3

2003927-001
403689-010

AC to Local Equipment--Monitors, Printers, and so on
AC to Remote Monitors

8 ft
100 ft4

2003927-001

AC power to UPS

8 ft

2021423-503H

Description

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

Length2-55

Equipment Overview

HP z600 Video Connections
8
7
4

6
5
3

1

2

9a

9b

IEB

z600
Computer

LabelPart Number

1

2003928-001

Real-Time display (Video 1) in to IEB

5 ft

2

2003928-001

Review display (Video 2) in to IEB

5 ft

3

2003928-001

Cardio Image display (Video 3) in to IEB

5 ft

4

2003928-001
or2081540-001

Out to Local Cardio Image Monitor (Video 3)

5 ft
or
6 ft

5

2003928-001
or2081540-001

Out to Local Review Monitor (Video 2)

5 ft
or
6 ft

6

2003928-001
or2081540-001

Out to Local Real-Time monitor (Video 1)

5 ft
or
6 ft

7

2003442-001

Out to remote monitor (switched Video 1 or Video 2)

100 ft8

2003442-001

Out to optional remote monitors (Video 1, 2, or 3)

100 ft9a

2018060-001

Image capture. DVI to 5-BNC female connector cable plugs into either DVI plug. Only
one BNC connection is used to connect to the image input from another system (9b)9b2003411-001

BNC Cable to optional imaging system

2-56

Description

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

Length50 ft

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Equipment Overview

HP xw8400 Video Connections
8

HP8400Computer

7
4

6
5
3

1

2

9a

IEB
9b

Label

Part Number

1

2003928-001

Real-Time display (Video 1) in to IEB

5 ft

2

2003928-001

Review display (Video 2) in to IEB

5 ft

3

2003928-001

Cardio Image display (Video 3) in to IEB

5 ft

4

2003928-001
or2081540-001

Out to Local Cardio Image Monitor (Video 3)

5 ft
or
6 ft

5

2003928-001
or2081540-001

Out to Local Review Monitor (Video 2)

5 ft
or
6 ft

6

2003928-001
or2081540-001

Out to Local Real-Time monitor (Video 1)

5 ft
or
6 ft

7

2003442-001

Out to remote monitor (switched Video 1 or Video 2)

100 ft8

2003442-001

Out to optional remote monitors (Video 1, 2, or 3)

100 ft9a

2018060-001

Image capture. DVI to 5-BNC female connector cable plugs into either DVI plug. Only
one BNC connection is used to connect to the image input from another system (9b)9b2003411-001

BNC Cable to optional imaging system

2021423-503H

Description

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

Length

50 ft

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Equipment Overview

Communications Connections

HP8400Computer

4
2
3
1
5

IEB

Label

Part Number

1

N/A

2

2018835-001

2-58

Description
Network connection

LengthN/A2003408-002
2042981-001
2035570-001
2042214-001

RF Ablation Device Interface. Location shown is for the HP xw8400. HP z600 Ablation
Interface will be located on the PCI NIC card.
50 ft Serial Cable
Optical Isolator
Serial Cable for CryoCath Interface
Serial Cable for RF Ablation Interface

3

2003587-001

PCI Communications (DB-44)

2.5 ft4

2003410-001

BNC coax. analog in (from Fluoro, and so on)

30 ft

5

2003410-001

Analog out (typically to Stimulator)

30 ft

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

50 ft
2m
6 ft

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Equipment Overview

TRAM/Amplifier Connections

5
Analog
Data

AnalogOutput Box

HP8400Computer4

3b3aPatient
Data

TRAM-RAC
2

Patient
Data

6

1

Amplifier

IEB

Label

Part Number

Description

Length1*

2011129-001

TRAMNet to ethernet cable

1 ft

2*

2016133-001

HP Computer/IEB TRAMNet cable

9 ft

3a

417335-xxx

Adapter cable to TRAM. Part number varies by length ordered (-001 to -007).

Varies3b*

2016134-001

15-pin to 9-pin adapter cable

1 ft

4

417335-002

TRAM-RAC to Analog Output Box cable

51 ft

4

417335-003

TRAM-RAC to Analog Output Box cable

70 ft

5

2007579-001

IEB to Analog Output Box cable

15 ft

6

2003434-001

Amplifier to HP fiber optic cable

75 ft* These cables are contained in TRAMNet Cabling Kit (PN 2018683-001)

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2-59Equipment Overview

Amplifier/Stimulator Connections
Typical Setup (with MicroPace)

6

7

Personality
ModuleMicroPace
CPU

HP
ComputerRF
Generator

9

IEB
1

5

MicroPace
Stimulator

3
Catheter
Input
Module8

CatheterConnection
Box

4

2

Amplifier
External
ECG

2-60

Auxiliary
Reference

LabelPart Number

Description

1

2003411-001 A

BNC Cable (30 ft). Connects back of MicroPace (ECG 1 Input) to back of IEB (Analog Out 1).

2

N/A

Large Cable with D-Connectors. Connects back of MicroPace (Auxiliary Port) to side of Catheter
Connection Box.

3

N/A

Small Cable. Connects front of MicroPace (Green Connection Port or in emergencies Red ConnectionPort) to side of Catheter Connection Box.

4

301-00204-03

Red or Black leads connect to front of Catheter Connection Box to Amplifier Stimulator Input.

52003434-001

Fiber Optic Cable (75 ft)

62003857-001

DB44 Connect Cable

7

2003408-002

50 ft Serial Cable8

301-00202-08

Catheter Input Module

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Equipment Overview

Typical Setup (with Bloom)

1

6

7

Personality
ModuleHP
ComputerRF
Generator

IEB

5
Bloom
Catheter
Input
Module8

CatheterConnection
Box

4

3

Amplifier
External
ECG

Battery
Auxiliary
Reference

Battery

Patient
Isolation
Box

2

Label

Part Number

1

2003410-001

2

N/A

Large Cable with Square Connectors. Connects back of Bloom to back of Patient Isolation Box.

3

N/A

Small Cable. Connects front of Patient Isolation Box to side of Catheter Connection Box.

4

301-00204-03

Red or Black leads connect to front of Catheter Connection Box to Amplifier Stimulator Input.

52003434-001

Fiber Optic Cable (75 ft)

62003587-001

DB44 Connect Cable

7

2003408-002

50 ft Serial Cable8

301-00202-08

Catheter Input Module2021423-503H

Description
BNC Cable (30 ft). Connects Bloom and IEB.

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Equipment Overview

Equipment Setup

LabelPart Number

Description

C and C1

N/A

Bloom (This is a typical example.Specific equipment may vary by location). Connects to the IEB (notshown) via the External Input BNC jack on the back (C1) and the Patient Isolation Box (D) via a large
cable with square connectors. (See next section for detail.)D

N/A

Patient Isolation Box. Rear connection to Bloom (C1) via large cable with square connectors. Front
connection to Catheter Connection Box (E). Front panel provides access to internal batteries.

E

N/A

Catheter Connection Box. Side connection to the Patient Isolation Box (D) front connector. Red andBlack leads connect from the front to the Amplifier (F) Stim Input.

F

301-00088-10

2-62

Amplifier Connected to:(1) External ECG connection(2) Catheter Input Module(3) Auxiliary Reference Cable(6) Catheter Connection Box

G

301-00202-08

Catheter Input Module. Catheter leads (not shown) plug into the block end. Connector on other end
plugs into the Amplifier (4) Cardiac Input (Labeled A, B, C, and so on).

1

N/A

Bloom connection to IEB (BNC cable not shown).

2

N/A

Bloom connection to Patient Isolation Box.

3

N/A

Patient Isolation box to Catheter Input Module cable.

4

301-00204-03

Catheter Connection Box to Amplifier cable.

5301-00038-00

External ECG Connections. Colored leads connect to patient. Connector on other end connects into
the Amplifier (4) ECG Input.

6301-00205-08

Auxiliary Reference Cable. Plugs into the Amplifier (4) Auxiliary Input.

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

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Equipment Overview

Bloom (Connection Detail)Connector

2021423-503H

Description

1

External Input. BNC connection to the IEB (cable not shown).

2

J20. Connection to Patient Isolation Box (large square connector)

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Equipment Overview

Audio
IEB

HP Computer

Local
Local
Left
Right
Speaker Speaker

Remote Remote
Left
Right
Speaker Speaker to 60601-1
CertifiedPower
Supply

1

5

5

4

3

4
2
6

Label

Part Number

1

2018218-001

Description
Y-connector (Connects to green jack on HP. One side to local speakers, the other to remote
speakers.)
Location shown is for HP xw8400. HP z600 green speaker jack is located just above PCI card slots.

2

2018219-001

Audio Isolator

32078970-001

Speaker Set

42078970-001

Speaker Power Supply (included with speakers)

52003927-001

IEC (m) to IEC (f) Power Cord (8 ft)

2003625-001

NEMA to IEC Converter Cable (1 ft)
WARNINGSHOCK HAZARD — Remote speakers must be powered by a 60601-1 certified power supply.

6

2-64

2011108-002

Speaker cable (50 ft)

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Equipment Overview

CARTO™XP System Connections

Catheter
Input
ModuleAmplifier

3

2

1

ECG OUTCARTO™ XP System PatientInterface Unit

LabelPart Number

1

2018217-001

CARTO™ XP System
Computer

HP8400Computer

Description
CARTO XP System Crossover Network Cable (25 ft)
HP xw8400 Workstation is shown. For HP z600, use the right-hand NIC port as well; do not use theonboard NIC.

22015944-001

ECG Quick Connect Cable (ECG OUT connector on the PIU to the ECG connector on the Amplifier)32024507-001

CardioLab II Plus to CARTO IC/Stim Cable
NOTE
Not all CARTO XP System equipment or connections are shown.
Refer to the CARTO XP System Installation Manual for additional
information.

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Equipment Overview

CARTO™ 3 System Connections
The CARTO 3 System may be connected in one of two ways:Configuration 1 (refer to the following figure) to acquire:

HIS, RVA, and HRA signals with the Catheter Input Module.

Surface ECG via the CARTO 3 system using the ECG
connectivity cable.

1

2

3

4



2-66

Item

Description

1

Catheter Input Module2

CardioLab II Plus Amplifier

3

ECG Connectivity Cable

4

CARTO 3 PIU

Configuration 2 (refer to the following figure) to acquire:

HIS, RVA, and HRA signals, Navistar Cath (mapping), Coronary
Sinus, or other signals via the CARTO 3 system using the IECG
connectivity cable.

Surface ECG via the CARTO 3 system using the ECG
connectivity cable.

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

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Equipment Overview

1

2

3

ECG OUT

4
Item

Description

1

IECG Connectivity Cable

2

CardioLab II Plus Amplifier

3

Catheter Input Module

4

ECG Connectivity Cable

5

Stimulation Cables

6

CARTO 3 PIU Front

7

CARTO 3 PIU BackNOTE
The CardioLab II Plus Amplifier remains connected to all bodysurface leads even if the CARTO 3 PIU is turned off.

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Equipment Overview

Configuration 1
Catheter Input
ModuleAmplifier

3

CARTO™ 3 System
Patient Interface Unit

1

Configuration 2
2

Amplifier

CARTO™ System
Computer

3

HP8400Computer

4

CARTO™ 3 System
Patient Interface Unit

Item

Manufacturer

Part Number

Description

1

GE

PN 2018217-001

25’ CAT5 Crossover Cable (HP xw8400 Workstation is shown. For HP z600, use theright-hand NIC port as well; do not use the onboard NIC.)

2Biosense Webster

CA-5400-21

BW-GE ICEG Cable

3

Biosense Webster

CA-5400-19

BW-GE BS-ECG Cable

4

Biosense Webster

J-B PACINT AUX
CA-4041-03

Two Pair STIM Cable (3m)

N/A

GE

301-00204-03

Stimulator Interface Cable

2-68

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Equipment Overview

Review Workstations
Review Workstation Connections
Isolation Transformer
1
Review Workstation

2
Monitor
3

4a

4b

Label

Part Number

Description

180274-006

Power Cord (connect to a dedicated power supply on an isolated circuit)2

2003927-001

Power Cord

3

2003927-001

Power Cord

4a

N/A

4b

2003928-001

DVI to VGA Adaptor
Video CableWARNINGSHOCK HAZARD — Do not place the isolationtransformer on the floor.

WARNING
ELECTRICAL HAZARDS — Connect equipment only as
specified in connection diagrams. Failure to do so may
result in excess leakage current, shock or fire.
NOTE
The DASH can also be connected to the isolation transformer asshown in the DASH connection diagram (“DASH Connection” onpage 2-71).

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Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual2-69Equipment Overview

Solar Connection

Solar Monitor

1

GE Client Workstation

I/O Backplane

2-70

Label

Part Number

Description

1

2003408-001

DB9M TO DB9F, 50 ft, Straight Thru

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

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Equipment Overview

DASH Connection

DASH Monitor

3

1

2a

2b

GE Client Workstation

I/O Backplane2021423-503H

LabelPart Number

Description

1

N/A

Ethernet

2a418335-002

RJ45 Cable

2b420915-013

DIDCA ASM PC Interface Autoport

3

N/A

Auxiliary

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

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Equipment Overview

SoftwareOperating System
Acquisition/Review Workstations: Windows XP Professional with
Service Pack 3.
Software Only Workstation: Windows XP Professional with Service
Pack 3 or Windows Vista Business with Service Pack 2.
Centricity Cardiology INW Server: Windows Server 2003 Standard
Edition with Service Pack 2.

Database
Acquisition/Review Workstations: Microsoft SQL 2000 Desktop
Edition.
Software Only Workstations: Microsoft SQL 2000 Desktop Edition (onXP systems only) and SQL Express 2005 (on VISTA systems only).
Centricity Cardiology INW Server: Microsoft SQL 2000 ServerStandard Edition.

Application Software
Acquisition/Review Workstations: Microsoft Office 2007
Professional.
Software Only Workstations: Microsoft Office 2007 Professional.

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32021423-503H

Maintenance

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

3-1

Maintenance

Mac-Lab/CardioLab Service Performance Testing
WARNINGSHOCK HAZARD — Use appropriate Lock Out/Tag Out
procedures before performing any service on potentiallyenergized equipment.

Service performance testing should always be done after any service
work is performed on the Mac-Lab / CardioLab / Centricity Cardiology
INW system in order to ensure proper system functioning. The purposeof this section is to provide guidelines for proper service performance
testing based on the service/repair that was completed. This section canalso be printed and used as a form to provide objective evidence of thetesting performed.
The “FRU Checkout Procedure Table” on page 3-3 provides a matrix tobe followed in determining the tests and checks to perform based on the
FRU replaced/service performed. Go to the appropriate row in the tableand follow across that row’s column information to determine:Tools Recommended to perform testing

Visual Inspection and Cleaning to performElectrical Safety Test to perform, if applicable

Checkout Procedures tests(s) to perform

Detailed lists of the tools/tests that are referenced in the FRU Checkout
Procedure Table are found in the sections immediately following it.

Configuration

Customer _________________________________ SR Number __________________ Date ___________

Number of Mac-Labs____ CardioLabs____ ComboLabs____ Workstations____ SW Only Workstations____Network Type____ Number of INW Servers____ Number of DMS Servers____ Number of DMS Clients____3-2

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

2021423-503H

Maintenance

FRU Checkout Procedure Table
VisualInspection/
Cleaning

Electrical
SafetyTests

1, 3, 4, 7

1, 2, 4, 5, 7Computer Hard Drive

1, 2, 3, 4, 7, 8, 9

Drive Replaced (Floppy Drive,
Optical Drive, DVD)FRU Description

Tools
Recommended

Checkout Procedure
Mac-LabCardioLab

ComboLab

1-8, 12-17,
22-24

page 3-8,
page 3-16

page 3-10,
page 3-16

page 3-8,
page 3-10,
page 3-16ALL

1-8, 12-17,
22-24

page 3-8,
page 3-16

page 3-10,
page 3-16

page 3-8,
page 3-10,
page 3-16

1, 2, 3, 4, 7, 8, 9ALL

1-8, 12-17,
22-24

page 3-8

page 3-10

page 3-8,
page 3-10

PCI Slot Card Replaced(Video, PCI Comm, Dual NIC
Adapter)

1, 2, 3, 4, 7, 8, 9ALL

1-8, 12-17,
22-24

page 3-8

page 3-10

page 3-8,
page 3-10

TRAMNet to Ethernet Adapter
Board

1, 2, 3, 4, 7, 8, 9ALL

1-8, 12-17,
22-24

page 3-8,
page 3-12

page 3-10,
page 3-12

page 3-8,
page 3-10,
page 3-12

Image Capture Board

1, 2, 3, 4, 5, 7, 8, 9ALL

1-8, 12-17,
22-24

page 3-8,
page 3-12

page 3-10,
page 3-12

page 3-8,
page 3-10,
page 3-12

Internal Computer Component(Memory, Power Supply, Fan)

1, 2, 3, 4, 7, 8, 9ALL

1-8, 12-17,
22-24

page 3-8

page 3-10

page 3-8,
page 3-10

External Computer Component(Mouse, Keyboard, Bar CodeScanner)

1, 2, 3, 4, 7, 8, 9

ALL—page 3-8

page 3-10

page 3-8,
page 3-10

IEB (Vid Mux, I/O Board,
Power Distribution/Supply,
UPS)

1, 2, 3, 4, 7, 8, 9

1, 2, 3, 4, 6, 7

ALL

page 3-8,
page 3-12

page 3-10,
page 3-12

page 3-8,
page 3-10,
page 3-12

Monitor

1, 7

2, 7

—

page 3-8

page 3-10

page 3-8,
page 3-10

Printer

1, 7

2, 7

—

page 3-8,
page 3-12

page 3-10,
page 3-12

page 3-8,
page 3-10,
page 3-12

TRAM/TRAMNet

1, 3, 4, 7

1, 2, 4, 7

ALL

page 3-8,
page 3-12

page 3-10,
page 3-12

page 3-8,
page 3-10,
page 3-12

Amplifier3, 5, 72, 5, 7ALLn/apage 3-10

page 3-8,
page 3-10

Computer

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Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

3-3Maintenance

FRU Description

Tools
Recommended

VisualInspection/
Cleaning

Electrical
Safety
Tests

Checkout Procedure
Mac-LabCardioLab

ComboLabCARTO (cabling)

5, 7

1, 5, 7—n/apage 3-10,
page 3-13

page 3-8,
page 3-10,
page 3-13

Audible Indicators

7

2, 7

—

page 3-8,
page 3-13

page 3-10,
page 3-13

page 3-8,
page 3-10,
page 3-13

RF Ablation (Serial Cable,
Opto-isolator)

1, 7

1, 7

—

n/a

page 3-10,
page 3-13

page 3-8,
page 3-10,
page 3-13

Stimulator

1, 3, 6, 7, 10

1, 2, 7ALLn/apage 3-10,
page 3-14

page 3-8,
page 3-10,
page 3-14

DASH/Solar

1, 5, 7

1, 2, 7—page 3-8,
page 3-14

page 3-10,
page 3-14

page 3-8,
page 3-10,
page 3-14

RMOT

5, 7

1, 2, 7—page 3-8,
page 3-14

page 3-10,
page 3-14

page 3-8,
page 3-10,
page 3-14

Analog Out

1, 7

1, 7

—

page 3-8,
page 3-14

page 3-10,
page 3-14,
page 3-14

page 3-8,
page 3-10,
page 3-14,
page 3-14

INW Server

1, 5, 7

1, 2, 3, 7—

page 3-8,
page 3-15,
page 3-16

page 3-10,
page 3-15,
page 3-16

page 3-8,
page 3-10,
page 3-15,
page 3-16

1, 2, 5, 7, 9

1, 2, 3, 7—

page 3-8,
page 3-15

page 3-10,
page 3-15

page 3-8,
page 3-10,
page 3-15

No Parts Replaced

7

1, 2, 3, 4, 5, 7—

page 3-8

page 3-10

page 3-8,
page 3-10

Updates/Upgrades

7

1, 2, 3, 4, 5, 7—

page 3-8

page 3-10

page 3-8,
page 3-10

INW Server Parts (Memory,
Disk Raid Adapter, Disk Drive,
Tape Drive, UPS, UI Interface)

3-4

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

2021423-503H

MaintenanceTools Recommended
1. Standard hand tools (PN: N/A)a. Multi-headed Screwdriverb. Allen Wrenches (English and Metric)
c.

Dykes

d. Needle Nose Plierse.

Crescent Wrenchf.

Tie Wraps

g. Electrical Tape
2. Multimeter (PN: N/A)
3. Safety Analyzer (PN: N/A)
4. Leakage current tester (PN: MT-1216)
5. Service manual (PN: 2021423-503) for reference only
6. Installation manual (PN: 2021423-502, if available) for reference
only
7. Micropace Quick Installation Manual (PN: MP3156) for reference
only
8. Patient simulator (PN: MARQIII-kit)
9. Vacuum cleaner (PN: N/A) (HEPA Certified, if available)
10. ESD Mat/Strap
11. Test LEDs for Stimulator

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Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

3-5

Maintenance

Visual Inspection/Cleaning
Inspect the following for excess wear and/or any visual signs of damage
and/or clean as indicated:
1. Network/Serial/Communication cabling
2. AC power cord(s)/video cables
3. Inspect/Remove dust from fans on all computers
4. TRAM cables
5. CardioLab II Plus amplifier cables
6. Clean dust from all internals
7. Inspect external housing/case of all system components for damage

Electrical Safety Checks
Perform these checkouts as required.
1. Power down all devices.
2. Unplug the power cord of the device being checked (Computer, IEB,
TRAM, Amplifier or Stimulator) from its power source and plug it
into the Safety Analyzer.
3. Plug the Safety Analyzer into an AC power source.
4. Verify that the bottom two Outlet LEDs are illuminated and that the
top LED is NOT illuminated.
5. Select LEAKAGE > EARTH on the Safety Analyzer.
6. Select NEUTRAL > CLOSED and then select POLARITY >NORMAL on the Safety Analyzer.
7. Record the leakage displayed in microamps (uA).
8. Verify the leakage is less than 300 uA.
9. Select POLARITY > REVERSED.
NOTEThis step is not required for the computers.
10. Record the leakage displayed in microamps (uA).
11. Verify the leakage is less than 300 uA.
12. On the Safety Analyzer select LEAKAGE > CHASSIS.
13. Connect the Chassis alligator clip (on the Safety Analyzer) to the
Earth ground lug on the device.
14. Select NEUTRAL > CLOSED and then select POLARITY >NORMAL on the Safety Analyzer.

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Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

2021423-503H

Maintenance
15. Verify the leakage is less than 100 uA.
16. Press and hold down the LIFT GND switch on the Safety Analyzer
and record the leakage displayed in uA.
17. Verify the leakage is less than 300 uA.
18. Select POLARITY > REVERSED.
NOTEThis step is not required for the computers.
19. Verify the leakage is less than 100 uA.
20. Press and hold down the LIFT GND switch on the Safety Analyzer
and record the leakage displayed in uA.
21. Verify the leakage is less than 300 uA.
22. Select  - RESISTANCE on the Safety Analyzer.
23. Connect the Chassis alligator clip (on the Safety Analyzer) to the
Earth ground lug on the device.
24. Verify the resistance is less than 0.2 ohms.

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3-7

MaintenanceFunctional Checkout Procedure
Use this manual and the Mac-Lab, CardioLab and/or Centricity
Cardiology INW Operator’s manual(s) for reference. Perform thefollowing procedures for all applicable options. Ensure all test studies
created are deleted upon checkout completion.

Mac-Lab SCOP (Standard Checkout Procedure)
1. Verify the Mac-Lab module is selected. Create a new study byclicking on New Study. Enter the required fields: patient last name,first name and medical record number.
2. If applicable, join the test study from a Nurse’s Review Workstation
by highlighting the test study and clicking on Continue Study.
3. Add a Macro to the event log on the Acquisition. If applicable, verify
that input comes across to the Nurse’s Review Workstation.
4. Add a list item to the study (for example, add a complication or staff
member on the Acquisition). If applicable, verify that the item comes
across on the Nurse’s Review Workstation.
5. If applicable, add Macro and list item to the study from a Nurse’s
Review Workstation and verify that items come across to theAcquisition.
6. Connect the test cables from the patient simulator to the TRAM
Module. The green connector is for ECG, red connectors for invasive
blood pressures, blue connector for SpO2, black connector for noninvasive blood pressure (NIBP) and brown connector for cardiac
output.
7. Verify that ECG traces display at 60 bpm, 120 bpm and 180 bpm forall 12 leads.
8. Verify blood pressure traces at two measurement points on P1, P2
and P3 inputs (0 mm/hg and 120/80 mm/hg).
9. Verify Cardiac Output traces at two measurement points.
10. Verify that NIBP readings are displayed by placing the pressure cuff
over the left or right arm and initiating a measurement.
11. Verify SpO2 by placing the finger probe on the right or left index
finger. Verify that oxygen saturation and pulse rate readings are
displayed.
12. If applicable, perform the EtCO2 module Capnostat sensor check.
Remove the adaptor from the sensor, but ensure that the sensor
cable is still connected to the module. Ensure that the cell windows
are clean and dry. Place the sensor on the cell marked REF. Verify
that the reading is 38 mmHg +/- 2 on the display.

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Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

2021423-503H

Maintenance
13. If applicable, verify the CardioImage/Image Capture feature:a. Create an Image Window by clicking on the Windows menu >Image Window 1 or 2, in either the Real-Time, Review, or
CardioImage monitor.
b. Drag and drop the window into the selected section of themonitor.
c.

Verify that there is a trigger signal and an image from the fluoro
monitor.

d. Click Snapshot to capture a fluoro image.
14. If applicable, verify real time vitals by initiating an NIBP
measurement from a Nurse’s Review Workstation.
15. Press F2 (barcode) on the keyboard and scan a barcode to verify
barcode reader functionality.
16. Generate a report and verify printer operation.
a. Select Study > Reports.
b. Click New and select a report.
c.

Click a blank cell to add an X, which generates the report.

d. Click Generate to generate the selected report.
e.

Highlight the report created and click View.

f.

Click the Printer icon to print the report.

17. If applicable, close the study on the Nurse’s Review Workstation.
18. Close the study and verify that no error messages are displayed andthat the study is listed in System, Optical and Network Catalog if
networked to the Centricity Cardiology INW server.
19. Verify that the Patient is in the DMS Database.
20. If applicable, run Pushstudies to verify that the case successfully
went to the server
21. If applicable, verify if Patient search is active by performing a
Patient Search and picking a last name that exists on the Cathlab
schedule.
22. If applicable, review a study from the optical disk.

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Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

3-9Maintenance

CardioLab SCOP (Standard Check Out Procedure)
1. Verify the CardioLab module is selected. Create a new study byclicking on New Study and then select a study configuration. Enterthe required fields: patient last name, first name and medical record
number.
2. If applicable, join the test study from a Nurse’s Review Workstation
by highlighting the test study and clicking Continue Study.
3. Add a Macro to the event log on the Acquisition. If applicable, verify
that input comes across to the Nurse’s Review Workstation.
4. Add a list item to the study (for example, add a complication or staff
member on the Acquisition). If applicable, verify that the item comes
across on the Nurse’s Review Workstation.
5. If applicable, add a Macro and list item to the study from a Nurse’s
Review Workstation and verify that the items come across to theAcquisition.
6. Connect the test cables from the patient simulator to the TRAM
Module. The blue connector is for SpO2 and the black connector is forthe non-invasive blood pressure (NIBP). Also connect theradiotranslucent ECG lead wires and blood pressure cables from theCardioLab Amplifier to the patient simulator.
7. Verify communication between the amplifier and computer:a. Select Administration > Amplifier Test.
b. Select Device Id and Detect > Read Amplifier Id EEPROM.
c.

Verify readings.

d. Select Register Readback > Read Continuously.
e.

Verify no failures.

f.

Select Walking Ones > Walk Continuously.

g. Verify no failures.
h. Select Stim Walking Ones > Walk Continuously.
i.

Verify no failures.

j.

Select Calibration Pulse > Pulse All.

k. Verify calibration pulses are uniform in height.
8. Turn on the stimulator device (for example, Bloom or MicroPace or
EP Med) and verify the sensing of the ECG signal. Stimulate inputs
1 – 4 and verify that pacing spikes are displayed.
9. Verify that ECG traces display at 60 bpm, 120 bpm and 180 bpm forall 12 leads.
10. Verify blood pressure traces at two measurement points on P1, P2
and P3 inputs (0 mm/hg and 120/80 mm/hg).

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11. Verify that NIBP readings are displayed by placing the pressure cuff
over the left or right arm and initiating a measurement.
12. Verify SpO2 by placing the finger probe on the left or right index
finger. Verify that oxygen saturation and pulse rate readings are
displayed.
13. If applicable, perform the EtCO2 module Capnostat sensor check.
Remove the adaptor from the sensor, but ensure that the sensor
cable is still connected to the module. Ensure that the cell windows
are clean and dry. Place the sensor on the cell marked REF. Verify
that the reading is 38 mmHg +/- 2 on the display.
14. If applicable, verify the CardioImage/Image Capture feature:a. Create an Image Window by clicking on Windows menu > Image
Window 1 or 2, in either the Real-Time, Review, or CardioImage
monitor.
b. Drag and drop the window into the selected section of themonitor.
c.

Verify that there is a trigger signal and an image from the fluoro
monitor.

d. Click Snapshot to capture a fluoro image.
15. If applicable, verify that the CARTO icon is blue (located on the rightside of the System Tray on the Real-Time screen).
16. If applicable, verify that the ablation device is selected andconfigured and that all required cabling is attached (for example,
opto-isolator).
17. If applicable, verify real time vitals on the Nurse’s Review
Workstation. Initiate an NIBP measurement from a Nurse’s Review
Workstation.
18. Press F2 (barcode) on the keyboard and scan a barcode to verify
barcode reader functionality.
19. Generate a report and verify printer operation.
a. Select Study > Reports.
b. Click New and select a report.
c.

Click a blank cell to add an X, which generates the report.

d. Click Generate to generate the selected report.
e.

Highlight the report created and click View.

f.

Click the Printer icon to print the report.

20. If applicable, close the study on the Nurse’s Review Workstation.
21. Close the study and verify that no error messages are displayed andthat the study is listed in the System, Optical and Network Catalog if
networked to an Centricity Cardiology INW server.

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22. Verify that the Patient is in the DMS Database.
23. If applicable, run Pushstudies to verify that the case successfully
went to the server
24. If applicable, verify if Patient search is active by performing a
Patient Search and picking a last name that exists on the Cathlab
schedule.
25. If applicable, review a study from the optical disk.

TRAM Module Testing
1. Verify that there is a connection.
2. Run the TRAMNet Test:
C:\windows\utilities\tramtest\tramnetest.bat.

CardioImage/Image Capture Testing
1. Verify that the correct .dcf file is selected.
2. Create an Image Window by clicking Windows menu > Image
Window 1 or 2, in either the Real-Time, Review, or CardioImage
monitor.
3. Drag and drop the window into the selected section of the monitor.
4. Verify that there is a trigger signal and an image from the fluoro
monitor.
5. Click Snapshot to capture a fluoro image.

IEB Testing
1. Verify that switched video is functional.
2. Verify UPS functionality by unplugging power from IEB andconfirming that the acquisition computer remains powered.

Printer Testing
Verify that a test page prints.

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CARTO Testing
NOTE
Work with the customer to start up and connect the CARTO system,
if needed, before proceeding.
1. Verify the ECG connections to the CARTO system.
2. Select Start > Settings > Network Connections. Verify the CARTO
connection is 100Mbps.
3. Start a new case and verify that the CARTO icon is blue (located on
the right side of the System Tray on the Real-Time screen).

Audible Indicators Testing
1. Open a study. Open the Vital Configuration window from the
Measurements drop-down menu.
2. Verify that the Audible Indicators check box is selected, that the min/max settings are selected for the Vital Signs check box and that the
ECG tone check box is selected for Mac-Lab.
3. If Mac-Lab, verify that ECG QRS tones are present.
4. Adjust the vital signs low and high to verify an audible tone when themin/max settings are reached.

RF Ablation Testing
NOTE
You need to perform the following test with the customer’s
cooperation.
1. Open the Ablation window in CardioLab.
2. Generate an RF output.
3. Verify that the waveforms and values are properly displayed in the
Ablation window.

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Stimulator Testing
1. Connect a Patient Stimulator.
2. Turn on the stimulator device (for example, Bloom or MicroPace or
EP Med) and verify the sensing of the ECG signal.
3. Stimulate inputs 1 – 4 and verify that pacing spikes are displayed.
4. Refer to the vendor manual for configuration and checkout
information.

DASH / Solar Testing
1. Connect NIBP and SpO2 to the DASH or Solar monitor.
2. Verify that the interface cable is properly connected.
3. Perform a Stat Vitals measurement and verify that a log entry iscreated in the log window of the Nurse’s Review Workstation.

Remote Operators Terminal Testing
1. Verify that the DIP-switch position 2 for the Normal Scroll Lockposition is set to ON. Setting the Normal Scroll Lock position to ON
ensures pressing the normal Scroll Lock key on the keyboard does
not lock the remote keyboard.
2. Verify mouse and keyboard functionality at the RMOT.
3. Verify mouse and keyboard functionality at the local Acquisition
after this testing is completed.

Analog Out Testing
NOTE
Due to the various configurations and usages of this output, thecustomer’s cabling and test device is required to complete theverification.
1. Verify that there are signals coming out of DFIB Sync out fromTRAM.
2. Verify that there are signals coming out of analog out on back of the
TRAM RAC.
3. Verify that there are signals coming out of analog output in back of
IEB.

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MaintenanceCentricity Cardiology INW Testing
1. Log on to the server as Administrator (Contact GE Healthcare
Technical Support or the system administrator for current password
information).
2. Select Start > Programs > Microsoft SQL Server > EnterpriseManager.
3. Navigate to Microsoft SQL Servers > SQL Server Group > INW
Server.
4. Click to expand the INW Server.
5. Verify that the Replication Monitor is present and is green.
6. Verify that the Archive Generator has been properly set up for each
Acquisition System in replication.
7. Verify that Database Maintenance is configured properly.
8. Verify that backups have been configured.
NOTE
For Enterprise Backups, have the customer verify the backupof the folders listed in step 8c below was successful.
a. Select Start > Programs > Accessories > System Tools > Backup.
b. Expand the tape and navigate through the folder structure toverify that the proper directories and files are included in thetape backup.
c.

Verify that the following directories and files are selected:


D:\Gemms\Prucka\Database\Maintenance\Backup



D:\Gemms\Prucka\Database\Maintenance\Log



D:\Gemms\Prucka\Studies

9. Verify that a full tape backup has been performed on the INW server
and that no errors exist in the logs. Navigate to C:\Documents andSettings\Administrator\Local Settings\Application
Data\Microsoft\Windows NT\NT Backup\Data for the log files.
10. Create a test study on one of the Acquisition system and close thestudy.
11. Verify that the new study is displayed on the Network catalog on theother systems (Acquisitions and Reviews).
12. Verify that lists and macros are present.
13. Verify that List Sharing and replication is working properly on all
Acquisitions and Server by adding a supply item in the DMS andverify that item shows up on all Acquisition systems in replication.
Remember to remove the item from the DMS after the test.
14. Verify that a study that has been archived to the INW server can bereviewed from all systems (Acquisitions and Reviews).

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Maintenance
15. Verify that a study that has been pushed to the Centricity Cardiology
INW server can be reviewed from all systems (Acquisitions andReviews).

Remote Connection Testing
Verify that InSite ExC and/or VPN is working for remote diagnostics.

Planned Maintenance
The following form is a list of inspection and planned maintenance tasks
that should be performed once a year. Print out a copy of this form andleave the copy of the form with the customer. Ensure that the customer
knows that performing these tasks once a year will help maintain theequipment properly.

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Maintenance

Mobile Workstand Preventative Maintenance
The following is preventative maintenance instructions for the mobile
workstand (2008203-001).

Tools Required

1/2 inch socket wrench

9/64 inch hex wrench (provided with workstand)

Adjusting Tilt and Tilt Tension
1. For minor adjustments of the display tilt, loosen the Tilt Adjustment
Lever, grasp the top and bottom of the display and tilt it to thedesired angle. Tighten the Tilt Adjustment Lever.
2. To adjust tilt tension, equally tighten or loosen the two (2) Tension
Adjustment Screws with the 9/64 inch hex wrench provided.
CAUTION
Equipment Damage — Tilt tension screws must be
torqued to a minimum of 35 in-lbs [4.0 N-m].
NOTE
The Tilt Adjustment Lever is a multi-position, clamping lever that
operates by lifting, rotating and releasing the handle.

Adjusting Swivel or Pivot Tension
Using a 1/2 inch socket wrench, tighten or loosen the pivot tension bolt
swivel nut to the desired tension.
CAUTION
Equipment Damage — Swivel tension nut must be
torqued to a minimum of 20 in-lbs [2.3 N-m].
NOTE
The Utility Hook must be removed to allow adjustment of the swivel
nut.

Routine Maintenance
Periodically inspect all mounting hardware. Tighten or adjust as
necessary for optimal operation and safety.

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Troubleshooting

Initial Inspection
WARNINGSHOCK HAZARD — Use appropriate Lock Out/Tag Out
procedures before performing any service on potentiallyenergized equipment.

CAUTION
EQUIPMENT DAMAGE — Do not disconnect orreconnect cables while the system is under power(especially the barcode scanner).
Always use the following username for troubleshooting the system:
mlcltechuser (Contact GE Healthcare Technical Support or the systemadministrator for current password information).
CAUTION
SECURITY BREACH — Never leave a system logged inas mlcltechuser. When done, always log out and leave
the system at the custom shell.
Before performing any troubleshooting procedure, check the following:

4-2

The IEB is plugged in and power and ground are available at thewall outlet (also check the outlet circuit breaker).

The IEB, computer, monitors, keyboard, and any optional equipment
are properly connected and all connections are tight. Be sure to checkfor:

Frayed cables

Exposed conductors

Bent prongs or pins

Damaged cable housings

Loose plug screws

Both IEB power switches (one in front and one in back) are on.

Computer power switch is on.

All monitors are turned on and set to the appropriate brightness andcontrast.



Equipment housing for cracks, overheating, or other damage.

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Hardware
Clean Fiber Optic Cable
1. Clean each end of the fiber optic cable connecting the amplifier to the
HP computer with a soft, dry, clean cloth.
2. Use a can of compressed air to remove any dust accumulation fromthe connector at the amplifier.

Initial Check
1. Right-click My Computer and select Explore.
2. Navigate to C:\Windows\cpqdiag\cpqdiag.exe.
3. Run a complete hardware diagnostic test on the system.
NOTE
The tests also include an internal serial loopback test.

Troubleshooting
Problem: Unable to Communicate with the TRAM

The system cannot have an IP address in the range of 192.168.0.xxx.
Verify the IP address for the system network connection (in network
properties) is not 192.168.0.xxx. For example, if one of the otheradapters on the Acquisition system has the IP configured for192.168.0.20, the TRAMNet connection will fail and TRAM
communication will fail.
The IP address of the TRAMNet is 192.168.0.100 and cannot bechanged.



Verify the TRAMNet jumper cable (1 ft yellow Ethernet cable) isconnected into the left network port.
Review Installation manual (if available) and “TRAM/Amplifier
Connections” on page 2-59 for proper cable connections.

Problem: System Locks Up After First Scan (with the Barcode Scanner) or the
Barcode Scanner Does Not Work Properly
Ensure the barcode scanner is connected to a USB port. Otherwise, reseat the connector. Refer to the Mac-Lab/CardioLab Barcode Scanner
Configuration Instructions (PN: 2050508-001).

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Problem: No Video Display on the Review Stations with LCD Monitor
Check the video cable. The computer and monitors both have DVI
connectors.
Use the DVI-VGA adapter with the DB15-HD15 cable.



Try the supplied DVI-HD15 cable.



Try a different cable with the monitor or test the monitor on adifferent station.

Problem: Scrambled Video Display after Upgrade

Incompatible refresh rate between the video card and the supported
ranges on the monitor (if the monitor is older). The new Parhelia
video board supports a high range of refresh rates, and may power up
with a random rate.



Scan for hardware problems using the built-in HP diagnostic tool (onAcquisition systems and HP Review stations).

Matrox Parhelia Fan Alert
The following is a diagnostic message that is displayed by the Matrox
Parhelia board driver if the cooling fan on the board fails:

1. If this message appears on an Acquisition or HP Review system, click
Disable for 8 hours to temporarily disable this message.
NOTE
Do not use the system for an extended period if this problem isreported.
2. The error message will continue to be displayed if the fan continues
to malfunction. In order to fix this problem, replace the affected
Parhelia display board on the system.

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Replace Main Video Board with Matrox M9140 Quad Video Board
If the main video board is being replaced with the Matrox M9140, theprevious video board’s drivers must be uninstalled and the board
removed.
After the old video board is removed, install the Matrox M9140 Quad
video board, connect the cables, power on the system and install the
Matrox M9140 drivers. Then configure the display.

Uninstall Unused Display Drivers
Uninstall unused display drivers before installing the Matrox M9140
Quad video board drivers.
1. Log on to Windows and the Custom Shell as mlcltechuser.
2. Ignore any New Hardware found messages.
3. If an error message about stopping ONL display appears, click OK.

4. Click Start > Settings > Control Panel > Add or Remove Programs.
5. Uninstall the ATI – Software Uninstall Utility.

6. Ignore any New Hardware found messages.
7. Restart the system.
8. Log on to Windows and the Custom Shell as mlcltechuser.
9. Ignore any New Hardware found messages.
10. If an error message about stopping ONL display appears, click OK.

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11. Click Start > Settings > Control Panel > Add or Remove Programs.
12. Uninstall Powerdesk-HF and Driver.

13. Select No to restart in the Matrox Uninstaller for PowerDesk window.

Shut Down the System
WARNINGSHOCK HAZARD — To reduce the risk of shock andequipment damage, use safe working practices before
servicing electrical equipment.
1. Close all open windows.
2. Select Start > Shutdown.
3. Click Shutdown.
4. Power off the computer and all peripheral devices.
5. Disconnect the AC main power cords from the computer and from all
peripheral devices.

Remove and Install the BoardWARNINGSHOCK HAZARD — To reduce the risk of shock andequipment damage, use safe working practices before
servicing electrical equipment.
1. Lift up on the tab near the top of the side panel.

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Troubleshooting

2. Swing out the side panel and remove from the computer.
3. Disconnect all video cables (including adaptors) from the computer.
4. Place computer on side (open side up).
5. Squeeze in two tabs, gently push in, then pull, and lift off the clamp.

2

2

1

Item

Description

Quantity

1

Tabs

1

2

Clamp

1

6. Gently pull the board from slot 5 of the computer.
7. Gently pull the video board from slot 2 of the computer (if present).
8. Slide the new M9140 video board into the computer slot 2.
9. Follow the instructions included with the Matrox Quad Graphics
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installed, test to ensure the mating quad video cable can plug into
the graphics card without any interference from the bracket.
10. Install the blank panel for the unused PCI slot 5.
11. Connect the new proprietary connector cable to the board.
12. Slide the clamp into the computer, swing the clamp toward the board
end plates. Make sure the clamp is properly secured when the tabs
“click” into their locked position.
13. Connect three video cables (including adaptors) to the proprietaryconnector cable on the board.
Video 1 cable to connector labeled 1/5

Video 2 cable to connector labeled 2/6

Video 3 cable to connector labeled 4/8

Connector labeled 3/7 not used

14. Re-install the side panel on the computer.

Power On the System
WARNINGSHOCK HAZARD — To reduce the risk of shock andequipment damage, use safe working practices before
servicing electrical equipment.
1. Connect the AC main power cords to the computer and all peripheraldevices.
2. Power on all peripheral devices.
3. Power on the Acquisition computer.

Install Matrox M9140 Quad Video Board Drivers V2.12.00.147
Install the Matrox M9140 Quad video board drivers using CD-R
MATROX M9140 QUAD VIDEO CARD DRIVER, V2.12.00.147 (P/N
2074635-001).
1. Log on to Windows and the Custom Shell as mlcltechuser.
2. Ignore any New Hardware found messages.
3. If an error message about stopping ONL display appears, click OK.

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4. Insert CD-R MATROX M9140 QUAD VIDEO CARD DRIVER,
V2.12.00.147 (P/N 2074635-001) into the drive.
5. Browse to the CD drive and double-click Setup.exe.
6. At the Matrox Display Driver Installation - Matrox PowerDesk
window, click Next.
7. At the Matrox Display Driver Selection window, click Next.

8. At the Ready to Install window, click Next.
9. At the Installation Completed Successfully window, click Next.
10. At the Installation Completed window, click the Restart Computer
checkbox and click Finish.

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Post Installation Steps for Matrox M9140 Quad Video Board Drivers V2.12.00.147
After installing drivers for the Matrox M9140, the logon fields might notdisplay properly when the computer first restarts. Restarting thecomputer again resolves the issue.
1. Log on as mlcltechuser.

NOTE
The logon fields are present, but might not display properly.
2. Shut down and restart the system again to resolve the issue.
3. Log on to Windows and the Custom Shell as mlcltechuser.
4. Reconfigure the monitor settings using “Set Display Configurations”
on page 4-10.

Set Display Configurations
Two Monitor Systems
1. Right-click the Desktop and select Properties.

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Troubleshooting
2. Select the Settings tab.
3. Click the icon for the second monitor (labeled “2”).
4. Select Extend the Windows desktop onto this monitor check box.
5. Click Apply.
6. Close all open windows.

Three Monitor Systems
1. Right-click the Desktop and select Properties.
2. Select the Settings tab.
3. Click the second monitor icon (labeled 2).
4. Select Extend the Windows desktop to this monitor check box.
5. Re-order the monitor icons so they appear in the following order:
1-2-4.
NOTE
For HP z600 and HP xw8400 systems, the order of monitors
should be 1-2-4, the second monitor (“2”) and fourth monitor (“4”)
need to be extended and the third monitor (“3”) should not be
extended.
NOTE
To re-order the icons, drag the monitor icons and drop them inthe correct position.
6. Click Apply.
7. Click the third monitor icon (labeled 4).
8. Select Extend the Windows desktop to this monitor check box.
9. Click Apply.
10. Click Identify.
11. Verify the monitors are identified as 1-2-4 from left to right.

Set Display Resolution
1. Verify you are logged on as mlcltechuser (password:
mlcl!techuser).
2. Right-click the Desktop and select Properties.
3. Select the Settings tab.
4. In the Screen Resolution section, select 1600x1200.
NOTE
This is the only supported resolution for new systems. If existing
monitors do not support this resolution, 1280x1024 may be used
for Mac-Lab systems. All monitors must be set to the same
resolution.

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5. Verify the color for all monitors is set to Highest (32-bit).
6. Click OK.

Prevent Failure of the Matrox Odyssey Driver Service
If the Image icon in the Image window appears grayed-out and disabled,
the Matrox Odyssey driver service might have failed to start. The
following procedure ensures that if the display driver service fails, it isautomatically restarted.
1. Log on to Windows and the Custom Shell as mlcltechuser.
2. Click Control Panel > Administrative tools > Services.
3. In the Services panel, right-click TrkServer and select Properties.
4. Select the General tab and verify the following:The Startup type is set to Automatic

The Service Status is Started

5. If the service is not started, click Start in the Service Status section
to start it manually.
6. Select the Recovery tab and change the recovery actions as shown
below:

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Troubleshooting

7. Click OK.
8. Log off and auto-logon to Windows.

CardioLab Amplifier Troubleshooting
If the amplifier does not send signals to the CardioLab system or you
receive an unable to communicate with amplifier message:2021423-503H



Ensure that the amplifier is plugged in and turned on.



Verify that the external cables are connected properly and are
securely attached.

Replace the fiber optic cable (FOC).



Clean the FOC with isopropyl (rubbing) alcohol and blow out theconnectors with compressed air.

Disconnect the FOC from back of the computer and make sure that
there is a light coming from the end of the cable that was plugged
into CPU IN.

With the amplifier and computer turned on, the green LED next to
the CPU IN port on the computer will turn green when connected
properly.



If the problem is intermittent, this problem may indicate a dirty or
broken FOC or connector.



If the problem persists, ensure that all connections inside theamplifier are secure and the boards are seated securely in their slots.

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Troubleshooting
Random spikes or square waveforms appear in signals when notstimulating the patient:

4-14



Clean the FOC contacts with a non-abrasive, lint-free cloth andisopropyl alcohol.



Replace the fiber optic cable.



If the waveforms only exist on one channel, try replacing either thecatheter, catheter extender, or catheter junction box. You may also
try another Catheter Input Module.

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Troubleshooting

Noise on Intracardiac Signals
The noise should resemble 60 Hz or some other relatively consistentinterference which are not associated with stim artifact.
Go to the amplifier test selection under Administration and performa hardware reset on the amplifier (this is equivalent to turning theamplifier off and on, which would be the second option).



Verify that the catheter is correctly plugged into the Catheter Input
Module (CIM) and that these poles have been correctly entered into
the study configuration.

Remove/replace the catheter extender cables, especially if they havebeen re-sterilized.

Amplifier Communication (Choppy Signals in CardioLab)
Verify the PCI Comms board has the proper version number. Use the
PCI Comms Tool (Start > Programs > PCI Comms Tool) to verify it isversion 2.

Amplifier Signals Incomplete, Intermittent, and/or Noisy
Clean the fiber optic cable. Clean the pin ends of the fiber optic cablewith a soft, dry clean cloth to remove any dust or debris that may bepresent. Do this at each end of the cable connecting to the amplifier andto the HP computer. Also remove any dust build up at the connector on
the amplifier (use a can of compressed air).
NOTE
If a user is pacing and ablating simultaneously, noise may occur on
the signals and interval sensing may be interrupted and log
incorrectly due to this noise.

Real-Time Testing During a Case
Make Duplicate Channels


If the noisy signal is set to poles x and y, set up another channel (onewith a high quality intracardiac signal, (for example, HRA or RVA)
with the same poles and see if the noise is present there as well. This
tests the channel.

While keeping the channels consistent, try inputting the catheters todifferent poles on the CIM and see if the noise follows the signal. This
tests the CIM poles.

NOTE
If the last two tests make no difference, the problem may exist withthe catheter itself. Try replacing the catheter.

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Detailed Testing: Amplifier Channel TestInput a simulated signal into poles 1 and 2 of the CIM block A andconnect the ground of the simulator to the RL limb leadIn the study configuration set all intracardiac channels to:Poles 1 and 2

Bicath type setting

No notch filter and identical high and low pass settings.

Make sure each signals is displayed on an active page.

All of the signals should be identical. If one channel does not produce
an identical signal, the channel may be bad.

Catheter Input Module Test
In the study configuration:All channels should be set to Bicath type with equal filter settings.

Give each channel 2 poles in ascending order: Ch.1 (poles 1 and 2),
Ch. 2 (poles 3 and 4), Ch. 3 (poles 5 and 6), and so on Continue to do
this through all poles for all blocks.



Plug a simulated signal from channel to channel, from one pair ofpoles to the next pair of poles. Connect the simulator ground to the
RL limb lead.

All of the signals should look the same, if one does not produce anidentical signal, the pole in the catheter input module may be bad.

Ensure that you are not placing the CIM in sterile bags and thenpushing the catheter pins through the plastic and into the CIM. This
plastic can become lodged in the CIM and create problems.



Catheters with long pins (1/2 inch) normally produce less noise thancatheters with short pins. This is due to the long pins’ deep
penetration into the CIM.



Send a fax of any noise issues to customer support. Use calipers todemonstrate the cycle length of the noise. 60 Hz noise has a cycle
length of 16.7 ms.

When inspecting a full 12 lead, is there one signal which isparticularly clean?

Noise on ECG Signals



4-16



If Lead I is clean and all other signals are noisy, apply an newleft leg patch.



If Lead II is clean and all other signals are noisy, apply a new left
arm patch.



If Lead III is clean and all other signals are noisy, apply a newright arm patch.



If all signals are noisy, apply a new right leg patch.

Buff and clean the patient’s skin before applying the new patch.

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Troubleshooting

If changing the patch does not help, swap the suspected limb leadwith any of the other lead wires. For example, if Lead I is clean, andall other signals are noisy, swap the LL with a V wire.

Ensure that all patches on the patient are of the same type. Do notuse different types of patches because this will cause the Common
Mode Rejection Ratio (CMRR) to decrease, producing more noise.

In some cases, an abnormally high soft scale value in the study
configuration can lead to noise. You can reduce this setting by one
level and adjust your signal gains accordingly. For example, if you
move from 1/4 to 1/8, you will have to increase the gain of yoursignals by 2 (for example, from 500 to 1000). Values of 1/8 or less arerecommended.



Select hardware reset from the amplifier test window.

Ensure that neither the amplifier nor the computer/IEB is plugged
into an emergency AC power outlet. While these may have good
power, they may introduce noise into CardioLab due to the many
extraneous circuits tied to them. Also, make sure the amplifier is notplugged into a power strip. The amplifier should always be plugged
into its own dedicated outlet.



Install a harmonic filter isolation transformer between the powersource and the amplifier to further reduce noise.

It may be necessary to replace the ECG cable (the cable from thefront of the amplifier to the limb leads).

Ensure that all AC outlets which CardioLab interfaces with areproperly grounded. To ensure this, a receptacle tester should be used
to look for these wiring faults.

When testing for these problems, remember that auxiliary
equipment such as RF pads and pulse oximeters may be adding noise
to the patient. Therefore, remove all auxiliary equipment and add
each piece individually while looking for signs of noise. Also, makecertain that any auxiliary piece of equipment connected to thepatient is not plugged into a power strip.

When using a simulator to test ECG channels, ensure that the Right
Leg lead is always attached to the simulator. This is used as areference channel by the amplifier.

Signals Offset from the Channel Labels

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

Go into the amplifier test option under the Administration menu andselect Reset Hardware.



If this does not fix the problem, click on the Zero tab in the amplifier
test window and zero the signals with the offset.



Ensure that the soft scale is no greater than 1/4. Also, abnormallyhigh gain settings for ECGs may contribute to an offset problem.

Check the filter settings for the signal.

Continued problems with signal offset may mean that the amplifier
needs calibration. Calibration must be performed by a trained GE
Service personnel.

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4-17Troubleshooting

ECGs are Flat

4-18

When inspecting a full 12 lead, is there any one signal which isflatline?


If Lead I is flat and all other signals are good, apply a new left leg
patch.



If Lead II is flat and all other signals are good, apply a new left
arm patch.



If Lead III is flat and all other signals are good, apply a new rightarm patch.

If changing the patch doesn’t help, swap the suspected limb lead wirewith any of the other lead wired.



In many cases, an abnormally low soft scale value can lead toflatlines. Values of 1/8 and 1/4 are recommended.



Select Reset Hardware from the amplifier test window under the
Administration menu.

It may be necessary to replace the ECG cable (the cable between theamplifier and the limb leads).



If using a simulator to test the ECG signals, always make sure theright leg lead is attached to the ground of the simulator.

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Troubleshooting

Stimulus Artifact on Intracardiac Channels
NOTE
If this is the first case in which you have seen this problem, theproblem is most likely with a “case variable”. A case variable issomething which has changed since the last case was performed.
Catheters and catheter extenders are good examples of casevariables. If the amplifier has worked properly in the past, it isdoubtful that it has suddenly developed a stim artifact problem. New
or re-sterilized catheters may have a short or bad connection.


2021423-503H

Does the artifact occur when pacing from one catheter but not fromothers?


If yes, connect a catheter that is not producing stim artifact tothe same inputs on the catheter input module (CIM) where thecatheter with the stim artifact is connected. Pace through the
new catheter.



If no artifact is present, the problem is with the original catheter.



If artifact is still present, move the catheter to poles on the CIM
which are seldom used. If there is no stim artifact here, the problem
may be with the original poles on the CIM. They may have loosened
over time. The pacing poles at the bottom of the CIM may also be
used for this purpose.

Replace the stim cable from the stimulator to the amp. If artifact is
no longer present, the cable was bad.

Move the stim cable input for the stim channel with the artifact
problem to another channel on the stimulator. If the artifact is nolonger present, the stimulator channel may be bad.



Try using another stimulator. A hand held temporary pacemaker oranother battery operated stimulator will work.

Connect the catheter directly to the stimulator. If the artifact is nolonger present, the problem may be with the amplifier or one of thecables connected to the amplifier.



For continued problems with stim artifact, please fax a snapshot of
the signals to customer support for evaluation.

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4-19Troubleshooting

Stimulus Artifact on ECG Signals
Does the artifact appear on all of the surface leads?


If Lead I is clean and all other ECGs have artifact, replace theleft leg patch.



If Lead II is clean and all other ECGs have artifact, replace theleft arm patch.



If Lead III is clean and all other ECGs have artifact, replace theright arm patch.



If all ECGs have artifact, replace the right leg patch.



Buff and clean the patient’s skin before applying new patches.



If the artifact occurs at random times on random signals, this isfurther evidence that a faulty patch or lead may be causing theartifact. If changing the patch above does not help, try swapping theassociated lead wire with one that is known to be producing a goodsignal.



Reduce the gain on the affected signals.



Select the Reset Hardware button in the amplifier test window underthe Administration menu.

Ensure that you are not placing the CIM in sterile bags and pushing
the catheters through the bag into the poles. This plastic can become
lodged in the junction box and create problems.



Catheters with long pins (1/2 inch) normally produce less artifact
than catheters with short pins. This is due to the long pins’ deep
penetration into the CIM.



Replace the stim cable.

Cannot Stimulate the Patient

4-20



Ensure that the stimulator input cable is connected to the front of
the amplifier and the opposite end is connected to the appropriate
poles on the stimulator.

Ensure that the appropriate stim enable button at the top of theReal-Time window in the CardioLab application is turned on (red).



Check the study configuration to ensure that the stimulus is set to go
to the correct catheter.



Check to make sure the stimulator is working properly. Bypass theamplifier by connecting the distal poles of the catheter to thestimulus poles at the bottom of the catheter input module. These
poles are directly wired from the front of the amplifier.



If you are still unable to pace, connect the distal poles of the catheter
directly to the stimulator, bypassing the amplifier. If you still cannot
pace, the problem is not with the CardioLab equipment and most
likely lies with the stimulator or catheter. Check the output of thestimulator with a multi-meter or oscilloscope.

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Troubleshooting

General Hints to Reduce Noise in a Typical EP Lab

2021423-503H

Good grounding is key. All equipment which is connected to thepatient should be connected to the same electrical circuit (not thesame outlet), if possible. By connecting all of the equipment to thesame circuit, it is possible to prevent “grounding loops” fromoccurring which can cause noise.

Any light fixtures or other antenna-like devices above or around the
bed can be connected to the same circuit mentioned above.



If possible, labs should not be positioned next to elevator generators,
or any other power generators. Other major pieces of noise emitting
equipment include MRI systems, and so on.

For ultimate noise protection, the lab can be enclosed in a “Faraday
Cage”. This involves enclosing the lab in a metal box which is thengrounded. While this is expensive, it is quite effective.

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4-21Troubleshooting

CardioImage
Normal Operation and Setup
1. Connect the video output from the lab’s image source to the input of
the Image Capture board (Odyssey board) on the CardioLab unit.
The BNC connectors on the cable attached to the Odyssey board arecolor-coded to indicate the channels: Red = 1, Blue = 2. If more than
two video outputs are present, use the second (right) connector on the
Odyssey board with the following color-coding: Red = 3, Blue = 4.
2. Double-click Mac-Lab/CardioLab on the desktop.
3. Create a CardioLab test study.
4. Open the Image 1 window on the Review monitor by selecting theWindows menu and Image 1.
5. Select an area on the Review window to open the window.
6. Click the Toolkit on the Image window to open the Imaging
Configuration screen.
7. For the selected channel, pick the correct video format (DCF) file thatmatches the input video source used.
For NTSC composite video, select RS170.DCF.
8. Click Freeze in the Image 1 window.
9. Ensure that an output is present from the lab’s image system.
Do this for all of the image inputs that are connected.
10. Verify that a single image is grabbed and displayed in the Image
window.
11. Open an Image window on the Image monitor (third monitor).
12. Acquire a live image by clicking Live.
13. Ensure that a live image is displayed in the CardioImage window.
NOTE
This should be done for all of the image inputs that areconnected.
14. If the image does not appear, or is not centered in the window, you
may need to select a different video format (DCF) file.

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Troubleshooting

Troubleshooting
Problem: Unable to Capture Image
The image grabber window is blank or displays an error (no video found).
1. Check the cables:Red and blue cables are input 1 and input 2 (respectively).



Left DVI port on the Odyssey board is channels 1 and 2, right
DVI port is channels 3 and 4.

2. Verify Odyssey Firmware Version:a. Right-click My Computer and select Explore.
b. Navigate to C:\Program Files\Matrox
Imaging\Odyssey\Util\Winnt and run MTXEDIT.exe.
c.

Click OK at the Select Board window.

d. The title of the MTXEDIT application window displays thecurrent firmware information. The format of the information
displayed is: Grab:0x###A/B AN:1480.0, for example, this may
look like: Grab:0x460A AN:1480.0. Please ensure that 1480.0 is
the last part of this string.
e.

If the firmware revision is not 1480 (or the information is not
displayed), then you have not successfully upgraded. Do notcontinue, return to the Odyssey Board Setup section.

3. Verify Odyssey Driver:a. Verify that you are logged into Windows as local mlcltechuser.
b. Right-click My Computer and select Manage.
c.

Browse to Device Manager, and expand Matrox Imaging Adapter.

d. Verify that two Odyssey devices are listed under Matrox Imaging
Adapter.
e.

If these devices are not listed, do the following:i.

Expand and check the Other Devices folder.

ii. Right-click the devices listed and select Update driver.
iii. Click Next to install the default driver.
iv. Once the installation is complete, the devices should be listed
under Matrox Imaging Adapter as listed previously.
4. Verify Odyssey Service:a. Navigate to C:\Program files\Matrox
imaging\odyssey\util\winnt and run the OdcMon.exe tool. The
tool will be minimized to the system tray.

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4-23Troubleshooting
b. Double-click OdcMonitor in the system tray (lower right corner ofthe first monitor) to open the tool.
c.

If a red square icon is shown in the toolbar, no action is needed.
This is the expected result.

d. If a green arrow icon is shown in the toolbar, it indicates arequired system service is not running. Click the green arrow tostart the service. Verify that the service is started, as indicatedby a red square icon in the toolbar.
5. Navigate to D:\GEMMS\Prucka\Utilities and run the
OdysseyTest.exe program to verify that the board and the driver are
installed correctly:
NOTE
This procedure requires an external composite video source, suchas a DVD player, to be connected to the first input of the Odyssey
board.


Verify that the OdysseyTest program starts without errors.



Click the arrow icon in the toolbar to start a live image capture.



Verify that a live image is displayed.



Click the square icon to stop the capture.



Exit the test utility.
NOTE
If a different video source (not standard composite video) isused, replace the OdysseyTest.dcf file in the
D:\GEMMS\Prucka\Utilities folder with a DCF file thatmatches the video source. All DCF files installed on thesystem are available in the
D:\GEMMS\Prucka\System\Image\DCF folder on thesystem.
CAUTIONLOSS OF FUNCTION — Do not edit or change theoriginal dcf files. They may be needed in the future.
Always create a copy of the original dcf file to work on.

6. Contact technical support if an X-Ray image is not properly
displayed using any of the supplied .dcf files.

4-24



Provide all image source specifications (resolution size, video
timing, frequency, and so on). Contact the X-Ray OEM if
necessary.

Technical support may be able to create a custom dcf file basedon the specifications.

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Troubleshooting

Problem: Image Distorted
Use this procedure if you are able to capture images using one of theprovided DCF files but the image is distorted or partially cut off.
1. Ensure you are logged on to Windows as mlcltechuser.
2. Attempt to capture using all provided DCF files. Identify the DCF
file that gives the best image.
3. Select Start > Programs > Matrox Imaging > Intellicam > Intellicam.
4. Select the Options menu and choose System Selection. Choose
Odyssey 0 Device and make it active.
5. Select the Open menu and browse to
D:\GEMMS\Prucka\System\Image\Dcf.
6. Choose the DCF file that gave the best image.
7. Save the DCF file as a different name to prevent the original filefrom being modified.
8. Select the Digitizer menu and select Continuous Grab.
You should see an image at this time. If you do not see any image,check your connections and make sure the imaging system is sendingout a signal.
NOTE
If Intellicam does not capture images using the dcf file, use theOdysseyTest utility (refer to “Problem: Unable to Capture Image”
on page 4-23) or the CardioLab application to test the file.
9. Click the Pixel Clock tab in the configuration box.
If the image is a vertically elongated, increase the pixel clock
value. This will make the image wider and shorter.



If the image is a horizontally elongated, decrease the pixel clock.
This makes the image taller and narrower.

10. Click the Video Timing tab of the Configuration window.
NOTE
As you change the settings and modify the image, it may benecessary to close the grab window from time to time and open a
new one for the changes to take effect. Most changes will takeeffect in real-time during the grab.
It may also be necessary to turn off the pixel clock Auto-adjust so
you do not lose the pixel clock setting you just set.

2021423-503H



To decrease the amount of blank space to the left of the image,click the lock active and total box in the horizontal section.

To move the image to the left, increase the back porch value.

To move it to the right, decrease it.

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Troubleshooting
With the lock active and total box checked, the software
automatically computes the front porch value.


To decrease the amount of blank space above the image, click the
Lock Active and Total box in the vertical section.

To move the image up, increase the back porch value.

With the lock active and total box checked, the software
automatically calculates the back porch value.
11. Save changes made to the camera format once the image is set up
correctly.
12. Return to the Mac-Lab/CardioLab software and start a study. Openthe Study Configuration window, and select the Imaging tab. In thecamera type field for image input 1, select the.DCF file you created inIntellicam utility.
13. Test the camera format by acquiring an image. If the image is not
acceptable, you may need to go back to Intellicam to adjust theimage.
NOTE
The brightness and contrast of the image can be adjusted bychanging the controls in the image window.
14. If it is not possible to correct the image using manual adjustments,
you need to contact the vendor of the imaging system. You will need
the following details that can be directly entered in Intellicam tocreate a new DCF file:

4-26



Whether video is interlaced or non-interlaced

Pixel clock (dot clock) in MHzHorizontal frequency (line rate) in kHz

Vertical frequency (frame rate) in HzImage width (both active and total) in pixels

Image height (both active and total) in lines

Horizontal sync, front porch and back porch duration, in pixels or
microseconds



Vertical sync, front porch and back porch duration, in lines or
microseconds

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

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Troubleshooting

Problem: 3rd Monitor Set to Pan Mode After Reimaging
When the display resolution for the 3rd monitor was changed to
1600X1200, the display for the 3rd monitor changed to a pan mode where
only a portion of the display was visible. The rest would be visible only
when I used the mouse to pan the desktop area.
This problem is dependent on the monitor used. It does not occur withproduction CardioLab LCD monitors natively support 1600X1200
resolution. However, this may happen with older CRT monitors or with
LCD monitors do not natively support 1600X1200. In this case, thefollowing procedure can be used to fix the problem:
1. Install the ATI Control Panel utility:
a. Log in as local mlcltechuser.
b. Browse to the C:\windows\drivers\display\ATI FireGL[Driver
Information] folder.
c.

Double-click setup.exe and follow on-screen instructions.

d. Select the Custom option in the Select Components window.
e.

Ensure the ATI Control Panel is selected and click Next.
Wait until the Setup Complete screen is displayed.

f.

Click Finish to restart.

g. After the restart, login again as local mlcltechuser.
2. Change the Monitor settings:
a. Right-click the desktop and select Properties.
b. Select the 3rd monitor icon.
c.

Click Advanced.

d. Select the ATI Displays tab.
e.

Click the Monitor button corresponding to the active monitor
shown.

f.

Uncheck the Use DDC information check box if it is checked.

g. Set maximum resolution to 1600X1200.
h. Click OK to close all ATI dialogs.

2021423-503Hi.

Change the resolution of the 3rd monitor to 1280X1024 and thenback to 1600X1200 using the Windows Display properties dialog.

j.

Verify the whole desktop is visible (that is, not in pan mode).

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4-27Troubleshooting

Problem: Missing Video for the 3rd Monitor on HP xw8400 Systems
Performs the following procedure if a site reports missing video for the
3rd monitor on HP xw8400 systems:
1. Check Windows Display settings to verify that the 3rd monitor isenabled.
2. Verify that the monitor is working correctly.
3. Verify that the motherboard BIOS is up-to-date (v2.35). Upgrade if
necessary.
4. Verify that the monitor cable for the 3rd monitor is tightly connectedon both ends. It may be connected to either port on the FireGL board,
although we normally use the first (left) port by convention.
5. Verify that nothing is connected to the other (unused) connector on
the FireGL board.
6. Completely power down the system. Disconnect the power cable, wait
until the system powers off completely and reconnect the cable.
7. Video for the 3rd monitor should now be displayed correctly.

Problem: Image Buttons Are Grayed Out
The Live and Freeze buttons on the Image window toolbar are grayed out.
1. Check the Software options installed on the system. The
CardioImage option should be enabled for Live capture support. The
Image capture option must be enabled for single-image capture(Freeze).
NOTE
Live capture is supported only when the Image window is openedon the third monitor.
2. Check that the Odyssey Service is running on the system. Refer tothe steps “Verify Odyssey Service” in the troubleshooting section“Problem: Unable to Capture Image” on page 4-23.
3. Check that the Imaging driver is installed correctly and the Odyssey
board firmware is up-to-date. Refer to the steps “Verify Odyssey
Firmware Version” and “Verify Odyssey Driver” in thetroubleshooting section “Problem: Unable to Capture Image” onpage 4-23.

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Troubleshooting

Switching Ablation Devices
When switching ablation devices from the CryoCath to any other, thecable should be switched first followed by the ablation device driver.
When switching from any RF ablation device to the CryoCath, theablation device driver should be switched first followed by the cable. If an
ablation device appears to not be receiving data, clicking on the ablation
device driver in the ablation setup screen will reset the com port. They
may resolve the ablation data transmission issue.

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Troubleshooting

Windows XP/2003
Normal Operation
Windows XP/2003 are extremely stable (if you delete system files, it puts
them back, entire CD is built into the drive C:\windows\i386).
Three tools to use on 2003 are (refer to Installation manual):

Active Directory users and computersActive Directory domains and trusts

DNS configurationOEM images randomly generated name based on CLWS or CLSV
and 4 digits – if a duplicate name on the network is found, there is autility built in to change the name automatically(C:\windows\special\rename.hta).



Files may be dragged to the CD to write to re-writable media.

Troubleshooting
No login Through the Custom Shell
1. Log off and during log on, hold the Shift key to break the auto-logon
sequence.
2. Logon through the windows logon dialog as MLCLTechUser fromCentricity Cardiology INW domain (the following steps require
administrative privileges).
3. Log into the Custom Shell as MLCLTechUser from INW domain.
4. Open a Command Prompt.
NOTE
If Explorer or the command prompt icon are not available in theStart Menu, open explorer by right-clicking Start and selecting
Explore. Then go to C:\Windows\System32\Cmd.exe.
5. Type net time /set /domain:INW. Click Y for yes when prompted.
6. At the command prompt, type gpupdate /force. This command willtake about 15-20 seconds to finish.
7. Reboot the computer.

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Troubleshooting

Problem: How can you tell if the computer has the correct policies applied?
1. Open Help (Start > Help) from the Start menu.
2. Select Pick a Task > Use tools to view your computer information anddiagnose problems.
3. Select Tools > Advanced System Information.
4. Select View Group Policy settings applied in the right window (maytake up to 2 minutes to display).
5. Default_MLCL Computers_Policy must be listed under AppliedGroup Policy Objects.
6. If not, perform the following procedure:a. Ensure the system is properly entered into the domain.
b. Reboot and allow computer to come to custom shell.
c.

Press Ctrl+Alt+Delete and logoff while holding down Shift key.

d. Log back in as local mlcltechuser to the Windows OS.
e.

Logon to the Mac-Lab/CardioLab Custom Shell as local
mlcltechuser.

f.

Log off and allow the system to auto-logon. The correct policies
should now be applied.

Problem: Error message (User Does Not Have Appropriate Rights) while logged
in the domain as MLCLTechUser.
1. Make sure you are in the OU.
2. If so, log out and log in to the systems as a local mlcltechuser.

Problem: Can not obtain proper policies on acquisition or review system.
1. Verify the DNS entry for the workstation is directed to the IP of theCentricity Cardiology INW server.
2. Verify the Centricity Cardiology INW server can be pinged by bothname and IP address.

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Troubleshooting

GEMS_TaskMonitor Service
NOTE
To start or stop the service, select Control Panel > Administrative
Tools > Services > GEMS_TaskMonitor.
GEMS_TaskMonitor service monitors configured services. Based on
configuration, this service could be used to start or stop any windows
services.
On the Centricity Cardiology INW server, GEMS_TaskMonitor will be
configured to monitor the CentralList Service. CentralList service will be
used for communicating with CVIS server.
The GEMS_TaskMonitor service must be stopped for:

4-32



CentralList Service configuration or maintenance:
GEMS_TaskMonitor service will try to start CentralList Service atevery 15 minutes. The CentralList Service may be started while
configuring the GEMS_TaskMonitor service if we didn't stop
GEMS_TaskMonitor before configuration.



If the Centricity Cardiology INW server is not configured tocommunicate with CVIS: We don't need the monitoring service, asCentralList Service won't be running on Centricity Cardiology INW
server. In this case you need to stop and then disable the
GEMS_TaskMonitor service. Be sure to start GEMS_TaskMonitor
service when you configure Centricity Cardiology INW server tocommunicate with CVIS.

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

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Troubleshooting

Networking
Normal Operation
It is very important to understand the facilities IP Addressing scheme
before equipment setup. If any IP setting is miss-typed the system may
not be able to communicate on the network.

Troubleshooting
IP Troubleshooting
Ping 127.0.0.1 to ensure the TCP/IP is installed properly.

Ping the IP of the Local Computer to ensure the IP was enteredcorrectly.



If applicable, ping the IP Address of the Default Gateway. If this ping
fails then you may not be able to communicate with other devices on
the network.



If applicable, ping the IP Address of a device located beyond theDefault Gateway. This will ensure the Default Gateway is properly
routing packets outside of your current network segment.



Attempt to ping a remote device by name. If the system can ping by
IP, but not by name, there is probably an issue with the DNS
configuration.

Slow Transfer/Ping Speeds

If the system is experiencing slow transfer speeds ensure the NIC iscommunicating at 100mb/s at Full Duplex. If the link is not 100mb/s
then there may be a conflict between the NIC adapter and the
network switch.



To ensure transfer speeds of 100mb/s Full Duplex, the NIC and theSwitch port must BOTH be configured for either: Auto Negotiate orforced 100/Full Duplex.

DNS Troubleshooting (Client Side)2021423-503H

If unable to ping a system by name it may be the local DNS cache isout of date. To resolve this open a command prompt and type thefollowing:

Ipconfig /flushdns Enter

Nbtstat –R Enter

If the problem persists after flushing the local DNS records the
problem my reside on the server side.

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DNS Troubleshooting (Server Side)Correct DNS Entry:
1. Launch Administrative Tools > DNS
2. Navigate to [Server Name] > Forward Lookup Zone > [Domain
Name]
3. Ensure all records in the DNS table are accurate. If there is an IP/ Name mismatch, the record can be updated by double-clicking
it.



Clearing DNS Cache
1. Launch Administrative Tools > DNS.
2. Right-click the server name and select Clear the DNS Cache.
3. If the problem persists after flushing the local DNS records the
problem my reside on the server side. Try a lengthy ping test to
determine if packets are being dropped.

Operating System TroubleshootingGroup Policy at Local Computer: If policy is not correctly applied to
the local computer, some or all of the following symptoms may occur:Custom Shell is not displayedDomain mlcltechuser does not have Administrative Rights



SQL Replication failures

Auto OS login failureVerify the computer is the proper OU.

Verify all network settings are correct. If DNS, IP, Subnet or
Gateway settings are not correct the policy may not push to the local
computer.

Ensure the time of the local machine is synchronized with the time of
the Domain Controller. To set the time open a command prompt andtype net time /set /domain:[DOMAIN NAME].



If you are unsure if the policy has been applied perform the following:
1. Select Start > Help.
2. Select Pick a Task > Use Tools.
3. Select Tools > Advanced System Information.
4. Select View Group Policy Settings Applied (may take up to 2
minutes to display).
5. Ensure the Default_MLCL Computers_Policy is listed under
Applied Group Policy Objects.

Unable to logon to the Custom Shell with a Hospital User: This iscommonly caused by Default_MLCL Computers_Policy notcontaining the proper trusted user group information. To verify andcorrect policy edits perform the following:
1. Launch Administrative Tools > Group Policy Management
Console.

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2. Open the Group Policy Objects container.
3. View the Settings for the Default_MLCL Computers_Policy.
4. Ensure the MLCLAdmGrp, MLCLUsrGrp and MLCLSystemGrp
contain their respective hospital group names (for example,
Hospital\MLCLAdmGrp).
5. Ensure the Users group contains all hospital MLCL groups. Thissetting determines if the user has rights to interactively logon tothe operating system. If this setting is incorrect the user will be
unable to logon with their hospital account information.

Cardiolink Server Unavailable

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

Evidence of a Cardiolink Server Unavailable error is contained in the
Application Event Log. These errors are not always consistent. The
most common error is the following.

Verify that under System Settings, the network storage is checked
and that the correct path is being used. (Example:\\clsvXXXX\pruckastudies\)Verify that your primary DNS server is the INW server.

Ping the INW server by name (this will determine if it is a DNS/WINS resolution).



If you can ping by IP but not by name, then it is a WINS resolution
problem.

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Net Message Sender Error

If a network system has an Acquisition system and a Nurse’s
workstation both joined in a case and the case logs do not sync up,
verify that netmessagesender.exe is running as a process on theacquisition system.



If it is not, go to D:\GEMMS\Prucka\Network and double-click
netmessagesender.exe and start it manually.



Reboot the system and verify the process started after the reboot.

Centricity Cardiology INW Server
Refer to the Centricity Cardiology INW Operator’s Manual, 2021423-017,
Chapter 4 for additional Troubleshooting information specific to INW
servers.

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Replication
Normal OperationAll clients must be in the domain before starting replication.

All clients must be in the correct Organization Unit and have thecorrect policies applied.

Troubleshooting
Problem: Archive Generator

If the Archive Generator is not functioning properly, please verify
that the run times are not set up to a duplicate time or within 20
minutes of each other.



Verify on the Acquisition systems that the service SQL Server Agentis being ran by the MLCLSqluser@inw.com account (or inw.local).

Problem: Replication Errors


The replication tool must be able to see and connect with the clab
database on the acquisition system.



Verify the acquisition system’s SQLServerAgent service has logon
rights as INW\mlclsqluser.

Problem: SQL not running on clients (or fails)
Changing the SQL user password requires a replication update on all
systems. If the update is not done, the SQL agent will not be run on theclients (and if you try to start it, the service will fail).
Problem: Putting an Acquisition into Replication

After replication is complete and you verify the replication monitor
has a green X, go to the replication monitor/agents/merge agents.



Verify which agent has the green X on it and manually start it up.

Cleanup Database Corruption
The Database Repair Utility must be executed on a Centricity Cardiology
INW Server with Administrator privileges.
1. Navigate to D:\GEMMS\Prucka\Database\Maintenance\DB
Repair Utility.
2. Double-click the executable file GEHC_DBRepairUtility.exe.

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3. In the DB Repair Utility window, select both of the table names andthen click Execute.
A command prompt will open. Do not close the command prompt.
It will be closed automatically.

Once the operation is complete, the following message will beshown to the user:

In case of any failures, check the event log for the error details
with the source as DB Repair Utility.
NOTE
If failures occur during the operation, then the backup of the
CLAB database that was automatically restored is found in
the D:\GEMMS\Prucka\Database\Maintenance\Backup
folder.
In the event that any errors occur, especially if the database cannot
automatically be restored, contact Technical Support. If possible,
provide Technical Support with the backup of the database.
4. Click OK.
5. Close all open windows.

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INNOVA CENTRAL/Touch screen
Check Connection Status
1. Open the Mac-Lab/CardioLab application.
2. Select Administration > System Settings.
3. Select the Connectivity screen.
4. Check the Connection Status in the Touchscreen section.
Connected is displayed if the INNOVA CENTRAL/Touch screen
is connected.
If the connection status is disabled, ensure the INNOVACENTRAL/Touch screen enable check box is checked. If thecheck box is grayed out, the software option is disabled. Anychanges to items on this dialog require an application restart to
update.



Listening on port nnn (where nnn is the port setting) is displayed
if the INNOVA CENTRAL/Touch screen is not connected.
If the INNOVA CENTRAL/Touch screen is connected and thismessage is displayed, ensure the port listed is 889. This is the
INNOVA CENTRAL/Touch screen connection port.

Determine IP Addresses
1. Press the Service button on the bottom of the INNOVA CENTRAL/
Touch screen.
The INNOVA CENTRAL/Touch screen local service main page isdisplayed. Note the INNOVA CENTRAL/Touch screen IP address.
2. Determine Mac-Lab IP address
a. Open a browser and type the following URL:
http://TouchScreenIPAddress
b. Log onto the web application with the user id: service(password: service).
c.

Touch the Configuration button.

d. Touch the Modalities IP configuration button.
Verify the Mac-Lab IP address is set correctly. Update if
necessary.
e.

2021423-503H

Press the reset button on the bottom of the unit to reset the
INNOVA CENTRAL/Touch screen.

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CARTO XP/CARTO 3 System
NOTE
Error messages on the CARTO System itself (such as a magnet
positioning error) are the responsibility of the manufacturer — either
refer to the documentation or call CARTO System technical support.

Normal Operation
The CARTO System has five states:Gray and unclickable: Software option must be enabled.

Gray and clickable: Disconnected--No physical connection between
the CARTO System and Mac-Lab/CardioLab systems.



Blue: Connected. If the icon does not turn blue automatically, checkthe connections.

Green: Passive interface. Must be activated from the Acquisition.

Yellow: Active interface. Must be activated from the CARTO System.
Refer to OEM documentation for specific information.
In active mode, a point selected on the Acquisition system is also
selected on the CARTO System (however, a point selected at the
Review system is not select at the CARTO System).

One CARTO System study may only be synched to one Mac-Lab/
CardioLab study (a 1 to 1 relationship). The same two studies may be
independently stopped and restarted, but a new CARTO System study
can not be added to an existing Mac-Lab/CardioLab study.
Netmsgsender is used to communicate between Acquisition and Review
systems. Check the connection between Acquisition and Review systems
before targeting problem as CARTO System issues (for example, log
entries not being added).
A quick-connect cable is required to show ECG information.
CARTO System files are always less than 1MB.

Troubleshooting
Problem: CARTO System button inactive.
Verify normal operation.

4-40



Ensure the CARTO System interface is enabled on the Mac-Lab/
CardioLab system.



The interface is only available in the CardioLab application (ensure
you’re not in Mac-Lab).

The interface is only accessible from the Real-Time window.



The CARTO System must be version 7.0 or greater to be able to use
this interface.



Patient demographics may be edited on the CARTO System.

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CARTO System does not support import of foreign language
demographics from Mac-Lab/CardioLab system (ENGLISH ONLY).
Foreign languages are displayed as unrecognizable characters.

Problem: CARTO System connection failure.
Check cabling.


The CARTO System option requires a crossover cable connected fromthe acquisition system computer to the CARTO System computer.
Ensure cable and connectors are good.



Verify the Ethernet lights are on.

Problem: CARTO System IP address conflict.


Use ping to test communication between the two systems.



The CARTO System interface uses hardcoded IP address on oursystem.


The IP of the CARTO System is 192.168.5.1

The IP of the Mac-Lab/CardioLab CARTO System adapter is192.168.5.2

Problem: Cannot print from the Mac-Lab/CardioLab system to
the CARTO System color printer.
This functionality is not supported. The Mac-Lab/CardioLab and CARTO
System are completely independent and only send messages for points
and waveform data.
Problem: Mapping points are unsynchronized or missing
At the Review system double-click points to see the data.

2021423-503H

Regular CARTO System mapping points are not editable on MacLab/CardioLab system.

Resynch at the CARTO System.

Check the CARTO System point filter on the log. Missing points may
be filtered out.



Points missing from a report may have been manually deselected(the default is to include all points in a report).



During normal operation waveform point synchronization may be off
by up to ± 50ms.



If it is off by more than ± 50ms, select a different channel (channel
registered is the channel measured in CardioLab).

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Problem: Signal NoiseThe following steps should be tried when troubleshooting noise
associated with connectivity of the CARTO system. Each of these steps
have proven to reduce or eliminate noise.
NOTE
If the 10 ft 2015944-001 ECG cable is used, the total ECG signal pathwill be lengthened significantly and in some clinical settings
increased noise may appear on the ECG readout.
1. For Carto XP, make sure you are using Revision 10 or newer of the
CARTO PIU. Earlier revisions of the PIU can make the overallsystem more susceptible to ECG noise. Revision 10 introduced an
improved grounding scheme.
2. For Carto XP, if you are not using the CARTO IC cable (that is, if you
are currently providing IC signals to the CARTO PIU by connecting
the CARTO IC input leads to the CardioLab CIM terminals), tryrouting all catheter leads to the CARTO PIU IC inputs, then connect
the CardioLab to the CARTO PIU using the blue CARTO-toCardioLab cable (PN 2015944-001). This is the recommended system
configuration.
3. For Carto XP, in some clinical settings, the use of the ECG cable thatconnects the CARTO PIU and the CardioLab II Plus amplifier (PN2015944-001) can be a source of noise. In this case, noise may be
reduced by removing this cable and instead connecting the
CardioLab to the ECG terminals on the top of the CARTO PIU via
the ECG cable assembly (PN 2003419-001) along with the ECG leadset (PN 2003421-001). This is a cleaner alternative to “double
patching” the patient (10 electrodes for the CardioLab, 10 electrodes
for the CARTO).
4. If noise is present during ablation, try using the RF Filter Box(PN 2004965-001).
Problem: Data import does not work on non-English systems

4-42



This is expected behavior. Patient demographics are shared only
between English CardioLab systems and CARTO Systems.

For non-English CardioLab systems, the demographic data must beentered manually.

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EtCO2
EtCO2 Overview
End tidal CO2 (EtCO2) is a continuous, noninvasive technique fordetermining the concentration of CO2 (carbon dioxide) in respiratory gas
by measuring the absorption of infrared light.
The light generated in the analyzer bench is passed through respiratory
gas samples. The amount of absorption by CO2 in the sample ismeasured and digitized by the photodetector. The EtCO2 module
processes the electronic signal and displays a waveform and digitalvalues for expired CO2 (EXP), inspired CO2 (INSP), and respiratory rate(RR) on the display.
NOTE
If the EtCO2 module is in the RAC, but Respiration, Inspired CO2, orExpired CO2 cannot be measured, the display will show two asterisks(**). If the EtCO2 module is not in the RAC, the values will be blank.
The EtCO2 module can accommodate both intubated and non-intubatedpatients using the Capnostat Dual CO2 module or the Mainstream CO2
module.

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Capnostat Module Setup
CAUTION
INACCURATE READINGS — Do not use the Capnostat
CO2 sensor in close proximity to wireless networking
equipment or in the presence of strong electromagnetic
fields such as those generated by radio stationtransmitters, citizens band radios, cellular phones, and soon. Using the Capnostat sensor under the above
conditions may cause one or all of the following to occur:

Artifact may be induced on the capnogram.



The CO2 parameter values may be replaced by ** (twoasterisks).

The message, Please check/calibrate adaptor may bedisplayed in the parameter window.

Normal operation will resume when the source ofinterference is removed.

CAUTIONWIRELESS LAN INTERFERENCE — Capnostat
sensors with a serial number of 26104 or greater require aseparation distance of 10 inches (25 cm) from the Wireless
LAN adaptor to minimize potential interference.
Capnostat sensors with a serial number less than 26104
require a separation distance of 8.2 feet (2.5 meters) andare not recommended for use on recording equipment
equipped with the Wireless LAN option.

CAUTION
INACCURATE VALUES — Failure to perform a zero cell
calibration may result in inaccurate CO2 values.
A zero cell calibration is required each time a sensor isconnected.
After placing a EtCO2 module in the TRAMNet housing (RAC-4A) andconnecting the patient cable, a two minute warm-up is required. The
message WARMING UP is displayed in the EtCO2 window.
After the warm-up period, when the patient is properly connected andbreath is detected, numerics are displayed in the EtCO2 window and a
CO2 waveform may be displayed.

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After the initial warm up period when a new Capnostat sensor isconnected, the message Please calibrate sensor on the zero cell isdisplayed. You must zero the Capnostat sensor before recording, refer to“Zero the Capnostat Sensor” on page 4-56.
NOTE
To assure accuracy, always perform a zero cell calibration whenconnecting a sensor to the module, even if the Please calibrate sensor
message is not displayed.

1

5

2
3

4

1

Capnostat Mainstream Module

2

Capnostat Connection

3

Sidestream Inlet Port

4

Exhaust Port to Scavenging System

5

Capnostat Dual Module

NOTE
An EtCO2 module is either a Capnostat Mainstream or Dual CO2
Module.
NOTE
The signal input is isolated, but it is not defibrillator-proof.
The Capnostat modules must be used with a Capnostat sensor andairway adaptor. Two airway adaptors are available:
2021423-503H

Mainstream adaptor (refer to the following illustration)

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Troubleshooting

4

5
1

3
2



1

Capnostat Sensor Cable to Module

2-0- Cell3

REF Cell4

Capnostat Sensor Module

5

Capnostat Airway Adaptor

Sidestream adaptor with sample tubing for sidestream recording.

The sensor cable is equipped with two cells. The -0- cell is used forzeroing (calibration) of the sensor, and the REF cell is used for verifying
sensor accuracy.

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Mainstream Setup (Dual Module)
The mainstream setup is shown below:

7

6
4

5

3

2
1
1

Endotracheal Tube (to Patient)

2

Capnostat Airway Adaptor

3

Capnostat Sensor (Upright Position)

4

REF Cell

5-0- Cell

6

Sensor Cable

7

Capnostat CO2 Module

To record EtCO2 using the mainstream setup:
1. Open the EtCO2 window in the application.
2. Securely insert the module into the RAC-4A.
The EtCO2 module can sit in either of the lower slots of the RAC-4A.
3. Connect the Capnostat sensor cable to the module. If the message
Please calibrate sensor on the zero cell is displayed in the EtCO2
window, you must zero the sensor. Refer to “Zero the Capnostat
Sensor” on page 4-56.
4. Snap the Capnostat airway adaptor into the Capnostat sensor. If themessage Please check/calibrate adaptor is displayed in the EtCO2
window, you must calibrate the adaptor. Refer to“Calibrate the
Capnostat Adaptor” on page 4-57.
5. Position the adaptor and sensor in the patient respiratory circuit
between the endotracheal tube and the ventilator circuit (as close to
the patient as possible).

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NOTE
Always position the sensor with the adaptor in an upright position to
avoid collection of fluids on the windows of the adaptor. Large
concentrations of fluids at this point will obstruct gas analysis.

Sidestream Setup (Dual Module)

CAUTION
MODULE SELECTION — Do not use this module withany patient who may be affected by the Capnostat dual
CO2 module’s sidestream withdrawal rate of 180
milliliters per minute (normal).
1. Open the EtCO2 window in the Mac-Lab/CardioLab application.
2. Securely insert the module into the RAC-4A.
Wait two minutes for the module to warm up.
3. Connect the Capnostat sensor cable to the module. If the message:
Please calibrate sensor on the zero cell is displayed in the EtCO2
window, you must zero the sensor. Refer to ““Zero the Capnostat
Sensor” on page 4-56.
4. Connect the sidestream adaptor tubing to the inlet connector on themodule.
5. When delivering anesthetics, connect the scavenging tube to
EXHAUST connector on the module. Refer to “Gas Exhaust” onpage 4-55.
6. Attach the 5-inch adaptor tubing (male-to-male) connector to the
airway adaptor.
7. Secure the Aqua-Knot water trap to the 5-inch adaptor tubing.
The Aqua-Knot water trap must be used. The arrow on the water
trap shows the direction of the gas flow. When inserting the water
trap, the arrow must point toward the module.
8. Connect the nasal cannula or sample line to the Aqua-Knot watertrap.
9. Select the Start/Stop EtCO2 Pump icon in the EtCO2 window to turnthe pump on.
When the pump is on, the window title is Sidestream. (When thepump is off, the window title is Mainstream.)

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10. Snap the Capnostat sidestream adaptor with its tubing into the
Capnostat sensor. If the message Please check/calibrate adaptor isdisplayed in the EtCO2 window, you need to calibrate the adaptor.
Refer to “Calibrate the Capnostat Adaptor” on page 4-57.
Always position the sensor with adaptor in an upright position to
avoid collection of fluids on the windows of the adaptor. Large
concentrations of fluids at this point will obstruct gas analysis.
11. Occlude the open end of the airway circuit. The message Pump is
Blocked. Please Check must be displayed in the CO2 parameter
window to ensure a blockage will be recognized during patient care.
12. Position the nasal cannula on the patient according to the
manufacturer’s instructions or attach the patient sample line to thepatient airway adaptor.
CAUTION
INACCURATE READINGS — A leak in the breathing
circuit may cause inaccurate readings.The sidestream
analyzer will not detect a leak in the breathing circuit.
Ensure all connections are tight.

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Sidestream Set Up (Non-intubated)
Refer to the following figure for sidestream setup of non-intubatedpatients.

11

8

9
10

5

7
6

3

4

2

1

4-50

1

Nasal Cannula

2

Aqua Knot II3

12.7 cm Adapter Tubing

4

Sidestream Airway Adaptor

5

Capnostat Sensor (upright position)

6

REF Cell

7-0- Cell8Sidestream Adaptor Tubing (30.5 cm)

9Sensor Cable

10

Scavenging Tube

11

Capnostat CO2 Module

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Sidestream Setup (Intubated)
Refer to the following figure for sidestream setup of intubated patients.

11

8

9
10

5
7
6
4
3
1
2

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1

Patient Sample Line2

Aqua Knot II3

12.7 cm Adaptor Tubing

4

Sidestream Airway Adapter

5

Capnostat Sensor (upright position)

6

REF Cell

7-0- Cell8Sidestream Adaptor Tubing (30.5 cm)

9Sensor Cable

10

Scavenging Tube

11

Capnostat CO2 Module

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Mainstream Setup (Mainstream Module)
The mainstream setup using a mainstream module is identical to thatusing a dual module.

5

6

4

3

2

1

4-52

1

Airway Adaptor to Patient Endotracheal Tube

2

Mainstream Adapter

3

Mainstream Sensor (Upright Position)

4

Reference and Zero Cells

5

Sensor Cable

6

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Sidestream Setup (Mainstream Module)

CAUTION
MODULE SELECTION — Do not use this module withany patient who may be affected by the Capnostat
Mainstream CO2 module’s sidestream withdrawal rate of
50 milliliters per minute (normal).
1. Open the EtCO2 window in the Mac-Lab application. Refer to“EtCO2 Window” on page 4-59.
2. Securely insert the module into the RAC-4A.
3. Connect the Dash CapnoFlex LF module (which contains both the
Capnostat sensor and the pump for the sidestream operation) to theMainstream CO2 module and plug in the sample line into the
CapnoFlex LF module.
Wait two minutes for the module to warm up.
If the message Please calibrate sensor on the zero cell is displayed in
the EtCO2 window, you must zero the sensor. Refer to “Calibrate the
CapnoFlex LF Module (Sensor + Pump)” on page 4-58.
4. When delivering anesthetics, connect the scavenging tube to
EXHAUST connector on the module. Refer to “Gas Exhaust” onpage 4-55.
5. Attach the 5-inch adaptor tubing (male-to-male) connector to the
airway adaptor.
6. Secure the Aqua-Knot water trap to the 5-inch adaptor tubing. The
Aqua-Knot water trap must be used. The arrow on the water trapshows the direction of the gas flow. When inserting the water trap,
the arrow must point toward the module.
7. Connect the nasal cannula or sample line to the Aqua-Knot watertrap.
8. Occlude the open end of the airway circuit. The message Pump is
Blocked. Please Check must be displayed in the CO2 parameter
window to ensure a blockage will be recognized during patient care.
9. Position the nasal cannula on the patient according to the
manufacturer’s instructions or attach the patient sample line to thepatient airway adaptor.

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Troubleshooting

CAUTION
INACCURATE READINGS — A leak in the breathing
circuit may cause inaccurate readings. The sidestream
analyzer will not detect a leak in the breathing circuit.
Ensure all connections are tight.

3

5

2
4

6

7

8 9

10

11

1

4-54

1

Nasal Cannula (non-intubated patients)

2

Airway Adaptor (intubated patients)

3

Patient Sample Line (intubated patients)

4

Sample Line5

Capnoflex LF CO2 Adapter Cable

6

Capnostat Mainstream or Dual CO2 Module

7

Capnoflex LF CO2 Adapter

8

Sample Line Connector

9

Capnoflex LF CO2 Module

10

Scavenger Port

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Troubleshooting

Gas Exhaust

CAUTION
INACCURATE READINGS/MODULE DAMAGE — Do
not allow the exhaust line to become kinked or blocked.
Back pressure may cause inaccurate gas readings andalso may cause serious damage to the module’s internal
components.

CAUTION
INACCURATE READINGS/MODULE DAMAGE — Do
not connect exhaust of the module to an unregulated, highvacuum source.
Pressure may cause inaccurate gas readings and also may
cause serious damage to the equipment’s internal
components.

CAUTION
INFECTIOUS DISEASE — Do not allow the exhaust todischarge in the direction of the patient or user.
When using the sidestream method for recording CO2 and anesthetics
are being delivered, the gas exhaust must be considered. The gas exhaust
may be scavenged using the scavenging adaptor package (PN 9504-016).
Follow the steps below to properly connect the module to the anesthesia
machine exhaust circuit.
1. Remove exhaust adaptor and tube from the package.
2. Attach the connector end of the exhaust tube to the outlet marked
EXHAUST on the front of the module.
3. Install the exhaust adaptor into the gas scavenging system of theanesthesia delivery system.
Following the anesthesia machine manufacturer’s recommended
procedure.
4. Drape the exhaust tube so that it does not obstruct the work area.

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Capnostat Module Calibration
CAUTIONLOSS OF FUNCTION — EtCO2 calibration interrupts
the function of keyboard shortcuts. Once calibration has
begun, please use the drop down menu commands toexecute any desired functions (including saving).
If necessary, turn on save prior to EtCO2 calibration.
Once calibration is complete all keyboard functions areavailable.

Zero the Capnostat Sensor
A sensor must be zeroed (calibrated) whenever it is connected to a
Capnostat module, and whenever the message Please calibrate sensor on
the zero cell or Not calibrated is displayed.
The sensor cable has two cells, as shown in the figure below. One ismarked -0- (zero), and the other is marked REF (reference).

4
1
3

2

1

Capnostat Sensor Cable to Module

2-0- Cell3

REF Cell4

Capnostat Sensor Module

To zero the sensor:
1. Remove the adaptor from the sensor, but be certain that the sensor
cable is still connected to the module.
2. Ensure that the cell windows are clean and dry.
3. Place the sensor on the cell marked -0-. (Refer to the previous
illustration.)
4. Select the Calibrate EtCO2 Sensor icon.

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5. The message CALIBRATING is displayed in the EtCO2 window.
When calibration is complete, an EXP value of 0 is displayed.
6. Remove the sensor from the -0- cell and place it on the REF cell.
An EXP value of 38 mmHg (± 2 mmHg) is displayed. If the value is
not within this range, the sensor is out of tolerance and must be
replaced.

Calibrate the Capnostat Adaptor
An adaptor calibration is required under the following conditions:

Whenever you change adaptor types, for example, adult to low
volume dead space, or mainstream to sidestream.

When the monitor displays the message Please check/calibrate
adaptor.

Before calibrating, ensure the following:

The airway adaptor is clean and clear of foreign matter.

All sampling tubing is securely attached.

The pump is turned on.

Use the following procedure to calibrate the adaptor:
1. Place the sensor and the adaptor away from all sources of CO2,
including:

Patient breathYour breathVentilator exhaust valves

2. Click the Calibrate EtCO2 Adaptor icon.
The message Calibrating... is displayed in the EtCO2 parameter
window.

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Calibrate the CapnoFlex LF Module (Sensor + Pump)
The sensor in the CapnoFlex LF module must be zeroed (calibrated)
whenever it is connected to a Mainstream CO2 module, and whenever
the message Please calibrate sensor on the zero cell or Not calibrated isdisplayed.
To zero the sensor:
1. Ensure that the sample line plugged into the CapnoFlex LF module
is clean and dry.
2. Ensure that the pump in the CapnoFlex LF module is running.
3. Ensure that the sample line is NOT connected to a patient. Always
position the airway adaptor in an upright position to avoid collectionof fluids on the windows of the adaptor. Large concentrations of
fluids at this point will obstruct gas analysis.
4. Select Calibrate EtCO2 Sensor.
5. The message CALIBRATING is displayed in the EtCO2 window.
When calibration is complete, an EXP value of 1 is displayed.

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Mac-Lab Interface
EtCO2 Window
EtCO2 information is displayed in a separate window in the Mac-Lab
application. To launch the EtCO2 window, from either the Real-Time or
Review window, select End Tidal CO2 from the Windows menu.
The window is shown below:

Window
Component
Title Bar

Description
When a Capnostat Dual CO2 module is used, the EtCO2
window title displays the following:

SIDESTREAM when the pump is turned onMAINSTREAM when the pump is turned off

When a Mainstream CO2 module is used, the EtCO2
window title does not indicate the operation mode
(SIDESTREAM or MAINSTREAM).
EtCO2 Window Toolbar

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Tool bar icon descriptions are listed below.

RR

Indicates Respiratory Rate (in breaths per minute).

INSP

Inspired CO2 Value (in mmHg)

EXP

Expired CO2 Value (in mmHg)

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EtCO2 Toolbar

Sweep Speed/Scale
This option selects sweep speed for the displayed CO2 waveform.
Start/Stop EtCO2 Pump
This icon is available for Dual CO2 modules only; it is disabled when a
Mainstream CO2 module is used.This icon turns the module pump on andoff. The pump must be on when using the sidestream method.
NOTE
The EtCO2 window title will read:Sidestream when the pump is turned onMainstream when the pump is turned off

A blocked line condition may cause the pump to shut off
automatically. To restart the pump, clear or replace any blocked lines
and, for Dual CO2 modules, select the Start/Stop ETCO2 Pump
icon; for Mainstream CO2 modules, reinsert the sample line into the
CapnoFlex LF module
Calibrate EtCO2 Sensor
Zeros the Capnostat sensor. This is required whenever a new sensor isconnected to the module.
Calibrate EtCO2 Adaptor
Calibrates the Capnostat airway adaptor.
EtCO2 Waveform Range (Scale)
Selects the scale in mmHg.
If the waveform is too big, it will be clipped on the display. Adjust the scale
to reduce the waveform size.
O2 Compensation
The presence of a high concentration of oxygen causes the CO2 value toappear lower than the actual value. Use this option to compensate for thepresence of O2.
This is a direct action menu option that switches between 0-60% O2 and>60% O2. Your selection depends on the amount of O2 present.
O2 concentration can be obtained from the anesthesia machine.

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EtCO2 and Log Window
The Inspired CO2, Respiration Rate, and Expired CO2 can be recorded in
the Log window using the AutoLog Vitals and AutoLog NBP. You may
insert the recorded events in your report.
To edit the vitals event, double-click in the Summary column on theevent (or right-click in the Summary column and choose Edit Event). The
Edit Vitals Event window is displayed.

Troubleshooting
Capnostat Sensor CheckWARNING
INCORRECT VALUE DISPLAY — The End-Tidal CO2
value (EtCO2) is in most cases considerably lower thanthe CO2 partial pressure determined by blood-gas
analysis. The major clinical reasons are: Dead-spaceventilation, ventilation/perfusion mismatch; drop in
cardiac output; alveolar shunts; incomplete emptying of
the alveoli.
It may also be lower due to the following technical reasons(which must be corrected): Leak in the respiration tube
system; hypothermia, but blood-gas analysis at 37º C;
anesthesia gases (correction possible for O2 only).
The sensor cable has two cells, as shown in the figure below. One ismarked -0- (zero), and one is marked REF (reference). Whenever you
suspect incorrect values or sensor failure, perform a sensor check.

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4
1
3

2

1

Capnostat Sensor Cable to Module

2-0- Cell3

REF Cell4

Capnostat Sensor Module

Follow these steps to perform a sensor check:
1. Remove the adaptor from the sensor, but be certain that the sensor
cable is still connected to the module.
2. Ensure that the cell windows are clean and dry.
3. Place the sensor on the cell marked REF.
Depending on the units of measure, you should see a reading of 38
mmHg (± 2) on the display. If the displayed value is within range,
you can resume recording.
If the sensor is not within range, the error message Not Calibrated isdisplayed. You must calibrate the sensor to the zero cell.

Error Messages
Following is a list of error messages that may be displayed in the EtCO2
window when recording CO2. The error message should clear whennormal operating criteria are met or a solution is found. If a message
persists, call GE Healthcare for service at 1-800-437-1171 option 4 (U.S.
only). Outside the United States, please contact your sales/service office.
NOTE
The actual message that appears on your monitor depends on themodule used and the installed software version.

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MessageCause

Solution

Pump is blocked.
Please check.

Nasal cannula, moisture filter, sidestream
adaptor tube or exhaust line is blocked.

Check nasal cannula, moisture filter, sidestream adaptor tube
and exhaust lines for blockage and replace if necessary. If theblocked line condition persists for a period of time, the module’s
pump will automatically shut off. The pump must then berestarted to clear the message. To restart the pump, clear or
replace any blocked lines and, for Dual CO2 modules, select theStart/Stop ETCO2 Pump icon; for Mainstream CO2 modules,
reinsert the sample line into the CapnoFlex LF module. Repeat
this process until the Pump is Blocked. Please Check. message
clears.

Sensor cable isdisconnected.
Please check.

Sensor cable is not connected to module.

Check sensor cable connection.

Please calibrate thesensor on the zerocell.

A new sensor was introduced into thesystem or there is a possible signal drift insensor electronics.

Zero the CO2 sensor.

Cannot becalibrated.

Calibration cannot be performed during
warm up or while there is an error.

Wait for the module to warm up or clear the error condition
before calibrating.

Please check/calibrate adaptor

Adaptor is not attached to sensor

Ensure the sensor is securely snapped onto the adaptor.

Adaptor is obstructed

Adaptor used is of a different type thanthe one last calibrated to the sensor

Check for possible obstructions in the adaptor and clean if
required.



Recalibrate the adaptor.

Please Check
Sample LineSample line is disconnected

Be sure the sample line is securely connected.

Sample line used is of a different typethan the type used when adaptor waslast calibrated.



Recalibrate the adaptor using the new type of sample line.

Incompatible
SensorCapnostat sensor is of older type and notsupported by module software.

Use only a Capnostat 3 sensor.

Calibration Error
SensorSensor signal is out of tolerance.

Calibrate the sensor.

Not calibrated

Sensor signal is out of tolerance.

Calibrate the sensor.

Service CO2
module CPU

Module failure.

Contact GE Healthcare or contact your sales/ service
representative for service.

Service CO2
module RAM

Module failure.

Contact GE Healthcare or contact your sales/ service
representative for service.

Service CO2
module ROM

Module failure.

Contact GE Healthcare or contact your sales/ service
representative for service.

Service CO2
module 2nd CPU

Module failure.

Contact GE Healthcare or contact your sales/ service
representative for service.

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MessageCause

Solution

Service CO2
module Sensor
Temperature

Module failure.

Contact GE Healthcare or contact your sales/ service
representative for service.

CO 2 module iswarming up...

Occurs when:

Message clears automatically. If it lasts more than 4 minutes,
call GE Healthcare service or contact your sales/service
representative.

The Sensor is first plugged inA module is placed in a RAC 4A



When a sensor is first powered on.

Calibrating...

Module is calibrating.

Message clears automatically. If the message is displayed
continuously, call GE Healthcare service or contact your sales/
service representative.

Calibration Error

The module cannot be calibrated.

Call GE Healthcare service or contact your sales/service
representative.

Please calibrate
cannula
Unknown Error

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Calibrate the adaptor.
Module failure due to unknown cause.

Call GE Healthcare service or contact your sales/service
representative.

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CVIS to Mac-Lab/CardioLab Interface
NOTE
For Acquisition and Review systems, the Local System and Remote
Hosts sections must be completed to perform a patient search and aschedule search.

The previous screen shows the Local System configuration settings withsome sample settings. Enter each field as described in the following:
DICOM Settings: These settings are for this Mac-Lab/CardioLabsystem. You must fill in this section.


AE Title: The DICOM name for the Mac-Lab/CardioLab system. An
AE Title typically only contains letters, numbers, and the underscorecharacter, and must be 16 characters or less.
NOTE
AE Titles are case sensitive, for example, Lab1 is not the same as
LAB1.



Listen Port: Port number on which Mac-Lab/CardioLab listens forconnections from the X-ray and U/S systems. Use the default of 1225.

Maximum search responses to accept: Defines the maximum
number of DICOM search results displayed. Use the default value of 150.
Lock critical patient demographics fields from Modality Worklist
host: Leave checked to prevent the operator from changing PatientName, MRN, and Date of Birth when these values are provided by the
CVIS.
Enable detailed logging of DICOM communications: If you arehaving problems with connectivity, turn this feature on to troubleshootthe system. When you are finished troubleshooting, turn off this feature.
These log files can be found in D:\GEMMS\Prucka\Logs\DICOM.

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Include DOB in DICOM viewer patient context check: This is used
to include the DOB parameter when searching for patient data with the
DICOM viewer.
INNOVA CENTRAL/Touch Screen: If you have purchased this option,
you should check the box to enable this feature.

The previous screen shows the Remote Hosts DICOM configuration
settings with some sample settings. Enter each field as described in thefollowing:
X-Ray System Settings: Fill in this section only if the X-ray system
DICOM interface will be used. The typical X-ray systems are the GE
Innova or the DLX.


Automatic Start Exam: Check this box only if you are using a GE
Innova system. This feature sends a notification to the Innova tostart an exam.
NOTE
You should only check this option if your version of Innova
supports this feature, otherwise leave this box unchecked.



AE Title: The DICOM name for the X-ray system. This is found in
the X-ray system’s configuration settings. (The default names are“dlx_root” for the DLX or “TERRA” for the Innova, but these values
are typically changed).



Hostname or IP Address: X-ray system hostname or IP address.
(Obtain this from the hospital administrator).

Port Number: Port number on which the X-ray system listens forconnections from the Mac-Lab/CardioLab.



Modality: Imaging system’s modality. This should be left at thedefault of XA.

Text Encoding: How text sent to the X-ray system is encoded. Thisshould be left at the default of Latin-1.

Ultrasound System Settings: Fill in this section if you are connecting
to an ultrasound device.

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AE Title: DICOM name for the Ultrasound system. Check
Ultrasound system configuration to verify the name.



Hostname or IP Address: Ultrasound system hostname or IP
address.

Port Number: Port number on which the ultrasound system listensfor connections from the Mac-Lab/CardioLab.



Modality: Ultrasound system’s modality. This should be left at thedefault of US.



Text Encoding: How text sent to the Ultrasound system is encoded.
This should be left at the default of Latin-1.

Modality Worklist Host: CVIS settings. You must fill in this section.


AE Title: DICOM name for the CVIS. Default is MWL_MPPS_SCP.
Check CVIS configuration to verify the name.



Hostname or IP Address: CVIS hostname or IP address.

Port Number: Port number on which CVIS listens for connections
from the Mac-Lab/CardioLab. Default values are:

Domestic CVIS is 1225.



Non-Domestic CVIS is 104.

Check the CVIS configuration to verify the value.
Text Encoding: How text sent to the CVIS is encoded. Leave atdefault of Latin-1 (exception: CVIS in China and Japan should be
Unicode (UTF-8)).

MPPS Host: CVIS settings. You must fill in this section. Use exactly thesame values you used to fill in the Modality Worklist Host section.
Maximum search responses to accept: Defines the maximum
number of DICOM search results displayed. Use the default value of 150.
Lock critical patient demographics fields from Modality Worklist
host: Leave checked to prevent the operator from changing PatientName, MRN, and Date of Birth when these values are provided by the
CVIS.

Problem Scenarios
Problem: My supplies or other list items I add to the CVIS system
are not showing up on my Mac-Lab.

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INW service that processes lists not configured or started



CVIS List Sharing Delta export not configured for the given location



Corrupt XML export from the CVIS system

CVIS List Sharing services on CVIS server not started

Replication errors/issues with INW Server and Mac-Labs



Network connection between CVIS and INW server lost (INW service
can't find files even though they're getting created appropriately)

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Problem: Cases I do on Mac-Lab are not showing up in the CVIS
system.
Interfaces on CVIS server not running or configured improperly

Data Export Utility on Mac-Lab not configured correctly

Data Export not turned on Mac-Lab in Sys Admin File Path setup

Network connection between Mac-Lab and CVIS Server not up

Problem: I scheduled the patient on the CVIS system, but I can't
find them in the Schedule search.


DICOM settings not configured correctly on Mac-Lab



DICOM services not running on CVIS ServerNetwork connection lost between Mac-Lab and CVIS

Problem: I can't find a patient with the Patient search, but I
know they are admitted...the Patient search isn't working.


DICOM settings on Mac-Lab not configured correctly

Network connection lost between Mac-Lab and CVISPatient Interface service not running

HIS feed to ADT Interface is down on CVIS

Test DICOM Connectivity (CVIS)
Steps 1 and 2 are only valid for US (English Canada) CVIS.
1. Open the Study > Patient Search at the Navigator.
2. Enter a Patient Last Name of Smith (or other common name) andpress Start Search. One of the following outcomes will occur:

One or more patient records are returned and shown in the list.
(If too many matches are found the list will be truncated.) The
DICOM configuration settings are correct.

An error message is displayed indicating no matching patientswere found. The DICOM configuration settings may be correct,
but another name should be tried.

Some other error message is displayed:
The DICOM configuration settings are incorrect.



The CVIS system configuration settings are incorrect.



The CVIS system is not actively listening for connections.

Begin troubleshooting with the next step.

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3. These substeps are valid for both US and Non-US (English Canada)
CVIS.
a. Log in as MLCLTechUser (to OS).
b. Open command prompt.
c.

Type dicomdiag and press Enter. The diagnostic tool will attempt
to connect to all configured remote DICOM hosts. Failures andrecommended solutions will be reported.

d. The diagnostic tool will tell you what to do next.
4. Check the DICOM server settings on the CVIS systems. Log in to the
CVIS system using MuseAdmin (Contact GE Healthcare TechnicalSupport or the system administrator for current password
information). MuseAdmin is only valid for US (English Canada)
CVIS.
a. Open the Interface Management Console tool (if it is not alreadyrunning, look for it on the system tray).
b. Select the DICOM MWL SCP on the left side (it may be calledsomething else).
c.

Verify the DICOM server is running (it is shown on the rightside). If it is not, click the + button on the toolbar.

d. Verify the AE Title and Network Port values match the Mac-Lab/
CardioLab configuration.
e.

Verify the CVIS application is running. If it is not, open theCentricity Cardiology DMS application on the desktop.

f.

Go to Administrative > System Management > DICOM
Maintenance.

g. Check the Location drop-down just above the DICOM Networkgroup box. The Mac-Lab/CardioLab system should have the same
AE Title configured earlier in CVIS (MLCL_LAB1 in the previous
example).
h. If it does not, you need to either modify the AE Title back in CVISor click the Add Net Device button and enter the following
information:i.

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

AE Alias column: Enter a user-friendly name for the system(for example, Lab #1 or Mac-Lab 3).



AE Title column: Enter the AE Title of Mac-Lab/CardioLabsystem.



Modality column: Check the appropriate checkboxes: HD for
Mac-Lab, EPS for CardioLab systems, or both for ComboLabsystems.

Repeat the patient search. If all settings are correct, it should
return a valid result.

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NOTE
By default, only errors from the DICOM interface are logged. To see
additional error messages, you must edit the registry.
5. Add event log for DICOM traffic.
a. At the command prompt, run regedit.
b. Go to the following key:
HKEY_LOCAL_MACHINE\SOFTWARE\GEMS\DICOM\MW
L_MPPSc.

Open Logging Filter. (It should have a default value of “08”.)

d. Change the value to “0F” (number zero, letter “F”) to enable
logging of all events.
NOTE
Only change this value for troubleshooting because debug
messages are also logged and the log will quickly fill up with
unneeded information.
e.

Restore the value to “08” when finished troubleshooting.

Test DICOM Connectivity (X-Ray)
Mac-Lab/CardioLab: After you configure (or re-configure) the “Local
System” Settings tab, the “X-ray System Settings” section within the
Mac-Lab/CardioLab application, you must either reboot the Acquisition
system or manually restart the service called “MWL MPPS Service”.
Note that you must be logged in as MLCLTechUser to manually start
this service. MLCLLogonUser does not have the privilege to do this.
X-ray: You must configure the X-ray system to use the Mac-Lab/
CardioLab Acquisition system as its destination for both MWL and
MPPS transactions. The X-ray system must not get this informationfrom the CVIS system.
NOTE
To test with the Innova, use the dicomdiag tool, as described in theprevious section.
1. PING (at the command prompt) the X-ray system using the same
hostname or IP address previously configured.


PING fails: Possibly a networking problem, check if configurationis correct.



PING successful: Go to the next step.
NOTE
The dcmecho command (see previous for CVIS) will not workfor to test the X-ray system interface. This is because thecommand tests connecting from Mac-Lab/CardioLab to X-ray
systems, but the connections only go the other way.
Therefore, the connection test must be done from the X-ray
side.

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2. On the X-ray system, use the DICOM Echo interface or a similar
connectivity test, to verify that the connection with the Mac-Lab/
CardioLab system can be established. If that works, the Mac-Lab/
CardioLab system is configured correctly and is listening for andresponding to requests.
3. In order to use the MWL interface on the X-ray system to request
patient and study data from the Mac-Lab/CardioLab system, follow
these steps:
a. Start a new study on the Mac-Lab/CardioLab system. (If you
don’t, the MWL request from the X-ray system will fail because
there is no patient and study data to report).
b. Make the MWL request from the X-ray system. Key patient
attributes such as Name, MRN, Date of Birth, Height, andWeight should transfer from the Mac-Lab/CardioLab and should
be displayed on the X-ray system.
4. If this doesn’t work, make sure the MWL MPPS Service is running on
the Mac-Lab/CardioLab system.
5. Check the error log and look for errors reported by the DICOM layer.
6. Recheck the configuration on both systems (the values should matchexactly):

Mac-Lab/CardioLab: Local AE Title and Listen Port, the X-ray
system’s AE Title and Modality.



X-ray System: AE Title values, MWL/MPPS destination
Hostname/IP Address, Port Number.

HL7 Export to CVIS
1. Perform a check on the Mac-Lab/CardioLab logs to verify successful
HL7 export. Open Windows Explorer.
2. Check the CVIS Interface Console audit logs to see if the HL7
message was received.
3. Check the CVIS archive logs to see if the HL7 message wasprocessed.

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InSite ExC
Normal Operation
Once the agents are configured and started after initial setup, any
configuration problems will cause the agents to attempt to connect threetimes at two minute intervals before shutting down.
Once the agents are successfully configured and started:

If the system is restarted, the agents attempt to start three times
and then shut down until manually restarted.

In the event of a failure (that is, the network or enterprise is server
down), the service agent polls every 10 minutes until it can connect.

GEMS Log Collector Task
GEMS Log Collector Task Creation
The following steps are needed only if you want to configure InSite ExC
Log Collection on GE Acquisition and Review systems only.
1. Select Start -> Settings -> Control Panel -> Scheduled Tasks. The
Scheduled Tasks page opens.
2. If the GEMS_LogCollector_Task entry is present, right-click it andchose Properties.
3. If the GEMS_LogCollector_Task entry is not present, add a newentry as follows:

Select File > New to add a new scheduled task.



Rename the task GEMS_LogCollector_TaskRight-click the new entry and select Properties.



Browse to D:\GEMMS\Prucka\Bin and select the
GEMS_LogCollector.exe program. Edit the run command line to
add the –sendtobos option as shown in the following figure.

4. Select the Enabled check box.

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5. In the Run as field, enter the account information as follows:

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For a networked system (Acquisition or Review), enter the username as <Domain Name>\MLCLSqlUser.



For a stand-alone system, enter the user name as <Computername>/ MLCLSqlUser.



Click Set Password. When prompted, enter the password
sql8273user in both fields.

Click OK.

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GEMS Log Collector Task Schedule Configuration
Select the Schedule tab and configure the task to run once every two
weeks as shown in the following figure.

1. In the Schedule Task: field, select Weekly.
2. In the Start time: field, select 11:50PM.
3. In the Schedule Task Weekly section, select Every 2 week(s) on: Sat.

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List of Log Events

Timed Out while waiting for network thread

GetFileAttributes failed for pathThe Exception EXCEPTION_ACCESS_VIOLATION was generated
by the application



Exit Code indicates failure for pathCentral List Service not startingThe service cannot be started, either because it is disableddisk space left in the network storage pathMaximum number of client connections reachedUnable to create the patient directorytruncating rdc file toFailed to update client status.rdb was denied

Failed to copy file fromList of SNMP Faults
1. SNMP_EVENT_LOG_FOUNDATION_AGENTS_267
2. SNMP_EVENT_LOG_FOUNDATION_AGENTS_399
3. SNMP_EVENT_LOG_FOUNDATION_AGENTS_1174
4. SNMP_EVENT_LOG_FOUNDATION_AGENTS_1176
5. SNMP_EVENT_LOG_FOUNDATION_AGENTS_1178
6. SNMP_EVENT_LOG_FOUNDATION_AGENTS_1180
7. SNMP_EVENT_LOG_NIC_AGENTS_258
8. SNMP_EVENT_LOG_NIC_AGENTS_259
9. SNMP_EVENT_LOG_NIC_AGENTS_260
10. SNMP_EVENT_LOG_NIC_AGENTS_269
11. SNMP_EVENT_LOG_NIC_AGENTS_296
12. SNMP_EVENT_LOG_STORAGE_AGENTS_399
13. SNMP_EVENT_LOG_STORAGE_AGENTS_1061
14. SNMP_EVENT_LOG_STORAGE_AGENTS_1062
15. SNMP_EVENT_LOG_STORAGE_AGENTS_1064
16. SNMP_EVENT_LOG_STORAGE_AGENTS_1067
17. SNMP_EVENT_LOG_STORAGE_AGENTS_1068
18. SNMP_EVENT_LOG_STORAGE_AGENTS_1070

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Troubleshooting
19. SNMP_EVENT_LOG_STORAGE_AGENTS_1075
20. SNMP_EVENT_LOG_STORAGE_AGENTS_1076
21. SNMP_EVENT_LOG_STORAGE_AGENTS_1077
22. SNMP_EVENT_LOG_STORAGE_AGENTS_1152
23. SNMP_EVENT_LOG_STORAGE_AGENTS_1153
24. SNMP_EVENT_LOG_SERVER_AGENTS_399
25. SNMP_EVENT_LOG_SERVER_AGENTS_1024
26. SNMP_EVENT_LOG_SERVER_AGENTS_1082
27. SNMP_EVENT_LOG_SERVER_AGENTS_1085
28. SNMP_EVENT_LOG_SERVER_AGENTS_1088
29. SNMP_EVENT_LOG_SERVER_AGENTS_1123
30. SNMP_EVENT_LOG_SERVER_AGENTS_1137
31. SNMP_EVENT_LOG_SERVER_AGENTS_1138
32. SNMP_EVENT_LOG_SERVER_AGENTS_1139

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Application Repair
NOTE
For repairing corrupted or missing Operator’s manual files, run the
UserManualUpdate.wsf from the root of the DVD ML/CL
APPLICATION INSTALL 6.5.6 (PN 2049051-001). A message
stating “User manuals updated” will be displayed once the manuals
are repaired.

Prerequisite
To run repair, set the current DVD drive letter in the registry at thelocation
HKEY_LOCAL_MACHINE\SOFTWARE\Microsoft\Windows\Current
Version\Uninstall\{A826E79B-2E00-4538-847B-D88A3DB98E6F} as:
Value Name: InstallSource
Value Data: <DVD Drive letter>:\
For example if the DVD drive letter has changed to F, the Value data
shall be F:\.
1. Log on as a local Administrator.
Ensure all programs are closed.
2. Insert the DVD ML/CL APPLICATION INSTALL 6.5.6(PN 2049051-001) into the DVD-ROM drive.
3. Browse to the DVD drive and double-click mlcl.msi.
4. Click Next at the Mac-Lab/CardioLab-Installation Wizard Welcome
window.
5. Click Next at the Setup Type window.
6. Enter the sa password (contact the Hospital administrator for
current logon information) in the Database Password window andclick Next.
7. Click Next at the Repair window. The Installing Mac-Lab/
CardioLab progress bar opens.
8. Click Finish at the Installation Complete window.
9. Remove the DVD from the drive.
10. Reboot the system.

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Option Codes
Normal Operation


IMPORTANT: Always make a backup options CD after system setup.
Refer to the Installation manual for detailed procedures.

Invalid key message indicates key was entered incorrectly.



Functions are enabled only when checkboxes are checked.



If Option codes are changed while in the applications: Log out and log
back in to see the changes.

Troubleshooting
Fix Corrupt Option Codes
If options somehow become corrupted, then the following procedure canbe used to reset the Mac-Lab CardioLab/Options.
1. Login as mlcltechuser (to the OS and Custom Shell)
2. Open a command prompt and type: regedit.exe [enter]
3. Navigate to
HKEY_LOCAL_MACHINE\Software\GEMS\CardioLab\Options.
4. Delete Option List.
5. Launch the Service Console from the desktop and select the Options
Manager.
6. Launch the Software Options from the CD and apply the changes.

If Serial Numbered Entered Incorrectly
1. Open command prompt
2. Navigate to D:\GEMMS\Prucka\Bin
3. Type: GEMS_ChangeSerialNum [SERIAL NUMBER]

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Troubleshooting

Event Viewer
The Event Viewer maintains logs about program, security, and system
events on the computer. You can use Event Viewer to view and manage
the event logs, gather information about hardware and software
problems, and monitor Windows security events.
1. To open the Event Viewer, on the Desktop, right-click My Computerand select Manage. The Computer Management window comes up.
2. Click the Event Viewer to expand the menu so you can see thefollowing items: Application, Security and System.
Application Log - The application log contains events logged byapplications or programs. For example, a database program
might record a file error in the application log.



Security Log - The security log records events such as valid andinvalid logon attempts, as well as events related to resource use
such as creating, opening, or deleting files or other objects. For
example, if you have enabled logon auditing, attempts to log on to
the system are recorded in the security log.



System Log - The system log contains events logged by Windows
XP system components. For example, the failure of a driver orother system component to load during startup is recorded in thesystem log.

3. All logons are logged to the Security section, you will needadministrator rights in order to view the security logs. The Mac-Lab/
CardioLab system handles its own errors.
4. You can choose View > Filter to filter logs that you want to see.
You also have to have administrator rights in order to save log files.
5. Click Computer Management and then select Connect to anothercomputer on the Toolbar in order to connect to another computer.

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Troubleshooting

Log Files
Application Logs
Information, Warning, and Error messages are logged during different
states of Mac-Lab/CardioLab (Acquisition and Review) and INW server
systems. These messages can be used for checking: the state of thesystem, success of a command, or for debugging.
The Mac-Lab/CardioLab application writes messages to the Windows
Event Log while running. These event logs can be accessed through the
Event Viewer and appear in the Application Event Log with source
GEMS. These messages may be of type information, warning, or error.
The number of information or warning messages can be controlled
through Audit Log settings inside the application. Error messages arealways logged.

Server/Workstation

File Name

Origin or Location

Usage Description

DICOM log files

D:\GEMMS\Prucka\Logs\DICOM

Logs the status/details about the DICOM interface. These logs
are created only if the option is checked in the Connectivity
section of System Settings.

Workstation

Data Export
Audit Log Files

D:\GEMMS\Prucka\Exportdata

Logs the status/details about the Data Export operation.

Workstation

Mini Dump Files

D:\GEMMS\Prucka\Bin\Remote
Service\Insite2\outgoing

Logs the mini dump when there is an application crash.

Workstation

SQL Server log
files

C:\Program Files\Microsoft SQL
Server\MSSQL\log

Logs the status/details about the operation of the SQL server.

BothInstall/Update Logs
Messages are written to Windows Event Log during installation or
upgrade of Mac-Lab/CardioLab software. These event logs can beaccessed through the Event Viewer and appear in the Application Event
Log with the source GEMS and the category Setup.

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Install Log Files
Test log files are created during the installation of Mac-Lab/CardioLab
software. These files contain information regarding: the actions
performed during an install, result (success/failure) of the install, anderror information (if any). These files are created in
D:\GEMMS\Prucka\Setup and include the following:

Audit.log



GEMS_Droplinkedserver.log



GEMS_Dropreplblaster.log



GEMS_Replcheck.log



GEMS_CLAB_Export.log



GEMS_archiveuser.log



GEMS_clabsys.log



GEMS_clabuser.log



GEMS_StartServices.log



GEMS_CmdExecNT.log



GEMS_CmdExecSQLAcq.log



GEMS_CmdExecSQLRev.log



LMT_Update.log

Details of purpose and information contained in these files can be foundin the following table.

Server/Workstation

File Name

OriginUsage Description

CMD_RESULT.log

D:\GEMMS\Prucka\
Bin\GEMS_Install
Config.dll

Reads the CMD_RESULT.log file after the script execution during
the application install to check whether the operation is successful or
failure.

Both

CMD_RESULT.log

GEMS_SysProfiler.bat

Always creates the new CMD_RESULT.log file and logs
GEMS_SUCCESS or GEMS_ERROR depending on the System
Profiler operation during the application install.

Both

CMD_RESULT.log

GEMS_SQLJOBS.bat

Always creates the new CMD_RESULT.log file and logs
GEMS_SUCCESS or GEMS_ERROR depending on the System
Profiler operation during the database maintenance.

Server

GEMS_SW
Install.log

GEMS_SysProfiler.bat

Logs the steps performed and errors that occurred during theapplication install.

Both

GEMS_SWError.log

GEMS_SysProfiler.bat

Logs the errors occurred during the application install.

Both

GEMS_HWProfile%
TDYY%%TDMM%%TDDD%.log

GEMS_SysProfiler.bat

Logs the Hardware profile of the system during the application install.

Both

MLCL_Set_
Language.log

MLCLSetLang.cpp

Logs the details of the operation performed while setting thelanguage.

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Usage Description

Server/Workstation

File Name

Origin

MLCL_Set
Language.log

MLCL_Set_Language.
bat

Logs the details of the operation performed while setting thelanguage.

Both

GEMS_CREATE_
CLAB_OPTICAL_
6011.log

MLCL_Set_Language.
bat

Logs the status/details about the v6.0 Clab Optical database creation
operation.

Both

GEMS_CLAB_
OPTICAL_6500.log

MLCL_Set_Language.
bat

Logs the status/details about the v6.5 Clab Optical database upgrade
operation.

Both

Logs the status/details about the database creation/upgrade during
application install.

Both

Logs the error if any problems in creating/updating the database
while switching languages.

Both

GEMS_CLAB_
INSTALL.log
GEMS_CLAB_
INSTALL.log

MLCL_Set_Language.
bat

GEMS_DROP_DATABASE.log

Logs the error if any problems in dropping the database.

Workstation

Upgrade Log Files
Text log files are created during the upgrade of Mac-Lab/CardioLab
software. These files contain information regarding the actions
performed during the upgrade, result (success/failure) of the upgrade,and error information (if any). These files are created in D:\Upgrade60
and include the following:

4-82



capture_settings.log

capture_settings_rev.log

detach_5.x.log

migrate_acq.log

migrate_rev.log

migrate_srv.log



pre_install.log

reattach_5x.log

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Troubleshooting

Maintenance Log Files
Text log files are created during the maintenance operations performedon the Mac-Lab/CardioLab systems. These maintenance activities
include Database Maintenance, Backup, Archive, Running Scheduled
Jobs, and so on. These log files contain information regarding the actions
performed during maintenance, result (success/failure) of themaintenance, and error information (if any). These files are created in
the folder D:\GEMMS\Prucka\Database\Maintenance\Log andinclude the following:

GEMS_BKP.log



GEMS_TAPEBKP.log



GEMS_backup_clabdb.log



GEMS_backup_masterdb.log



GEMS_DBMAINT_PROCS.log



GEMS_db_maint_reindexdb_clab.log



GEMS_db_maint_recompile_clab.log



GEMS_db_maint_checks_master.log

scheduled_jobs_on_’ + @subscriber + ‘.log



Gems_backupclab.log



Gems_restoreclab.log



Listjobs.log



GEMMS_tmparchive.log



GEMMS_tmppurge.log



sp_detach_5x.log



sp_attach_cb.log



sp_attached_5x.log

Details of purpose and information contained in these files can be foundin the following table.

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File Name

OriginUsage Description

Server/Workstation

Database
Maintenance.log

GEMS_SQLJOBS.bat

Logs the status and details about the database maintenance
operation.

Server

GEMS_sqljobs.
log

GEMS_SQLJOBS.bat

Logs the status and details about SQL Jobs during the databasemaintenance operation.

Server

GEMS_WS_DB
MAINT.log

GEMS_2GBLimitPatch.bat

Logs the status and details of the operation performed during thedatabase maintenance for 2 GB Limit.

Workstation

GEMS_WS_DB
MAINT.log

GEMS_WS_DBMAINT.bat

Logs the status and details of all the operations performed during
the database maintenance.

Workstation

GEMS_WS_DB
MAINT.log

GEMS_WS_DBMAINTJ
OB.batLogs the error if any problems in starting the database maintenance
operation.

Workstation

GEMS_db_maint_backup.log

GEMS_WS_DBMAINT.bat

Logs the status/details about backup operation performed during thedatabase maintenance.

Workstation

GEMS_db_maint_REINDEX.log

GEMS_WS_DBMAINT.bat

Logs the status/details about re-index operation performed during
the database maintenance.

Workstation

GEMS_db_maint_checks.log

GEMS_WS_DBMAINT.bat

Logs the status/details about maintenance checks operation
performed during the database maintenance.

Workstation

GEMS_db_maint_updatestats.log

GEMS_WS_DBMAINT.bat

Logs the status/details about update stats operation performed
during the database maintenance.

Workstation

GEMS_db_maint_recompile.log

GEMS_WS_DBMAINT.bat

Logs the status/details about recompile operation performed during
the database maintenance.

Workstation

Archive
Generator Log
FilesLogs the status/details about Archive Generator operation.

Workstation

2GBLimit.log

Logs the status/details about the operation of the 2GB Utility.

Workstation(Acquisition)

Replication Log Files
Text log files are created during the replication setup and configure
operations on the Centricity Cardiology INW server. These log files
contain information regarding the actions performed during replication
setup, result (success/failure) of the setup, and error information (if any).
These files include the following:

4-84



GEMS_Acq_ReplRemove.log



GEMS_ReplicationCheck.log



GEMS_Server_ReplRemove.log

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Troubleshooting

Device Log Files
These are errors that are created from devices that are hooked up to the
Mac-Lab/CardioLab system.

Origin or Location

TramErr.log

D:\GEMMS\Prucka\
Bin\PEITram.dll

Logs the device status and errors occurred on the TRAM.

Workstation

TramNetErr.log

D:\GEMMS\Prucka\
Bin\PEITramNet.dll

Logs the connection status and failures on the TRAMNet Driver.

Workstation

DashErr.log

D:\GEMMS\Prucka\
Bin\PEIDash.dll

Logs the device status and errors occurred on the DASH/Solar.

Workstation

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Usage Description

Server/Workstation

File Name

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Log File Locations for Mac-Lab/CardioLab System
The following log files may exist on workstations and INW servers:

4-86



D:\GEMMS\Prucka\Setup\GEMS_CLAB_INSTALL.log



D:\GEMMS\Prucka\Setup\GEMS_DROP_DATABASE.log



D:\GEMMS\Prucka\Database\Maintenance\Log\GEMS_DBMAINT_PROCS.log



D:\GEMMS\Prucka\Bin\TramNetErr.log



D:\GEMMS\Prucka\Bin\Gems_backupclab.log



D:\GEMMS\Prucka\Bin\Gems_restoreclab.log



D:\GEMMS\Prucka\Bin\Audit.log



C:\DFCtest\merge.log



C:\clabdbsizecheck.log



D:\GEMMS\Prucka\Bin\CMD_RESULT.log



D:\GEMMS\Prucka\setup\GEMS_Droplinkedserver.log



D:\GEMMS\Prucka\setup\GEMS_Dropreplblaster.log



D:\GEMMS\Prucka\setup\GEMS_Replcheck.log



D:\GEMMS\Prucka\SETUP\GEMS_CLAB_Export.Log



D:\GEMMS\Prucka\Setup\GEMS_CLAB_INSTALL.Log



D:\GEMMS\Prucka\Setup\GEMS_archiveuser.log



D:\GEMMS\Prucka\Bin\DATABASE\MAINTENANCE\LOG\GEM
S_BKP.Log



D:\GEMMS\Prucka\Bin\DATABASE\MAINTENANCE\LOG\GEM
S_TAPEBKP.Log



D:\GEMMS\Prucka\Bin\build.log



D:\GEMMS\Prucka\Bin\DashErr.log



D:\GEMMS\Prucka\Bin\TramErr.log



C:\STATS.LOG



C:\QUERY.LOG



C:\SQL.LOG



D:\GEMMS\Prucka\2GBUtility\Log\2GBLimit.log



D:\GEMMS\Pruckaa\Bin\GEMMS_tmparchive.log



D:\GEMMS\Prucka\Bin\GEMMS_tmppurge.log



D:\GEMMS\Prucka\Bin\log\gems_ws_dbmaint.log



D:\GEMMS\Prucka\Bin\log\GEMS_DBMAINT_PROCS.log



D:\GEMMS\Prucka\Bin\log\GEMS_WS_DBMAINT.log



D:\GEMMS\Prucka\Bin\log\GEMS_db_maint_checks.log



GEMS_db_maint_backup.log



GEMS_db_maint_REINDEX.log



GEMS_db_maint_updatestats.log



D:\GEMMS\Prucka\log\GEMS_db_maint_recompile.log



D:\GEMMS\Prucka\DICOM\merge.log



D:\GEMMS\Prucka\Ntos\logs\GEMS_Policy.log

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

D:\Upgrade65\capture_settings.log



D:\GEMMS\Prucka\Database\maintenance\log\Listjobs.log



D:\GEMMS\Prucka\Database\maintenance\log\sp_detach_5x.log

D:\Upgrade60\migrate_acq.log

D:\Upgrade60\migrate_rev.log



D:\Upgrade60\migrate_srv.log



D:\GEMMS\Prucka\Database\maintenance\log\sp_attach_cb.log



D:\GEMMS\Prucka\Bin\log\sp_attach_5x.log



C:\windows\security\logs\resetup.log



C:\windows\special\cardiosec.log



D:\GEMMS\Prucka\setup\LMT_Update.log



D:\GEMMS\Prucka\Setup\MLCL_Set_Language.log



D:\GEMMS\Prucka\Setup\history.log



D:\GEMMS\Prucka\Bin\GEMS_SWInstall.log

D:\GEMMS\Prucka\Bin\GEMS_SW_D.log



D:\GEMMS\Prucka\Setup\GEMS_clabsys.log



D:\GEMMS\Prucka\Setup\GEMS_clabuser.log



D:\GEMMS\Prucka\Setup\GEMS_CmdExecNT.log



D:\GEMMS\Prucka\Setup\GEMS_StartServices.log



D:\GEMMS\Prucka\Setup\GEMS_CmdExecNT.log



D:\GEMMS\Prucka\Setup\GEMS_CmdExecSQLAcq.log

D:\GEMMS\Prucka\Setup\GEMS_CmdExecSQLRev.log



D:\GEMMS\Prucka\Setup\GEMS_netshare.log



D:\GEMMS\Prucka\Database\Maintenance\Log\DatabaseMaintena
nace.log



D:\GEMMS\Prucka\Database\Maintenance\Log\GEMS_sqljobs.log



D:\GEMMS\Prucka\Database\Maintenance\Log\GEMS_backup_cla
bdb.log

D:\GEMMS\Prucka\Database\Maintenance\Log\GEMS_backup_ma
sterdb.log



D:\GEMMS\Prucka\Database\Maintenance\Log\GEMS_db_maint_r
eindexdb_clab.log



D:\GEMMS\Prucka\Database\Maintenance\Log\GEMS_db_maint_r
ecompile_clab.log



D:\GEMMS\Prucka\Database\Maintenance\Log\GEMS_db_maint_c
hecks_master.log



D:\GEMMS\Prucka\Database\Maintenance\Log\GEMS_SrvNameC
hanger.log



D:\GEMMS\Prucka\Database\Maintenance\Log\GEMS_SrvNameC
hanger.log



D:\GEMMS\Prucka\Database\Maintenance\Log\NameChanger.log



D:\GEMMS\Prucka\Database\Maintenance\Log\GEMS_Acq_ReplR
emove.log

D:\GEMMS\Prucka\Database\Maintenance\Log\GEMS_Replication
Check.log

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

D:\GEMMS\Prucka\Database\Maintenance\Log\GEMS_Server_Rep
lRemove.log



D:\GEMMS\Prucka\Setup\MLCLInstallerDbg.log

Navigate to D:\GEMMS\Prucka\ExportData



4-88



Double-click DataExportConfig.exe.

Check the audit.log file in the directory in the Audit Log tab.

Domestic CVIS Only: Perform a check on the CVIS Interface
Management Console to verify the HL7 messages were processed/
received.


Navigate to Administrative > System Management > Audit Logs.



Then go to respective tab page to find the log files.

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52021423-503H

Recovery Procedures

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5-1

Recovery Procedures

Acquisition System Disaster Recovery
The decision to perform an Acquisition system recovery should only bemade after consultation with GE Technical Support by the on-site Field
Engineer. The high-level steps for a complete 6.5.6 Acquisition system
recovery are listed below. Detailed instructions for each step follow.

High-Level Overview
Required Parts
Verify the appropriate media is available. Double-check all part numbers
before you begin.


DVD ML/CL APPLICATION INSTALL 6.5.6: 2049051-001



DVD MLAB/CLAB HPXW8000 IMG DVD v6.5.6: 2049072-001

DVD MLAB/CLAB HPXW8000 IMG DVD v6.5.6 #2: 2049072-002



DVD MLAB/CLAB HPXW8200 IMG DVD v6.5.6: 2049074-001

DVD MLAB/CLAB HPXW8200 IMG DVD v6.5.6 #2: 2049074-002



DVD MLAB/CLAB HPXW8400 IMG DVD v6.5.6: 2049076-001

DVD MLAB/CLAB HPXW8400 IMG DVD v6.5.6 #2: 2049076-002



DVD MLAB/CLAB HPZ600 IMG DVD v6.5.6: 2049080-001



DVD MLAB/CLAB HPZ600 MG DVD v6.5.6 #2: 2049080-002



CD-R DRIVERS, PANASONIC LKM-KB23 ADA DRV: 2057762-001(If applicable)

Recovery Scenario
Perform the following steps on an acquisition that needs to be reimaged.
Step 1: Save Acquisition System Information. Backed up data fromthe second hard drive (drive G:) is used later on to restore the system.
Step 2: Take the Acquisition systems out of replication and set
systems to standalone (if necessary). Go to “Obtain System
Information at the Server” on page 5-8.
Step 3: Reimage the Acquisition System. Go to “Restore System
Software” on page 5-10.
Step 4: Perform all the procedures in “Configure the Acquisition System”
on page 5-32.
Step 5: If necessary, perform all the procedures in “Configure theAcquisition System on the INW Network” on page 5-40.

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Log On to the Acquisition System
When starting up an Acquisition system, an auto-logon sequence starts
and you are automatically logged on to Windows XP. You must stop theauto-logon so you can log on to Windows XP as mlcltechuser.
1. Power on the Acquisition system.
The system boots up to the Mac-Lab/CardioLab Custom Shell
screen.
2. Press Ctrl + Action + Delete.
3. Click Logoff and select Logoff.
4. Immediately hold down the Shift key.
5. Log on to the Windows OS as local mlcltechuser (contact GE
Technical Support or the system administrator for current password
information).
To log on locally, select the computer name in the Domain field.
6. Log on to the Mac-Lab/CardioLab Custom Shell as local
mlcltechuser (contact GE Technical Support or the systemadministrator for current password information).

Save Acquisition System Information
If the system will not boot up or drives C: or D: are unavailable:


For INW networked systems, go to “Obtain System Information at
the Server” on page 5-8.

For standalone systems, go to “Reimage the Acquisition System” onpage 5-10.

If the system boots up and the C: and D: drives are available, use thefollowing procedures to back up system information.

Export Custom Data
Use this procedure to save custom data to the G: (backup) drive.
If the system is being completely replaced, save the custom data toremovable media to be moved to the replacement system after recovery.
It is recommended to use a USB Flash Drive.

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Export Custom Lists
NOTE
If prompted for an administrative logon, enter domain
mlcladmuser (password: mlcl!admuser).
1. Double-click Mac-Lab/CardioLab to start the Mac-Lab/CardioLabapplication.
2. In the Navigator window, select Utilities > Export Lists.
The Data Export Wizard is displayed.
3. Select the G: drive and click New Folder.
4. Enter List_ Backup for the folder name and click Ok.
5. Click OK when the Success message is displayed.

Export Custom Forms
1. In the Navigator window, select Utilities > Export Custom Form
Layouts.
The Data Export Wizard is displayed.
2. Select the G: drive and click New Folder.
3. Enter Forms_ Backup for the folder name and click OK.
4. Click Export.
5. Click OK when the Success message is displayed.

Export Custom Report Formats
1. In the Navigator window, select Utilities > Export Report Formats.
The Data Export wizard is displayed.
2. Select the G: drive and click New Folder.
3. Enter Report_ Backup for the folder name and click Ok.
4. Click OK when the Success message is displayed.
5. Close the application.

Back Up System Information Manually
Run Database Maintenance (if applicable)
Check to see if there is a recent backup in the G:\GEMMS folder. This
backup would have been created by the Database Maintenance task. If
there is not a recent backup, run the Database Maintenance task.
1. Select Start > Settings > Control Panel.

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2. Double-click Scheduled Tasks.
3. Right-click the Database Maintenance task.
4. Click Run.
5. Wait for the database maintenance job to complete.
6. After the job completes, close all open windows.

Backup Image Capture Settings
This procedure is only necessary on a Image Capture/CardioImage
system.
Backup any custom DCF files in the
D:\GEMMS\Prucka\System\Image\DCF folder to the G: drive.

Record CVIS Information
On the Desktop, verify whether or not the Centricity Cardiology DMS
shortcut is installed.

Back up Third-Party Software
A manual backup must be created for Third Party Software:
1. Check for the PedCath database:a. Open the PedCath application and select File > Show Data
Folder Path from the main menu.
If the data folder path is on the local C: or D: drive, then performthe next steps:
b. Right-click My Computer and select Explore.
c.

Navigate to the PedCath database folder location.

d. Drag and drop the PedCath Data folder into the G: drive.
2. Check for the ACCAccess database:a. Right-click My Computer and select Search.
b. Search the C: and D: drives for the file acc.mdb.
c.

If the ACCAccess database is found, drag and drop the file into
the G: drive.

3. Backup any other third-party software to the G: drive.
NOTE
This disaster recovery procedure will only save Mac-Lab/
CardioLab files. Any other files must be backed up manually to
the G: drive and restored later.

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Back Up Software Options
1. Double-click Service Console on the Desktop.
2. Navigate to Software Options Manager > Software Options.
3. Click Create Backup.
4. In the Save In drop-down box navigate to G: drive.
5. In the File Name field, type Software_Options and click Save.
6. Close the Service Console.

Back Up Desktop Files
1. Right-click My Computer on the Desktop and select Explore.
2. Navigate to G: drive and click the New Folder button.
3. Enter the folder name as Desktop_Items.
4. Copy any customer created documents or folders from the desktop to
the Desktop_Items folder.
5. Repeat this procedure logged in as any other applicable user (local
mlcllogonuser, INW mlcllogonuser, and INW mlcltechuser).

Record Network Settings
1. Verify that you are logged in to both the Windows OS and theCustom Shell as local mlcltechuser.
2. From the Desktop, right-click My Computer.
3. Choose Properties.
4. Click the Computer Name tab.
5. Record the computer name in the table below.
6. Record the Domain/Workgroup information and click Ok.
7. From the Desktop, right-click My Network Places.
8. Choose Properties.
9. Right-click Local Area Connection.
10. Choose Properties.
11. Highlight the Internet Protocol (TCP/IP) and click Properties.
12. Record the IP Address, Subnet Mask, Default Gateway, WINS (ifused) and DNS Server information.

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Network Settings
Computer name
Domain\Workgroup
IP Address_______-_______-_______-_______

Subnet Mask_______-_______-_______-_______

Default Gateway_______-_______-_______-_______WINS (if used)
DNS Server_______-_______-_______-______________-_______-_______-______________-_______-_______-_______

Record Mapped Drives and Printer1. Press Ctrl + Action + Delete.
2. Click Logoff and select Logoff.
3. Allow the system to auto-logon to Windows.
4. Log on to the Mac-Lab/CardioLab Custom Shell as a local user.
5. Double-click My Computer.
6. Go to Network Drives. All mapped drives will be listed.
7. Record all mapped drives.


Drive letter

Share name

Hostname of the computer that owns the share

8. Record the configured printers.

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INW Networked Acquisition Systems Only
Use these procedures only if the Acquisition system is part of an INW
network. For a Standalone Acquisition, continue with “Restore System
Software” on page 5-10.
You must log on to the server as the INW domain Administrator toperform this procedure (contact GE Technical Support or the systemadministrator for current password information).

Obtain System Information at the Server
Use this procedure to obtain network settings only if the Acquisition
system will not boot or the C: or D: drives are unavailable.
1. Select Start > Programs > Microsoft SQL Server > EnterpriseManager.
2. Open Microsoft SQL Servers > SQL Server Group.
3. Highlight the server name.
4. Expand Replication Monitor > Agents > Merge Agents.
The failed Acquisition has a red X displayed next to system’s Merge
Agent.
5. Record the system name in one of the Merge Agents with the red X
under the Subscription tab.
_____________________________
6. Close the Enterprise Manager.
7. Open a command prompt (Start > Programs > Accessories >Command Prompt).
8. Type:Ping [System Name]
recorded in step 5.
9. Record the Acquisition system IP address.
_____________________________
NOTE
Ignore the request timeout.
10. Close all open windows.
11. Go to another Acquisition or Review system on the network within
the same subnet, and use the procedure “Record Network Settings”
on page 5-6 to obtain and record DNS, Default Gateway, and Subnet
information.

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NOTE
A system on the network within the same subnet will have thesame network information as the system being recovered.

Remove the Acquisition System from Replication
1. At the server, select Start > Programs > Microsoft SQL Server >Enterprise Manager.
2. Open Microsoft SQL Servers > SQL Server Group.
3. Highlight the server name.
4. From the menu Select Tools/Replication/Configure Publishing,
Subscribers, and Distribution.
5. Select the Subscribers tab.
6. Deselect the checkbox next to the Acquisition system name.
7. Click Yes.
8. Click OK.
9. In the Enterprise Manager, right-click the Acquisition system in theleft pane.
10. Select Delete SQL server registration.
11. Select Yes.
12. Close the Enterprise Manager.

Remove the Acquisition System from the GE MLCL Organizational Unit
1. At the server Desktop, go to Start > Control Panel.
2. Double-click Administrative tools.
3. Double-click Active Directory Users and Computers.
4. Expand the domain name (default is inw.local).
5. Expand the GE Medical Systems (MLCL) organizational unit.
6. Expand the MLCL Computers.
7. Expand the MLCL Workstations
8. Expand the MLCL Acquisition Workstations
9. Delete the Acquisition system name from the MLCL Acquisition
Workstations folder.
10. Click Yes to confirm.
11. Close all open windows.

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Restore System Software
Reimage the Acquisition System

CAUTIONSHOCK HAZARD — Use appropriate Lock Out/Tag Out
procedures before performing any service on potentiallyenergized equipment.

CAUTION
EQUIPMENT DAMAGE — Electrostatic discharge(ESD) can damage electronic components. Be sure you areproperly grounded before opening any equipment.

CAUTIONLOSS OF DATA — If drive G:, the second hard drive, isphysically connected during reimaging, all data containedon it will be lost.
You must physically disconnect the second hard drive
before reimaging.
NOTE
The HP z600 computer must be reimaged because it will have 6.8.1
software installed.
For the reimaging process you’ll need the following media depending on
system type (HP xw8000, HP xw8200, HP xw8400 and HP z600).


DVD ML/CL APPLICATION INSTALL 6.5.6: 2049051-001



DVD MLAB/CLAB HPXW8000 IMG DVD v6.5.6: 2049072-001

DVD MLAB/CLAB HPXW8000 IMG DVD v6.5.6 #2: 2049072-002



DVD MLAB/CLAB HPXW8200 IMG DVD v6.5.6: 2049074-001

DVD MLAB/CLAB HPXW8200 IMG DVD v6.5.6 #2: 2049074-002



DVD MLAB/CLAB HPXW8400 IMG DVD v6.5.6: 2049076-001

DVD MLAB/CLAB HPXW8400 IMG DVD v6.5.6 #2: 2049076-002



DVD MLAB/CLAB HPZ600 IMG DVD v6.5.6: 2049080-001



DVD MLAB/CLAB HPZ600 MG DVD v6.5.6 #2: 2049080-002

1. Shut down the system, if necessary.
2. Open the computer case and disconnect the second hard drive (drive
G:) before reimaging.
The second hard drive is physically located below the primary hard
drive.

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3. Restart the system.
NOTE
Press F1 (Help) at the Intel Boot Agent screen, if displayed.
4. Log on to the Windows OS and the Mac-Lab/CardioLab Custom Shell
locally as mlcltechuser.
NOTE
If the Systems Settings Change window is displayed, click Yes torestart. Log on again as mlcltechuser. At this point of the setup,
you may see a Windows New Hardware Found wizard dialog.
Please ignore this dialog. This window will be closed by Windows
during the system shutdown.
5. Right-click My Computer, select Explore and verify the G: drive is nolonger available.
6. Insert the appropriate Image DVD.
7. Shut down the system and replace the faulty hard drive.
NOTE
For the HP xw8000 only: Ensure the jumpers are set to cableselect.
8. Restart the system.
9. If the system is an HP z600, the following needs to be changed in the
BIOS in order to boot from the image DVD:a. Restart the system and press F10 to enter BIOS.
b. Select Storage > Storage Options.
c.

Select SATA Emulation. Change the default of RAID+AHCI to
IDE.

d. Press F10 to accept changes in BIOS.
The system will reboot.
10. Select Erase System Data and press Enter to begin reimaging.
The Symantec Ghost screen is displayed monitoring the progress of
the image process. If necessary, insert the remaining image DVDs as
prompted. When the installation is complete, the computer willautomatically restart. Remove the DVD.
NOTE
During the setup process a blank Windows DOS-Prompt window
is displayed. Do not close this window as setup is being
performed.
11. If the system is an HP z600, the following needs to be changed in the
BIOS:
a. Restart the system and press F10 to enter BIOS.
b. Select Storage > Storage Options.

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Recovery Proceduresc.

Select SATA Emulation. Change the default of IDE to
RAID+AHCI.

d. Press F10 to accept changes in BIOS.
The system will reboot.
12. Shut down the system.
13. Reconnect the G: drive.
14. Restart the system.
NOTE
Press F1 (Help) at the Intel Boot Agent screen, if displayed.
15. Log on to the Windows OS and the Mac-Lab/CardioLab Custom Shell
locally as mlcltechuser.
16. If any devices were not automatically installed during re-imaging, a
New Hardware Found message may be displayed at restart. If thishappens, use the following procedure for each wizard:

5-12



Select Install the software automatically and click Next.



If a choice of drivers is presented, pick the default selection andclick Next.

If prompted about Windows Logo testing or driver signing, click
Continue anyway.



If prompted by Matrox Powerdesk Installation about enabling
independent mode for Matrox graphics hardware, click Yes.



Click Finish when the installation is complete.

Restart the computer if prompted and log on again as local
mlcltechuser.

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Install the ADA Driver (Only for HP z600 with ADA Drive)
If the system is an HP z600 with an ADA drive installed, install thisdriver.
1. Insert CD-R DRIVERS, PANASONIC LKM-KB23 ADA DRV (PN
2057762-001) into the CD/DVD drive.
2. Right-click My Computer and select Explore.
3. Navigate to the Panasonic ADA Driver CD.
4. Double-click Setup.exe.
5. Select the Driver and Formatter Setup.
6. Uninstall the previous driver and confirm the uninstall.
7. Restart the computer when prompted.
8. After the computer restarts, log on as local mlcltechuser for both
Windows and the Mac-Lab CardioLab custom shell.
9. Navigate to the Panasonic ADA Driver CD.
10. Double-click Setup.exe.
11. Select the Driver and Formatter Setup.
12. When prompted,
a. Click Next.
b. Click Yes to accept the license agreement.
c.

Click Next to accept the default destination.

d. Click Next to accept the default Program Folder.
e.

Click Next to start copying files.

13. Close ReadmeXP.txt.
14. Click Next to restart the computer and Finish.
15. After the computer restarts, log on as local mlcltechuser for both
Windows and Mac-Lab CardioLab custom shell.
16. Remove CD-R DRIVERS, PANASONIC LKM-KB23 ADA DRV(PN 2057762-001) from the CD/DVD drive.

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Verify Drive Order
1. Right-click My Computer and select Manage.
2. Select Storage > Disk Management in the left pane.
3. In the right pane, verify each drive is assigned the correct drive
letter.


C: Primary Hard Drive

D: Data Hard Drive

E: MO Drive (if installed)

F: DVD-RAM Drive or ADA Drive

G: Second Hard Drive
NOTE
If the C: or D: drive letters are not correctly set, security
settings were not properly applied. Do not change the drive
letter. The system must be reimaged.

4. If a drive does not have the correct letter perform the following steps
for each drive not assigned the correct letter:a. Right-click the drive in the right pane and select Change drive
letter and paths.
b. Click Change.
c.

Select the new drive letter in the drop-down menu and click OK.

d. Click Yes to the confirmation message.
5. Close the Computer Management window.

Required Updates for Systems Using the Matrox M9140 Quad Video Board
For systems using the Matrox M9140 Quad video board, the video board
drivers installed with the reimage must be uninstalled. Afteruninstalling the old video board drivers, install the Matrox M9140 Quad
video board drivers. If the system is not using the Matrox M9140 Quad
video board, proceed to “Set Display Configurations” on page 5-18.

Uninstall Unused Display Drivers
Uninstall unused display drivers before installing the Matrox M9140
Quad video board drivers.
1. Log on to Windows and the Custom Shell as mlcltechuser.
2. Ignore any New Hardware found messages.
3. If an error message about stopping ONL display appears, click OK.

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4. Click Start > Settings > Control Panel > Add or Remove Programs.
5. Uninstall the ATI – Software Uninstall Utility.

6. Ignore any New Hardware found messages.
7. Restart the system.
8. Log on to Windows and the Custom Shell as mlcltechuser.
9. Ignore any New Hardware found messages.
10. If an error message about stopping ONL display appears, click OK.
11. Click Start > Settings > Control Panel > Add or Remove Programs.
12. Uninstall Powerdesk-HF and Driver.

13. Select No to restart in the Matrox Uninstaller for PowerDesk window.
14. Shutdown the system.

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Install Matrox M9140 Quad Video Board Drivers
V2.12.00.147
Install the Matrox M9140 Quad video board drivers using CD-R
MATROX M9140 QUAD VIDEO CARD DRIVER, V2.12.00.147 (P/N
2074635-001).
1. Power on the system.
2. Log on to Windows and the Custom Shell as mlcltechuser.
3. Ignore any New Hardware found messages.
4. If an error message about stopping ONL display appears, click OK.

5. Insert CD-R MATROX M9140 QUAD VIDEO CARD DRIVER,
V2.12.00.147 (P/N 2074635-001) into the drive.
6. Browse to the CD drive and double-click Setup.exe.
7. At the Matrox Display Driver Installation - Matrox PowerDesk
window, click Next.
8. At the Matrox Display Driver Selection window, click Next.

9. At the Ready to Install window, click Next.

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10. At the Installation Completed Successfully window, click Next.
11. At the Installation Completed window, click the Restart Computer
checkbox and click Finish.

Post Installation Steps for Matrox M9140 Quad Video Board
Drivers V2.12.00.147
After installing drivers for the Matrox M9140, the logon fields might notdisplay properly when the computer first restarts. Restarting thecomputer again resolves the issue.
1. Log on as mlcltechuser.

NOTE
The logon fields are present, but might not display properly.
2. Shut down and restart the system again to resolve the issue.
3. Log on to Windows and the Custom Shell as mlcltechuser.
4. Reconfigure the monitor settings using “Set Display Configurations”
on page 5-18.

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Set Display Configurations
Two Monitor Systems
1. Right-click the Desktop and select Properties.
2. Select the Settings tab.
3. Click the icon for the second monitor (labeled “2”).
4. Select Extend the Windows desktop onto this monitor check box.
5. Click Apply.
6. Close all open windows.

Three Monitor Systems
1. Right-click the Desktop and select Properties.
2. Select the Settings tab.
3. For systems with the Matrox Parhelia and ATI FireGL video boards
re-order the monitor icons as: 1-3-2.
a. Click the icon for the third monitor (labeled “3”).
b. Select Extend the Windows desktop onto this monitor check box.
c.

Click Apply.

d. Click the second monitor icon (labeled 2).
e.

Select the Extend the Windows desktop to this monitor check
box.

f.

Click Apply.

g. Click Identify.
h. Verify the monitors are identified as 1-3-2 from left to right.
i.

Close all open windows.

NOTE
To re-order the icons, drag the monitor icons and drop them inthe correct position.
4. For systems with the Matrox M9140 Quad video board, do thefollowing:a. Click the second monitor icon (labeled 2).
b. Select Extend the Windows desktop to this monitor check box.
c.

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Re-order the monitor icons so they appear in the following order:
1-2-4.

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NOTE
For HP z600 and HP xw8400 systems, the order of monitors
should be 1-2-4, the second monitor (“2”) and fourth monitor(“4”) need to be extended and the third monitor (“3”) should
not be extended.
NOTE
To re-order the icons, drag the monitor icons and drop themin the correct position.
d. Click Apply.
e.

Click the third monitor icon (labeled 4).

f.

Select Extend the Windows desktop to this monitor check box.

g. Click Apply.
h. Click Identify.
i.

Verify the monitors are identified as 1-2-4 from left to right.

Set Display Resolution
1. Verify you are logged on as mlcltechuser (password:
mlcl!techuser).
2. Right-click the Desktop and select Properties.
3. Select the Settings tab.
4. In the Screen Resolution section, select 1600x1200.
NOTE
This is the only supported resolution for new systems. If existing
monitors do not support this resolution, 1280x1024 may be used
for Mac-Lab systems. All monitors must be set to the same
resolution.
5. Verify the color for all monitors is set to Highest (32-bit).
6. Click OK.

Configure the Matrox Odyssey Driver Service
The following procedure ensures that if the display driver service fails, it
is automatically restarted.
1. Log on to Windows and the Custom Shell as mlcltechuser.
2. Click Control Panel > Administrative tools > Services.
3. In the Services panel, right-click TrkServer and select Properties.
4. Select the General tab and verify the following:

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The Startup type is set to Automatic

The Service Status is Started

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5. If the service is not started, click Start in the Service Status section
to start it manually.
6. Select the Recovery tab and change the recovery actions as shown
below:

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7. Click OK.

Install Microsoft Operating System Updates
Instructions for downloading and installing Microsoft security patches
and service packs are listed by product type on Support Central.
Download and install all applicable patches and service packs.

Change Computer Name
Use this procedure to change the computer name, if required.
CAUTION
PROCEDURE FAILURE — If the computer name is tobe changed, this procedure must be completed at thistime. If the computer’s name is changed at a later time
the system must be reimaged.
Also note the following naming conventions:2021423-503H

The name cannot begin with a numberThe name cannot contain hyphens or underscorecharacters

The name cannot contain spaces or special characters

The name cannot exceed 15 characters in length

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1. Verify you are logged on to the Windows OS and the Mac-Lab/
CardioLab Custom Shell as local mlcltechuser.
2. Right-click My Computer and select Explore.
3. Navigate to C:\Windows\Special.
4. Double-click ManualRename.hta.
5. Enter the new Acquisition system name.
6. Click OK at the confirmation messages.
The system automatically restarts.
7. At the Mac-Lab/CardioLab Custom Shell screen, press Ctrl + Action+ Delete.
8. Click Logoff.
9. Click Logoff.
10. Immediately hold down the Shift key.
11. Log on to the Windows OS as local mlcltechuser.
12. Log on to the Mac-Lab/CardioLab Custom Shell as local
mlcltechuser.

Change Language
Use these procedures to change the language, if necessary. If thelanguage remains English, continue with “Check/Set Time” on page 5-26.

Delete User Profiles
1. Select Start > Settings > Control Panel.
2. Double-click System.
3. Click the Advanced tab.
4. Click Settings in the User Profiles section.
5. Select each profile in the list and click Delete, if enabled, to delete theprofile.
The MLCLTechUser profile cannot be deleted.
6. Click OK to close the User Profiles dialog.
7. Click OK to close the System Properties dialog.

Set Operating System Language
For setting the languages the following must be applied for theapplication to function properly:
Language: Country/Locale

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

English: United States/United Kingdom

French: FranceGerman: Germany

Italian: Italy

Spanish: Spain

Swedish: Sweden

Chinese: China (PRC)Japanese: Japan

1. Verify you are logged on as local mlcltechuser (password:
mlcl!techuser).
2. Double-click Regional and Language Options.
3. Select the Regional Options tab.
4. In the Standards and formats section, select the correct language
and locale (for example, French (France)) from the drop-down list.
5. In the Location section, select the correct locale (for example,
France).
6. Select the Languages tab.
7. Click Details.
8. For Chinese systems only:
If the use of the IME is required, the following steps must be taken to
set it up in a manner which is compatible with the operation of the
Mac-Lab/CardioLab software:a. Click Add.
b. Change the Input Language to Chinese (PRC).
c.

Select the Keyboard Layout/IME check box.

d. Select Chinese (Simplified) - Enhanced Unicode IME from thedrop-down list.
e.

Click OK.

f.

Click Add.

g. Select the Keyboard Layout/IME check box.
h. Select the Chinese (Simplified) - US Keyboard check box.
i.

Click OK.

j.

Select Chinese (PRC) - Chinese (Simplified) - US Keyboard in the
Default input language drop-down.

If the use of the IME is not required, select the desired keyboard
layout as appropriate.

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9. For all other languages:
Determine if the desired language and locale is listed in the Default
input language section. If it is not:a. Click Add.
b. Select the appropriate language and locale in the Input languagelist. If necessary, configure other settings (for example, Keyboard
layout/IME) as appropriate.
c.

Click OK.

10. Select the language and locale in the Default input language section.
11. Click OK.
12. Select the correct language (for example, Francais) in the Languages
used in menus and dialogs section.
13. Select the Advanced tab.
14. Select the correct language (for example, French (France)) in the
Language for non-Unicode programs section.
15. Select the Apply all settings... check box in the Default user accountsettings section.
16. Click OK if prompted.
17. Click OK to close the Regional and Language Options window.
18. Click OK at the changes will not take effect until you reboot prompt.
19. Click Yes, if prompted about copying required files, to use the files
that are already on the system.
20. Click Yes to reboot.

Set Mac-Lab/CardioLab Application Language
1. At the Mac-Lab/CardioLab Custom Shell screen, press Ctrl + Action+ Delete.
2. Click Logoff.
3. Click Logoff.
4. Immediately hold down the Shift key.
5. Log on to the Windows Operating System as local mlcltechuser(password: mlcl!techuser).
6. Log on to the Mac-Lab/CardioLab Custom Shell as local
mlcltechuser (password: mlcl!techuser).
7. Right-click My Computer and select Explore.
8. Browse to the D:\GEMMS\Prucka\Setup\Language directory.

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9. Double-click MLCL_Set_Language.bat to start the process of setting
the Mac-Lab/CardioLab application language.
10. Verify the language listed is correct (for example, French). If so, press
any key to begin the process of setting the application language.
NOTE
The process takes a few minutes to complete.
11. Press Enter at the success prompt.
Both the Operating System language and the Mac-Lab/CardioLabapplication language should now be set correctly.

Install International Ablation files
This procedure must be performed on systems using ablation that arelocated outside of the United States and English Canada.
1. Right-click My Computer and select Explore.
2. Navigate to D:\GEMMS\Prucka\Bin\Ablation\International.
3. Double-click the InstallAblation.bat file.
4. Verify no errors occurred.
The installer runs without confirmation. To confirm the install was
successful, proceed with “Verify Ablation Files” below.

Adjust Japanese Ablation file
This procedure must be performed on Japanese systems.
1. Navigate to D:\GEMMS\Prucka\Bin\Ablation.
2. Right-click the PEIAtakr.dll file and select Copy.
3. Right-click in the white space on the right side of the window andselect Paste.
4. Right-click the Copy Of PEIAtakr.dll file and select Rename.
5. Type JLLCABL-IT.dll and press Enter.

Verify Ablation Files
1. Navigate to D:\GEMMS\Prucka\Bin\Ablation.
2. Verify the files in the following table are in the directory:

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Ablation File

Locale = US

Locale = Japan

Locale = Other

CryoCath.dll

Yes

Yes

Yes

PEIAtakr.dll

Yes, as PEIAtakr.dll

Yes, as JLLCABL-IT.dll

Yes, as PEIAtakr.dll

PEIEpt1000.dll

Yes

Yes

Yes

PEIStockert.dll

Yes

Yes

Yes

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Ablation File

Locale = US

Locale = Japan

Locale = Other

PEIHat300S.dll

No

Yes

Yes

PEIIbi1500T.dll

Yes

Yes

Yes

3. Close the Windows Explorer window.

Install kPa Label (Chinese Systems Only)
1. Clean the area above the pressure keys if necessary.
2. Apply the kPa label as shown.

Label

Check/Set Time
1. Verify you are logged on as local mlcltechuser (password:
mlcl!techuser).
2. Select Start > Programs > Accessories > Command Prompt.
3. Type net stop w32time and press Enter.
4. Select Start > Settings > Control Panel > Date and Time.
5. Select the Date & Time tab.
6. Set the time and date.
7. Click Apply.
8. Select the Time Zone tab.
9. Select the correct time zone and daylight savings setting.
10. Click Apply.
11. Select the Internet Time tab.

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12. Clear the Automatically synchronize with an Internet Time Server
check box.
13. Click OK.
14. Type net start w32time at the command prompt and press Enter.
15. Close the command window.

Initialize Applications
Adobe Reader, Microsoft Word, and Microsoft Word Reports must be
initialized under both mlcllogonuser and mlcltechuser logons forstandalone system and only as local mlcltechuser for networked
Acquisition system. For networked systems, more initialization will bedone after the system as been added into the network.

mlcllogonuser
Adobe Reader
1. Press Ctrl + Action + Delete.
2. Click Logoff.
3. Click Logoff.
Allow the system to auto-log on to Windows as mlcllogonuser.
4. Log on to the Mac-Lab/CardioLab Custom Shell as local
mlcllogonuser (password: mlcl!logonuser).
5. Select Start > Programs > Adobe Reader 9.
6. Click Accept if the End User License Agreement opens.
7. Close Adobe Reader.
Microsoft Word
1. Select Start > Programs > Microsoft Word.
NOTE
For Microsoft Office 2007 Professional, select Start > Programs >Microsoft Office Word 2007.
2. Click Accept if the End User License Agreement opens.
3. Click OK if the User Initial dialog box opens.
4. If the Privacy Option dialog box opens, clear the Search Microsoft
Online For Help check box, if it appears.
5. Close Microsoft Word.
Microsoft Word Reports
Perform this procedure on multiple monitor systems only.
1. Double-click Mac-Lab/CardioLab.

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Recovery Procedures
2. Select Administration > Reports > Templates.
If prompted for an administrator password enter mlcladmuser(password: mlcl!admuser).
3. Click Retry if a server busy message opens. Microsoft Word will open.
4. Configure the Microsoft Word window for the review monitor:
a. Right-click the Microsoft Word title bar and select Restore.
b. Move the Microsoft Word window to the next monitor (from thereal-time monitor to the review monitor).
c.

Right-click the Microsoft Word title bar and select Maximize.

5. Close Microsoft Word.
6. Click No when prompted to save the report.
7. Close the Mac-Lab/CardioLab application.

mlcltechuser
Adobe Reader
1. Press Ctrl + Action + Delete.
2. Click Logoff.
3. Click Logoff.
4. Immediately hold down the Shift key.
5. Log on to Windows as local mlcltechuser (password:
mlcl!techuser).
6. Log on to the Mac-Lab/CardioLab Custom Shell as local
mlcltechuser (password: mlcl!techuser).
7. Select Start > Programs > Adobe Reader 9.
8. Click Accept if the End User License Agreement opens.
9. Close Adobe Reader.
Microsoft Word
1. Select Start > Programs > Microsoft Word.
NOTE
For Microsoft Office 2007 Professional, select Start > Programs >Microsoft Office Word 2007.
2. Click Accept if the End User License Agreement opens.
3. Click OK if the User Initial dialog box opens.
4. If the Privacy Option dialog box opens, clear the Search Microsoft
Online For Help check box, if it appears.
5. Close Microsoft Word.

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Microsoft Word Reports
Perform this procedure on multiple monitor systems only.
1. Double-click Mac-Lab/CardioLab.
2. Select Administration > Reports > Templates.
If prompted for an administrator password, enter mlcladmuser(password: mlcl!admuser).
3. Click Retry if a server busy message opens. Microsoft Word will open.
4. Configure the Microsoft Word window for the review monitor:
a. Right-click the Microsoft Word title bar and select Restore.
b. Move the Microsoft Office Word 2007 window to the next monitor(from the real-time monitor to the review monitor).
c.

Right-click the Microsoft Word title bar and select Maximize.

5. Close Microsoft Word.
6. Click No when prompted to save the report.
7. Close the Mac-Lab/CardioLab application.

Additional Installation for Purchased Options
The purchased options may include:

PedCath: the instructions to complete the install are found at thefollowing website: http://www.pedcath.com/manual.php



For the following purchased options, refer to the Mac-Lab/CardioLab/Centricity Cardiology INW Installation Manual:Install the CARTO System

Install RMOT

Install EtCO2



Analog Output Installation

INNOVA CENTRAL/Touch Screen Installation

Perform Necessary Software Updates
Apply all necessary software updates to the Acquisition system. Refer tothe Mac-Lab/CardioLab 6.5.6/6.8.1 Release 3 Update (PN 2027332-533 )for the instructions.

Restore Data to the Acquisition System
Restore Clab Database, Registry, and Patient Folders
1. Verify you are logged on as local mlcltechuser (password:
mlcl!techuser).

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2. Right-click My Computer and select Explore.
3. Using Windows Explorer, copy the contents of the following folders:
G:\GEMMS\Prucka\Database\Maintenance\Backup folder
to the
D:\GEMMS\Prucka\Database\Maintenance\Backup folder
4. Copy the contents of the following folders:
G:\GEMMS\Prucka\Database\Maintenance\Log folder
to the
D:\GEMMS\Prucka\Database\Maintenance\Log folder.
NOTE
If a confirmation message is displayed, click Yes and continue.
5. Copy the contents of the following folders:
G:\GEMMS\Prucka\Studies folder
to the
D:\GEMMS\Prucka\Studies folder.
6. Restore the clab database by executing the
D:\GEMMS\Prucka\Bin\gems_restoreclab.bat file.
A command prompt window opens.
7. Press Enter at the prompt. When the process is complete, aconfirmation screen is displayed.
8. Press Enter to close the command prompt window.
9. In the Windows Explorer window, navigate to:
D:\GEMMS\Prucka\Database\Maintenance\Backup.
10. Double-click gemsback.reg to restore the registry.
A confirmation message is displayed.
11. Click Yes. A completion message is displayed.
12. Click OK and close any open windows.
13. On networked Acquisition systems only:a. Navigate to D:\GEMMS\Prucka\network.
b. Double-click stoprepl.bat.
NOTE
Ignore any reported errors. The file will run successfully evenif errors are reported.

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Restore the Clink Database
Use the following steps to restore the Clink database if clinkbackup.bak
is present in the backup folder.
1. Select Start > Programs > Accessories > Command Prompt.
2. Type (case sensitive):
OSQL -S -Usa -Pgemssqladmin
and press Enter.
3. Type:
Restore database Clink from Disk =‘D:\gemms\prucka\database\maintenance\backup\Clinkba
ckup.bak’and press Enter.
4. Type:Goand press Enter.
Wait for the database to restore.
5. Type:Exit
and press Enter.
6. Type:Exit
and press Enter.

Set Default Baseline Phase
This section has to be executed only if GEMS registry key (gemsback.reg)
was not restored in “Restore Clab Database, Registry, and Patient
Folders” on page 5-29.
1. Open the Mac-Lab/CardioLab application and select the Mac-Lab
Module.
2. Select Administration > Lists > Phases.
3. Click Edit.
4. If prompted for an administrator logon, use mlcladmuser (password
mlcl!admuser).
5. Select Baseline in the Default drop-down box.
6. Close all open windows.

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Install/Enable Software Options
This section has to be executed only if GEMS registry key (gemsback.reg)
was not restored in “Restore Clab Database, Registry, and Patient
Folders” on page 5-29.
NOTE
The software options backup that was made when the system wasinstalled can be used in this section.
1. Double-click Service Console from the Desktop.
2. Browse to Software Options Manager > Software Options.
NOTE
If prompted for the GEMS Serial Number, enter the serial
number and click OK. The serial number can be found on a labelon the top of the computer.
3. In the Software Options form, click Read License File.
4. Insert the Software Options CD into the F: drive.
5. In the Look In dropdown box, select the F:\ drive.
6. Double-click the Options.txt file.
7. Ensure the correct options are enabled.
8. Click Update and Save changes to Software options to save theoptions.
9. At the Save changes? message, click Yes.

Configure the Acquisition System
Configure Network Settings on the Acquisition System
A Standalone Acquisition system is NOT a member of the hospital
Domain. It is a member of the CARDIOLAN workgroup. Do not add theAcquisition system to the hospital Domain.
1. Right-click My Computer on the Desktop and select Properties.
2. Select the Computer Name tab, and check the computer name.
3. Record the name of the Acquisition system and the workgroup.
Computer Name: ____________________________
Workgroup: ______________________________
4. In Computer Description textbox, type an easily identifiable name forthe system.
5. Click OK to close the Properties window.
6. Select Start > Settings > Network Connections.

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7. Verify that Local area connection is enabled.
8. If the network connections for TRAMNet or CARTO System are
required, connect the necessary network cables and verify that thecorresponding items are enabled as well.
9. Right-click Local Area Connection and select Properties.
10. Select Internet Protocol (TCP/IP), and click Properties.
11. Select the Use the following IP Address radio button.
12. If system is to be attached to a network, enter the following
information from the “Record Network Settings” on page 5-6, or“Obtain System Information at the Server” on page 5-8, asappropriate:a. Static IP address
b. Subnet maskc.

Default gateway

d. DNS server
13. In the Internet Protocol (TCP/IP) Properties window, click OK.
14. In the Local Area Connection Properties window, click Close.
The following steps must ALWAYS be performed regardless if the
CARTO System or TRAMNet connections are being used.
15. Right-click the TRAMNET connection and select Properties.
16. Uncheck all components except Internet Protocol (TCP/IP).
17. Select Internet Protocol (TCP/IP) and click Properties.
18. Click the Advanced button.
19. Click the WINS tab.
20. Uncheck Enable LMHOSTS Lookup.
21. In the NetBIOS setting, select the Disable NetBIOS over TCP/IP
radio button.
22. Click OK in the Advanced TCP/IP Settings window.
23. Click OK in the Internet Protocol (TCP/IP) Properties window.
24. Click Close.
25. If the TRAMNet option is not being used, right-click the TRAMNET
connection and select Disable.
26. Right-click the CARTO System connection and select Properties.
27. Uncheck all components except Internet Protocol (TCP/IP).
28. Select Internet Protocol (TCP/IP) and click Properties.

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29. Click the Advanced button.
30. Click the WINS tab.
31. Uncheck Enable LMHOSTS Lookup.
32. In the NetBIOS setting, select the Disable NetBIOS over TCP/IP
radio button.
33. Click OK in the Advanced TCP/IP Settings window.
34. Click OK in the Internet Protocol (TCP/IP) Properties window.
35. Click Close.
36. If the CARTO System option was not purchased, right-click the
CARTO System connection and select Disable.

Set Network Connection Order
The following steps must performed on every Acquisition system:
1. In the Network Connections window, click the Advanced menu, thenclick the Advanced Settings... option.
2. In the Advanced Settings window, click the Adapters and Bindingstab.
3. In the Connections section of the window, select the item Local Area
Connection.
4. Click the up arrow button just to the right of the Connections
section until Local Area Connection is at the top of the list.
5. Click OK.

Verify NIC Connection Speed
1. Right-click Local Area Connections and select Status.
2. Verify with the hospital IT department that the hospital switch
speed settings exactly match the NIC speed settings on the MacLab/CardioLab system. Acceptable speeds are 100Mbps Full Duplex
or Auto Negotiate.
3. Click Close.
4. Close the Network Connections window.
5. Restart the Acquisition system.
NOTE
The restart is required for the previous settings to take effect.
6. At the Mac-Lab/CardioLab Custom Shell screen, press Ctrl +Action + Delete.
7. Click Logoff.

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8. Select Logoff... and click OK.
9. Immediately hold down the Shift key.
10. Log on to the Windows OS as local mlcltechuser.
11. Log on to the Mac-Lab/CardioLab Custom Shell as local
mlcltechuser.
12. Right-click Local Area Connection and select Properties.
13. Click Configure.
14. Select the Advanced tab.
15. Highlight the Link Speed & Duplex property.
16. Verify the value is set to Auto.
17. Click OK.
18. Close all open windows.

Verify Amplifier Settings
1. Verify you are logged on as local mlcltechuser (password:
mlcl!techuser).
2. Double-click Select Amplifier.
3. Verify the Amplifier settings and click OK.
4. Click Yes if the message You have chosen a different amplifier thenwhat has been detected is displayed.

Configure Database Maintenance
For networked or standalone Acquisition systems
1. Select Start > Settings > Control Panel.
2. Double-click Scheduled Tasks.
3. Double-click Add Scheduled Task.
4. At the Scheduled Task Wizard window, click Next.
5. Click Browse.
6. Browse to the file that needs to be scheduled. To schedule databasemaintenance on the system browse to:
D:\GEMMS\Prucka\Database\Maintenance\GEMS_WS_DBMAIN
TJOB.bat.
7. Click Open.
8. In the textbox, type Database Maintenance to name the job.

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9. Select the radio button Weekly to perform this task on a weekly basis.
Click Next.
10. Select the time and day to begin the task. Click Next.
NOTE
The recommended time is 10:00 pm and the day is Saturday.
Acquisitions that will be networked should be scheduled to run
database maintenance one-half hour apart (Lab 1: 10:00 p.m.,
Lab 2: 10:30 p.m., Lab 3: 11:00 p.m.). Ensure the schedule does
not overlap with the following jobs:
Archive Generator on all Acquisition systems

Archive Utility on the server



DB Maintenance on the serverBackups on the server

11. Enter the local mlcltechuser information for the Administrator
user name and password and click Next.
12. Click Finish to successfully schedule the Database Maintenance job.
It will appear in the Scheduled Tasks folder.

Setup Purge on Standalone Acquisition Systems
The next steps are for standalone Acquisition systems only. Skip thesesteps if the system will be connected to a Centricity Cardiology INW
server later in the installation, close all open windows, and proceed to“Configure InSite ExC” on page 5-36. Perform the following steps to
update the job to purge studies on a regular basis.
The task below will purge studies only after the clab database reaches
1,350 MB.
1. Right-click Database Maintenance and select Properties.
2. The Database Maintenance window appears. In the Run: field, add<space> purge to the end of the existing command.
3. Click OK.
4. The Set Account Information window appears. Enter the local
mlcltechuser information as the Administrator user name andpassword and select OK to save the modified job.
5. Close all open windows.

Configure InSite ExC
Verify the customer will be using InSite ExC as the Remote Support
Service. If no Remote Service Support is needed, proceed to “Import
Report Formats” on page 5-39.

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1. Verify you are logged on to the Windows Operating System and the
Mac-Lab/CardioLab Custom Shell as mlcltechuser (password:
mlcl!techuser).
2. Double-click Service Console.
3. Expand the InSite 2.0 folder and select the Device Manager folder inthe left pane of the Service Console window.
4. Click Generate Device Information in the Device Information window.
5. Click OK in the Device Manager Confirmation window.
6. Verify the Serial Number, Name, and Type fields.
7. Select the Configuration Utility folder in the left pane under
InSite 2.0.
8. If the hospital uses a proxy server perform the following steps,
otherwise continue with step 13.
9. Click the Proxy Configuration tab and check Use a Proxy Server toconnect to the Enterprise
10. Enter proxy server information.
NOTE
Contact the Hospital IT Department for the proxy address, proxy
port, and authentication information.
11. Click Update Proxy after entering the proxy server information.
12. Click OK at the InSite 2.0 Message window.
13. Select the Service Controller tab in the Configuration Utility.
14. Click Start Service.
15. Verify the Service has started:a. Wait 10 seconds.
b. Select Check Service Status.
A confirmation window opens indicating the service is running.
c.

Click OK.

16. Select Initiate Remote Service and verify that it connects and a
Request submitted successfully message is displayed.
17. Close the Service Console.
NOTE
Perform the following steps only if the customer requests InSite ExC
access control.
18. Right-click VNC in the System Tray and select Options.

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19. Select the Authentication tab and check Prompt local user to accept
incoming connections.
20. Click OK.

GEMS Log Collector Task
GEMS Log Collector Task Creation
The following steps are needed only if you want to configure InSite ExC
Log Collection on GE Acquisition and Review systems only.
1. Select Start -> Settings -> Control Panel -> Scheduled Tasks. The
Scheduled Tasks page opens.
2. If the GEMS_LogCollector_Task entry is present, right-click it andchose Properties.
3. If the GEMS_LogCollector_Task entry is not present, add a newentry as follows:

Select File > New to add a new scheduled task.



Rename the task GEMS_LogCollector_Task.



Right-click the new entry and select Properties.



Browse to D:\GEMMS\Prucka\Bin and select the
GEMS_LogCollector.exe program. Edit the run command line to
add the –sendtobos option as shown in the following figure.

4. Select the Enabled check box.

5. In the Run as field, enter the account information as follows:

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For a networked system (Acquisition or Review), enter the username as <Domain Name>\MLCLSqlUser.

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Recovery ProceduresFor a stand-alone system, enter the user name as <Computername>/ MLCLSqlUser.



Click Set Password. When prompted, enter the password
sql8273user in both fields.

Click OK.

GEMS Log Collector Task Schedule Configuration
Select the Schedule tab and configure the task to run once every two
weeks as shown in the following figure.

1. In the Schedule Task: field, select Weekly.
2. In the Start time: field, select 11:50PM.
3. In the Schedule Task Weekly section, select Every 2 week(s) on: Sat.

Import Report Formats
Perform these steps to import report formats on recovered network or
standalone Acquisition systems. Report Formats are not replicated in the
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

Use the backup saved to the G: drive.

Check with the Lab administrator to see if a backup they madeearlier is available.



Make a copy from a Review workstation in the same lab.

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If any other backups are unavailable and for English systems only,
report formats must be imported from the CD-R MLABCLAB CLIN
APP DEFAULTS V6.5.6 (PN 2049104-001).

1. Double-click Mac-Lab/CardioLab to open the application.
2. Select Utilities > Import Report Formats in the Navigator window.
3. At the Report Wizard window, click Next.
4. Click Change Folder.
5. Select the drive G (or the appropriate folder location).
6. Navigate to the Report_Backup folder (or other location).
7. Click OK.
8. Select No when asked whether to merge with existing data.
9. Click OK at success message.
10. Close the application.

Configure Central List Management
If the system was configured in CVIS mode, perform this procedure only
on standalone Acquisition systems (Options can be used to find out if thesystem was configured in CVIS mode.
1. At the Acquisition system, double-click Service Console on the
Desktop.
2. Navigate to GEMS Central List Management > Central List Setup
3. In the CVIS Server Export Directory click the... button to browse.
4. Browse to the path on the CVIS server.
NOTE
This may be a mapped drive or the UNC name (for example,\\DMSexp001\ListSharing).
5. In the Location dropdown box, select the appropriate location for thehospital.
6. Click Update Lists.
7. Close the Service Console window.

Configure the Acquisition System on the INW Network
If the Acquisition system is part of an INW network, use theseprocedures to configure the system. If configuring Standalone
Acquisition systems, go to “Initialize Applications” on page 5-48.

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Add the System to the Domain
1. Verify that you are logged on to the Windows OS and the Mac-Lab/
CardioLab Custom Shell as local mlcltechuser.
2. Right-click My Computer on the Desktop and select Properties.
3. Select the Computer Name tab.
4. Click the Change button.
5. In the Member of section, select the Domain radio button, enter thename of the INW Domain to join and click OK.
NOTE
The default Domain is inw.local.
6. When prompted, type the username mlcltechuser and password.
7. At the Welcome to inw message, click OK.
8. At the restart message click OK.
9. At the System Properties window, click OK.
10. At the Do you want to restart now? message click Yes.
11. After the system restarts, at the Mac-Lab/CardioLab Custom Shellwindow, press Ctrl + Action + Del and click Logoff.
12. Click Logoff and immediately hold the Shift key to stop the autologon sequence.
13. Logon to Windows and the Mac-Lab/CardioLab Custom Shell as the
local mlcltechuser.

Synchronize Time
1. Select Start > Programs > Accessories > Command Prompt.
2. Type net time /set and press Enter.
3. When asked to sync with the server, type y and press Enter.
NOTE
This step may take up to 2 minutes to complete.
4. Close the Command Prompt window.

Add Acquisition System to GE MLCL Organizational Unit
1. Log on to the server as the INW domain Administrator (contact
GE Technical Support or the system administrator for current
password information).
2. Select Start > Settings > Control Panel.
3. Double-click Administrative tools.

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4. Double-click Active Directory Users and Computers.
5. Expand inw.local (this is an example, the actual domain name may
be different).
6. Click the Computers folder and locate the Acquisition system to add.
7. Expand the GE Medical Systems (MLCL) organizational unit.
8. Expand the MLCL Computers.
9. Expand the MLCL Workstations.
10. Drag and drop the computer name from the Computers folder to the
MLCL Acquisition workstations.
11. Close all open windows.
12. Restart the Acquisition system added to the organizational unit in
the previous step.
13. After restart, press Ctrl + Action + Delete, logoff as
mlcllogonuser.
14. Click Logoff.
15. Immediately hold down the Shift key.
16. Log on to the Windows OS and the Mac-Lab/CardioLab Custom Shell
locally as mlcltechuser.

Confirm Domain Security Policy
Verify Security Policy
To verify the security policy at the Acquisition system:
1. Right-click My Computer on the Desktop and select Manage.
2. Select System Tools > Local Users and Groups > Groups.
3. Right-click Administrators and select Properties.
4. Verify that the following members are shown in the list:[domain name]\Domain Admins[domain name]\mlcltechuser[domain name]\mlclsqluser

NOTE
The default domain name is inw.local.
NOTE
If the members are not shown, follow the troubleshooting steps
below.

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Troubleshooting
1. Verify that the Acquisition system is in the correct Domain:a. Right-click My Computer on the Desktop and select Properties.
b. Verify that on the Computer Name tab the INW Domain ispresent.
2. Verify that the Acquisition system shows up in the GE Medical
Systems (MLCL) Organizational Unit on the server.
3. On the server, open a command prompt window and type gpupdate/force and press Enter.
4. Restart the Acquisition systems, wait approximately 7 minutes andcheck the policy again as described in “Verify Security Policy” onpage 5-42. If the policy is still not correct proceed to the next step.
5. Verify that the TCP/IP properties on the server are set correctly
a. The Centricity Cardiology INW server IP must be configured as
the preferred DNS server.
b. The subnet mask must be correct as defined be the hospital IT
staff.
6. Verify that the TCP/IP properties on the Acquisition are set correctly
a. The IP subnet mask of the Acquisition system MUST matchexactly the subnet mask of the server.
b. The IP address of the Acquisition system must be manuallyconfigured and must fall within the subnet of the server as
defined by the subnet mask.
c.

The gateway of the Acquisition system must be set to the IP
address of the server or another machine on the hospital
network.

d. The DNS of the Acquisition system must be set to the IP addressof the Centricity Cardiology INW server.
e.

In the CARTO System and TRAMNet IP settings, make sure that
the Internet Protocol (TCP/IP) checkbox is the ONLY item
selected in the This connection uses the following items: list.

7. Verify that the server and Acquisition system can communicate.
8. Open a command window on the Acquisition system and type ping
<servername> and press Enter.
a. A Request timed out message indicates failure, a Reply frommessage indicates success.
NOTE
If successful, verify that the reply from IP address shown
matches the server's IP address and if correct skip the resetof the sub-steps below

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b. If step a failed, repeat with the servername replaced with thecorrect IP address of the server ping <###.###.###.###> andpress Enter.
c.

If step a and step b both failed, there is a problem with the IP
address or the physical network. Repeat the above steps to verify
the TCP/IP properties of the server and Acquisition system.

d. If step a fails and step b succeeds, there is a problem with DNS
setup. Repeat the TCP/IP properties steps above paying carefulattention to the DNS setup.
9. Verify that the time and time zone settings on the server and theAcquisition system match.
a. If they do not match, open a command prompt on the Acquisition
system and type net time /set and press Enter.
b. Restart the Acquisition system, wait 7 minutes and check thepolicy again in “Verify Security Policy” on page 5-42. If the policy
is still not correct proceed to the next step.
10. If the policy is still not correct after all above steps:
a. Remove the Acquisition system from the Domain and add it backto the CARDIOLAN workgroup.
b. Restart the Acquisition system.
c.

Delete the Acquisition system name for the OU on the server.

d. Repeat the instructions for adding the Acquisition system to theDomain.

Register the Acquisition System and Update Acquisition Database on the Server
Use this procedure to register the recovered Acquisition system andupdate the Acquisition database at the server.
1. At the server go to Start > Programs > Microsoft SQL Server >Enterprise Manager.
2. Open Microsoft SQL Servers and right-click SQL Server Group.
3. Select New SQL Server Registration.
4. Click Next.
5. Select the Acquisition system name and click Add.
6. Click Next.
7. Select SQL Server Authentication.
8. Click Next.
9. Type sa as the account name and enter the password (contact GE
Technical Support or the system administrator for current password
information).

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10. Follow onscreen confirmation messages. When complete theAcquisition system is displayed in the machine list in the left pane.
11. Expand SQL Server Group.
12. Open [Acquisition computer name] > Databases > Clab > Tables.
13. Right-click Detail Version and select Open Table > Return All Rows.
14. Set the following fields:


NetVersion = 0MachineDBVersion = 00

NOTE
MachineDBVersion must be 00 (two zeros) or the restore will fail.
15. Close the Table window.
16. Close Enterprise Manager.

Add Acquisition System to Replication on the INW Server
Perform the rest of these steps only if you are adding the Acquisition to
the INW network.
1. Logon to the Windows OS and Mac-Lab/CardioLab Custom Shell as
domain mlcltechuser.
2. Double- click Service Console on the Desktop.
3. Navigate to Console Root > Create Replica > Replication Setup in theleft hand frame.
4. The right frame should show the Replication utility with the top
Service User Login section active.
5. In the password box enter the password and click Login.
6. The top Login section should now be inactive and the bottom section
will be active with a password validated message.
7. Click Add.
8. Browse to My Network Places > Entire Network > Microsoft Windows
Network > <current domain> and select an Acquisition system andclick OK.
9. When prompted for consolidation, click Yes to move all studies on thecurrently selected Acquisition system up to the server.
10. The selected machine should now appear in the Add to replication
list box.
11. Click Apply.
12. Click Yes to confirm replication.

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13. Wait while the progress bar and text indicate the operations
performed.
NOTE
This may take 5 minutes to complete.
14. When complete, a Replication setup complete message will be
displayed above the progress bar and the server and all Acquisition
systems will appear in the Currently replicating list.
15. Close out of the Service Console window.

Verify Replication Started Correctly
Verify1. Select Start > Programs > Microsoft SQL Server > EnterpriseManager.
2. Open Microsoft SQL Servers > SQL Server Group.
3. Highlight the server name.
4. Expand Replication Monitor > Agents > Merge Agents.
5. Verify that there are no red X’s displayed against any system’s Merge
agent.
6. If there are no errors in the replication monitor, continue with
“Configure Archive Generator” on page 5-47.
7. If there are red X’s displayed against all merge agents, verify thatSQLSERVERAGENT service is running on the server. If theSQLSERVRAGENT service is not running on the server, start theservice and restart replication setup (refer to “Stop Replication” onpage 5-46.

Stop Replication
To stop replication, launch the replication setup:
1. At the server, open the Service Console and select Create Replica >Replication Setup.
2. Log on to the Service Console as mlclsqluser (password
sql8273user).
3. If necessary, highlight all acquisition systems (for example,
CLWS0001) in the list of currently replicating systems. Click theRemove. Click Yes at the confirmation window.
4. Refresh the window (click another folder in the tree and then click
Replication Setup again) to verify all acquisition systems have beentaken out of replication.
5. Close the Service Console.

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6. Go to the Enterprise Manager and stop server replication:a. Select Start > Programs > Microsoft SQL Server > EnterpriseManager.
b. Expand Microsoft SQL Servers and the SQL Server Group.
Highlight the INW Server (in the left window).
c.

Select Tools > Replication > Disable Publishing.

d. Click Next.
e.

Select Yes, disable publishing on [Server name] and click Next.

f.

Click Next in the Confirm Dropping of Publications window.

g. Click Finish in the Completing the Disable Publishing andDistribution Wizard window.
h. Click OK to the Successfully Disabled window.
i.

Right-click the server name and select Refresh.

j.

Verify the Replication Monitor is not visible.

k. Close the SQL Server Enterprise Manager window. Proceed to“Add Acquisition System to Replication on the INW Server” onpage 5-45.

Configure Archive Generator
Perform the following steps to configure the archiving of studies to theCentricity Cardiology INW server.
CAUTION
ARCHIVE GENERATOR FAILURE — If the time for thearchive generator process is set at the same time on morethan one Acquisition system, the studies will not be
moved properly because different systems will be
attempting to move studies simultaneously.
NOTE
If the archive generator process is started while a study is inprogress, that specific study will not be archived to the server until
the next archive generator process is run.
1. On the server, select Start > Programs > Microsoft SQL Server>Enterprise Manager.
2. Expand the SQL Server group, click to expand the Acquisition
system that is scheduling the archive generator task.
3. Expand the Management folder.
4. Expand the SQL Server Agent.
5. Click Jobs.

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6. Right-click Run Archive Generator.
7. Choose Properties.
8. Select the Schedule tab.
9. Click Edit.
10. Click Change.
11. In the Edit Recurring Job Schedule window, enter the following
information:a. In the Occurs: section, select the Daily radio button.
b. In the Daily: section, type 1.
c.

In the Daily Frequency: section, enter a time.
NOTE
The time must be set to at least 5 to 10 minutes after thehour (for example, 1:05 am, 1:35 am). Ensure the job
schedule does not overlap other scheduled jobs. Do notschedule any jobs at 12:05 am as other system jobs arescheduled at this time.

12. Click OK.
13. At the Run Archive Generator Properties window, click OK.

Initialize Applications
Adobe Reader, Microsoft Word, and Microsoft Word Reports must be
initialized under both mlcllogonuser and mlcltechuser logons.

Adobe Reader
1. Press Ctrl + Action + Delete.
2. Click Logoff.
3. Click Logoff.
Allow the system to auto-log on to the Windows Operating System as
mlcllogonuser.
4. Log on to the Mac-Lab/CardioLab Custom Shell as domain
mlcllogonuser (password: mlcl!logonuser).
5. Select Start > Programs > Adobe Reader 9.
6. Accept the End User License Agreement if displayed.
After Adobe Reader opens, wait one minute to ensure a Check for
Update dialog box is not displayed. If the dialog box is displayed,click Cancel.
7. Close Adobe Reader.

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Microsoft Word
1. Select Start > Programs > Microsoft Word.
NOTE
For Microsoft Office 2007 Professional, select Start > Programs >Microsoft Office Word 2007.
2. Accept the End User License Agreement if displayed.
3. Click OK if the User Initial dialog box is displayed.
4. If the Privacy Option dialog box is displayed, uncheck Search
Microsoft Online for Help, if it appears.
5. Close Microsoft Word.

Microsoft Word Reports
Perform this procedure on multiple monitor systems only.
1. Double-click Mac-Lab CardioLab.
2. Select Administration > Reports > Templates.
If prompted for an administrator password enter mlcladmuser(password: mlcl!admuser).
3. Click Retry if a server busy message is displayed. Microsoft Word willopen.
4. Configure the Microsoft Word window for the review monitor:
a. Right-click the Microsoft Word title bar and select Restore.
b. Move the Microsoft Word window to the next monitor (from thereal-time monitor to the review monitor).
c.

Right-click the Microsoft Word title bar and select Maximize.

5. Close Microsoft Word.
6. When prompted to save the report, click No.
7. Close the Mac-Lab/CardioLab application.

Adobe Reader
1. Press Ctrl + Action + Delete.
2. Click Logoff.
3. Click Logoff.
4. Immediately hold down the Shift key.
5. Log on to the Windows Operating System as domain mlcltechuser(password: mlcl!techuser).

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6. Log on to the Mac-Lab/CardioLab Custom Shell as domain
mlcltechuser (password: mlcl!techuser).
7. Select Start > Programs > Adobe Reader 9.
8. Accept the End User License Agreement if displayed.
After Adobe Reader opens, wait one minute to ensure a Check for
Update dialog box is not displayed. If the dialog box is displayed,click Cancel.
9. Close Adobe Reader.

Microsoft Word
1. Select Start > Programs > Microsoft Word.
NOTE
For Microsoft Office 2007 Professional, select Start > Programs >Microsoft Office Word 2007.
2. Accept the End User License Agreement if displayed.
3. Click OK if the User Initial dialog box is displayed.
4. Close Microsoft Word.

Microsoft Word Reports
Perform this procedure on multiple monitor systems only.
1. Double-click Mac-Lab CardioLab.
2. Select Administration > Reports > Templates.
If prompted for an administrator password enter domain
mlcladmuser (password: mlcl!admuser).
3. Click Retry if a server busy message is displayed. Microsoft Word willopen.
4. Configure the Microsoft Word window for the review monitor:
a. Right-click the Microsoft Word title bar and select Restore.
b. Move the Microsoft Word window to the next monitor (from thereal-time monitor to the review monitor).
c.

Right-click the Microsoft Word title bar and select Maximize.

5. Close Microsoft Word.
6. When prompted to save the report, click No.
7. Close the Mac-Lab/CardioLab application.

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Confirm File Paths and Network Storage Settings
Perform this procedure for network and standalone Acquisitions. For
standalone systems do not enable network storage.
1. Log on to the Windows OS and the Mac-Lab/CardioLab Custom Shellas INW domain mlcltechuser.
2. Double-click Mac-Lab/CardioLab on the Desktop to start the MacLab/CardioLab application.
3. Select Administration > System Settings.
4. Browse to the File Paths section.
5. Set the Local Storage Optical Study Path.
6. Check the Enable Acquisition checkbox, if unchecked.
7. Check the Enable Network Storage checkbox.
8. Click Browse.
9. If not already configured, browse to the Centricity Cardiology INW
server and select the PruckaStudies share as the network storage
path.
10. Click OK.
11. Select the Audit Log section.
12. Move all items in the list to the right Events selected for audit byclicking the >> button.
13. Close the application.

Additional Installation for Purchased Options
The purchased options may include:2021423-503H



PedCath: The instructions to complete the installation are found at
the following website: http://www.pedcath.com/manual.php



Refer to the Installation manual for the following:Install the CARTO System.

Install RMOT.



Install EtCO2.



Analog Output Installation.



INNOVA CENTRAL/Touch Screen Installation.

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Reconfigure PrinterIf the printer information was recorded, refer to the list of printers
recorded in “Record Mapped Drives and Printer” on page 5-7. Also referto the setup instructions included with the printer to install theappropriate printer driver.

Reconfigure Mapped Drives
If any mapped drives were recorded in “Record Mapped Drives andPrinter” on page 5-7, perform this procedure.
1. Log off the system and allow the auto-logon run and log on to the
Mac-Lab/CardioLab Custom Shell as a local user.
2. Verify any mapped drives still exist.
If they do not, perform the steps in this procedure.
3. Right-click My Computer on the Desktop and select Map Network
Drive.
4. In the Drive section, select the drive letter.
5. In the Folder section, enter the path.
6. Click Finish.
7. Close all open windows.
8. Log off the system and allow the auto-logon run.

Configure Data Export
Refer to the appropriate subsection below to reconfigure Data Export ofeither a standalone Acquisition system or a networked Acquisition
system.

Create Active Translation on Standalone Acquisition Workstation
If the Acquisition system was a standalone system and connected to the
CVIS server, the following must be reconfigured (refer to the appropriate
CVIS installation/configuration documentation for specific information/
procedures):Re-establish CVIS connectivity.



Reconfigure shares. Ensure the share permissions are correct. On
the CVIS server the following must be reconfigured with proper
permissions:

List Sharing share

Export share

Perform the following steps on the standalone Mac-Lab/CardioLabsystems.

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1. Map a drive to the English (and US Canada) CVIS Full Interface orEnglish (and US Canada) CVIS Express server Import Share, which
was configured in the interfaces console.
2. Right-click My Computer and select Explore.
3. Click Tools.
4. Click Map Network Drive > Browse.
5. In the Network, locate the English (and US Canada) CVIS server.
6. Double-click the English (and US Canada) CVIS server name (youmay enter the unc path to the share as well, that is,\\dmsint001\import or \\dmsexp001\import).
7. Highlight the import directory.
8. Click OK.
9. Select drive letter S from the drive letter drop-down list.
10. Verify that the Reconnect at Login checkbox is checked.
11. Select Connect using a different user name.
12. In the Connect As . . . window, enter the user: [DMS Server Name(for example, DMSINT001 or DMSEXP001)]\mlcllogonuser in
the User Name field and the password in the Password field.
13. Click OK.
14. Click Finish.
15. Close any mapped drive windows that may automatically open.
16. Navigate to D:\GEMS\Prucka\Bin in Windows Explorer.
17. Double-click DataExportConfig.exe.
18. Click the Active Translations tab.
19. Select HL7 Cath.
20. Browse to the drive letter for the mapped drive created above
followed by:\ (that is, S:\).
21. Select the following check boxes: Study Reports (R), Images (I) andSnapshots (S).
22. Click Add translation.
23. Click Done.

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Create Active Translation on Networked Acquisition System
NOTE
Perform the following steps on each of the networked Mac-Lab/
CardioLab Acquisition systems.
1. Open Windows Explorer.
2. Navigate to D:\GEMMS\Prucka\Bin.
3. Double-click DataExportConfig.exe.
4. Click the Active Translations tab.
5. Verify that any previously configured translations are still present.
6. Click Done.

Reload CVIS Client
If a CVIS client needs to be reloaded onto the computer, refer to theappropriate CVIS Installation manual for installation steps.

Update Operator Manuals
This script has to be executed for updating the Mac-Lab, CardioLab orCentricity Cardiology INW Operator's manual. To apply these changes,
use the DVD ML/CL APPLICATION INSTALL 6.5.6(PN 2049051-001).
1. Log on as a local mlcltechuser to Windows as well the Custom
Shell.
Ensure all programs are closed.
2. Insert the DVD ML/CL APPLICATION INSTALL 6.5.6(PN 2049051-001) into the DVD-ROM drive.
3. Browse to the DVD drive and double-click UserManualUpdate.wsf.
4. A message box will open stating, System will now update the user
manuals.
Click Yes to install, No to quit.
5. Click Yes at the message box.
6. On completion of the update, a message box stating User manuals
updated will open.
7. Click OK.

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Review System Disaster Recovery
The decision to perform a Review system recovery should only be madeafter consultation with GE Technical Support by the on-site Field
Engineer. The high-level steps for a complete 6.5.6 Review system
recovery are listed below. Detailed instructions for each step follow.

High-Level Overview
Recovery Scenario
Perform the following steps on review that needs to be reimaged.
Step 1: Save Review System Information. Backed up data from thesecond hard drive (drive G:) is used later on to restore the system.
Step 2: Take the Review systems out of GE MLCL OU. Go to“Obtain System Information at the Server” on page 5-60.
Step 3: Configure New Hardware. Go to “Configure New Hardware”
on page 5-61 if the existing Review system is being replaced with a new
Review system.
Step 4: Reimage the Review System. Go to “Restore System
Software” on page 5-63.
Step 5: Perform all the procedures in “Configure the Review System” onpage 5-63.
Step 6: Perform all the procedures in “Configure the Review System on
the INW Network” on page 5-75.

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Log On to the Review System
When starting up a Review system, an auto-logon sequence starts andyou are automatically logged on to Windows XP. You must stop the autologon so you can log on to Windows XP as mlcltechuser.
1. Power on the Review system.
The system boots up to the Mac-Lab/CardioLab Custom Shell
screen.
2. Press Ctrl + Action + Delete.
3. Click Logoff and select Logoff.
4. Immediately hold down the Shift key.
5. Log on to the Windows OS as local mlcltechuser (contact GE
Technical Support or the system administrator for current password
information).
To log on locally, select the computer name in the Domain field.
6. Log on to the Mac-Lab/CardioLab Custom Shell as local
mlcltechuser (contact GE Technical Support or the systemadministrator for current password information).

Save Review System Information
If the system will not boot up or drives C: or D: are unavailable go to“Obtain System Information at the Server” on page 5-8.
If the system boots up and the C: and D: drives are available, use thefollowing procedures to back up system information.

Export Custom Data
Use this procedure to save custom data to the G: (backup) drive.
If the system is being completely replaced, save the custom data toremovable media to be moved to the replacement system after recovery.
It is recommended to use a USB Flash Drive.

Export Custom Report Formats
1. In the Navigator window, select Utilities > Export Report Formats.
The Data Export wizard is displayed.
2. Select the G: drive and click New Folder.
3. Enter Report_ Backup for the folder name and click Ok.
4. Click OK when the Success message is displayed.
5. Close the application.

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Back Up System Information Manually
Record CVIS Information
On the Desktop, verify whether or not the Centricity Cardiology DMS
shortcut is installed.

Record Anti-Virus Information
Record whether or not there is anti-virus software installed on thesystem.

Back up Third-Party Software
A manual backup must be created for Third Party software:
1. Check for the PedCath database:a. Open the PedCath application and select File > Show Data
Folder Path from the main menu.
If the data folder path is on the local C: or D: drive, then performthe next steps:
b. Right-click My Computer and select Explore.
c.

Navigate to the PedCath database folder location.

d. Drag and drop the PedCath Data folder into the G: drive.
2. Check for the ACCAccess database:a. Right-click My Computer and select Search.
b. Search the C: and D: drives for the file acc.mdb.
c.

If the ACCAccess database is found, drag and drop the file into
the G: drive.

3. Backup any other third-party software to the G: drive.
NOTE
This disaster recovery procedure will only save Mac-Lab/
CardioLab files. Any other files must be backed up manually to
the G: drive and restored later.

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Back Up Software Options
1. Double-click Service Console on the Desktop.
2. Navigate to Software Options Manager > Software Options.
3. Click Create Backup.
4. In the Save In drop-down box navigate to G: drive.
5. In the File Name field, type Software_Options and click Save.
6. Close the Service Console.

Back Up Desktop Files
1. Right-click My Computer on the Desktop and select Explore.
2. Navigate to G: drive and click the New Folder button.
3. Enter the folder name as Desktop_Items.
4. Copy any customer created documents or folders from the desktop to
the Desktop_Items folder.
5. Repeat this procedure logged in as any other applicable user (local
mlcllogonuser, INW mlcllogonuser, and INW mlcltechuser).

Record Data Export Settings
You only need to verify that the HL7 translation was configured per thenormal instruction.
1. Right-click My Computer and select Explore.
2. Navigate to D:\GEMMS\Prucka\Bin.
3. Double-click DataExportConfig.exe.
4. Record only the information listed for the four tabs: CardioLab Files,
Audit Logs (track errors only or track all activity), Active
Translations and HL7.

Record Network Settings
1. Verify that you are logged in to both the Windows OS and theCustom Shell as local mlcltechuser.
2. From the Desktop, right-click My Computer.
3. Choose Properties.
4. Click the Computer Name tab.
5. Record the computer name in the table below.
6. Record the Domain/Workgroup information and click Ok.
7. From the Desktop, right-click My Network Places.

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8. Choose Properties.
9. Right-click Local Area Connection.
10. Choose Properties.
11. Highlight the Internet Protocol (TCP/IP) and click Properties.
12. Record the IP Address, Subnet Mask, Default Gateway, WINS (ifused) and DNS Server information.
Network Settings
Computer name
Domain\Workgroup
IP Address_______-_______-_______-_______

Subnet Mask_______-_______-_______-_______

Default Gateway_______-_______-_______-_______WINS (if used)
DNS Server_______-_______-_______-______________-_______-_______-______________-_______-_______-_______

Record Mapped Drives and Printer1. Press Ctrl + Action + Delete.
2. Click Logoff and select Logoff.
3. Allow the system to auto-logon to Windows.
4. Log on to the Mac-Lab/CardioLab Custom Shell as a local user.
5. Double-click My Computer.
6. Go to Network Drives. All mapped drives will be listed.
7. Record all mapped drives.


Drive letter

Share name

Hostname of the computer that owns the share

8. Record the configured printers.

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Gather Information from INW Server
You must log on to the server as the INW domain Administrator toperform this procedure (contact GE Technical Support or the systemadministrator for current password information).

Obtain System Information at the Server
Use this procedure to obtain network settings only if the Review system
will not boot or the C: or D: drives are unavailable.
Go to another Acquisition or Review system on the network within thesame subnet, and use the procedure “Record Network Settings” onpage 5-6 to obtain and record DNS, Default Gateway, and Subnet
information.
Network Settings
Subnet Mask_______-_______-_______-_______

Default Gateway_______-_______-_______-_______WINS (if used)
DNS Server_______-_______-_______-______________-_______-_______-______________-_______-_______-_______NOTE
A system on the network within the same subnet will have the same
network information as the system being recovered.

Remove the Review System from the GE MLCL Organizational Unit
1. At the server Desktop, go to Start > Control Panel.
2. Double-click Administrative tools.
3. Double-click Active Directory Users and Computers.
4. Expand the domain name (default is inw.local).
5. Expand the GE Medical Systems (MLCL) organizational unit.
6. Expand the MLCL Computers.
7. Expand the MLCL Workstations.
8. Expand the MLCL Review Workstations.
9. Record the name of the review system which is being restored.
10. Delete the Review system name from the MLCL Review Workstations
folder.

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11. Click Yes to confirm.
12. Close all open windows.

Configure New Hardware
Inspect Computer
NOTE
If the mobile cart (PN 2008203-001) option was ordered, the cart
must be assembled first and then the computer configured on thecart.
1. Open the case.
2. Remove and reseat all boards in the computer. Boards can shiftduring shipping.
3. Check all ribbon cable and power connections.
4. Close the case.

Connections
1. Connect the keyboard to the keyboard PS/2 connection on thecomputer.
CAUTION
EQUIPMENT DAMAGE — Do not plug the keyboard to
the keyboard PS/2 connection in with the computer turned
on. If it is connected, when the computer is turned on, thecable must be replaced.
2. Connect the USB mouse to the top right USB port.
3. Connect the barcode scanner to an available USB port.
4. Connect the network cable to the computer.
5. Attach power cord to the computer if the isolation transformer isused:
a. Plug the power cable from the computer into the isolationtransformer.
b. Plug the power cable from the monitor into the isolationtransformer.
c.

Plug the isolation transformer into the wall outlet.

6. Connect the video cable from the monitor to the computer.

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Connect Solar or DASH Monitors
This section only applies if installing an optional Solar Monitor or an
optional DASH Monitor.
CAUTIONAVOID PERFORMANCE DEGRADATION — The Solarand DASH monitors must only be connected to Review
workstations. Do not connect a Solar or DASH monitor toan Acquisition workstation.

Connect Solar System
1. Connect one end of the cable (PN 2003408-001) to the 9-pin COM
port on the back of the HP computer.
2. Connect the other end of the cable to the 9-pin RS-232 port on theback of the Solar monitor.

Connect DASH System
1. Connect the interface adapter (PN 420915-013) to the 9-pin COM
port on the back of the HP computer.

Interface Adapter
2. Connect one end of the CAT5 cable (PN 418335-002) to the interface
adapter.
3. Connect the other end of the CAT5 cable to the AUX port on the backof the DASH Monitor.

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Configure the Review System
Restore System Software
Reimage the Review System

CAUTIONSHOCK HAZARD — Use appropriate Lock Out/Tag Out
procedures before performing any service on potentiallyenergized equipment.

CAUTION
EQUIPMENT DAMAGE — Electrostatic discharge(ESD) can damage electronic components. Be sure you areproperly grounded before opening any equipment.

CAUTIONLOSS OF DATA — If drive G:, the second hard drive, isphysically connected during reimaging, all data containedon it will be lost.
You must physically disconnect the second hard drive
before reimaging.
NOTE
The GE Client Review computer (DCGCW) must be reimaged
because it will have 6.8.1 software installed.
For the reimaging process you’ll need the following media depending on
system type (HP xw8000, HP xw8200, HP xw8400 and DCGCW).


DVD ML/CL APPLICATION INSTALL 6.5.6: 2049051-001



DVD MLAB/CLAB HPXW8000 IMG DVD v6.5.6: 2049072-001

DVD MLAB/CLAB HPXW8000 IMG DVD v6.5.6 #2: 2049072-002



DVD MLAB/CLAB HPXW8200 IMG DVD v6.5.6: 2049074-001

DVD MLAB/CLAB HPXW8200 IMG DVD v6.5.6 #2: 2049074-002



DVD MLAB/CLAB HPXW8400 IMG DVD v6.5.6: 2049076-001

DVD MLAB/CLAB HPXW8400 IMG DVD v6.5.6 #2: 2049076-002



DVD MLAB/CLAB DCGCW IMG DVD V6.5.6: 2049068-001

DVD MLAB/CLAB DCGCW IMG DVD V6.5.6 #2: 2049068-002

1. Shut down the system, if necessary.
2. Open the computer case and disconnect the second hard drive (drive
G:) before reimaging.

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The second hard drive is physically located at the bottom of the diskbay.
3. Restart the system.
NOTE
Press F1 (Help) at the Intel Boot Agent screen, if displayed.
4. Log on to the Windows OS and the Mac-Lab/CardioLab Custom Shell
locally as mlcltechuser.
NOTE
If the Systems Settings Change window is displayed, click Yes torestart. Log on again as mlcltechuser. At this point of the setup,
you may see a Windows New Hardware Found wizard dialog.
Please ignore this dialog. This window will be closed by Windows
during the system shutdown.
5. Right-click My Computer, select Explore and verify the G: drive is nolonger available.
6. Insert the appropriate Image DVD.
7. Shut down the system and replace the faulty hard drive.
NOTE
For the HP8000 only: Ensure the jumpers are set to cable select.
8. Restart the system.
9. Select Erase System Data and press Enter to begin reimaging.
The Symantec Ghost screen is displayed monitoring the progress of
the image process. If necessary, insert the remaining image DVDs as
prompted. When the installation is complete, the computer willautomatically restart. Remove the DVD.
NOTE
During the setup process a blank Windows DOS-Prompt window
is displayed. Do not close this window as setup is being
performed.
10. Shut down the system.
11. Reconnect the second hard disk.
12. Restart the system.
NOTE
Press F1 (Help) at the Intel Boot Agent screen, if displayed.
13. Log on to the Windows OS and the Mac-Lab/CardioLab Custom Shell
locally as mlcltechuser.
14. If any devices were not automatically installed during re-imaging, a
New Hardware Found message may be displayed at restart. If thishappens, use the following procedure for each wizard:


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Select Install the software automatically and click Next.

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If a choice of drivers is presented, pick the default selection andclick Next.

If prompted about Windows Logo testing or driver signing, click
Continue anyway.



If prompted by Matrox Powerdesk Installation about enabling
independent mode for Matrox graphics hardware, click Yes.



Click Finish when the installation is complete.

Restart the computer if prompted and log on again as local
mlcltechuser.

Verify Drive Order
1. Right-click My Computer and select Manage.
2. Select Storage > Disk Management in the left pane.
3. In the right pane, verify each drive is assigned the correct drive
letter.


C: Primary Hard Drive

D: Data Hard Drive

F: DVD-RAM Drive

G: Second Hard Drive
NOTE
If the C: or D: drive letters are not correctly set, security
settings were not properly applied. Do not change the drive
letter. The system must be reimaged.

4. If a drive does not have the correct letter perform the following steps
for each drive not assigned the correct letter:a. Right-click the drive in the right pane and select Change drive
letter and paths.
b. Click Change.
c.

Select the new drive letter in the drop-down menu and click OK.

d. Click Yes to the confirmation message.
5. Close the Computer Management window.

Set Display Resolution
1. Verify you are logged on as mlcltechuser (password:
mlcl!techuser).
2. Right-click the Desktop and select Properties.
3. Select the Settings tab.
4. In the Screen Resolution section, select 1600x1200.

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NOTE
This is the only supported resolution for new systems. If existing
monitors do not support this resolution, 1280x1024 may be used
for Mac-Lab systems. All monitors must be set to the same
resolution.
5. Verify the color for all monitors is set to Highest (32-bit).
6. Click OK.

Install Microsoft Operating System Updates
Instructions for downloading and installing Microsoft security patches
and service packs are listed by product type on Support Central.
Download and install all applicable patches and service packs.

Change Computer Name
Use this procedure to change the computer name, if required.
CAUTION
PROCEDURE FAILURE — If the computer name is tobe changed, this procedure must be completed at thistime. If the computer’s name is changed at a later time
the system must be reimaged.
Also note the following naming conventions:

The name cannot begin with a numberThe name cannot contain hyphens or underscorecharacters

The name cannot contain spaces or special characters

The name cannot exceed 15 characters in length.

1. Verify you are logged on to the Windows OS and the Mac-Lab/
CardioLab Custom Shell as local mlcltechuser.
2. Right-click My Computer and select Explore.
3. Navigate to C:\Windows\Special.
4. Double-click ManualRename.hta.
5. Enter the new Review system name.
NOTE
If the customer needs the previously used name to be used thenenter the system name recorded in “Remove the Review Systemfrom the GE MLCL Organizational Unit” on page 5-60.
6. Click OK at the confirmation messages.
The system automatically restarts.
7. At the Mac-Lab/CardioLab Custom Shell screen, press Ctrl + Action+ Delete.

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8. Click Logoff.
9. Click Logoff.
10. Immediately hold down the Shift key.
11. Log on to the Windows OS as local mlcltechuser.
12. Log on to the Mac-Lab/CardioLab Custom Shell as local
mlcltechuser.

Change Language
Use these procedures to change the language, if necessary. If thelanguage remains English, continue with “Check/Set Time” on page 5-70.
Delete User Profiles
1. Select Start > Settings > Control Panel.
2. Double-click System.
3. Click the Advanced tab.
4. Click Settings in the User Profiles section.
5. Select each profile in the list and click Delete, if enabled, to delete theprofile.
The MLCLTechUser profile cannot be deleted.
6. Click OK to close the User Profiles dialog.
7. Click OK to close the System Properties dialog.
Set Operating System Language
For setting the languages the following must be applied for theapplication to function properly:
Language: Country/Locale
English: United States/United Kingdom

French: FranceGerman: Germany

Italian: Italy

Spanish: Spain

Swedish: Sweden

Chinese: China (PRC)Japanese: Japan

1. Verify you are logged on as local mlcltechuser (password:
mlcl!techuser).
2. Double-click Regional and Language Options.
3. Select the Regional Options tab.

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4. In the Standards and formats section, select the correct language
and locale (for example, French (France)) from the drop-down list.
5. In the Location section, select the correct locale (for example,
France).
6. Select the Languages tab.
7. Click Details.
8. For Chinese systems only:
If the use of the IME is required, the following steps must be taken to
set it up in a manner which is compatible with the operation of the
Mac-Lab/CardioLab software:a. Click Add.
b. Change the Input Language to Chinese (PRC).
c.

Select the Keyboard Layout/IME check box.

d. Select Chinese (Simplified) - Enhanced Unicode IME from thedrop-down list.
e.

Click OK.

f.

Click Add.

g. Select the Keyboard Layout/IME check box.
h. Select the Chinese (Simplified) - US Keyboard check box.
i.

Click OK.

j.

Select Chinese (PRC) - Chinese (Simplified) - US Keyboard in the
Default input language drop-down.

If the use of the IME is not required, select the desired keyboard
layout as appropriate.
9. For all other languages:
Determine if the desired language and locale is listed in the Default
input language section. If it is not:a. Click Add.
b. Select the appropriate language and locale in the Input languagelist. If necessary, configure other settings (for example, Keyboard
layout/IME) as appropriate.
c.

Click OK.

10. Select the language and locale in the Default input language section.
11. Click OK.
12. Select the correct language (for example, Francais) in the Languages
used in menus and dialogs section.

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13. Select the Advanced tab.
14. Select the correct language (for example, French (France)) in the
Language for non-Unicode programs section.
15. Select the Apply all settings... check box in the Default user accountsettings section.
16. Click OK if prompted.
17. Click OK to close the Regional and Language Options window.
18. Click OK at the changes will not take effect until you reboot prompt.
19. Click Yes, if prompted about copying required files, to use the files
that are already on the system.
20. Click Yes to reboot.
Set Mac-Lab/CardioLab Application Language
1. At the Mac-Lab/CardioLab Custom Shell screen, press Ctrl + Action+ Delete.
2. Click Logoff.
3. Click Logoff.
4. Immediately hold down the Shift key.
5. Log on to the Windows Operating System as local mlcltechuser(password: mlcl!techuser).
6. Log on to the Mac-Lab/CardioLab Custom Shell as local
mlcltechuser (password: mlcl!techuser).
7. Right-click My Computer and select Explore.
8. Browse to the D:\GEMMS\Prucka\Setup\Language directory.
9. Double-click MLCL_Set_Language.bat to start the process of setting
the Mac-Lab/CardioLab application language.
10. Verify the language listed is correct (for example, French). If so, press
any key to begin the process of setting the application language.
NOTE
The process takes a few minutes to complete.
11. Press Enter at the success prompt.
Both the Operating System language and the Mac-Lab/CardioLabapplication language should now be set correctly.

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Install kPa Label (Chinese Systems Only)
1. Clean the area above the pressure keys if necessary.
2. Apply the kPa label as shown.

Label

Check/Set Time
1. Verify you are logged on as local mlcltechuser (password:
mlcl!techuser).
2. Select Start > Programs > Accessories > Command Prompt.
3. Type net stop w32time and press Enter.
4. Select Start > Settings > Control Panel > Date and Time.
5. Select the Date & Time tab.
6. Set the time and date.
7. Click Apply.
8. Select the Time Zone tab.
9. Select the correct time zone and daylight savings setting.
10. Click Apply.
11. Select the Internet Time tab.
12. Clear the Automatically synchronize with an Internet Time Server
check box.
13. Click OK.
14. Type net start w32time at the command prompt and press Enter.
15. Close the command window.

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Install/Enable Software Options.
NOTE
The software options backup that was made when the system wasinstalled can be used in this section or you can also use the backed up
option file at the beginning of Review system restore.
1. Double-click Service Console from the Desktop.
2. Browse to Software Options Manager > Software Options.
NOTE
If prompted for the GEMS Serial Number, enter the serial
number and click OK. The serial number can be found on a labelon the top of the computer.
3. In the Software Options form, click Read License File.
4. Insert the Software Options CD into the F: drive.
5. In the Look In dropdown box, select the F:\ drive.
6. Double-click the Options.txt file.
7. Ensure the correct options are enabled.
8. Click Update and Save changes to Software options to save theoptions.
9. At the Save changes? message, click Yes.

Configure InSite ExC
Verify with the customer that InSite ExC will be used for Remote Service
Support. If no Remote Service Support is needed, proceed to “GEMS Log
Collector Task” on page 5-72.
1. Verify you are logged on to the Windows Operating System and the
Mac-Lab/CardioLab Custom Shell as local mlcltechuser (password:
mlcl!techuser).
2. Double-click Service Console.
3. Expand the InSite 2.0 folder and select the Device Manager folder inthe left pane of the Service Console window.
4. Click Generate Device Information in the Device Information window.
5. Click OK in the Device Manager Confirmation window.
6. Verify the Serial Number, Name, and Type fields.
7. Select the Configuration Utility folder in the left pane under InSite
2.0.
8. If the hospital uses a proxy server perform the next steps, otherwise
continue with step 13.

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9. Click the Proxy Configuration tab and select Use a Proxy Server toconnect to the Enterprise.
10. Enter the proxy server information.
NOTE
Contact the Hospital IT Department for the proxy address, proxy
port, and authentication information.
11. Click Update Proxy after entering the proxy server information.
12. Click OK at the InSite 2.0 Message window.
13. Select the Service Controller tab in the Configuration Utility.
14. Click Start Service.
15. Verify the Service has started:a. Wait 10 seconds.
b. Select Check Service Status.
A confirmation window opens indicating the service is running.
c.

Click OK.

16. Select Initiate Remote Service and verify that it connects and a
Request submitted successfully message is displayed.
17. Close the Service Console.
NOTE
Perform the following steps only if the customer requests InSite ExC
access control.
18. Right-click VNC in the System Tray and select Options.
19. Select the Authentication tab.
20. Select Prompt local user to accept incoming connections and click OK.

GEMS Log Collector Task
GEMS Log Collector Task Creation
The following steps are needed only if you want to configure InSite ExC
Log Collection on GE Acquisition and Review systems only.
1. Select Start -> Settings -> Control Panel -> Scheduled Tasks. The
Scheduled Tasks page opens.
2. If the GEMS_LogCollector_Task entry is present, right-click it andchose Properties.

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3. If the GEMS_LogCollector_Task entry is not present, add a newentry as follows:

Select File > New to add a new scheduled task.



Rename the task GEMS_LogCollector_TaskRight-click the new entry and select Properties.



Browse to D:\GEMMS\Prucka\Bin and select the
GEMS_LogCollector.exe program. Edit the run command line to
add the –sendtobos option as shown in the following figure.

4. Select the Enabled check box.

5. In the Run as field, enter the account information as follows:

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For a networked system (Acquisition or Review), enter the username as <Domain Name>\MLCLSqlUser.



For a stand-alone system, enter the user name as <Computername>/ MLCLSqlUser.



Click Set Password. When prompted, enter the password
sql8273user in both fields.

Click OK.

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GEMS Log Collector Task Schedule Configuration
Select the Schedule tab and configure the task to run once every two
weeks as shown in the following figure.

1. In the Schedule Task: field, select Weekly.
2. In the Start time: field, select 11:50PM.
3. In the Schedule Task Weekly section, select Every 2 week(s) on: Sat.

Import Report Formats
Perform these steps to import report formats on recovered Review
systems. Report Formats are not replicated in the INW networked
environment. Obtain the backups from one of the following sources:

Use the backup saved to the G: drive.

Check with the Lab administrator to see if a backup they madeearlier is available.



Make a copy from a Review workstation in the same lab.



If any other backups are unavailable and for English systems only,
report formats must be imported from the CD-R MLABCLAB CLIN
APP DEFAULTS V6.5.6 (PN 2049104-001).

1. Double-click Mac-Lab/CardioLab to open the application.
2. Select Utilities > Import Report Formats in the Navigator window.

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3. At the Report Wizard window, click Next.
4. Click Change Folder.
5. Select the drive G (or the appropriate folder location).
6. Navigate to the Report_Backup folder (or other location).
7. Click OK.
8. Select No when asked whether to merge with existing data.
9. Click OK at success message.
10. Close the application.

Configure the Review System on the INW Network
Add the Review System to the Domain
1. Verify that you are logged on to the Windows OS and the Mac-Lab/
CardioLab Custom Shell as local mlcltechuser.
2. Right-click My Computer on the Desktop and select Properties.
3. Select the Computer Name tab.
4. Click the Change button.
5. In the Member of section, select the Domain radio button, enter thename of the INW Domain to join and click OK.
NOTE
The default Domain is inw.local.
6. When prompted, type the username mlcltechuser and password.
7. At the Welcome to inw message, click OK.
8. At the restart message click OK.
9. At the System Properties window, click OK.
10. At the Do you want to restart now? message click Yes.
11. After the system restarts, at the Mac-Lab/CardioLab Custom Shellwindow, press Ctrl + Action + Del and click Logoff.
12. Click Logoff and immediately hold the Shift key to stop the autologon sequence.
13. Logon to Windows and the Mac-Lab/CardioLab Custom Shell as the
local mlcltechuser.

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Synchronize Time
1. Select Start > Programs > Accessories > Command Prompt.
2. Type net time /set and press Enter.
3. When asked to sync with the server, type y and press Enter.
NOTE
This step may take up to 2 minutes to complete.
4. Close the Command Prompt window.

Add Review System to GE MLCL Organizational Unit
1. Log on to the server as the INW domain Administrator (contact
GE Technical Support or the system administrator for current
password information).
2. Select Start > Settings > Control Panel.
3. Double-click Administrative tools.
4. Double-click Active Directory Users and Computers.
5. Expand inw.local (this is an example, the actual domain name may
be different).
6. Click the Computers folder and locate the Review system to add.
7. Expand the GE Medical Systems (MLCL) organizational unit.
8. Expand the MLCL Computers.
9. Expand the MLCL Workstations.
10. Drag and drop the computer name from the Computers folder to the
MLCL Review workstations.
11. Close all open windows.
12. Restart the Review system added to the organizational unit in theprevious step.
13. After restart, press Ctrl + Action + Delete, logoff as
mlcllogonuser.
14. Click Logoff.
15. Immediately hold down the Shift key.
16. Log on to the Windows OS and the Mac-Lab/CardioLab Custom Shell
locally as mlcltechuser.

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Synchronize Time
This procedure applies to all Review systems.
1. Right-click My Computer and select Explore.
2. Navigate to D:\GEMMS\Prucka\Setup\TimeSynchronization.
3. Double-click TimeClientConfig.exe. This tool will perform thefollowing:

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

Check for Administrator logon.



Performs a backup of the existing registry entries pertaining toWindows Time Service.

Update the required registry entries to configure Windows Time
Service.



Verify one of the registry keys to ensure the registry update was
successful.

Enable/configure UDP port 123 in the Windows Firewall on
Windows XP SP3 system.



Stop and Start the W32Time service.



Run the w32tm command to update the Windows Time Service tolook at the update configuration, re synchronize, and rediscover
the time source.

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4. In a fixed-IP network, select IP Address and enter the IP address of
the INW server. For a DHCP network, select the UNC name andenter the name of the INW server.
NOTE
In a DHCP environment, the UNC name must be used since it islikely that the IP address will change.
5. Click Configure.
6. When the configuration completes, the status will indicate that thetime settings were updated successfully.
7. Close all open windows.
8. Time Sync Configuration is now complete.

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Confirm Domain Security Policy
Verify Security Policy
To verify the security policy at the Review system:
1. Right-click My Computer on the Desktop and select Manage.
2. Select System Tools > Local Users and Groups > Groups.
3. Right-click Administrators and select Properties.
4. Verify that the following members are shown in the list:[domain name]\Domain Admins[domain name]\mlcltechuser[domain name]\mlclsqluser

NOTE
The default domain name is inw.local.
NOTE
If the members are not shown, follow the troubleshooting steps
below.

Troubleshooting
1. Verify that the Review system is in the correct Domain:a. Right-click My Computer on the Desktop and select Properties.
b. Verify that on the Computer Name tab the INW Domain ispresent.
2. Verify that the Review system shows up in the GE Medical Systems(MLCL) Organizational Unit on the server.
3. On the server, open a command prompt window and type gpupdate/force and press Enter.
4. Restart the Review systems, wait approximately 7 minutes andcheck the policy again as described in “Verify Security Policy” onpage 5-42. If the policy is still not correct proceed to the next step.
5. Verify that the TCP/IP properties on the server are set correctly
a. The INW server IP must be configured as the preferred DNS
server.
b. The subnet mask must be correct as defined be the hospital IT
staff.

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6. Verify that the TCP/IP properties on the Review are set correctly
a. The IP subnet mask of the Review system MUST match exactly
the subnet mask of the server.
b. The IP address of the Review system must be manuallyconfigured and must fall within the subnet of the server as
defined by the subnet mask.
c.

The gateway of the Review system must be set to the IP addressof the server or another machine on the hospital network.

d. The DNS of the Review system must be set to the IP address of
the INW server.
7. Verify that the server and Review system can communicate.
8. Open a command window on the Review system and type ping
<servername> and press Enter.
a. A Request timed out message indicates failure, a Reply frommessage indicates success.
NOTE
If successful, verify that the reply from IP address shown
matches the server's IP address and if correct skip the resetof the sub-steps below
b. If step a failed, repeat with the servername replaced with thecorrect IP address of the server ping <###.###.###.###> andpress Enter.
c.

If step a and step b both failed, there is a problem with the IP
address or the physical network. Repeat the above steps to verify
the TCP/IP properties of the server and Review system.

d. If step a fails and step b succeeds, there is a problem with DNS
setup. Repeat the TCP/IP properties steps above paying carefulattention to the DNS setup.
9. Verify that the time and time zone settings on the server and the
Review system match.
a. If they do not match, open a command prompt on the Review
system and type net time /set and press Enter.
b. Restart the Review system, wait 7 minutes and check the policy
again in “Verify Security Policy” on page 5-42. If the policy is still
not correct proceed to the next step.
10. If the policy is still not correct after all above steps:
a. Remove the Review system from the Domain and add it back to
the CARDIOLAN workgroup.
b. Restart the Review system.
c.

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Delete the Review system name for the OU on the server.

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d. Repeat the instructions for adding the Review system to theDomain.

Initialize Applications
Adobe Reader, Microsoft Word, and Microsoft Word Reports must be
initialized under both mlcllogonuser and mlcltechuser logons.

Adobe Reader
1. Press Ctrl + Action + Delete.
2. Click Logoff.
3. Click Logoff.
Allow the system to auto-log on to the Windows Operating System as
mlcllogonuser.
4. Log on to the Mac-Lab/CardioLab Custom Shell as domain
mlcllogonuser (password: mlcl!logonuser).
5. Select Start > Programs > Adobe Reader 9.
6. Accept the End User License Agreement if displayed.
After Adobe Reader opens, wait one minute to ensure a Check for
Update dialog box is not displayed. If the dialog box is displayed,click Cancel.
7. Close Adobe Reader.

Microsoft Word
1. Select Start > Programs > Microsoft Word.
NOTE
For Microsoft Office 2007 Professional, select Start > Programs >Microsoft Office Word 2007.
2. Accept the End User License Agreement if displayed.
3. Click OK if the User Initial dialog box is displayed.
4. If the Privacy Option dialog box is displayed, uncheck Search
Microsoft Online for Help, if it appears.
5. Close Microsoft Word.

Microsoft Word Reports
Perform this procedure on multiple monitor systems only.
1. Double-click Mac-Lab CardioLab.
2. Select Administration > Reports > Templates.

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If prompted for an administrator password enter mlcladmuser(password: mlcl!admuser).
3. Click Retry if a server busy message is displayed. Microsoft Word willopen.
4. Configure the Microsoft Word window for the review monitor:
a. Right-click the Microsoft Word title bar and select Restore.
b. Move the Microsoft Word window to the next monitor (from thereal-time monitor to the review monitor).
c.

Right-click the Microsoft Word title bar and select Maximize.

5. Close Microsoft Word.
6. When prompted to save the report, click No.
7. Close the Mac-Lab/CardioLab application.

Adobe Reader
1. Press Ctrl + Action + Delete.
2. Click Logoff.
3. Click Logoff.
4. Immediately hold down the Shift key.
5. Log on to the Windows Operating System as domain mlcltechuser(password: mlcl!techuser).
6. Log on to the Mac-Lab/CardioLab Custom Shell as domain
mlcltechuser (password: mlcl!techuser).
7. Select Start > Programs > Adobe Reader 9.
8. Accept the End User License Agreement if displayed.
After Adobe Reader opens, wait one minute to ensure a Check for
Update dialog box is not displayed. If the dialog box is displayed,click Cancel.
9. Close Adobe Reader.

Microsoft Word
1. Select Start > Programs > Microsoft Word.
NOTE
For Microsoft Office 2007 Professional, select Start > Programs >Microsoft Office Word 2007.
2. Accept the End User License Agreement if displayed.
3. Click OK if the User Initial dialog box is displayed.

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4. Confirm that Office is activated using the following steps:
For Office 2007
a. Click on the Office button (left topmost corner).
b. Select Word Options.
c. Choose Resources.
d. Click Activate.
e. Verify that this product has already been activated.
For Office XP
a. Select Help > Activate Word.
b. Verify that this product has already been activated.
5. Close Microsoft Word.

Microsoft Word Reports
Perform this procedure on multiple monitor systems only.
1. Double-click Mac-Lab CardioLab.
2. Select Administration > Reports > Templates.
If prompted for an administrator password enter domain
mlcladmuser (password: mlcl!admuser).
3. Click Retry if a server busy message is displayed. Microsoft Word willopen.
4. Configure the Microsoft Word window for the review monitor:
a. Right-click the Microsoft Word title bar and select Restore.
b. Move the Microsoft Word window to the next monitor (from thereal-time monitor to the review monitor).
c.

Right-click the Microsoft Word title bar and select Maximize.

5. Close Microsoft Word.
6. When prompted to save the report, click No.
7. Close the Mac-Lab/CardioLab application.

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Confirm Windows XP is Activated
1. Open a command prompt and from the command prompt run
c:\windows\system32\oobe\msoobe.exe /A
2. Confirm Windows XP has already been activated.

Confirm File Paths and Network Storage Settings
Perform this procedure for a networked Review system.
1. Log on to the Windows OS and the Mac-Lab/CardioLab Custom Shellas INW domain mlcltechuser.
2. Double-click Mac-Lab/CardioLab on the Desktop to start the MacLab/CardioLab application.
3. Select Administration > System Settings.
4. Browse to the File Paths section.
5. Check the Enable Network Storage checkbox.
6. Click Browse.
7. Browse to the INW server and select the PruckaStudies share as the
network storage path.
8. Click OK.
9. Select the Audit Log section.
10. Move all items in the list to the right Events selected for audit byclicking the >> button.
11. Close the application.

Additional Installation for Purchased Options
The purchased options may include PedCath. The instructions tocomplete the installation are found at
the following website: http://www.pedcath.com/manual.php

Reconfigure PrinterIf the printer information was recorded, refer to the list of printers
recorded in “Record Mapped Drives and Printer” on page 5-59. Also referto the setup instructions included with the printer to install theappropriate printer driver.

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Reconfigure Mapped Drives
If any mapped drives were recorded in “Record Mapped Drives andPrinter” on page 5-59, perform this procedure.
1. Log off the system and allow the auto-logon run and log on to the
Mac-Lab/CardioLab Custom Shell as a local user.
2. Verify any mapped drives still exist.
If they do not, perform the steps in this procedure.
3. Right-click My Computer on the Desktop and select Map Network
Drive.
4. In the Drive section, select the drive letter.
5. In the Folder section, enter the path.
6. Click Finish.
7. Close all open windows.
8. Log off the system and allow the auto-logon run.

Configure Data Export
Perform the following steps on each of the networked Mac-Lab/
CardioLab Review systems.
1. Open Windows Explorer.
2. Navigate to D:\GEMMS\Prucka\Bin.
3. Double-click DataExportConfig.exe.
4. Configure to the settings captured earlier in “Record Data Export
Settings” on page 5-58.

Reload CVIS Client
If a CVIS client needs to be reloaded onto the computer, refer to theappropriate CVIS Installation manual for installation steps.

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Update Operator Manuals
This script has to be executed for updating the Mac-Lab, CardioLab orCentricity Cardiology INW Operator's manual. To apply these changes,
use the DVD ML/CL APPLICATION INSTALL 6.5.6(PN 2049051-001).
1. Log on as a local mlcltechuser to Windows as well the Custom
Shell.
Ensure all programs are closed.
2. Insert the DVD ML/CL APPLICATION INSTALL 6.5.6(PN 2049051-001) into the DVD-ROM drive.
3. Browse to the DVD drive and double-click UserManualUpdate.wsf.
4. A message box will open stating, System will now update the user
manuals.
Click Yes to install, No to quit.
5. Click Yes at the message box.
6. On completion of the update, a message box stating User manuals
updated will open.
7. Click OK.

Perform Necessary Software Updates
Apply all necessary software updates to the Acquisition system. Refer tothe Mac-Lab/CardioLab 6.5.6/6.8.1 Release 3 Update (PN 2027332-533 )for the instructions.

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System Checkout
Review Workstation Test
Solar and DASH Checkout
1. Verify the Mac-Lab or CardioLab module is selected for a Cath or EP
study respectively. Perform a patient search or create a new study byclicking New Study. Enter the required fields: patient last name, firstname and medical record number.
2. Connect the ECG, NIBP and SpO2 cables from the patient simulator
to the TRAM Module or DASH monitor. Place the SpO2 finger probe
on the right or left index finger. Place the NIBP pressure cuff overthe left or right arm.
3. Perform a Stat Vitals Measurement from the Nurses Review
Workstation by selecting Measurements > Stat Vitals or by pressing
the Action + L keys on the keyboard.
4. Verify that the vitals information is displayed in the log window.
5. Close the study.

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INW Server Disaster Recovery
The decision to perform server recovery should only be made after
consultation with GE Technical Support by the on-site Field Engineer.
The high-level steps for a complete 6.5.6 INW server recovery are listed
below. Detailed instructions for each step follow.

High-Level Overview
Required Parts
Verify the appropriate media is available. Double-check part numbers
before you begin.


DVD MLAB/CLAB G4 IMG DVD V6.5.6: 2049064-001

DVD MLAB/CLAB G5 IMG DVD V6.5.6: 2049060-001



DVD MLAB/CLAB G6 IMG DVD V6.5.6: 2049056-001

DVD ML/CL APPLICATION INSTALL 6.5.6: 2049051-001



Backup tapes (Full and Incremental, if applicable)

NOTE
The G6 server must be reimaged because it will have 6.8.1 software
installed.
Depending on the site configuration server failure will fall into one of two
scenarios:

Scenario 1
Failure of a single drive in a disk array on a G4/G5 low- mid- or high-end
server and G6 low or high-end Server.
Replace the drive (See “Replace the Server Hard Drive” on page 5-96);
the RAID automatically rebuilds the replacement drive. No further
action is required.

Scenario 2
Perform the steps listed below if the failure involves multiple drives in adisk array on a G4/G5/G6 server.
Step 1: Record Server Information. Go to “Record Server
Information” on page 5-90.
Step 2: Take the Acquisition systems out of replication and set
systems to standalone.
Perform the following steps to take the Acquisitions systems out ofreplication:

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If the server is still running (for example, the hard drive is corrupt,
rather than completely failed), remove all Acquisition systems from
replication (See “Take All Acquisition Systems out of Replication at
the Server” on page 5-91) and then continue with the “Set All
Acquisition Systems to Standalone” on page 5-93.



If the server is not running, go to each Acquisition system andremove the system from replication (See “Set All Acquisition Systems
to Standalone” on page 5-93).

Step 3: See procedures: “Backup Custom Lists” on page 5-95 fordetailed steps.
Step 4: Replace the hard drive (See “Replace the Server Hard Drive”
on page 5-96).
Step 5: Reimage the hard drive. Depending on the type of server,
perform the associated steps.
Compaq ML370 G4 Servers: “Load G4 Server Image” on page 5-96



HP ProLiant ML370 G5 Servers: “Load G5 Server Image” on page 597



HP ProLiant DL370 G6 Servers: “Load G6 Server Image” on page 597

Step 6: Perform all the procedures in “G4/G5/G6 Server Setup andData Restore” on page 5-98.
Step 7: Perform all the procedures in“Reconfigure Centricity
Cardiology INW Network” on page 5-119.
Step 8: Perform all the procedures in“Post Configuration
Procedures” on page 5-128.

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Record Server Information
Record the Server IP Information
The Server IP information is required for the “G4/G5/G6 Server Setup
and Data Restore” on page 5-98 procedure. The Server IP can be found on
any Acquisition system or Review workstation connected to the network.
Use the following procedure to find and record the information:
1. Log on to the Windows OS and the Mac-Lab/CardioLab Custom Shellas local mlcltechuser.
2. Right-click My Network Places and select Properties.
3. Right-click Local Area Connection and select Properties.
4. Highlight TCP/IP and select Properties.
5. Record the following information:Preferred DNS Server: ___________________________(This is the server IP)IP Subnet Mask:_________________________________

Record the Server and Domain Names
Record the server name for the “G4/G5/G6 Server Setup and Data
Restore” on page 5-98.
1. Go to any Acquisition system or Review workstation.
2. Launch the Mac-Lab/CardioLab application and go to
Administration > System Settings.
3. Select File Paths and look at the Network Study Path field.
CAUTION
PROCEDURE FAILURE — The entire server disasterrecovery procedure will fail if you record the wrong server
name below. Be sure to double-check the name you
recorded.
4. Record the server name. It has this format:\\CLSV[four digit number]\Prucka\Studies
CLSVxxxx is the server name.:______________________
5. Close all open windows.

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6. Right-click My Computer, select Properties and click the Computer
Name tab.
7. Record the domain name. It has this format: CLWSxxxx.<Domainname>.
Domain name:____________________On the INW Server, Back Up User Profiles (if possible)
Save the INW Server account profiles:
1. Log on to the domain as Administrator.
2. Launch Explorer and navigate to C:\Documents and Settings.
3. Highlight the user profile/profiles except Administrator from thisdirectory and choose copy. Paste the profiles on a USB storage
device.
4. Log off from the Server.
5. Log on to the domain as mlcltechuser.
6. Launch Explorer and navigate to C:\Documents and Settings.
7. Highlight the Administrator profile from this directory and choose
copy. Paste the profile on a USB storage device.
8. Log off from the INW Server.

Reimaging Procedures
Take All Acquisition Systems out of Replication at the Server
If the server is available (that is, can be booted and the service console
can be run), use this procedure to take all Acquisitions out of replication
at the server, and then continue with to “Set All Acquisition Systems toStandalone” on page 5-93.
If the server is not available, skip this procedure and continue with “Set
All Acquisition Systems to Standalone” on page 5-93.
CAUTION
PROCEDURE FAILURE — If either this procedure or“Stop Replication” on page 5-93 is not performed to stop
replication on the Acquisition system, the Acquisition
systems cannot be added back into replication later.
Adding or removing a system from replication requires administrative
privileges. Contact the facility IT department for current logons if
necessary.

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1. At the server, double-click Service Console from the Desktop andnavigate to Create Replica > Replication Setup.
2. Log on to the Service Console as mlclsqluser (contact GE TechnicalSupport or the system administrator for current password
information).
3. Highlight all Acquisition systems (for example, CLWS0001, and soon) in the list of currently replicating systems.
4. Click the Remove button.
5. Click Yes at the confirmation window.
NOTE
Stopping replication could take several minutes to complete.
6. Once all Acquisitions have been taken out of replication, the message
Replication Removal Complete will appear and all Acquisitions are
no longer listed as being replicated.
7. Refresh the window (click another folder in the tree and then click
Replication Setup again) to verify all Acquisition systems have beentaken out replication.
8. Close the Service Console.
9. Go to the Enterprise Manager and stop server replication.
a. Select Start > Programs > Microsoft SQL Server > EnterpriseManager.
b. Expand Microsoft SQL Servers > SQL Server Group. Highlightthe INW Server (in the left window).
c.

Select Tools > Replication > Disable Publishing.

d. Click Next.
e.

Select Yes, disable publishing on [Server name] and click Next.

f.

Click Next in the Confirm Dropping of Publications window.

g. Click Finish in the Completing the Disable Publishing andDistribution Wizard window.
h. Click OK to the Successfully Disabled window.
i.

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Set All Acquisition Systems to Standalone
While the server is down communicate the following to the users and lab
administrator:

Review workstations will not be functional while the server is being
recovered.

Acquisitions systems will function in standalone mode (but will haveno access to the network catalog).



Switching users or logging on using some usernames may fail. If thishappens users should either use the emergency logon or the
temporary logon set up in this step (username: Tempuser,
Password: password).

To set the Acquisition systems to standalone while the server is down
perform the following procedures at each Acquisition system:
“Stop Replication” on page 5-93 (This step is not required if theAcquisition systems were taken out of replication at the server in theprevious procedure).

“Set Up a Temporary User on Each Acquisition System” on page 593.

“Disable Networking” on page 5-94.

“Backup LMT Custom Reports” on page 5-94.
At the Acquisition system, log on to the Windows OS and the MacLab/CardioLab Custom Shell as local mlcltechuser (contact GE
Technical Support or the system administrator for current password
information).

Stop Replication
This procedure is not required if the Acquisition systems were taken outof replication at the server in the procedure “Take All Acquisition
Systems out of Replication at the Server” on page 5-91.
1. Verify you are logged in as local mlcltechuser.
2. Right-click My Computer and select Explore.
3. Navigate to D:\GEMMS\Prucka\Network.
4. Double-click StopRepl.bat.
5. A Command Prompt window opens and the file runs.
6. Press the Enter key when prompted to press any key.

Set Up a Temporary User on Each Acquisition System
1. Right-click My Computer and select Manage.
2. Expand Local Users and Groups.
3. Highlight Users.

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4. Right-click Users and select New User.
5. Enter the following information in the New User window:User ID: Tempuser

Password: passwordUncheck the option to require the user to change the password at
the first logon.

6. Click Create.
7. Click Close.
8. Double-click the user you just created and go to Member of tab.
9. Click Add.
10. Click Advanced.
11. Verify the Location field displays the local computer name.
12. Click Find Now.
13. Multi-Select the following groups:


Administrators



MLCLAdmgrp

14. Click Ok three times.
15. Double-Click the user, go to the Member of tab and ensure thefollowing groups are listed:Administrators



MLCLAdmgrp



Users

16. Close all open windows.

Disable Networking
1. Open the Mac-Lab/CardioLab application.
2. Select Administration > System Settings.
3. When prompted, log on as Tempuser (Password: password) to the
local computer.
4. Select File Paths.
5. Uncheck the Enable Network Storage option and click close.

Backup LMT Custom Reports
Skip this procedure if the customer is not using LMT Custom reports orthe customer has previously backed up the clink_drk.mdb file. The
customer is responsible for backing up the clink_drk.mdb file because it
is not backed up as part of the INW backup procedure.
1. Connect a USB drive.

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2. Right-click My Computer and select Search.
3. Search for clink_drk.mdb and copy the file (most commonly the file
will be found in D:\Program Files\GEMMS\LMT\Client\Resource
Kit).
4. Navigate to the USB drive and select Paste.
5. Remove the USB drive.

Backup Database, Log and Studies
Ensure that the following folders are backed-up by Tape Backup orEnterprise Backup Agents.


D:\GEMMS\Prucka\Database\Maintenance\Backup



D:\GEMMS\Prucka\Database\Maintenance\Log

D:\GEMMS\Prucka\Studies

Backup Custom Lists, Custom Reports, and Custom Forms
Backup Custom Lists
This procedure is done in case the custom lists, custom reports, andcustom forms are lost during the recovery. It may be completed at any
one of the Acquisition systems.
NOTE
If prompted for an administrator password enter domain
mlcladmuser. If mlcladmuser does not work, log on as Tempuser.
1. Double-click Mac-Lab/CardioLab to start the Mac-Lab/CardioLabapplication.
2. In the Navigator window, select Utilities > Export Lists.
3. Click Next in the Data Export wizard window.
4. Select the G: drive and click New Folder.
5. Enter List_ Backup for the folder name and click OK.
6. Click OK at the Data Export wizard window.
7. Click OK when the Success message is displayed.

Backup Custom Reports
1. In the Navigator window, select Utilities > Export Report Formats.
2. Click Next in the Data Export wizard window.
3. Select the G: drive and click the New Folder.
4. Enter Reports_ Backup for the folder name and click OK.
5. Click OK at the Data Export wizard window.
6. Click OK when the Success message is displayed.

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Backup Custom Forms
1. In the Navigator window, select Utilities > Export Custom Form
Layouts.
2. Click Next in the Data Export wizard window.
3. Select the G: drive and click New Folder.
4. Enter Forms_ Backup for the folder name and click OK.
5. Click Export at the Data Export wizard window.
6. Click OK when the Success message is displayed.

Replace the Server Hard Drive
WARNINGSHOCK HAZARD — Use appropriate Lock Out/Tag Out
procedures before performing any service on potentiallyenergized equipment.

WARNINGGROUNDING HAZARD — Electrostatic discharge(ESD) can damage electronic components. Be sure you areproperly grounded before opening any equipment.
Ensure the new hard drive is exactly the same as the old one (type, size,and so on). Consult GE Technical support with any drive replacement
questions.

Reimage G4/G5/G6 Server
Load G4 Server Image
The following media is needed to reimage the G4 server: DVD MLAB/
CLAB G4 IMG DVD V6.5.6 (PN 2049064-001).
1. Restart or power on the server, as necessary.
2. Insert DVD MLAB/CLAB G4 IMG DVD V6.5.6 (PN 2049064-001)
during the restart or power on. The Ghost 11.5 Boot CD 2.2 prompt is
displayed.
3. Select Erase System Data... and press Enter to begin reimaging.
A command prompt is displayed when reimaging is complete.
4. Remove the G4 Image DVD from the drive.
5. Manually restart the server.

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NOTE
The Initial Windows Configuration (SysPrep) process will becompleted without any input from the user.
6. Log on as Administrator, if necessary.

Load G5 Server Image
The following media is needed to reimage the G5 server: DVD MLAB/
CLAB G5 IMG DVD V6.5.6 (PN 2049060-001).
1. Restart or power on the server, as necessary.
2. Insert DVD MLAB/CLAB G5 IMG DVD V6.5.6 (PN 2049060-001)
during the restart or power on. The Ghost 11.5 Boot CD 2.2 prompt is
displayed.
3. Select Erase System Data... and press Enter to begin reimaging.
A command prompt is displayed when reimaging is complete.
4. Remove the G5 Image DVD from the drive.
5. Manually restart the server.
NOTE
The Initial Windows Configuration (SysPrep) process will becompleted without any input from the user.
6. Log on as Administrator if necessary

Load G6 Server Image
The following media is needed to reimage the G6 server: DVD MLAB/
CLAB G6 IMG DVD V6.5.6 (PN 2049056-001).
1. Restart or power on the server, as necessary.
2. Insert DVD MLAB/CLAB G6 IMG DVD V6.5.6 (PN 2049056-001)
during the restart or power on. The Ghost 11.5 Boot CD 2.2 prompt is
displayed.
3. Select Erase System Data... and press Enter to begin reimaging.
A command prompt is displayed when reimaging is complete.
4. Remove the G6 Image DVD from the drive.
5. Manually restart the server.
NOTE
The Initial Windows Configuration (SysPrep) process will becompleted without any input from the user.
6. Log on as Administrator if necessary.

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G4/G5/G6 Server Setup and Data Restore
Check/Set Time
1. Select Start > Settings > Control Panel > Date and Time.
2. Select the Date & Time tab.
3. Set the time and date.
4. Click Apply.
5. Select the Time Zone tab.
6. Select the correct time zone and daylight savings setting.
7. Click Apply.
8. Select the Internet Time tab.
9. Clear the Automatically synchronize with an Internet Time Server
check box.
10. Click OK.

Confirm Time Service
1. Select Start > Programs > Accessories > Command Prompt.
2. Type net stop w32time and press Enter.
3. Type regedit and press Enter.
4. Navigate to
HKEY_LOCAL_MACHINE\SYSTEM\CurrentControlSet\Services\
W32Time\TimeProviders\NTPServer.
5. Double-click ENABLED.
6. Change the value to 1, if necessary.
7. Navigate to
HKEY_LOCAL_MACHINE\SYSTEM\CurrentControlSet\Services\
W32Time\Parameters.
8. Double-click TYPE.
9. Change the value to NT5DS, if necessary.
10. Close the Registry Editor.
11. At the command prompt, type net start w32time and press Enter.
12. Close the command prompt.

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Configure NIC Connections
1. Verify you are logged on to the server as local administrator(password: MLCL8273!admin).
2. Select Start > Settings > Network Connections.
3. Verify that Local Area Connection is enabled.
4. Right-click Local Area Connection 2 and select Disable.

Rename Server
The server is automatically named during the imaging procedure. The
name must be changed back to the old name. Use the server namerecorded earlier.
To rename the server to the old name:
1. Right-click My Computer and select Explore.
2. Navigate to C:\Windows\Special.
3. Double-click manualRename.hta.
4. Enter the old server name and click OK.
5. The system will reboot when the script completes.
NOTE
The old server name was recorded in “Record the Server andDomain Names” on page 5-90.
6. Log on to the server as local Administrator (password:
MLCL8273!admin)

Configure Static IP
1. At the server, Select Start > Settings > Network Connections.
2. Right-click Local Area Connection and select Properties.
3. Highlight Internet Protocol (TCP/IP), and click Properties.
4. Select the Use the following IP Address radio button.
5. Enter the IP Address, subnet mask, default gateway, and preferred
DNS server as recorded in “Record the Server IP Information” onpage 5-90.
NOTE
The IP addresses for the primary DNS server should be set to be
the same as the Centricity Cardiology INW server’s IP address.
The secondary DNS server should be set to the Hospital DNS
server if applicable.
6. Click Advanced.

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7. Select the DNS tab.
8. Add any additional DNS servers previously recorded.
9. Select the WINS tab.
10. Add any WINS servers previously recorded.
11. Click OK.
12. Close the Properties windows.
13. Select Start > Programs > Accessories > Command Prompt.
14. Verify that you can ping (by IP address) all of the following:a. Hospital Domain Controller (required if using a trust).
b. Hospital DNS Server (required if using DNS forwarding).
NOTE
To do this type ping <IP Address> in the Command Prompt
window and press Enter.

Verify NIC Connection Speed
1. Right-click Local Area Connections and select Status.
2. Verify with the hospital IT department that the hospital switch
speed settings exactly match the NIC speed settings on the MacLab/CardioLab system. Acceptable speeds are 100Mbps Full Duplex
or Auto Negotiate.
3. Click Close.
4. Close the Network Connections window.

Promote Server to Domain Controller
1. Insert CD-R I386 FOR MS WIN SERVER 2003 SP2 (PN 2046386001) into the CD drive.
2. If the content of the CD in E:\ drive is displayed, close the window.
3. Select Start > Programs > Accessories > Command Prompt
4. Type dcpromo and press Enter.
5. At the Welcome To Active Directory Installation Wizard window, click
Next.
6. At the Operating System Compatibility window, click Next.
7. At the Domain Controller Type window, select the Domain controller
for a new domain radio button and click Next.
8. At the Create New Domain window, select the Domain in a new forest
radio button and click Next.

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9. Enter the domain as recorded in “Record Server Information” onpage 5-90 and click Next at the New Domain Name window isdisplayed.
10. At the NetBIOS Domain name window, click Next.
11. At the Database and Log folders window, click Next.
12. At the Shared System Volume window, click Next.
13. At the DNS Registration Diagnostics window, select Install andconfigure the DNS server on this computer, and set this computer to
use this DNS server as the preferred DNS server and click Next.
14. At the Permissions window, click Next.
15. At the Directory Services Restore Mode Administrator Password
window, click Next.
16. At the Summary window, click Next.
The Active Directory Installation Wizard is displayed while theinstallation runs for several minutes.
NOTE
If prompted for the I386 folder, browse to the I386 folder on the
CD. It may appear to be selected, but you must select the CD/
DVD drive, then select the I386 folder and then click OK. (Thisprompt may occur more than once.)
17. At the Completing the Active Directory Installation Wizard window,
click Finish.
18. At the Active Directory Installation Wizard window, click Restartnow.
19. Log on to the server as INW domain administrator (password:
MLCL8273!admin).
20. Remove CD-R I386 FOR MS WIN SERVER 2003 SP2 (PN
2046386-001) from the CD drive.

Update Policies
1. Log on to the server as Administrator.
2. Right-click My Computer on the Desktop and select Explore.
3. Browse to the C:\Windows\special folder.
4. Double-click the ADConfig.hta script to create the Active Directoryusers, groups and policies.
5. At the AD Creation Script window, click OK to run the script.
NOTE
The script will take about a minute to run. Wait for the successmessage before continuing.

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6. At the message, The ADConfig script for Mac-Lab/CardioLab
Product completed successfully, click OK.
This message may appear behind the Windows Explorer window.
7. Close the Windows Explorer window.
8. Select Start > Settings > Control Panel.
9. Double-click Administrative Tools.
10. Double-click Active Directory Users and Computers.
11. Verify that the new inw.local Domain is listed.
12. Expand the inw.local Domain and verify the GE Medical Systems(MLCL) organizational unit is listed.
13. Browse to inw.local > GE Medical Systems (MLCL) > MLCL Usersand verify that the following MLCL users are present:

MLCLAdmUser



MLCLEmergency



MLCLLogonUser



MLCLSqlUser



MLCLTechUser



MLCLUser

14. Browse to inw.local > GE Medical Systems (MLCL) > MLCL SoftwareGroups and verify that the following MLCL groups are present.


MLCLAdmGrp



MLCLEmergencyGrp



MLCLSystemGrp



MLCLUsrGrp

15. Close all open windows.
16. Restart the system to allow policies to take effect.
17. Log on as Administrator.

Install MS09-008 for INW Server Domain Controller with DNS Server
1. Ensure you are logged into the INW Server as Administrator.
2. Navigate to C:\Temp.
3. Install the MS09-008 security patch. Double-click
WindowsServer2003- KB961063-x86-ENU.exe.
4. Follow the installation instructions, and reboot the INW Server if
requested.

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Install Microsoft Operating System Updates
Instructions for downloading and installing Microsoft security patches
and service packs are listed by product type on http://
www.gehealthcare.com/usen/security/products/modality_links.html.
Download and install all applicable patches and service packs.

Change Language
Delete User Profiles
Perform this procedure to change the operating system language ifnecessary.
All of the following steps to set the Operating System and Mac-Lab/
CardioLab language and locale must not be done until the server has
been promoted to an Active Directory Domain Controller and the
ADConfig tool has been run to configure security and policy settings on
the system. Only when this is complete should you follow the steps listed
here.
1. Log on to the server as mlcltechuser.
2. Select Start > Settings > Control Panel.
3. Select Switch to Classic View, if not in Classic view.
4. Double-click System.
5. Click the Advanced tab.
6. In the User Profiles section, click Settings.
7. Select each profile in the list, and click the Delete button if it isenabled to delete the profile.
NOTE
The mlcltechuser profile cannot be deleted.
8. Click OK to close the User Profiles dialog.
9. Click OK to close the System Properties dialog.

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Set Operating System Language
NOTE
The following language settings must be applied for the application
to function properly:English: United States/United Kingdom

French: FranceGerman: Germany

Italian: Italy

Spanish: Spain

Swedish: Sweden

Chinese: China (PRC)Japanese: Japan

1. Double-click Regional and Language Options.
2. Select the Regional Options tab.
3. In the Standards and formats section, select the correct language
and locale (for example, French (France)) from the dropdown list.
4. In the Location section, select the correct locale (for example,
France).
5. Select the Languages tab.
6. Click Details button.
7. For Chinese systems only:
If the use of the IME is required, the following steps must be taken to
set it up in a manner which is compatible with the operation of the
Mac-Lab/CardioLab software:a. Click the Add button.
b. Change the Input Language to Chinese (PRC).
c.

Click the Keyboard Layout/IME checkbox.

d. Select Chinese (Simplified) - Enhanced Unicode IME from thedrop down box.
e.

Click OK.

f.

Click the Add button.

g. Click the Keyboard Layout/IME checkbox.
h. Select Chinese (Simplified) - US Keyboard checkbox.
i.

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In the Default input language dropdown, select Chinese (PRC) Chinese (Simplified) - US Keyboard.

If the use of the IME is not required, select the desired keyboard
layout as appropriate.
8. For all other languages:
In the Default input language section, determine if the desired
language and locale is listed. If it is not:a. Click the Add button.
b. In the Input language list, select the appropriate language andlocale. If necessary, configure other settings (for example,
Keyboard layout/IME) as appropriate.
c.

Click OK to close this dialog.

9. In the Default input language section, select the language and locale.
10. Press OK to close this dialog.
11. In the Languages used in menus and dialogs section, select thecorrect language (for example, Francais).
12. Select the Advanced tab.
13. In the Language for non-Unicode programs section, select the correct
language (for example, French (France)).
14. In the Default user account settings section, check the Apply all
settings... checkbox.
15. If prompted after doing this, click OK.
16. Click OK to close the Regional and Language Options window.
17. If the prompt that the changes will not take effect until you reboot,click OK.
18. If prompted about copying required files; click Yes to use the files
that are already on the system.
19. When prompted to restart, click Yes.

Set Mac-Lab/CardioLab Database Language
1. Log on to the server as mlcltechuser.
2. Right-click My Computer and select Explore.
3. Browse to the D:\GEMMS\Prucka\Setup\Language directory.
4. Double-click the batch file MLCL_Set_Language.bat to start theprocess of setting the Mac-Lab/CardioLab application language.
5. Verify that the language listed is correct (for example, French). If so,press any key to begin the process of setting the application
language.

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NOTE
The process takes several minutes to complete.
6. At the Language Switch Completed Successfully message, click OK.
7. Log on as Administrator. Both the Operating System language andthe Mac-Lab/CardioLab application language should now be set
correctly.

Restore User Profiles on the INW Server (if backed up previously)
Follow this procedure to restore INW Server account profiles, if
previously backed-up.
1. Connect the USB storage device to the INW Server.
2. Log on to the domain as Administrator.
3. Launch Explorer and navigate to C:\Documents and Settings.
4. Copy all profiles, except Administrator, from the USB device andpaste the profiles in C:\Documents and Settings. If prompted to
overwrite, click Yes to All.
5. Log off the destination INW Server.
6. Log on to the domain as mlcltechuser
7. Copy the profile of Administrator from the USB storage device andpaste in C:\Documents and Settings. If prompted to overwrite, click
Yes to All.
8. Log off from the INW Server, all profiles are restored.

Configure InSite ExC
Verify with the customer that InSite ExC will be used for Remote Service
Support. If no Remote Service Support is needed, proceed to “Add SQL
Licenses (if needed)” on page 5-107.
1. Verify you are logged on to the server as Centricity Cardiology INW
domain Administrator (password: MLCL8273!admin).
2. Double-click Service Console.
3. Expand the InSite 2.0 folder and select the Device Manager folder inthe left pane of the Service Console window.
4. Enter the serial number of the Centricity Cardiology INW server andclick Update Serial Number.
5. Click OK in the Device Manager Confirmation window.
6. Verify the Serial Number, Name and Type fields.
7. Select the Configuration Utility folder in the left pane under
InSite 2.0.

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8. If the hospital uses a proxy server perform the following steps,
otherwise continue with step 13.
9. Click the Proxy Configuration tab and check Use a Proxy Server toconnect to the Enterprise.
10. Enter proxy server information.
NOTE
Contact the Hospital IT Department for the proxy address, proxy
port and authentication information.
11. Click Update Proxy after entering the proxy server information.
12. Click OK at the InSite 2.0 Message window.
13. Select the Service Controller tab in the Configuration Utility.
14. Click Start Service.
15. Verify the Service has started:a. Wait 10 seconds.
b. Select Check Service Status.
A confirmation window opens indicating the service is running.
c.

Click OK.

16. Select the Initiate Remote Service tab and click Initiate Remote
Service. Verify that it connects and a Request submitted successfully
message opens.
17. Close the Service Console.

Add SQL Licenses (if needed)
1. Select Start > Settings > Control Panel.
2. Double-click SQL Server 2000 Licensing Setup.
3. Choose Licensing Mode.
4. In the Licensing Mode section increase Per Seat for number (default
is 5) to the total number of licenses needed.
5. Click Continue.
6. Once finished, close all open windows.

Perform Necessary Software Updates
Apply all necessary software updates to the Centricity Cardiology INW
Server. Refer to the Mac-Lab/CardioLab 6.5.6/6.8.1 Release 3 Update(PN 2027332-533) for the instructions.

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Restore Data to the Server
Restore Tape Backup from INW Server
A backup may be restored locally from AIT or from an enterprise backup
agent.
The high-level steps for restoring from the backup tapes are:

Step 1: Restore the last full backup first.

Step 2: Then restore the oldest incremental backup made after thefull backup.

Step 3: Finally, restore each succeeding incremental backup up to theprevious night.

Step 4: Verify the restore is successful. If it is not, restore the fullbackup from the previous week.

1. For a single-tape backup, insert the Full Backup tape. If your system
requires a multiple-tape backup, insert the first tape.
2. Select Start > Programs > Accessories > System Tools > Backup to
open the Backup and Restore wizard. After a few minutes at the
Backup and Restore wizard, the Recognizable Media Found screen
opens.
3. Select Allow Backup Utility to use all recognized media and click OK.
4. Click Next to start the restore process.
5. Select Restore files and settings and click Next.
6. Expand the 8mm AIT (for AIT-2 TURBO tapes) or 8mm AIT1 (for allother AIT tapes) to list the tape names under items to restore.
7. Double-click the tape name to catalog the tape.
8. Double-click D: Data to catalog the GEMMS directory.
9. Select the folders to restore:


D:\GEMMS\Prucka\Database\Maintenance\Backup



D:\GEMMS\Prucka\Database\Maintenance\Log

D:\GEMMS\Prucka\Studies

and click Next.
10. Click Advanced.
11. Select Original location and click Next.
12. Select Replace existing files and click Next.
13. Ensure the following are selected:

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

Restore security settings

Restore junction points, but not the folders and file data theyreference

Preserve existing volume mount points

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and click Next, Finish. The restore begins and the Restore
Progress screen is displayed.
If the backup spans multiple tapes, insert each tape as
requested.
NOTE
Ignore the Mount Waiting message--just insert the next tape.
The window closes automatically.
14. Click close when the restore is complete.
15. Eject the tape.
16. Repeat steps 1-14 for each incremental backup tape.

Restore Enterprise backup agents
All procedures regarding enterprise backup are the responsibility of the
facility Enterprise Backup Manager.
1. Ensure the Enterprise backup folders are restored from previous full,differential, or incremental backups to ensure all data has been
recovered to the server.
2. These folders are:

D:\GEMMS\Prucka\Database\Maintenance\Backup



D:\GEMMS\Prucka\Database\Maintenance\Log

D:\GEMMS\Prucka\Studies

Restore Backup Files
Restore the Database Files
Once all previously backed-up files are restored to the server, thedatabase and registry must be restored for the INW server to become
fully functional.
1. Right-click My Computer and select Explore.
2. Go to the D:\GEMMS\Prucka\Netconfig folder.
3. Run the gems_restoreclab.bat. A command prompt screen isdisplayed.
4. Press Enter to continue.
When the restore is complete a confirmation message is displayed.
5. Press Enter to continue and close the window.
6. Go to Start > Programs > Microsoft SQL Server > EnterpriseManager.
7. Go to Microsoft SQL Servers > SQL Server Group.
8. Expand SQL Server Group.
9. Expand the local server.

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10. Expand Databases > Clab and highlight Tables.
11. Right-click the Detail Version table and select:
Open Table > Return All Rows.

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12. Set the following fields:
NetVersion = 0
MachineDBVersion = 00
NOTE
MachineDBVersion must be “00” (two zeros) or the restore willfail.
13. Close all open windows.
14. Run the stop replication batch file on the server:
D:\GEMMS\Prucka\Network\stoprepl.bat
NOTE
This file must be run on the server to complete this procedure.
Ignore any error messages displayed.
There will be no indication the batch file ran successfully.

Restore the GEMS Registry Key
1. Double-click the gems.reg file located in:
D:\GEMMS\Prucka\Database\Maintenance\Backup
2. Follow on-screen prompts and confirmation messages.

Restore Clink Database
If the file clinkbackup.bak exists in
D:\GEMMS\Prucka\Database\Maintenance\Backup, then perform
this procedure. If it does not, proceed to “Restore LMT Custom Reports”
on page 5-113.
1. Select Start > Programs > Microsoft SQL Server >EnterpriseManager.
2. In Enterprise Manager, navigate to: Microsoft SQL Servers > SQL
Server Group > [Server Name] (local).
3. Right-click Databases and select All Tasks > Restore Databases.

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The Restore Databases window is displayed.

4. Type clink in the Restore as database field.
5. Select the Restore from device radio button.
6. If necessary, select and delete any entries in the Devices field.
7. Click Select Device.
8. Click Add.
9. Browse to the clinkbackup.bak file under
D:\GEMMS\Prucka\Database\Maintenance\Backup.
Before continuing, check the window selections with the screenshot
above.
10. Click OK.
11. Click OK.
A status display indicates restore progress. A confirmation window isdisplayed when complete.
12. Click OK.
13. Right-click Databases and select Refresh.
14. Expand Databases and verify clink is shown.

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Restore LMT Custom Reports
Skip this procedure if the customer is not using LMT Custom reports. If
the customer is using LMT Custom Reports, restore the customer backupof the clink_drk.mdb file (or the file backed up earlier in “Backup LMT
Custom Reports” on page 5-94) as indicated below.
1. Right-click My Computer and select Explore.
2. Restore the file to the location from which it was backed up. Refer to“Backup LMT Custom Reports” on page 5-94.

Set Software Options
This section has to be executed only if GEMS registry key was notrestored in “Restore the GEMS Registry Key” on page 5-111.
1. Right-click My Computer and select Explore.
2. Navigate to D:\GEMMS\Prucka\bin.
3. Double-click GEMS_SetServerOptions.exe.
4. Enter the system HP Proliant Server Serial Number and click
Generate Options.
5. At completed message, click OK.
6. Close the GEMS_SetServerOptions program.
7. This utility installed and enabled the CVIS Integration software
option. If the hospital is not using CVIS, Launch the Service Console>GEMS Software Options Management Console to disable CVIS
Integration.
8. Close all open windows.

Configure INW DNS Server with a Forwarder to the Hospital DNS Server IP
Address (if applicable)
The trust must be removed from the hospital Domain controller before
re-establishing the trust between the INW server and the hospital
Domain controller. The trust must be set up on the INW server before reestablishing the trust on the Hospital Domain Controller (contact thehospital system administrator).
The DNS Server IP address is provided by the Hospital Administrator.
1. Log onto the INW server as Administrator.
2. Select Start > Settings > Control Panel > Administrative Tools >DNS.
3. Right-click the INW Domain Name Server (for example, CLSV####),and select Properties.
4. In the Properties window, select the Forwarders tab.

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5. Enter the IP address of the Hospital DNS Server in the forwarders
IP Address List and click the Add button.
6. Click OK.
7. Close the DNS Management window.
8. Close the Administrative Tools window.
9. Select Start > Programs > Accessories > Command Prompt.
10. Verify that from a command prompt you can ping the following by
name:a. Hospital Domain Controller (supplied by hospital).
b. Hospital DNS Server (supplied by hospital).
NOTE
To do this type ping <name> and press Enter.

Create Two-Way Trust with Hospital Domain
Before setting up the trust, the INW server must have the hospital
server configured as a DNS forwarder as well as the hospital server musthave the INW server configured as a DNS forwarder.
1. Select Start > Settings > Control Panel.
2. Double-click Administrative Tools.
3. Double-click Active Directory Domains and Trusts.
4. Right-click the Domain name (that is, inw.local), and selectProperties.
5. In the Domain Properties window, select the Trusts tab.
6. From the Open window, click the New Trust button to start the New
Trust Wizard.
7. At the Welcome to the New Trust Wizard window, click Next.
8. Enter the DNS name of the Hospital Domain Controller (if trusting
to a Windows 2003/2008 server) in the Trust Name window and click
Next.
9. In the Direction of Trust window, leave the default setting Two-Way
selected and click Next.
10. In the Outgoing Trust Authentication window, ensure Domain Wide
Authentication is selected and click Next.
11. At the Trust Password window, enter the password (contact GE
Technical Support or the system administrator for current password
information) and click Next.
12. At the Trust Selection Complete window, click Next.
13. At the Trust Creation Complete window, click Next.

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14. At the Confirm Outgoing Trust window, select Yes and click Next.
15. At the Confirm Incoming Trust window, select Yes and click Next.
NOTE
The hospital admin will need to provide the password for the site.
16. At the Completing The New Trust Wizard window, click Finish tocomplete.

Create One-Way Trust with Hospital Domain
Before setting up the trust, the INW server must have the hospital
server configured as a DNS forwarder as well as the hospital server musthave the INW server configured as a DNS forwarder.
1. Select Start > Settings > Control Panel. Double-click Administrative
Tools.
2. Double-click Active Directory Domains and Trusts.
3. Right-click the Domain name (that is, inw.local), and selectProperties.
4. In the Domain Properties window, select the Trusts tab.
5. From the Open window, click the New Trust button to start the New
Trust Wizard.
6. At the Welcome to the New Trust Wizard window, click Next.
7. Enter the DNS name of the Hospital Domain Controller (if trusting
to a Windows 2003/2008 server) in the Trust Name window and click
Next.
8. In the Direction of Trust window, select One-Way (outgoing) and click
Next.
9. If the Sides of Trust window appears, ensure that This Domain Only
is selected and click Next.
10. In the Outgoing Trust Authentication Level window, select domainwide authentication and click Next.
11. At the Trust Password window, enter the password and click Next.
12. At the Trust Selections Complete window, click Next.
13. At the Trust Creation Complete window, click Next.
14. At the Confirm Outgoing Trust window, select Yes and click Next.
NOTE
The hospital administrator will need to provide the password forthe site.
15. At the Completing The New Trust Wizard window, click Finish tocomplete.

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Hospital IT Department Setup
Have the Domain Administrator from the Hospital Domain Complete theDomain Trust on the Hospital Domain using the same password thatwas used on the INW side.

Modify Default_MLCL Computer_Policy
1. Select Start > Settings > Control Panel.
2. Double-click Administrative Tools.
3. Double-click Active Directory Users and Computers.
4. Right-click the INW Domain server and select Properties.
5. Select the Group Policy tab.
6. Click Open.
7. In the GPMC Interface window, expand the server Domain tree andlocate the Group Policy Objects folder.
8. Expand all Group Policy Objects.
9. Right-click the Default_MLCL Computer_Policy and select Edit.
10. In the Group Policy Object Editor window, navigate to Computer
Configuration > Windows Settings > Security Settings > Restricted
Groups.
11. Double-click MLCLAdmGrp.
12. In the MLCLAdmGrp Properties window, under members of thisgroup section, click Add.
13. In the Add Member window, type in the name of the Hospital Users
Groups that was created for you in the Hospital Domain by the
Hospital Administrator and click OK.
NOTEFor example: HOSPITALDOMAIN\MLCLAdmGrp
14. Click OK to the MLCLAdmGrp Properties window.
15. Double-click MLCLEmergencyGrp.
16. In the MLCLEmergencyGrp Properties window, under members of
this group section, click Add.
17. In the Add Member window, type in the name of the Hospital Users
Groups that was created for you in the Hospital Domain by the
Hospital Administrator and click OK.
NOTEFor example: HOSPITALDOMAIN\MLCLEmergencyGrp
18. Click OK to the MLCLEmergencyGrp Properties window.

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19. Double-click MLCLUsrGrp.
20. In the MLCLUsrGrp Properties window, under members of thisgroup section, click Add.
21. In the Add Member window, type in the name of the Hospital Users
Groups that was created for you in the Hospital Domain by the
Hospital Administrator and click OK.
NOTEFor example: HOSPITALDOMAIN\MLCLUsrGrp
22. Click OK to the MLCLUsrGrp Properties window.
23. Double-click Users.
24. In the Users Properties window, under members of this group section,
click Add.
25. In the Add Member window, type in the name of the Hospital
Administrators group previously entered(for example, HOSPITALDOMAIN\MLCLAdmGrp) and click OK.
26. In the Add Member window, type in the name of the Hospital
Emergency group previously entered(for example, HOSPITALDOMAIN\MLCLEmergencyGrp) and clickOK.
27. In the Add Member window, type in the name of the Hospital Usersgroup previously entered (for example,
HOSPITALDOMAIN\MLCLUsrGrp) and click OK.
28. Click OK to the Users Properties window.
29. Close all open windows.
30. Select Start > Programs > Accessories > Command Prompt.
31. Type gpupdate /force and press Enter.
32. Close the Command Prompt.

Modify Default_MLCL SoftwareOnly_Policy
1. Select Start > Settings > Control Panel.
2. Double-click Administrative Tools.
3. Double-click Active Directory Users and Computers.
4. Right-click the INW Domain server and select Properties.
5. Select the Group Policy tab.
6. Click Open.
7. In the GPMC Interface window, expand the server Domain tree andlocate the Group Policy Objects folder.
8. Expand all Group Policy Objects.

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9. Right-click the Default_MLCL SoftwareOnly_Policy and select Edit.
10. In the Group Policy Editor window, navigate to Computer
Configuration > Windows Settings > Security Settings > Restricted
Groups.
11. Double-click MLCLAdmGrp.
12. In the MLCLAdmGrp Properties window, under members of thisgroup section, click Add.
13. In the Add Member window, type in the name of the Hospital Users
Groups that was created for you in the Hospital Domain by the
Hospital Administrator and click OK.
NOTEFor example: HOSPITALDOMAIN\MLCLAdmGrp
14. Click OK to the MLCLAdmGrp Properties window.
15. Double-click MLCLEmergencyGrp.
16. In the MLCLEmergencyGrp Properties window, under members of
this group section, click Add.
17. In the Add Member window, type in the name of the Hospital Users
Groups that was created for you in the Hospital Domain by the
Hospital Administrator and click OK.
NOTEFor example: HOSPITALDOMAIN\MLCLEmergencyGrp
18. Click OK to the MLCLEmergencyGrp Properties window.
19. Double-click MLCLUsrGrp.
20. In the MLCLUsrGrp Properties window, under members of thisgroup section, click Add.
21. In the Add Member window, type in the name of the Hospital Users
Groups that was created for you in the Hospital Domain by the
Hospital Administrator and click OK.
NOTEFor example: HOSPITALDOMAIN\MLCLUsrGrp
22. Click OK to the MLCLUsrGrp Properties window.
23. Double-click Users.
24. In the Users Properties window, under members of this group section,
click Add.
25. In the Add Member window, type in the name of the Hospital
Administrators group previously entered(for example, HOSPITALDOMAIN\MLCLAdmGrp) and click OK.

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26. In the Add Member window, type in the name of the Hospital
Emergency group previously entered (for example,
HOSPITALDOMAIN\MLCLEmergencyGrp) and click OK.
27. In the Add Member window, type in the name of the Hospital Usersgroup previously entered (for example,
HOSPITALDOMAIN\MLCLUsrGrp) and click OK.
28. Click OK to the Users Properties window.
29. Close all open windows.
30. Select Start > Programs > Accessories > Command Prompt.
31. Type gpupdate /force and press Enter.
32. Close the Command Prompt.

Reconfigure Centricity Cardiology INW Network
Remove each Acquisition System and Review Workstation from the Domain
Each Acquisition system and Review (as well as Software Only reviews
configured in the INW domain) workstation must be removed from theDomain, and then added back to the Domain.

Change the System from a Domain to Workgroup
1. At the Acquisition system or Review workstation, log on to the
Windows OS and the Mac-Lab/CardioLab Custom Shell as local
mlcltechuser.
2. Right-click My Computer and select Properties.
3. Select the Computer Name tab.
NOTE
Do not change the computer name in the next step.
4. Click the Change button.
The Computer Name Changes window is displayed.
5. In the Member of section, select the Workgroup radio button, enter
MLCL as the workgroup name and click OK.
Enter the log on as mlcltechuser when prompted.
6. Click OK.
7. Click OK at the confirmation message to restart the computer.
8. Click OK.
The member change takes about 1 minute. A Welcome to theworkgroup window is displayed when complete.
9. Click OK at the System Properties window to close.

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10. Click Yes to restart the system.
Windows will attempt to auto-logon, but the logon will fail.
11. Click OK to the message and log on to the Windows OS and the MacLab/CardioLab Custom Shell as local mlcltechuser.

Delete Unrecognizable User Names
1. Right-click My Computer and select Manage.
2. Expand Local Users and Groups and select Groups.
3. Open the first group and delete any member names that begin with??.
4. Repeat for all other groups.
5. Close the Computer Management window.

Reset sqlserveragent Service (Acquisition Systems only)
Perform this procedure on Acquisition systems only.
1. Verify you are logged on as mlcltechuser.
2. Select Start > Settings > Control Panel.
3. Double-click Administrative Tools.
4. Double-click Services.
5. Right-click sqlserveragent and select Properties.
6. Select the Log On tab.
7. Select the Local System Account radio button and click Apply.
8. Select the General tab and click Start to start the sqlserveragent
service.
9. Click OK to close the dialog.

Configure DNS Entry on Each Acquisition System and Review Workstation
1. Select Start > Settings > Network Connections.
2. Right-click Local Area Connection and select Properties.
3. Highlight Internet Protocol (TCP/IP) and click Properties.
4. Verify that the entry for the preferred DNS server is the IP addressof the Centricity Cardiology INW Server.
5. Click OK.
6. Click OK to close the Local Area Connections Properties window.
7. Close the Network Connections window.

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Add Each Acquisition and Review (including Software Only) back into the Domain
1. Verify that you are logged on to Windows as mlcltechuser.
NOTE
This should be the local mlcltechuser account (that is, log on to
the computer not the Domain.)
2. Right-click My Computer on the desktop and select Properties.
3. Select the Computer Name tab.
4. Click the Change button.
5. In the Member of section, select the Domain radio button, enter thename of the INW Domain to join and click OK.
NOTE
The default Domain is inw.local
6. When prompted, type the username mlcltechuser and password.
7. At the Welcome to inw message, click OK.
8. At the restart message click OK.
9. At the System Properties window, click OK.
10. At the Do you want to restart now? message click Yes.
11. After the system restarts, at the Mac-Lab/CardioLab Custom Shellwindow, press Ctrl + Action + Delete and click Logoff.
12. Click Logoff.
13. Immediately hold the Shift key to stop the auto-logon sequence.
14. Log on to the Windows OS and the Mac-Lab/CardioLab Custom Shellas local mlcltechuser.

Run Scripts
Perform the following steps on both Acquisition and Review (including
Software only) systems.
The next steps are required to reset internal settings changed bypreviously run scripts.
1. Ensure you are logged on as local mlcltechuser.
2. Open a command prompt.

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3. Type:secedit[sp]/configure[sp]/db[sp]“C:\Windows\Special\secedit.sdb”[sp]/cfg[sp]“C:\Windows\Security\Templates\cardiosec.inf”[sp]/overwrite[sp]/quiet
and press Enter (Note: [sp] = one space).
This command takes about 5 minutes to run. The scripts arecomplete when the C: prompt returns.
4. Restart the system.
Windows will attempt to auto-logon, but the logon may fail.
5. If necessary, click OK to the message.
6. Log on to Windows and the Mac-Lab/CardioLab Custom Shell as
domain mlcltechuser.

Synchronize Time
Perform the following steps on both Acquisition and Review (including
Software Only) systems.
1. Select Start > Programs > Accessories > Command Prompt.
2. Type net time /set and press Enter.
3. When asked to sync with the server, type y and press Enter.
NOTE
This process may take up to 2 minutes to complete.
4. Close the Command Prompt window.

Add Acquisition System and Reviews (including Software Only) to GE MLCL
Organizational Unit
1. At the server, log on as Administrator.
2. Select Start > Settings > Control Panel.
3. Double-click Administrative tools.
4. Double-click Active Directory Users and Computers.
5. Expand the domain name (default is inw.local).
6. Click the Computers folder and locate the Acquisition system/Review
workstations to add.
7. Expand the GE Medical Systems (MLCL) organizational unit.
8. Expand the MLCL Computers.
9. Expand the MLCL Workstations.

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10. Drag and drop the computer names from the Computers folder to the
MLCL Acquisition workstations or MLCL Review workstations folder
as appropriate.
11. Close all open windows.
12. Restart each Acquisition system and Review workstation that wasadded to the organizational unit in the previous step.
13. After restart on each system, press Ctrl + Action + Delete, logoff as
mlcllogonuser.
14. Click Logoff.
15. Immediately hold down the Shift key.
16. Log on to the Windows OS and the Mac-Lab/CardioLab Custom Shellas local mlcltechuser.

Confirm Domain Security Policy
On the Acquisition and Review (including Software Only) systems,
perform the following steps:
1. Right-click My Computer on the Desktop and select Manage.
2. Select System Tools > Local Users and Groups > Groups.
3. Right-click Administrators and select Properties.
4. Verify that the following members are shown in the list:

INW\Domain AdminsINW\mlclsqluser

INW\mlcltechuser

5. If the members are not shown, go to the “Domain Troubleshooting”
on page 5-124.
6. If the members were displayed correctly, log on to the Domain using
the steps below and skip“Domain Troubleshooting” on page 5-124. Go
to “Register SQL Server” on page 5-125
a. Press Ctrl + Action + Delete and click Logoff.
b. Click Logoff.
c.

Immediately hold the Shift key to stop the auto-logon sequence.

d. Log on to Windows and the Mac-Lab/CardioLab Custom Shell as
domain mlcltechuser.

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Domain Troubleshooting
1. Verify that the Acquisition system is in the correct Domain:a. Right-click My Computer on the Desktop and select Properties.
b. Verify that on the Computer Name tab the INW Domain ispresent.
2. Verify that the Acquisition system shows up in the GE Medical
Systems (MLCL) Organizational Unit on the server.
3. On the server, open a command prompt window and type gpupdate/force and press Enter.
4. Restart the Acquisition systems, wait 7 minutes and check the policy
again as described in “Confirm Domain Security Policy” on page 5123. If the policy is still not correct proceed to the next step.
5. Verify that the TCP/IP properties on the server are set correctly:
a. The INW server IP must be configured as the preferred DNS
server.
b. The subnet mask must be correct as defined by the hospital IT
staff.
6. Verify that the TCP/IP properties on the Acquisition are set
correctly:
a. The IP subnet mask of the Acquisition system MUST matchexactly the subnet mask of the server.
b. The IP address of the Acquisition system must be manuallyconfigured and must fall within the subnet of the server as
defined by the subnet mask.
c.

The gateway of the Acquisition system must be set to the IP
address of the server or another machine on the hospital
network.

d. The DNS of the Acquisition system must be set to the IP addressof the INW server.
e.

In the CARTO System and TRAMNet IP settings, make sure that
the Internet Protocol (TCP/IP) checkbox is the ONLY item
selected in the This connection uses the following items: list.

7. Verify that the INW server and Acquisition system cancommunicate.

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8. Open a command window on the Acquisition system and type ping
<servername> and press Enter.
a. A Request timed out message indicates failure, a Reply frommessage indicates success.
NOTE
If success, verify that the reply from IP address shown
matches the server's IP address and if correct skip the resetof the sub steps below.
b. If step a failed, repeat with the servername replaced with thecorrect IP address of the server ping <###.###.###.###> andpress Enter.
c.

If steps a and b both failed, there is a problem with the IP
address or the physical network. Repeat the above steps to verify
the TCP/IP properties of the server and Acquisition system.

d. If step a fails and step b succeeds, there is a problem with DNS
setup. Repeat the TCP/IP properties steps above paying carefulattention to the DNS setup.
9. Verify that the time and time zone settings on the server and theAcquisition system match:a. If they do not match, open a command prompt on the Acquisition
system and type net time /set and press Enter.
b. Restart the Acquisition system, wait 7 minutes and check thepolicy again in “Confirm Domain Security Policy” on page 5-123if the policy is still not correct proceed to the next step.
10. If the policy is still not correct after all previous steps:
a. Remove the Acquisition system from the Domain and back toworkgroup CARDIOLAN.
b. Restart the Acquisition system.
c.

Delete the Acquisition system name for the OU on the server.

d. Repeat the instructions for adding the Acquisition system to theDomain.

Start Replication
Register SQL Server
Verify you are logged on to each Acquisition system as domain
mlcltechuser before adding the system to replication.
1. At the Server, select Start > Programs > Microsoft SQL Server >Enterprise Manager.
2. Navigate to Microsoft SQL Servers > SQL Server Group.
3. Right-click the default (LOCAL) server entry if present and selectDelete SQL Server Registration.

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4. At the confirmation window, click Yes.
5. Right-click SQL Server Group and select New SQL Server
Registration.
6. At the Welcome screen, click Next.
7. Click Add to select the server.
Server name should show up automatically in the textbox.
8. In the Select SQL Server window, select the Acquisition system andclick Add.
If the Acquisition system name does not appear in the list, type thename in the textbox and click Add.
9. Once all systems are added, click Next.
10. At the Select an Authentication mode window, select SQL Server
login information and click Next.
11. At the Select Connection Option window, select Logon automatically.
12. Type sa as the account and enter the password (contact GE
Technical Support or the system administrator for current password
information) and click Next.
13. At the Select SQL Server Group window, click Next.
14. At the Completing the Register SQL Server Wizard window, click
Finish.
15. Close the Register SQL Server Messages window.
16. Close Enterprise Manager.

Add each Acquisition System to Replication on the INW
Server
1. Double-click Service Console on the Desktop.
2. Navigate to Console Root > Create Replica > Replication Setup in theleft frame.
The right frame should show the Replication utility with the top
Service User Login section active.
3. Log on as mlclsqluser (Contact GE Technical Support or the systemadministrator for current password information) and click the Loginbutton.
The top Login section should now be inactive and the bottom section
will be active with a password validated message.
4. Click Add.
5. Browse to My Network Places > Entire Network > Microsoft Windows
Network > [current Domain] and select an Acquisition system to add
to replication and click OK.

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6. When prompted for consolidation, click Yes to move all studies on thecurrently selected Acquisition system up to the server.
7. The selected machine is now shown in the Add to replication list box.
8. Repeat the steps above for each additional Acquisition system to add
to replication.
9. Click Apply.
10. Click Yes to confirm replication.
The process may take up to 5 minutes per Acquisition system. A
progress bar indicates replication status.
When complete, a Replication setup complete message will be
displayed above the progress bar and the server and all Acquisition
systems will appear in the Currently replicating list.
11. Close the Service Console window.

Verify Replication Started Correctly
Verify1. Select Start > Programs > Microsoft SQL Server > EnterpriseManager.
2. Open Microsoft SQL Servers > SQL Server Group.
3. Highlight the server name.
4. Expand Replication Monitor > Agents > Merge Agents.
5. Verify that there are no red X’s displayed against any system’s Merge
agent.
6. If there are no errors in the replication monitor, continue with “Post
Configuration Procedures” on page 5-128.
7. If there are red X’s displayed against all merge agents, verify thatSQLSERVERAGENT service is running on the server. If theSQLSERVRAGENT service is not running on the server, start theservice and restart replication setup (refer to “Stop Replication” onpage 5-127.

Stop Replication
To stop replication, launch the replication setup:
1. At the server, open the Service Console and select Create Replica >Replication Setup.
2. Log on to the Service Console as mlclsqluser (password
sql8273user).
3. If necessary, highlight all acquisition systems (for example,
CLWS0001) in the list of currently replicating systems. Click
Remove. Click Yes at the confirmation window.

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4. Refresh the window (click another folder in the tree and then click
Replication Setup again) to verify all acquisition systems have beentaken out of replication.
5. Close the Service Console.
6. Go to the Enterprise Manager and stop server replication:a. Select Start > Programs > Microsoft SQL Server > EnterpriseManager.
b. Expand Microsoft SQL Servers and the SQL Server Group.
Highlight the INW Server (in the left window).
c.

Select Tools > Replication > Disable Publishing.

d. Click Next.
e.

Select Yes, disable publishing on [Server name] and click Next.

f.

Click Next in the Confirm Dropping of Publications window.

g. Click Finish in the Completing the Disable Publishing andDistribution Wizard window.
h. Click OK to the Successfully Disabled window.
i.

Right-click the server name and select Refresh.

j.

Verify the Replication Monitor is not visible.

k. Close the SQL Server Enterprise Manager window. Proceed to“Add each Acquisition System to Replication on the INW Server”
on page 5-126.

Post Configuration Procedures
Reconfigure Hospital Mapped Drives on the Server (If Applicable)
1. At the server, right-click My Computer and select Map Network
Drive.
2. In the Drive section, select an available drive letter.
3. In the Folder section, enter the path to the folder set up on theforeign server.
4. Click Finish.

Configure Archive Utility User
1. Select Start > Settings > Control Panel.
2. Double-click Administrative Tools.
3. Double-click Services.
4. Double-click the GEMS Task Scheduler service.

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5. Set the Startup Type to Automatic.
6. Select the Log On tab.
7. Click the This account radio button.
8. In the UNDER THIS ACCOUNT TYPE box, enter<Domain>\MLCLSQLUSER.
9. Type the password: sql8273user.
10. Click OK.
11. Right-click GEMS Task Scheduler service and click Start.
12. Close all open windows.

Configure Database Maintenance on the Server
1. At the server Desktop, go to Start > Programs > Microsoft SQL
Server > Enterprise Manager.
2. Expand the INW server.
3. Expand Management.
4. Expand SQL Server Agent.
5. Select Jobs.
6. Right-click Database Maintenance Job and select Properties.
7. Select the Schedules tab.
8. Click New Schedule.
9. In the Name: textbox, type Database Maintenance.
10. Click the Change button.
11. In the Occurs: section, select the Weekly radio button.
12. In the Weekly: section, select only the Sat checkbox.
13. In the Daily Frequency: section, select a time at least 30 minutes
after the last archive generator is run.
14. Click OK.
15. At the New Job Schedule window, verify Enable is checked and clickOK.
16. Select the General tab, and verify Enable is checked.
17. At the Database Maintenance Properties window, click OK.

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NOTE
Ensure the schedule does not overlap with the following jobs:
Archive Generator on all Acquisition systems

Archive Utility on the serverBackups on the server

Configure Database Backup Job
1. Right-click Backup clab, clink databases and GEMS registry job andselect Properties.
2. Select the Schedules tab.
3. Click New Schedule.
4. In the Name: textbox, type Database Backup.
5. Click Change.
6. In the Occurs: section, select the Daily radio button.
7. In the Daily Frequency: section, select a time at least 30 minutes
after the last Archive Generator is run and must not overlap with theserver Database Maintenance schedule.
8. Click OK.
9. At the New Job Schedule window, verify Enabled is checked andclick OK.
10. Select the General tab, and verify Enable is checked.
11. In the Backup clab, clink databases and GEMS registry job window
click OK.
12. Right-click Backup Master and MSDB Databases job and selectProperties.
13. Select the Schedules tab.
14. Click New Schedule.
15. In the Name: textbox, type Backup Master and MSDB Databases.
16. Click Change.
17. In the Occurs: section, select the Monthly radio button.
18. In the Monthly Frequency: Last Sunday of “1” Month.
19. In the Daily Frequency: section, set the time to 3:10 pm.
20. Click OK.
21. At the New Job Schedule window, verify Enabled is checked andclick OK.
22. Select the General tab, and verify Enable is checked.

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23. Click OK.
24. Close Enterprise Manager.

Recommended Backup Schedule
GE Healthcare recommends the following schedule for a facility with aserver and four Acquisition systems based on a 5-day, single-shift workweek.
NOTE
The following schedules are staggered because the Archive
Generator must not be scheduled to start within 5 minutes of theclock hour and at 12:05 am. Also, more than one Archive Generator
must not run at the same time.
1. Daily (Monday Night-Tuesday Morning through Thursday NightFriday Morning):

11:10 pm: Archive Generator on AC1 (the archive generatorschedule was set when the Acquisition computer was installed or
upgraded).



11:40 pm: Archive Generator on AC2



12:10 am: Archive Generator on AC3



12:40 am: Archive Generator on AC4



2:10 am: Run the Backup clab, clink databases and GEMS
registry job.



3:10 am: Incremental Backup on the Server.

2. Weekly (Friday Night-Saturday Morning)

11:10 pm: Archive Generator on AC1



11:40 pm: Archive Generator on AC2



12:10 am: Archive Generator on AC3



12:40 am: Archive Generator on AC4



1:10 am: Run the Database Maintenance job.



2:10 am: Run the Backup clab, clink databases and GEMS
registry job.



3:10 am: Full Backup on the Server. 50 GB of data takes
approximately 2 hours.

3. Monthly (Last Sunday of the Month)2021423-503H



3:10 pm: Run the Backup Master and MSDB databases job.

This job may be run concurrently with other jobs.

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Create Backup Tapes and Schedule Backups
These instructions show how to configure a full tape backup using single
or multiple tapes as well as the incremental tape backups.
CAUTION
PROCEDURE FAILURE — Please be advised that tapebackup requires human intervention.
For full backups that use single tape and incremental
backups the user has to insert appropriate tapes on
daily basis for backups to run successfully.

For full backups that use multiple tapes, in addition
to inserting the appropriate tapes the user has tomanually prepare the additional tapes.

Determine Number of Tapes Needed for Full Backup
1. Login on to the server as Administrator.
2. Right-click My Computer and select Explore.
3. Browse toa. D:\GEMMS\Prucka\Studies
b. D:\GEMMS\Prucka\Database\Maintenace\Backupc.

D:\GEMMS\Prucka\Database\Maintenace\Log

For each of these folders right-click the folder and choose Properties
to view the size of the folder.
4. If the total size of the Studies, Backup and Log folders from the above
step is greater than the tape size, then multiple tapes will be needed
for full backups.

Physically Label the Backup Tapes
Place a sticker on each tape with the labels listed below, then performthe procedures below for each tape.

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

Tuesday Incremental. Backups normally run in the early morning, so
the tape is actually put in the drive at the end of the previous day (inthis case, Monday evening.)Wednesday Incremental



Thursday Incremental

Friday Incremental

Full Backup 1 (Full Backup 1 - 2, Full Backup 1 - 3, and so on for
additional tapes in case of multiple tape backups)



Full Backup 2 (Full Backup 2 - 2, Full Backup 2 - 3, and so on for
additional tapes in case of multiple tape backups)

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On Demand Backup (On Demand Backup - 2, On Demand Backup 3, and so on for additional tapes in case of multiple tape backups)

NOTE
When labeling the tapes, it is important to use a consistent naming
convention. If consistent names are not used, the procedures below
will fail.

Catalog Backup Tapes
This procedure runs a dummy backup to label (name) the tape and create
an initial catalog. This backup will be overwritten when the actual
backup is run.
NOTE
The tapes are automatically formatted during this procedure.
1. Open the Backup Utility by selecting Start > Programs > Accessories> System Tools > Backup.
2. If the Backup application opens in Wizard mode, click Advanced
Mode.
3. Insert the first tape (for example the one labeled Full Backup 1) into
the tape drive. Wait for a message to be displayed.
4. If the message Unrecognized Media Found is displayed, accept any
confirmation messages and check the Restore and Manage Media tab
and confirm the tape is listed under Free Media. Skip the next step.
5. If the message Recognizable Media Found is displayed:
a. Select Allow Backup Utility to Use this Mediab. Click OK. The media is displayed under 8mm AIT (for AIT-2
TURBO tapes) or 8mm AIT1 (for all other AIT tapes).
c.

Right-click the media and select Mark as Free and click Yes toconfirm.

6. Go to the Backup Utility Welcome tab.
7. Click Backup Wizard.
8. Click Next.
9. Select Backup selected files, drives, or network data and click Next.
10. In the Items to Back Up window expand My Computer and select asample folder to backup (this is done just to assign a name to thetape. The actual backup is performed below. Use the D:/Gemms/
Prucka/Database/Maintenance/Log folder for example). Click Next.
11. Select 8mm AIT (for AIT-2 TURBO tapes) or 8mm AIT1 (for all other
AIT tapes) for the backup type and New for the tape to use. Thenclick Next.
12. Click Advanced.

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13. Click Next for the next three screens (accept the defaults).
CAUTION
BACKUP FAILURE — All label names must be written
exactly the same or the backup will fail.
Ensure the name written on the outside of the tape, thebackup label, the media label, and the job name all matchexactly.
14. Change the backup label and media label to the name written on thelabel on the outside of the tape (In this case Full Backup 1). Click
Next.
NOTE
For multiple tape backups, name the first tape as Full Backup 1
or Full Backup 2 or On Demand Backup as the case might be.
Then for additional tapes:


For Full Backup -1 as Full Backup 1 - 2, Full Backup 1 - 3,
and so onFor Full Backup -2 as Full Backup 2 - 2, Full Backup 2 - 3,
and so on

For On Demand Backup as On Demand Backup - 2, On
Demand Backup - 3, and so on

15. At the When To Backup dialog box, click Now.
16. Click Finish. When the backup is complete, click Close.
17. Eject the tape.

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18. Repeat this procedure for each remaining tape so that all tapes
labeled earlier in “Physically Label the Backup Tapes” on page 5-132
are cataloged (including the additional tapes that will be used in
multiple tape backups).

Configure storage to Automatically Return Backup Mediato the Free Media Pool
1. Right-click My Computer and select Manage.
2. Double-click Removable Storage.
3. Double-click Media Pools.
4. Double-click Backup.
5. Right-click the media pool 8mm AIT (for AIT-2 TURBO tapes) or
8mm AIT1 (for all other AIT tapes) and choose Properties.
6. In the General tab check the Return media to Free media pool checkbox.
7. Press Apply and choose OK.
8. Close the Computer Management dialog box.

Schedule Backups
This procedure sets the schedule for the backups to run. Whenperforming this procedure for each tape note the following:Ensure the tape labels are typed in accurately. If the tape name isdifferent the backups won’t run.

Be sure to set the start time for Full Backup 2 to one week after Full
Backup 1, otherwise both backups will try to run on the same day.



Check all backup options carefully. When performing this procedure
for each tape, the defaults may reset.

NOTE
If the full backup for this server is a single tape backup you can startwith an incremental backup -- a full backup is not necessary to start
the backups. All selected files and folders are backed up, so an initialfull backup is not required. But if you expect to use multiple tapes forfull backup then a full backup should be executed first, as
incremental backups are not configured to span multiple tapes.
Based on this suggested schedule, the “On Demand Backup” (a fullbackup) is executed after scheduling the jobs, and will serve as thefirst full backup.
1. Go to the Backup Utility Welcome tab.
2. Click Backup Wizard.
3. Click Next.
4. Select Backup selected files, drives, or network data and click Next.

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5. In the Items to Back Up window click My Computer and select thefollowing folders:

D:\Gemms\Prucka\Database\Maintenance\Backup



D:\Gemms\Prucka\Database\Maintenance\Log



D:\Gemms\Prucka\Studies

6. Click Next.
7. Select 8mm AIT (for AIT-2 TURBO tapes) or 8mm AIT1 (for all other
AIT tapes) and select the name of the backup tape (for example, Full
Backup 1) from the dropdown list. For multiple tape full backups
pick the first tape. For example for Full Backup 1 pick the tape thatis labeled as Full Backup 1. Then click Next.
NOTE
It is very easy in this step to forget to select the tape name andleave the default 'New' in.
8. Click the Advanced button.
9. Select the type of backup:Normal for Full Backup 1, Full Backup 2, and On Demand
Backup.



Incremental for daily Incremental backups.

and click Next.
10. Select Verify Data after Backup and Use Hardware Compression (ifavailable) and click Next.
11. Select Replace Existing Backups and click Next.
CAUTION
BACKUP FAILURE — All label names must be written
exactly the same or the backup will fail.
Ensure the name written on the outside of the tape, thebackup label, the media label, and the job name all matchexactly.
12. Change both the backup label and media label to the tape name used
when labeling the tape (for example, Full Backup 1) and click Next.
13. Select Later and enter the job name (for example, Full Backup 1 orTuesday Incremental) for the backup name. Then click Set Schedule.
14. Schedule the task:
For Full Backup 1 select:

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

Weekly

Every 2 Weeks



Saturday (ensure no other days are checked)

Appropriate Start Time

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For Full Backup 2 select:

Weekly

Every 2 Weeks



Saturday (ensure no other days are checked)

Appropriate Start Time

Click the Advanced button and change the start day to the
Friday following the first Full Backup 1. For example, if Full
Backup 1 runs Saturday, May 1, then the start day for Full
Backup 2 must be Friday May 7 (the start day should be the day
before the backup is scheduled to run).

For each incremental backup, select:

Weekly

Every 1 Week



The appropriate day (Tuesday-Friday)

Appropriate Start TimeFor On Demand Backup select:


Once



TonightAppropriate Start Time

15. Click OK.
16. Enter the administrator password (MLCL8273!admin) and click
Next (the password will be requested again) and click OK.
17. Click Finish.
18. Repeat the above steps for the remaining tapes. DO NOT repeat for
all tapes in multiple tape full backups. Create only one job for a set offull backup tapes.
19. When all jobs are created continue with the next procedure below.

Multiple Tape Preparation
Execute these instructions for multiple tape full backup scenarios. It
prepares the additional tapes for first time use. Not preparing the tapewill cause failure of the full tape backup that uses multiple tapes.
NOTE
Nothing has to be changed for the first tape that will be used for fullbackup and for the tapes that will be used in incremental backups.
1. Ensure all tapes of a multi-tape backup are the same model.
2. Verify that you are logged on to the server as Administrator.

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3. Prepare the additional tapes in the order they will be used, First
prepare additional tapes for On Demand Backup (On Demand
Backup - 2, On Demand Backup - 3, and so on) then additional tapes
for full backup 1 (Full Backup 1 - 2, Full Backup 1 - 3, and so on) andthen for Full Backup 2 (Full Backup 2- 2, Full Backup 2- 3, and so
on).
NOTE
It is important that the additional tapes are prepared in theorder they will be used by the backup jobs otherwise thebackup job will prompt for a wrong tape.
a. Insert the tape.
b. Right-click My Computer and select Manage.
c.

Drop-down the Removable Storage under Storage.

d. Click Media.
NOTE
It may take up to 1 minute for the system to recognize the
tape.
e.

Right-click the Media (tape) that was just inserted and selectProperties.

f.

Ensure Enable Media is checked.

g. Click OK and close the Properties dialog.
h. Right-click the tape being prepared and select All Tasks >Deallocate. Select Yes to the confirmation dialogs.
i.

Verify that the tape just de-allocated is listed under Free\8mm
AIT/AIT1 Media pool.

j.

Eject the tape.

k. Repeat these steps for each additional tape (2nd and 3rd tape)that will be part of the full backups.

Add the /UP Switch
1. In the Control Panel, under Scheduled Tasks right-click a scheduled
full backup task and select Properties (since Incremental backups do
not exceed one tape in length, those tasks will not be altered. Even if
the current full backup doesn't exceed one tape add the /UP switch,
this will prompt for additional tape when the size of backup grows in
future and exceeds the size of a single tape).
The following dialog box appears (the values within quotes on thecommand line in the run text box will be different between all
systems).

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2. In the Run text box, locate the /n switch right after the path for the*.bks file.

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3. After the .bks" and before the /n place the /UP (case-sensitive) switch.
NOTE
Make sure there is a space before and after the /UP switch.
Example: .bks"<space>/UP<space>/n

4. Click Apply. Enter the Administrator password when prompted for it
and close out of the dialog box.
5. Repeat these steps to set the /UP switch for each full backup task(including the On Demand Backup).

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Verify Backup Schedule
NOTE
The Schedule Jobs tab may not always refresh automatically. If thejobs are not displayed correctly, close the Backup Utility and thenreopen it.
Click the Schedule Jobs tab. The schedule should look like this:The schedule can be verified or modified in the following ways:

The blue “N” indicates a Normal (that is, Full) backup. The green “I”
indicates an Incremental backup.

Roll the cursor over each backup event. The name of the backup
schedule is displayed. Ensure each incremental backup takes placeon the appropriate day and Full Backup 1 and Full Backup 2 occur
on alternate Saturdays.

Click on one instance of each event to view the details. Go to the
Schedule tab to ensure the schedule is correct.

At the schedule tab, the schedule may be adjusted, if necessary.
An incorrect schedule name (typo, and so on) can not be changed. The
backup must be deleted and recreated.

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Run the Backup Job at the ServerThis procedure creates database and registry backup files.
1. Select Start>Programs>Microsoft SQL Server>Enterprise Manager.
2. Expand Microsoft SQL Servers and the SQL Server Group. Highlight
INW Server in the left pane.
3. Under the server, navigate to Management>SQL Server Agent>Jobs.
4. Right-click the Backup clab, clink databases, and GEMS registry job
and select Start Job.
5. Click Start at the confirmation window.
6. Wait for the Backup job to complete before continuing with the next
step.
NOTE
This job can take up to 20 minutes to run. The status will not
automatically update. To view the status, right-click the job andselect Refresh Job. When the job is completed Succeeded isdisplayed in the Last Run Status column.
7. Minimize the Enterprise Manager.
8. Verify the following files with the timestamp from today are in the
backup directory:
D:\GEMMS\Prucka\Database\Maintenance\Backup.
clabbackup.bakclinkbackup.bak (if the LMT database is installed)

Gems.reg

9. Close all open windows.

For Each Acquisition System and Review System (Including Software Only)
The time has to be re-synchronized using this section only if theenvironment uses static IP and the server IP was changed during
disaster recovery.
1. Log in to both the OS and custom shell as domain mlcltechuser.
Ensure the Mac-Lab/CardioLab application is not running.
2. Right-click My Computer and select Explore.
3. Navigate to D:\GEMMS\Prucka\Setup\TimeSynchronization.

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4. Double-click the file TimeClientConfig.exe. This tool will perform thefollowing:

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

Checks for Administrator logon.



Does a backup of the existing registry entries pertaining toWindows Time Service.

Updates the required registry entries to configure Windows Time
Service.



Verifies one of the registry keys to ensure the registry update
was successful.

Enables/Configures UPD port 123 in the Windows Firewall on
Windows XP SP3 system.



Stops and Starts the W32Time service.

Runs the w32tm command to update the Windows Time Service
to look at the update configuration, re synchronize, andrediscover the time source.

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5. In a fixed-IP network, select the radio button for IP Address, andenter the IP address of the INW server. For a DHCP network, selectthe radio button for the UNC name and enter the name of the INW
server.
NOTE
In a DHCP environment, the UNC name must be used since it islikely that the IP address will change.
6. Click the Configure button.
7. When the configuration completes, the status will indicate that thetime settings were updated successfully.
8. Close all open windows.
9. Time Sync Configuration is now complete. Proceed to the next
section.

Initialize Applications
Adobe Reader, Microsoft Word, and Microsoft Word Reports must be
initialized under both mlcllogonuser and mlcltechuser logons.

Adobe Reader
1. Press Ctrl + Action + Delete.
2. Click Logoff.
3. Click Logoff.
4. Immediately hold down the Shift key.
5. Log on to the Windows as domain mlcltechuser (password:
mlcl!techuser).
6. Log on to the Mac-Lab/CardioLab Custom Shell as domain
mlcltechuser (password: mlcl!techuser).
7. Select Start > Programs and select Adobe Reader 9.
8. Accept the End User License Agreement if displayed.
After Adobe Reader opens, wait one minute to ensure a Check for
Update dialog box is not displayed. If the dialog box is displayed,click Cancel.
9. Close Adobe Reader.

Microsoft Word
1. Select Start > Programs and select Microsoft Word.
NOTE
For Microsoft Office 2007 Professional, select Start > Programs >Microsoft Office Word 2007.
2. Accept the End User License Agreement if displayed.

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3. Click OK if the User Initial dialog box is displayed.
4. If the Privacy Option dialog box opens, clear the Search Microsoft
Online For Help check box, if it appears.
5. Close Microsoft Word.

Microsoft Word Reports
Perform this procedure on multiple monitor systems only.
1. Double-click Mac-Lab/CardioLab.
2. Select Administration > Reports > Templates.
If prompted for an administrator password enter local
mlcltechuser (password: mlcl!techuser).
3. If a server busy message is displayed. Click Retry. Microsoft Word
will open.
4. Configure the Microsoft Word window for the Review monitor:
a. Right-click the Microsoft Word title bar and select Restore.
b. Move the Microsoft Word window to the next monitor (from thereal-time monitor to the Review monitor).
c.

Right-click the Microsoft Word title bar and select Maximize.

5. Close Microsoft Word.
6. When prompted to save the report, click No.
7. Close the Mac-Lab/CardioLab application.

Adobe Reader
1. Press Ctrl + Action + Delete.
2. Click Logoff.
3. Click Logoff.
Allow the system to auto-log on to Windows as domain
mlcllogonuser.
4. Log on to the Mac-Lab/CardioLab Custom Shell as domain
mlcluser (password: mlcl!user).
5. Select Start > Programs and select Adobe Reader 9.
6. Accept the End User License Agreement if displayed.
After Adobe Reader opens, wait one minute to ensure a Check for
Update dialog box is not displayed. If the dialog box is displayed,click Cancel.
7. Close Adobe Reader.

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Microsoft Word
1. Select Start > Programs and select Microsoft Word.
NOTE
For Microsoft Office 2007 Professional, select Start > Programs >Microsoft Office Word 2007.
2. Accept the End User License Agreement if displayed.
3. Click OK if the User Initial dialog box is displayed.
4. If the Privacy Option dialog box opens, clear the Search Microsoft
Online For Help check box, if it appears.
5. Close Microsoft Word.

Microsoft Word Reports
Perform this procedure on multiple monitor systems only.
1. Double-click Mac-Lab/CardioLab.
2. Select Administration > Reports > Templates.
If prompted for an administrator password enter local
mlcltechuser (password: mlcl!techuser).
3. If a server busy message is displayed. Click Retry. Microsoft Word
will open.
4. Configure the Microsoft Word window for the Review monitor:
a. Right-click the Microsoft Word title bar and select Restore.
b. Move the Microsoft Word window to the next monitor (from thereal-time monitor to the Review monitor).
c.

Right-click the Microsoft Word title bar and select Maximize.

5. Close Microsoft Word.
6. When prompted to save the report, click No.
7. Close the Mac-Lab/CardioLab application.

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Enable the Network Path on each Acquisition System
1. Go to each Acquisition system and log on to Windows and the MacLab/CardioLab Custom Shell as INW domain mlcltechuser.
2. Open the Mac-Lab/CardioLab application.
3. Go to Administration > System Settings.
4. Select File Paths.
5. Select Enable Network Storage checkbox.
6. Close the System Settings window.
7. Switch the Catalog View from System to Network to verify the
network catalog is displayed.

Review Studies on Acquisition Systems
All studies performed on the Acquisition system since the last successful
server backup (full or incremental) that were restored must be reviewed
from optical or DVD. These are the studies performed since the lastbackup and not restored as part of the recovery procedure. This
procedure must be performed on each Acquisition system.
NOTE
This procedure must also be performed for studies performed while
the server was being recovered.
1. At the Acquisition system double-click Mac-Lab/CardioLab to open
the Mac-Lab/CardioLab application.
2. Switch the catalog to optical.
3. Select the first patient on the list and verify the proper module isselected (Mac-Lab or CardioLab).
4. Click Review Study.
5. After the study loads, select Study > Close Study.
6. Select Yes at the confirmation window.
7. Repeat this procedure for the remainder of the studies listed.

Delete Temporary Users from each Acquisition System
1. Log on to the Windows OS and the Mac-Lab/CardioLab Custom Shellas INW domain mlcltechuser.
2. Right-click My Computer and select Manage.
3. Choose Local Users and Groups.
4. Choose Users.
5. Highlight Tempuser.

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6. Right-click Tempuser and delete. A confirmation message isdisplayed.
7. Click Yes to delete.

Cardiovascular Information System (CVIS) Configuration
If configuring a CVIS system outside of the US or English Canada, use
the “Non-US (or English Canada) CVIS Configuration” on page 5-153.
Use this procedure to re-configure CVIS systems in the US and English
Canada. If no configuration is required, go to “Perform On Demand
Backup” on page 5-155.

US (or English Canada) CVIS Reconfiguration
Remove INW Users/Groups from the DMS Shared
Directories
If the system included a CVIS server it must be reconfigured. Determine
the CVIS Network configuration. Possible configurations include:

The CVIS server is part of the INW domain. On the CVIS server,
right-click My Computer, go to Properties > Network Identification
tab and check to see if the CVIS server was part of the INW domain.



The CVIS Server was part of a two-way trust relationship with thefacility and the INW server.

1. Logon to the DMS server as local MuseAdmin (password
Muse!Admin).
2. Open Windows Explorer in the DMS Express server.
3. Navigate to D:\Mac-Lab\Import.
4. Right-click the Import folder.
5. Select Sharing.
6. Select the Permissions button.
7. Highlight all INW Users and Groups and click Remove.
8. Click OK.
9. Select the Security tab.
10. Highlight all INW Users and Groups and click Remove.
11. Click OK.
12. Navigate to D:\Program Files\GE Medical
Systems\Report_Router\Bin\List Sharing.
13. Right-click the List Sharing folder.
14. Select Sharing.

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15. Select the Permissions button.
16. Highlight all INW Users and Groups and click Remove.
17. Click OK.
18. Select the Security tab.
19. Highlight all INW Users and Groups and click Remove.
20. Click OK.
21. Close all open windows.

Remove the CVIS Server from the INW Domain
If the CVIS is in the INW Active Directory Domain, it must be removed
from the Domain, and then added back to the Domain.
1. Log on as local MuseAdmin (password: Muse!Admin).
2. Right-click My Computer and select Properties.
3. Select the Computer Name tab.
4. Click the Change button.
The Computer Name Changes window is displayed.
5. In the Member of section, select the Workgroup radio button, enter
CARDIOLAN as the workgroup name and click OK.
Enter the log on as MuseAdmin (password Muse!Admin) if
prompted.
6. Click OK.
The member change takes about 1 minute. A Welcome to theworkgroup window is displayed when complete.
7. Click OK.
8. Click OK at the confirmation message to restart the computer.
9. Click OK.
10. Click OK at the System Properties window to close.
11. Click Yes to restart the system.
12. Log on as local MuseAdmin (password: Muse!Admin).

Delete Unrecognizable User Names
1. Right-click My Computer and select Manage.
2. Expand Local Users and Groups and select Groups.
3. Open the first group and delete any member names that begin with aquestion mark “?”.
4. Repeat for all other groups.

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5. Close the Computer Management window.

Add CVIS Server to the INW Domain
1. Right-click My Computer and select Properties.
2. Select the Computer Name tab.
3. Click the Change button.
The Computer Name Changes window is displayed.
4. In the Member of section, select the Domain radio button, enter the
INW Domain name and click OK.
5. Click OK.
The member change takes about 1 minute. A Welcome to the Domain
window is displayed when complete.
6. Click OK.
7. Click OK at the confirmation message to restart the computer.
8. Click OK.
9. Click OK at the System Properties window to close.
10. Click Yes to restart the system.

Configure the Import Share on the CVIS Server
The following users or groups are from the INW domain:


MLCLTechUser



MLCLUsrGrp



MLCLAdmGrp



MLCLSystemGrp

1. Log onto as local MuseAdmin to the English US (and English
Canada) CVIS server (Contact GE Technical Support or the systemadministrator for current password information).
2. Open Windows Explorer on the US (and English Canada) CVIS
server Interface or Express Server.
3. Navigate to D:\Mac-Lab\Import.
4. Right-click the Import folder.
5. Select Sharing.
6. Remove all existing entries.
7. Click the Permissions button.
8. Click the Add button.
9. Select the INW domain from the dropdown.

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10. Multi-select the following users/groups:


MLCLTechUser



MLCLUsrGrp



MLCLAdmGrp



MLCLSystemGrp

11. Click the Add button.
12. Click the OK button.
13. Highlight each added user and check the Full Control checkbox.
14. Remove the Everyone group if listed under the Share.
15. Click OK.
16. Select the Security tab.
17. Remove all existing entries.
18. Click Add.
19. Select the INW domain from the dropdown.
20. Multi-select the following users/groups:


MLCLTechUser



MLCLUsrGrp



MLCLAdmGrp



MLCLSystemGrp

21. Click Add.
22. Click OK.
23. Highlight each added user and check the Full Control checkbox.
24. Click OK.
25. Click OK.

Configure the US (and English Canada) CVIS List Sharing
Share
The following users or groups are from the INW domain:


MLCLTechUser



Administrator



MLCLSqlUser

1. Log onto as local MuseAdmin to the US (and English Canada)
CVIS server.
2. Open Windows Explorer on the US (and English Canada) CVIS
server Interface or Express Server.
3. Navigate to D:\Program Files\GE Medical
Systems\Report_Router\Bin\List Sharing.

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4. Right-click the List Sharing folder.
5. Select Sharing.
6. Select the Permissions button.
7. Remove all existing entries.
8. Click Add.
9. Select the INW domain from the dropdown.
10. Multi-select the following users/groups:


MLCLTechUser



Administrator



MLCLSqlUser

11. Click Add.
12. Click OK.
13. Highlight each added user and check Full Control checkbox.
14. Remove the Everyone group if listed under the Share.
15. Click OK.
16. Select the Security tab.
17. Remove all existing entries.
18. Click Add.
19. Select the INW domain from the dropdown.
20. Multi-select the following users/groups:


MLCLTechUser



Administrator



MLCLSqlUser

21. Click Add.
22. Click Close.
23. Highlight each added user and check Full Control checkbox.
24. Click OK.
25. Click OK.

Add CVIS Server to Centricity Organizational Unit on the
INW Server
1. At the server, log on as Administrator.
2. Select Start > Settings > Control Panel.
3. Double-click Administrative tools.
4. Double-click Active Directory Users and Computers.

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5. Expand the domain name (default is inw.local).
6. Click the Computers folder and locate the DMS server to add.
7. Drag and drop the DMS server from the Computers folder to theCentricity OU folder.
8. Close all open windows.
9. Restart the DMS server.

Configure CVIS Central List Management on the INW
Server
1. At the INW server, double-click Service Console on the Desktop.
2. Navigate to GEMS Central List Management > Central List Setup.
3. In the CVIS Server Export Directory click the... button to browse.
4. Browse to the path on the US (and English Canada) CVIS server.
This may be a mapped drive or the UNC name.
5. In the Location dropdown box, select the appropriate location for thehospital.
6. Click Update Lists.
7. Close the Service Console window.

Check List Management Service Status
1. Go to Control Panel > Administrative Tools > Services.
2. Verify the Gems Task Scheduler is running.
3. Verify the Central List Management Service is running.

Non-US (or English Canada) CVIS Configuration
Refer to Non-US (or English Canada) CVIS Installation manual for steps
to install the Server and its clients.
Record the following information for the Non-US (or English Canada)
CVIS Server:

Configure Central List Management
Perform the following steps to configure Central List Management:
1. Double-click Service Console on the Desktop.
2. Navigate to GEMS Central List Management > Central List Setup.
3. In the CVIS Server Export Directory click the... button to browse.
4. Browse to the path on the non-US (or English Canada) CVIS server.
This may be a mapped drive or the UNC name.

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5. In the Location dropdown box, select the appropriate location for thehospital.
6. Click Update Lists.
The Update Lists button must be clicked on the Mac-Lab/CardioLabsystem each time the lists are updated on the US (or English
Canada) CVIS server. Ensure this is done while the application is notrunning.
7. Close the Service Console window.

Check List Management Service Status
1. Go to Control Panel > Administrative Tools > Services.
2. Verify the GEMS Task Scheduler is running.
3. Verify the Central List Management Service is running.

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Perform On Demand Backup
CAUTIONSYSTEM PERFORMANCE DEGRADATION — A fullbackup takes several hours (depending on the amount ofdata to backup. Running a full backup while proceduresare being performed may cause the system to slow
unacceptably.
Always perform a full backup at a time when noprocedures will be performed for several hours.
1. For single tape On Demand Backup insert the On Demand Backup
tape and for multiple tape On Demand Backup insert the first tape.
2. Open the Control Panel by browsing to Start > Settings > Control
Panel.
3. In the Control Panel double-click Scheduled Tasks.
4. To start the backup job:a. Right-click the On Demand Backup task.
b. Select Properties.
c.

Select the Schedule tab.

d. Assign a schedule to start the job in 3 to 5 minutes.
e.

When prompted for the Administrator password, enter the
password.

f.

Select Apply.

g. Click OK to close the dialog.
5. For multiple tape On Demand Backup: When prompted for the
additional tape, insert the additional tape.
6. For multiple tape On Demand Backup: When the multiple tapebackup finishes the backup tape must be verified. To verify the
backup, insert the tapes as prompted.
7. For single and multiple tape On Demand Backup: Check the On
Demand Backup job log to verify that it completed successfully. Toview the log file:a. Launch backup from Start > Programs > Accessories > System
Tools > Backup.
b. In the backup utility drop down Tools menu click Reports. This
will list the reports for each backup job.
c.

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Open the log file for the On Demand Backup job.

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Verify Backups Ran Successfully
After each backup tape runs for the first time, check the following thenext day to ensure the backup ran successfully:
1. View the tape backup log file. To view the log file:a. Launch backup from Start > Programs > Accessories > System
Tools > Backup.
b. In the backup utility drop down Tools menu click Reports. This
will list the reports for each backup job.
c.

Review the log file for the tape backup job to verify that the
backup was performed successfully.

2. For Full Backups: Restore several files from the tape to an alternate
location (such as D:\Temp). Only restore the Backup folder and the
20 most recent patient folders.
NOTE
Do not restore the whole backup as the server hard drive may
run out of space. Make sure you delete the files after verification.
3. Verify the following files are in the backup directory:
D:\GEMMS\Prucka\Database\Maintenance\Backup.
clabbackup.bak
NOTE
Check the timestamp and the size of the clabbackup.bak fileafter every backup to ensure the database was backed up
successfully.

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

clinkbackup.bak (if the LMT database is installed)

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Update Operator Manuals
This script has to be executed for updating the Mac-Lab, CardioLab orCentricity Cardiology INW Operator's manual. To apply these changes,
use the DVD ML/CL APPLICATION INSTALL 6.5.6(PN 2049051-001).
1. Log on as a local Administrator to Windows as well the Custom
Shell.
Ensure all programs are closed.
2. Insert the DVD ML/CL APPLICATION INSTALL 6.5.6(PN 2049051-001) into the DVD-ROM drive.
3. Browse to the DVD drive and double-click UserManualUpdate.wsf.
4. A message box will open stating, System will now update the user
manuals.
Click Yes to install, No to quit.
5. Click Yes at the message box.
6. On completion of the update, a message box stating User manuals
updated will open.
7. Click OK.

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System Checkout
Verify Functionality
At Acquisition or Review systems, all system testing should be done as
mlcllogonuser (not mlcltechuser). Before starting the checkout
procedure, verify you are logged on to Custom Shell as mlcllogonuser(password: mlcl!logonuser).

General
1. Verify that a full tape backup has been performed on the Centricity
Cardiology INW server, and that no errors exist in the logs.
2. Verify all systems (Acquisitions and Reviews) are set to the Network
catalog.
3. Create a test study on one of the Acquisition system and close thestudy.
4. Verify the new study is displayed on the network catalog on the othersystems (Acquisitions and Reviews).
5. Verify that a study that has been archived to the Centricity
Cardiology INW server can be reviewed from all systems(Acquisitions and Reviews).

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6-1

Parts List
NOTE
For parts information for HP xw8200 and HP xw8000 computers,
refer to the Mac-Lab/CardioLab/Centricity Cardiology INW Service
Manual v6.5 (PN 2021423-022).

HP z600 Computer with ADA Drive
Part Number

Description

2057729-002

ASSY CL/ML ACQ CMPTR Z600 ADA

2057729-004

ASSY CL/ML IMAGECAP CMPTR Z600 ADA

2057729-005

ASSY CL/ML CARDIOICE CMPTR Z600 ADA

MAC-LAB/CARDIOLAB Computers
2050338-001

160GB SATA HDD, 7200 RPM, 3.5” (Hard Drive)

2050338-002

FRU WD 600GB SATA HDD, 10K RPM, 3.5”2057730-001

DISK DRIVE PANASONIC ADA LKM-KB23

2021462-001

DISK DVD-RAM CARTRIDGE 9.4 GB FORMATTED

2026539-001

OPTICAL USB SCROLL MOUSE ALL (HP #32617-005)

2050334-001

FRU HP REAR SYSTEM FAN KIT (HP #519559-001)

422310-001

MOUSEPAD GE HEALTHCARE

2038834-001

EQPMT, BARCODE SCANNER 3800G USB (replaces PS2 Version 2003417-001 EQPMT, BARCODE
SCANNER)2014935-002

PCB COMM PCI

2009937-003

PCB TRAMNET TO ETHERNET ADAPTER

2003587-001

CABLE, MULTICONDUCTOR, DB-44, M-M, 2.5 FT.

2047766-001

BRACKET NIC/COMM ML/CL COMPUTER

2049434-001

CARD VIDEO, MATROX M9120 QUAD PCIE 512MB

2017899-001

KIT, IMAGE CABLING ACCESSORIESCABLE DVI-I MALE TO 5 BNC FEMALES (2018060-001)
CABLE BNCM TO BNCM, MIN RG-59 COAX, 50FT (2003411-001)

2050333-001

FRU HP 1GB DDR3-1333, 240-PIN, ECC DIMM

2050333-002

FRU HP 2GB DDR3-1333, 240-PIN, ECC DIMM

2050335-001

FRU HP MEMORY MODULE FAN KIT

2050336-001

FRU HP Z600 POWER SUPPLY 650-WATT, PFC

2050337-001

FRU HP Z600 MOTHERBOARD, 1333MHZ FSB

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Parts List

Part Number

Description

CARDIOIMAGE Computer
2049435-001

CARD, VIDEO, MATROX ODYSSEY eA

CARDIOICE Computer
2031725-001

CARD, VIDEO, MATROX SOLIOS EA

Keyboards
2045812-001

LABEL KEYBOARD CUSTOMER SUPPORT ML/CL

CARDIOLAB Keyboards from Language Kits
2045802-002

CARDIOLAB KEYBOARD (replaces 2003809-002)

2045802-009

GERMAN CARDIOLAB KEYBOARD (replaces 2003810-009)

2045802-008

FRENCH CARDIOLAB KEYBOARD (replaces 2003810-008)

2045802-011

ITALIAN CARDIOLAB KEYBOARD (replaces 2003810-011)

2045802-010

SPANISH CARDIOLAB KEYBOARD (replaces 2003810-010)

2045802-019

CHINESE CARDIOLAB KEYBOARD (replaces 2003810-019)

2045802-016

SWEDISH CARDIOLAB KEYBOARD (replaces 2003810-016)

COMBOLAB Keyboards from Language Kits
2045802-003

COMBOLAB KEYBOARD (replaces 2003809-003)

2045802-005

GERMAN COMBOLAB KEYBOARD (replaces 2003809-005)

2045802-004

FRENCH COMBOLAB KEYBOARD (replaces 2003809-004)

2045802-007

ITALIAN COMBOLAB KEYBOARD (replaces 2003809-007)

2045802-006

SPANISH COMBOLAB KEYBOARD (replaces 2003809-006)

2045802-021

CHINESE COMBOLAB KEYBOARD (replaces 2003809-021)

2045802-018

SWEDISH COMBOLAB KEYBOARD (replaces 2003809-018)

MAC-LAB Keyboards from Language Kits
2045802-001

MACLAB KEYBOARD (replaces 2003809-001)

2045802-013

GERMAN MACLAB KEYBOARD (replaces 2003809-013)

2045802-012

FRENCH MACLAB KEYBOARD (replaces 2003809-012)

2045802-015

ITALIAN MACLAB KEYBOARD (replaces 2003809-015)

2045802-014

SPANISH MACLAB KEYBOARD (replaces 2003809-014)

2045802-020

CHINESE MACLAB KEYBOARD (replaces 2003809-020)

2045802-017

SWEDISH MACLAB KEYBOARD (replaces 2003809-017)

2021423-503H

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6-3Parts List

HP z600 Computer with DVD-RAM Drive
Part Number

Description

2048962-002

ASSY CL/ML ACQ CMPTR HP Z600

2055263-002

ASSY CL/ML ACQ CMPTR Z600 PURCH

2048962-004

ASSY CL/ML CARDIOIMAGE CMPTR HP Z600

2055263-004

ASSY CL/ML CARDIOIMAGE CMPTR Z600 PURCH

2048962-005

ASSY CL/ML CARDIOICE CMPTR HP Z600

2055263-005

ASSY CL/ML CARDIOICE CMPTR Z600 PURCH

MAC-LAB/CARDIOLAB Computers
2050338-001

160GB SATA HDD, 7200 RPM, 3.5” (Hard Drive)

2050338-002

FRU WD 600GB SATA HDD, 10K RPM, 3.5”2028599-002

DISK DRIVE PANASONIC SW-9576

2021462-001

DISK DVD-RAM CARTRIDGE 9.4 GB FORMATTED

2026539-001

OPTICAL USB SCROLL MOUSE ALL (HP #32617-005)

2050334-001

FRU HP REAR SYSTEM FAN KIT (HP #519559-001)

422310-001

MOUSEPAD GE HEALTHCARE

2038834-001

EQPMT, BARCODE SCANNER 3800G USB (replaces PS2 Version 2003417-001 EQPMT, BARCODE SCANNER)

2014935-002

PCB COMM PCI

2009937-003

PCB TRAMNET TO ETHERNET ADAPTER

2003587-001

CABLE, MULTICONDUCTOR, DB-44, M-M, 2.5 FT.

2047766-001

BRACKET NIC/COMM ML/CL COMPUTER

2049434-001

CARD VIDEO, MATROX M9120 QUAD PCIE 512MB

2017899-001

KIT, IMAGE CABLING ACCESSORIESCABLE DVI-I MALE TO 5 BNC FEMALES (2018060-001)
CABLE BNCM TO BNCM, MIN RG-59 COAX, 50FT (2003411-001)

2050333-001

FRU HP 1GB DDR3-1333, 240-PIN, ECC DIMM

2050333-002

FRU HP 2GB DDR3-1333, 240-PIN, ECC DIMM

2050335-001

FRU HP MEMORY MODULE FAN KIT

2050336-001

FRU HP Z600 POWER SUPPLY 650-WATT, PFC

2050337-001

FRU HP Z600 MOTHERBOARD, 1333MHZ FSB

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Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

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Parts List

Part Number

Description

CARDIOIMAGE Computer
2049435-001

CARD, VIDEO, MATROX ODYSSEY eA

Keyboards
2045812-001

LABEL KEYBOARD CUSTOMER SUPPORT ML/CL

CARDIOLAB Keyboards from Language Kits
2045802-002

CARDIOLAB KEYBOARD (replaces 2003809-002)

2045802-009

GERMAN CARDIOLAB KEYBOARD (replaces 2003810-009)

2045802-008

FRENCH CARDIOLAB KEYBOARD (replaces 2003810-008)

2045802-011

ITALIAN CARDIOLAB KEYBOARD (replaces 2003810-011)

2045802-010

SPANISH CARDIOLAB KEYBOARD (replaces 2003810-010)

2045802-019

CHINESE CARDIOLAB KEYBOARD (replaces 2003810-019)

2045802-016

SWEDISH CARDIOLAB KEYBOARD (replaces 2003810-016)

COMBOLAB Keyboards from Language Kits
2045802-003

COMBOLAB KEYBOARD (replaces 2003809-003)

2045802-005

GERMAN COMBOLAB KEYBOARD (replaces 2003809-005)

2045802-004

FRENCH COMBOLAB KEYBOARD (replaces 2003809-004)

2045802-007

ITALIAN COMBOLAB KEYBOARD (replaces 2003809-007)

2045802-006

SPANISH COMBOLAB KEYBOARD (replaces 2003809-006)

2045802-021

CHINESE COMBOLAB KEYBOARD (replaces 2003809-021)

2045802-018

SWEDISH COMBOLAB KEYBOARD (replaces 2003809-018)

MAC-LAB Keyboards from Language Kits
2045802-001

MACLAB KEYBOARD (replaces 2003809-001)

2045802-013

GERMAN MACLAB KEYBOARD (replaces 2003809-013)

2045802-012

FRENCH MACLAB KEYBOARD (replaces 2003809-012)

2045802-015

ITALIAN MACLAB KEYBOARD (replaces 2003809-015)

2045802-014

SPANISH MACLAB KEYBOARD (replaces 2003809-014)

2045802-020

CHINESE MACLAB KEYBOARD (replaces 2003809-020)

2045802-017

SWEDISH MACLAB KEYBOARD (replaces 2003809-017)

2021423-503H

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

6-5Parts List

HP xw8400 ComputerPart Number

Description

2034493-001

ASSY CL/ML REVIEW CMPTR HP XW8400

2034493-002

ASSY CL/ML ACQ CMPTR HP XW8400

2034493-004

ASSY CL/ML CARDIOIMAGE CMPTR HP XW8400

2037934-001

ASSY CMPTR CLAB/MLAB REVIEW (DVD-RAM drive)

2037934-002

ASSY CMPTR CLAB/MLAB ACQUISITION (DVD-RAM drive)

2037934-003

ASSY CMPTR CLAB/MLAB ACQUISITION W/ IMAGE IN (DVD-RAM drive)

2037934-004

ASSY CMPTR CLAB/MLAB ACQ. W/ IMAGE IN/OUT (DVD-RAM drive)

MAC-LAB/CARDIOLAB Computers2032742-001

80GB SATA/7200 ALL (Hard Drive) (HP #390595-001)

2028599-002

DISK DRIVE PANASONIC SW-9576 DVD-RAM

2021462-001

DVD Disk Cartridge. 9.4 GB, Formatted

2038813-001

MEMORY INVASIVE HPXW8400 2GB FRU KIT (HP #EMil60AA)

2026539-001

OPTICAL USB SCROLL MOUSE ALL (HP #32617-005)

2038827-001

FAN HPXW8400 FAN KIT

2026188-001

CARD, VIDEO, MATROX PCI PARHELIA

422310-001

MOUSEPAD GE

2038834-001

EQPMT, BARCODE SCANNER 3800G USB (replaces PS2 Version 2003417-001 EQPMT, BARCODE SCANNER)

2021697-001

DVI TO DB15 VIDEO ADAPTER

2014935-002

PCB COMM PCI

2009937-002

PCB TRAMNET TO ETHERNET ADAPTER

2003587-001

CABLE, MULTICONDUCTOR, DB-44, M-M, 2.5 FT.

2017795-002

CARD DUAL NIC ADAPTER PCI-E GIGABITIMAGE CAPTURE/CARDIOIMAGE Computers
2030688-001

CARD, VIDEO, MATROX ODYSSEY XA

2026189-004

CARD, VIDEO, ATI FIREGL V3350 25MB

2017899-001

KIT, IMAGE CABLING ACCESSORIESCABLE DVI-I MALE TO 5 BNC FEMALES (2028060-001)
CABLE BNCM TO BNCM, MIN RG-59 COAX, 50FT (2003411-001)

UPGRADES

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Parts List

Part Number

Description

UP-MODK-AUPGRADE KIT: MO DRIVE
Kit is used to add MO drive to computers (for backward compatibility)

2003888-001

DISK OPTICAL FAT 16 FMT DRV4 MLAB 2.6 GB VIA

2003340-001

DISK DRIVE OPT 5 1/4 SONY SMO-F551SD (Black bezel)

2038632-001

CARD SCSI PCI-E

CARDIOLAB Keyboards from Language Kits
2003809-002

CARDIOLAB KEYBOARD

2003810-009

GERMAN CARDIOLAB KEYBOARD

2003810-008

FRENCH CARDIOLAB KEYBOARD

2003810-011

ITALIAN CARDIOLAB KEYBOARD

2003810-010

SPANISH CARDIOLAB KEYBOARD

2003810-019

CHINESE CARDIOLAB KEYBOARD

2003810-016

SWEDISH CARDIOLAB KEYBOARD

COMBOLAB Keyboards from Language Kits
2003809-003

COMBOLAB KEYBOARD

2003810-005

GERMAN COMBOLAB KEYBOARD

2003810-004

FRENCH COMBOLAB KEYBOARD

2003810-007

ITALIAN COMBOLAB KEYBOARD

2003810-006

SPANISH COMBOLAB KEYBOARD

2003810-021

CHINESE COMBOLAB KEYBOARD

2003810-018

SWEDISH COMBOLAB KEYBOARD

MACLAB Keyboards from Language Kits
2003809-001

MACLAB KEYBOARD

2003810-013

GERMAN MACLAB KEYBOARD

2003810-012

FRENCH MACLAB KEYBOARD

2003810-015

ITALIAN MACLAB KEYBOARD

2003810-014

SPANISH MACLAB KEYBOARD

2003810-020

CHINESE MACLAB KEYBOARD

2003810-017

SWEDISH MACLAB KEYBOARD

2021423-503H

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

6-7

Parts List

GE Client Workstation
Part Number
2048962-001

Description
ASSY CL/ML GE CLIENT WORKSTATION D COMP

Keyboards
2045812-001

LABEL KEYBOARD CUSTOMER SUPPORT ML/CL

CARDIOLAB Keyboards from Language Kits
2045802-002

CARDIOLAB KEYBOARD (replaces 2003809-002)

2045802-009

GERMAN CARDIOLAB KEYBOARD (replaces 2003810-009)

2045802-008

FRENCH CARDIOLAB KEYBOARD (replaces 2003810-008)

2045802-011

ITALIAN CARDIOLAB KEYBOARD (replaces 2003810-011)

2045802-010

SPANISH CARDIOLAB KEYBOARD (replaces 2003810-010)

2045802-019

CHINESE CARDIOLAB KEYBOARD (replaces 2003810-019)

2045802-016

SWEDISH CARDIOLAB KEYBOARD (replaces 2003810-016)

COMBOLAB Keyboards from Language Kits
2045802-003

COMBOLAB KEYBOARD (replaces 2003809-003)

2045802-005

GERMAN COMBOLAB KEYBOARD (replaces 2003809-005)

2045802-004

FRENCH COMBOLAB KEYBOARD (replaces 2003809-004)

2045802-007

ITALIAN COMBOLAB KEYBOARD (replaces 2003809-007)

2045802-006

SPANISH COMBOLAB KEYBOARD (replaces 2003809-006)

2045802-021

CHINESE COMBOLAB KEYBOARD (replaces 2003809-021)

2045802-018

SWEDISH COMBOLAB KEYBOARD (replaces 2003809-018)

MAC-LAB Keyboards from Language Kits
2045802-001

MACLAB KEYBOARD (replaces 2003809-001)

2045802-013

GERMAN MACLAB KEYBOARD (replaces 2003809-013)

2045802-012

FRENCH MACLAB KEYBOARD (replaces 2003809-012)

2045802-015

ITALIAN MACLAB KEYBOARD (replaces 2003809-015)

2045802-014

SPANISH MACLAB KEYBOARD (replaces 2003809-014)

2045802-020

CHINESE MACLAB KEYBOARD (replaces 2003809-020)

2045802-017

SWEDISH MACLAB KEYBOARD (replaces 2003809-017)

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Parts List

DASH Connection
Part Number

Description

2000453-001

KIT DOWNLOAD DASH

418335-002

OCTACOMM, SERIAL PORT CABLE

420915-013

DIDCA ASM PC INTERFACE AUTOPORT

Solar Connection
Part Number
2003408-001

Description
DB9M TO DB9F, 50FT, STRAIGHT THRU

Centricity Cardiology INW G6 Server
Part Number
2048968-001

Description
ASSY SERVER CL/ML INW G6 HI

2055264-001
2048968-003

ASSY SERVER CL/ML INW G6 LO

2055264-003
2049045-001

HARD DRIVE HP 300GB 10K 6G 2.5

2048609-001

HP 146GB 10K 6G 2.5 SAS DP HDD

2024244-002

TAPE DRIVE SONY AIT-3 SDX-700V/RB INTERNAL (HIGH)

2024244-003

TAPE DRIVE SONY AIT-2T TURBO INT SCSI (LOW)

2050327-001

FRU HP SERVER PWR SUPPLY 460W, HOT PLUG

2050328-001

FRU HP SC11XE SCSI HOST BUS ADAPTER

2050329-001

FRU HP SMART ARRAY P410, 512MB, BBWC

2050330-001

FRU HP IDE DVD-ROM, 16X

2050331-001

FRU HP ML370 G6 FAN ASSEMBLY

2050332-001

FRU HP 2GB 1333MHz PC3-10600R,DDR3 DIMM

2021423-503H

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

6-9Parts List

Centricity Cardiology INW G5 Server
Part Number

Description

2038168-001
2050580-001
2045708-001

CMPTR SERVER CL/ML INW G5 HI

2038168-002

CMPTR SERVER CL/ML INW G5 MID

2038168-003
2050580-003
2045708-003

CMPTR SERVER CL/ML INW G5 LO

2038630-001

CMPTR SERVER ML/CL INW G5 BASE

2036800-038

HP SMARTARRAY P400 CNTRLLR CACHE MOD

2034798-001

HP 72GB 10K SAS 2.5 HOT PLUG HARDDRIVE

2034806-001

HP 146GB 10K SAS 2.5 HOT PLUG HARDDRIVE

2024244-002

TAPE DRIVE SONY AIT-3 SDX-700V/RB INTERNAL (HIGH/MID)

2024244-003

TAPE DRIVE AIT-2 turbo SDX-550V INTERNAL (LOW)

2036798-017

MEMORY HP 2GB Fully Buffered DIMM PC2-5300F (2x1GB Memory)2036800-025

HP ML370 DVD-RW DRIVE

414582-222

POWER ADAPTER 230VAC/DC ME (FOR EUROPE)

414582-223

POWER ADAPTER 100VAC/DC JAP (FOR JAPAN)

414582-224

POWER ADAPTER 240VAC/DC AA (FOR ASIA/AUSTRALIA)

414582-225

POWER ADAPTER 240VAC/DC UK (FOR UNITED KINGDOM)

421572-028

CABLE ETHERNET

2018135-005

TAPE CARTRIDGE AIT-2 TURBO 80GB

2018135-003

AIT-3 TAPE CARTRIDGES - Single

2025078-001

INTERFACE ADAPTORS

2025079-001

CAT5 ETHERNET PATCH CABLE 10FT.

2025080-001

Keyboard, Mouse, and Video Zip Cable

2036800-014

HP ML370 1000-W HOT-PLUG POWER SUPPLY

2036800-015

HP ML370 HOT-PLUG FAN, 120-MM

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Parts List

Centricity Cardiology INW G4 Server
Part Number

Description

2026341-001

CMPTR SVR RACK MNT CLINK WVFM ARCH HIGH (M4)2026341-002

CMPTR SVR RACK MNT CLINK WVFM ARCH MID (M4)2026341-003

CMPTR SVR RACK MNT CLINK WVFM ARCH LOW (M4)2015268-002

DISK DRIVE CPQ HOT SWAP 72.8GB 10K U320

2015268-003

DISK DRIVE CPQ HOT SWAP 146.8GB 10K U320

2015268-004

DISK DRIVE CPQ HOT SWAP 300 GB 10K U320

2024244-002

TAPE DRIVE SONY AIT-3 SDX-700V/RB INTERNAL (HIGH/MID)

2024244-001

TAPE DRIVE SONY AIT-2 SDX-500V/RB INTERNAL (LOW)

2026819-001

MEMORY HP 512MBX DDER2-400MHZ PC2-3200

2027723-001

1 GB SDRAM PC2 3200 ECC (2X512)

2016993-001

ADPTR DISK RAID HP 2
SMART ARRAY 641

2026817-001

CARD HP BBWC ENABLER - MEM -128 MB DDR

2025649-001

HP CD-RW/DV ROM 48X COMBO DRIVE

2026881-001

CARD HP NC320T PCI GIGABIT NIC

414582-222

POWER ADAPTER 230VAC/DC ME (FOR EUROPE)

414582-223

POWER ADAPTER 100VAC/DC JAP (FOR JAPAN)

414582-224

POWER ADAPTER 240VAC/DC AA (FOR ASIA/AUSTRALIA)

414582-225

POWER ADAPTER 240VAC/DC UK (FOR UNITED KINGDOM)

421572-028

CABLE ETHERNET

2018135-003

AIT-3 TAPE CARTRIDGES - Single

2018135-004

AIT-2 TAPE CARTRIDGES - Single

2025078-001

INTERFACE ADAPTORS

2025079-001

CAT5 ETHERNET PATCH CABLE 10FT.

2019000-001

KYBD TRACKBALL INTEGRATED IU HP

2021423-503H

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

6-11

Parts List

Integrated Electronics Box (IEB)Part Number

Description

2033852-001

PWR BOX IEB, W/VIDEO, ANALOG I/O 100V (replaces 2010698-001 IEB)
Includes parts listed under 120V IEB, except the following parts are changed:

2006323-001

CABLE POWER, IEC C19 TO UNTERMINATED

2033852-002

PWR BOX IEB, W/VIDEO, ANALOG I/O 120V (replaces 2010698-002 IEB)

2003253-002

XFMR, ISO, 100-240VAC, 50/60HZ, 2.0KVA

2003680-001

ASSY DB CONNECT FOR IEB

2003681-003

ASSY VID/MUX FOR IEB

2013535-001

PWR SPLY SW 90-265VAC 50-60HZ 16.5/-5/5V

700775-001

PWR CORD 125V 15A 2.5M

2003410-001

CABLE BNCM TO BNCM, MIN RG-59 COAX, 30FT

2003927-001

POWER CORD IEC (M)-IEC(F) 8FT

2003928-001

CABLE, VIDEO, DB15MHD-DB15MHD; 5FT2081540-001

CABLE, VIDEO, DB15MHD-DB15MHD, 6FT

2033852-003

PWR BOX IEB, W/VIDEO, ANALOG I/O 240V (replaces 2010698-003 IEB)
Includes parts listed under 120V IEB, except the following parts are changed:

2011055-001

IEB SHELF ASSY 100V & 120V Use this replacement part for repair of an RAU power supply (2003264-001) and/or
Vid/mux power supply (2003266-001)

2011055-002

IEB SHELF ASSY 240V Use this replacement part for repair of an RAU power supply and/or Vid/mux power supply.

2003825-006

BRACKET, BLANKING PANEL FOR IEB

2006323-001

CABLE POWER, IEC C19 TO UNTERMINATED

2033852-004

IEB, MAC-LAB, NO MDM, 240V CHINESE
Includes parts listed under 120V IEB, except the following parts are changed:

401855-110

PWR SPLY CRD ST AUSTRALIAN 10A 250V 2.5M

401855-101

PWR SPLY CRD ST CONT EURO 10A 250V 2.5MAUSTRIA, BELGIUM, FINLAND, FRANCE, GERMANY, GREECE, HUNGARY, LUXUMBERG, NETHERLAND,POLAND, PORTUGAL, SPAIN, SWEDEN

401855-102

PWR SPLY CRD ST BRITSH 10A 250V 2.5M FSD

401855-104

PWR SPLY CRD ST ISRAELI 10A 250V 2.5M

401855-103

PWR SPLY CRD ST ITALIAN 10A 250V 2.5M

401855-039

PWR SPLY CRD ST ARGENTINA 10A 250V 2.5M

401855-041

PWR SPLY CRD ST BRAZIL 10A 250V 2.5M

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Parts List

Part Number

Description

401855-018

PWR CRD ST CHINA RA PLUG 10A 250V 2.5M

401855-109

PWR SPLY CRD ST DANISH 10A 250V 2.5M

401855-108

PWR SPLY CRD ST INDIA 10A 250V 2.5M

401855-037

PWR SPLY CRD ST S.AFRICA 10A 250V 2.5M

401855-107

PWR SPLY CRD ST SWISS 10A 250V 2.5M

2059901-003

IEB, w VIDEO, ANA LOG IO, C14 CONN, 240V

2059901-004

IEB, MAC-LAB, C14 CONN, 240V CHINESE(Repalces 2033852-004)

2059901-005

IEB, CARDIOLAB, C14 CONN, 240V CHINESE(Replaces 2033852-005)

2059901-006

IEB, COMBOLAB, C14 CONN, 240V CHINESE(Replaces 2033852-006)

2059901-007

IEB, CADIO-LAB, C14 CONN, 240V KOREAN(Replaces 2033852-007)

2059901-008

IEB, MAC-LAB, C14 CONN, 240V KOREAN(Replaces 2033852-008)

2059901-009

IEB, COMBOLAB, C14 CONN, 240V KOREAN(Replaces 2033852-009)

Uninterrupted Power Source (UPS)Part Number
2034260-001

Description
KIT 120V IEB UPS REPLACEMENT EXTERNAL — includes 2034077-001 UPS POWERCOM, 120V, 50/60 Hz,
1500VA, BNT (replaces:
2033849-001 UPS POWERCOM, 120V, 1000VA
2031037-001 UPS POWERCOM, 115V, 800VA
2023532-001 BTRY UPS, 115V, MI800)

2034261-001

KIT 230V IEB UPS REPLACEMENT EXTERNAL — includes 2034078-001 UPS POWERCOM, 230V, 50/60 Hz,
1500VA, BNT (replaces:
2033850-001 UPS POWERCOM, 240V, 1000VA
2031038-001 UPS POWERCOM, 230V, 800VA
2023533-001 BTRY UPS, 230V, MI800)

2034259-001

KIT 100V IEB UPS REPLACEMENT EXTERNAL — includes 2034079-001 UPS POWERCOM, 100V, 50/60 Hz,
1500VA, BNT (replaces:
2033851-001 UPS POWERCOM, 100V, 1000VA
2031039-001 UPS POWERCOM, 100V, 800VA
2023534-001 BTRY UPS, 100V, MI800)

2021423-503H

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

6-13

Parts List

Monitors and Printers
Part Number

Description

2079070-002

MONITOR, EIZO S2133, LED 21 INCH, BOOM MOUNTABLE

2081124-001

MOUNTING KIT, MONITOR ON MAVIG GD60 SUSPENSION

2044863-001

MONITOR VIEWSONIC CRT (Used for real-time scrolling) (Replaces NEC 2027200-001)

2030604-002

DSPL LCD 20 INCH NEC LCD 2090UX+ (replaces 2080UX 20” LCD - PN 2020737-002)

2003442-001

CABLE VIDEO, DB15MHD-DB15MHD; 100FT

403689-010

CABLE ASSY, MON PWR, 100FT

2004036-001

POWER CABLE

6119-101

CABLE PARALLEL PRNTR 8-12 FT

2031697-001

CABLE EPP DB25M/MDR36M 10 FT

9242-101

PAPER 20LB BOND WHITE 8 1/2x11

2046140-001

HP LaserJet P2035n (120V) (Replaces 2037296-001 RICOH 4100N - US)

2046141-001

HP Color LaserJet CP2025n (120V) (Replaces 2030606-001 RICOH CL3500N)

2046141-002

HP Color LaserJet CP2025n (220V) (Replaces 2030606-002 RICOH CL3500N 220V)

2046677-002

HP LaserJet P2035 (220V)

2025965-002

CABLE USB 3.0M

6-14

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Parts List

TRAMNetPart Number

Description

2018683-001
2011129-001
2016133-001
2016134-001

Kit MLCL TRAMNet Cabling Accessories
CABLE ETHERNET PATCH - 1FTASSY CABLE TNET TO IEB D 9M/9F
ASSY CABLE IEB TO RAC 4A ADAPTOR

2019445-001

TRAM 451 CABLE KIT (AHA): includes ACQ CABLE, TRAMNET CABLES, AND MOUNTING KIT

2019446-001

TRAM 451N CABLE KIT (AHA): includes ACQ CABLE, TRAMNET CABLES, AND MOUNTING KIT

2019447-001

TRAM 451M CABLE KIT (AHA): includes ACQ CABLE, TRAMNET CABLES, AND MOUNTING KIT

2021597-001

TRAM 451N CABLE KIT (IEC): includes ACQ CABLE AND MOUNTING KIT

2021598-001

TRAM 451M CABLE KIT (IEC): includes ACQ CABLE AND MOUNTING KIT

2021599-001

TRAM 451N CABLE KIT (IEC)

2021600-001

TRAM 451M CABLE KIT (IEC)417335-003

ASM, ACQUISITION CABLE 70 FT (Standard)

417335-001

ASM, ACQUISITION CABLE 10 FT

417335-002

ASM, ACQUISITION CABLE 51 FT

417335-004

ASM, ACQUISITION CABLE 100 FT

417335-005

ASM, ACQUISITION CABLE 125 FT

417335-006

ASM, ACQUISITION CABLE 150 FT

417335-007

ASM, ACQUISITION CABLE 20 FT

2007759-002

MOUNTING KIT

900031-006

ASSY TRAM RAC 4A W/PWR SPLY

2000633-001

CABLE ASSY CINCH MDC-7P15

412931-005

MAC-LAB 5LD STRTR KIT, RADIOTRANSLUCENT

416035-003

MAC-LAB 12LD STARTER KIT AHA

2025248-002

CABLE ASSY CARDIAC OUTPUT 2.7M (replaces 2002973-004 CABLE ASSY PATIENT CARDIAC OUTPUT 9FT)

9446-909

BATH PROBE TR INJ TEMP 6FT MEI

9446-910

CA TRAM INLINE INJ EDW 3FT MEI

415265-003

KIT NBP ADULT STARTER

900079-006

SYNC CBL, TRAM 3 'Y' ADAPTER

2008991-001

ADPTR MINI DIN TO CONN RCPT 6P PHG 1B

2006644-001

CABLE ASSY PATIENT ADAPTER NELLCOR SPO2

2021423-503H

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

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Parts List

Part Number

Description

407705-006

DURASENSOR ADULT DS-100A INDV

2017002-001

CABLE ASSY SPO2 MASIMO 3.6M (replaces 2016041-001 CABLE ASSY PATIENT ADPT MASIMO SPO2 12FT)

2017002-003

CABLE ASSY SPO2 MASIMO (replaces 2016041-002 CABLE ASSY PATIENT ADPTR MASIMO SPO2 8FT)

2002800-001

MASIMO REUSABLE FINGER SENSOR ADULT

2002799-001

MASIMO REUSABLE FINGER SENSOR PED

2017006-003

CABLE ASSY ECG MLT-LNK 10 LEAD 3.6M IEC (replaces 416035-002 PATIENT CABLE 12SL IEC)

403751-026

LD RT GRB/MNK IEC 60L 10/SET

414873-001

TUBE NBP CUFF

9461-601

BP CUFF DL TUBE ADULT - DURA-CUF

9446-911

CA TR INLINE INJ GOULD 3FT MEI

6-16

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

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Parts List

AmplifierPart Number

Description

2003232-001

ASSY CLAB II PLUS 32 AMP 110-240V 50/60HZ

2003232-002

ASSY CLAB II PLUS 64 AMP 110-240V 50/60HZ

2003232-003

ASSY CLAB II PLUS AMPLIFIER 96 CHANNEL

2003232-004

ASSY CLAB II PLUS AMPLIFIER 128 CHANNEL

2004965-001

ASSY PACING ENABLED RF FILTER BOX

301-00207-03

CABLE STIM EXTENDER, 3FT DUAL TOUCHPROOF

2003419-001

CABLE, ECG, 10LEAD, SHIELDED 10FT

2003421-001

CABLE LEAD SET, ECG, SHIELDED, 36" WIRES

2003434-001

CABLE FIBER, ST TO FDDI, DUPLEX, 75FT

2007857-001

PRUCKA CATHETER INPUT MODULE LABELS

301-00202-08

CABLE CATHTR INPT MOD3 TPRF 8FT M CLBII+

301-00204-03

CABLE STIM INPT TCHPRF 3FT CLABII+

301-00205-08

CABLE AUX INPT RF RCRD UNIPLR CLABII+

80274-006
405535-013(Japan)POWER CORD

301-00204-15

15 FT TOUCHPROOF STIMULATOR INPUT CABLE

301-00204-30

30 FT TOUCHPROOF STIMULATOR INPUT CABLE

401855-110

PWR SPLY CRD ST AUSTRALIAN 10A 250V 2.5M

401855-101

PWR SPLY CRD ST CONT EURO 10A 250V 2.5MAUSTRIA, BELGIUM, FINLAND, FRANCE, GERMANY, GREECE, HUNGARY, LUXUMBERG, NETHERLAND,POLAND, PORTUGAL, SPAIN, SWEDEN

401855-102

PWR SPLY CRD ST BRITSH 10A 250V 2.5M FSD

401855-104

PWR SPLY CRD ST ISRAELI 10A 250V 2.5M

401855-103

PWR SPLY CRD ST ITALIAN 10A 250V 2.5M

401855-039

PWR SPLY CRD ST ARGENTINA 10A 250V 2.5M

401855-041

PWR SPLY CRD ST BRAZIL 10A 250V 2.5M

401855-018

PWR CRD ST CHINA RA PLUG 10A 250V 2.5M

401855-109

PWR SPLY CRD ST DANISH 10A 250V 2.5M

401855-108

PWR SPLY CRD ST INDIA 10A 250V 2.5M

2021423-503H

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

6-17

Parts List

Part Number

Description

401855-037

PWR SPLY CRD ST S.AFRICA 10A 250V 2.5M

401855-107

PWR SPLY CRD ST SWISS 10A 250V 2.5M

MicroPace
Part Number

Description

MicroPace FRUs
2032778-001

FRU MICROPACE STIMULATOR - SGU, NO PS MFG - MP3008

2032779-001

FRU MICROPACE ACC KIT, SGU PWR, CABLS, US MFG - MP3055-GE-US

2032780-001

FRU MICROPACE BONA LIGHT PC, PSU MFG - MP3093

2032781-001

FRU MICROPACE DIAMOND TOUCH KEYBOARD MFG - MP3015

2032782-001

FRU MICROPACE NEC MONITOR MFG - MP3076

2031041-001

MICROPACE TOUCHSCREEN FOR STIMULATOR MFG - MP3113-GE

2032783-001

FRU MICROPACE 4CH SM-BOX, CABLES MFG - MP3091

2032784-001

FRU MICROPACE 2CH STIMULATOR CONNECT BOX MFG - MP3014

2032785-001

FRU MICROPACE UNIVERSAL ISOLATION XFMR MFG - MP3107

MicroPace Cables
2049323-001

CABLE STIM EXTENSION FOR MICROPACE, 13M (MP3070-13)

2049324-001

CABLE STIM EXTENSION FOR MICROPACE, 17M (MP3070-17)2037660-001

CABLE MUX CNTRL FOR MICROPACE, 15M MFG - MP3090

2037661-001

CABLE MUX CNTRL FOR MICROPACE, 27M MFG - MP3146

2037662-001

CABLE SERIAL RS232 EXT MICROPACE, 25M MFG - MP3084-25

6-18

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

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Parts List

RMOTPart Number

Description

RMOT2022144-002

MOUSE USB OPTICAL SCROLL LIGHTED

2022144-003

MOUSE USB SCROLL BLACK

2022144-004

MOUSE MICROSOFT BASIC OPTICAL SCROLL BLACK USB/PS2

2003927-001

POWER CORD IEC (M) - IEC (F) 8FT

2026972-002

KIT RMOT, CAT5, 100FT W/ ISOLATOR

Speakers and MiscellaneousPart Number

Description

2018835-001

RF ABLATION DEVICE INTERFACE KIT

2003408-002

CABLE DB25M TO DB9F, 50 FT, SERIAL

2042981-001

OPTO ISOLATOR KIT, SERIAL DB25

2042214-001

CABLE ASSY SERIAL RF ABLATION INTERFACE

2035570-001

CABLE ASSY SERIAL CRYOCATH INTERFACE

2018971-001

16CH ANALOG OUTPUT CPU INTERFACE OPTION

2007557-002

KIT ANALOG OUTPUT BOX W/CABLES

2010476-001

BOX CARDIOLAB/MACLAB ANALOG OUTPUT

2007579-001

CABLE DB 37 MALE/FEMALE 15 FT

417335-002

ASM, ACQUISITION CABLE 51'

2011355-001

CABLE PHONE-BNC M 10FT RG-174 COAX 20 PC

2003410-001

CABLE BNCM TO BNCM, MIN RG-59 COAX, 30FT

2018216-001

KIT, CARTO™ XP System CABLES

2015944-001

AMPLIFIER TO PIU QUICK CONNECT 10 FT

2018217-001

CABLE RJ45 CROSSOVER CAT5 25FT

2024507-001

IC TO PIU QUICK CONNECT 10FT

2021423-503H

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

6-19

Parts List

Part Number

Description

2017900-001

KIT, AUDIO CABLING ACCESSORIES

2011108-002

CABLE AUDIO 50 FT.

2018218-001

STEREO AUDIO SPLITTER 1M-2F

2018219-001

MONO AUDIO ISOLATOR

2018856-001

AUDIBLE INDICATORS 120V

2078970-001

POWERED SPEAKERS, 120V (replaces 2039003-001, 2036113-001, 2029281-001, 2049499-002 and 2026555-001)

2003625-001

CABLE, NEMA 5-15R TO IEC320P, 1FT

2018857-001

AUDIBLE INDICATORS 240V

2078970-001

POWERED SPEAKERS, 240V (replaces 2039004-001, 2036113-002, 2029281-002, 2049499-002 and 2026555-002)

2003625-001

CABLE, NEMA 5-15R TO IEC320P, 1FT
EtCO2412340-002

SNSR CBL CO2 CAPNOSTAT 3 W/AGND

412554-003

LABEL MODULE CO2 CAPNOSTAT

412832-001

ASSEMBLY MODULE CO2 CAPNOSTAT

418747-001

STARTER KIT EAGLE 3X00 CO22032243-004

ASSY SOLAR CAPNO MDL ADPTR CO2 MDL SNSR

900553-001

ASSY MOD MS C02 CAPNOSTAT

2013427-001

OEM ASSY DASH CAPNOFLEX LF CO2

2027759-001

ASSY SOLAR CAPNOFLEX ADAPTER

412340-002

SNSR CBL CO2 CAPNOSTAT 3 W/AGND

9504-016

GAS SCAVENGER 10FT TGB W/CPLG

2008203-001

MOBILE WORKSTAND CART

2018892-003

65 IN WORKSTATION DESK

2018892-002

47 IN WORKSTATION DESK

2018892-001

MOBILE CABINET

2004195-001

ISO Transformer, 120V/220V 50/60HZ 600VA

6-20

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

2021423-503H

A

2021423-503H

Abbreviations

Mac-Lab/CardioLab/Centricity Cardiology INW Service ManualA-1

Abbreviations

Electrical and IT Abbreviations
Abbreviation

A-2

Description

AD

Active Directory

AC

Alternating Current

AE

Application Entity

AIT

Advanced Intelligent Tape

Com

Communication

CMC

Crystal Management Console

CNDT

ConduitCPU

Central Processing Unit

DAT

Digital Audio Tape

DC

Direct Current

DICOM

Digital Imaging and Communication in Medicine

DMS

Data Management System

DOS

Disk Operating System

D-Sub

hardware connectordV/dTchange in Voltage over Time

EMC

Electromagnetic Compatibility

EMI

ElectroMagnetic Interference

ESD

Electrostatic DischargeGBgigabytes

HW/SW

Hardware/Software

Hz

Hertz

IEB

Integrated Electronics Box

IECInternational Electrotechnical Commission

INW

Invasive Net Work formerly known as CardioLink

IT

Information TechnologykB

Kilobytes

kOhm

kilo-ohms

kV

Kilovolts

LCD

Liquid Crystal Display

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

2021423-503H

Abbreviations

Abbreviation

2021423-503H

Description

LMT

Lab Management Tools

MB

Megabytes

MHz

Mega Hertz

ML/CL

Mac-Lab/CardioLab

MWL

Modality Work List

MPPS

Modality Performed Procedure Step

msmilliseconds

MSDE

MicroSoft Data Engine

mVmillivolts

OD

Optical DiskOS

Operating System

OU

Organizational Unit

PC

Personal Computer

pcb

Printed Circuit Board

PDF

Portable Document Format

RAC-4A

Remote Acquisition Case

RAU

Remote Acquisition Unit

RFRadio frequency

TCP/IPInternet Protocol

UI

User Interface

UPS

Uninterruptible Power Supply

VIDMUX

Video Multiplexer

V

Volts

VPN

Virtual Private Network

Mac-Lab/CardioLab/Centricity Cardiology INW Service ManualA-3

Abbreviations

Hospital Staff
Abbreviation

A-4

Description

CNS

cardiac nurse specialist

CRNA

certified registered nurse anesthetist

CVT

cardiovascular technologist

CVVT

certified cardiovascular technologist

DOdoctor of osteopathic medicine

DR

doctorLPN

licensed practical nurse

LVN

licensed vocational nurse

MD

doctor of medicine

MD/PhD

Physician/Doctor

NA

nurse's assistantNP

nurse practitioner

PA

physician's assistantPhD

doctor of philosophy

RCIS

registered cardiac interventional specialist

RCPT

registered cardiopulmonary technologist

RCS

registered cardiac sonographer

RCVT

registered cardiovascular technologist

RN

registered nurse

RRT

registered respiratory therapist

RTradiology technologist

RTR

radiologic technologist registered cardiovascular

RTRCV

radiologic technologist registered cardiovascular

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

2021423-503H

Abbreviations

Medical Abbreviations
Abbreviation

2021423-503H

Description

ABAO

Abdominal Aorta

ACC

American College of Cardiology

ACV

Antecubital Vein

ADT

Admission Discharge Transfer

AIR

Room Oxygen Temperature

Ao

Aorta or Aortic Pressure

APV

Anamalous Pulmonary Vein

ARCH

Transverse Aortic Arch

AREA

Area - No Valve

ARP

Antegrade Refractory Period

ART

Arterial

ARTSAT

Arterial Saturation

ASAO

Ascending Aorta

ATM

Atmospheres

ATPS

Ambient Temperature and Pressure where Gas
is Saturated with Water Vapor

AVA

Aortic Valve Area

AVdiff

Arteriovenous Oxygen DifferenceaVF

left foot augmented lead

AVF

Aortic Valve Flow

AVG

Aortic Valve Gradient

AVI

Aortic Index or Aortic Valve Area IndexaVLleft arm augmented lead

AVN ERP

Atrio-Ventricular Node Effective Refractory
PeriodA-VO2 diff

Arterial - Venous Oxygen difference

aVR

right arm augmented lead

AXA

Axiliary Artery

AXV

Axiliary Vein

Mac-Lab/CardioLab/Centricity Cardiology INW Service ManualA-5

Abbreviations

Abbreviation

A-6

Description

AZV

Azygos VeinBA

Brachial Artery

BIM

bioelectric impedance measurement

BP

Blood Pressure

BPM

Beats Per Minute

BSA

Body Surface Area

BV

Brachial Vein

C.I.

Cardiac Index

C.O.

Cardiac Output

CA

Common Atrium

CARA

Carotid Arterycath

catheterization

CCU

Coronary Care Unit

CI

Cardiac Index

CIM

Catheter Input Modules

Clin Proc

Clinical Procedures

CO

Cardiac Output

COFICK

Cardiac Output by Fick

COL

Systemic Collateral Artery to Lungs

Comp

Complications

Cond Intvls

Conduction Intervals

Cons Sed

Conscious Sedation

COR

Coronary Artery

COtd

Cardiac Output obtained by Thermodilution

COUT

Cardiac Output

COUTI

Cardiac Index

CPT

Current Procedural Terminology

CS

Coronary Sinus

CSNRTCorrected Sinus Node Recovery TimeCV

Common Ventricle

CVIS

Cardiovascular Information System

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

2021423-503H

Abbreviations

Abbreviation

2021423-503H

Description

CVP

Central Venous Pressure

DCS

Distal Coronary Sinus

DFP

Diastolic Filling Period

DFPm

Mitral Diastolic Filling Period

DFPt

Tricuspid Diastolic Filling Period

DFT

Diastolic Filling Time

Dias

Diastolicdp/dtchange in pressure per unit in time

DSAO

Descending Aorta

ECG

ElectroCardioGram

EDP

End Diastolic Point

Emerg

EmergencyEPelectrophysiology

ER

Emergency Room

ERP

Effective Refractory Period

ESU

Electrosurgical Unit

EtCO2

End tidal CO2

EXP CO2

Expired CO2

FA

Femoral Artery

FCa

Arterial Content

FCI

Fick Cardiac Index

FCLA

Fistula Coronary to the Left Atrium

FCLV

Fistula Coronary to the Left Ventricle

FCpa

Pulmonary Artery Content

FCpv

Pulmonary Venous Content

FCRA

Fistula Coronary to the Right Atrium

FCRV

Fistula Coronary to the Right Ventricle

FCv

Venous Content

FEO2

Oxygen of Expired Air

FIO2Oxygen of Inspired Air

Mac-Lab/CardioLab/Centricity Cardiology INW Service ManualA-7

Abbreviations

Abbreviation

A-8

Description

FIS

Arterial Fistula

FLOW

Flow - No Gradient

FRZ

FreezeFV

Femoral Vein

Gcm2

Gray-centimeter squared

HABAO

High Abdominal Aorta

HAO

High Aorta

HARCH

High Transverse Aortic Aorch

HASAOHigh Ascending Aorta

HAZ

Hemiazygos Vein

Hb

Hemaglobin

HDSAOHigh Descending Aorta

HEPA

Hepatic Artery

HEPV

Hepatic Vein

HIPAA

Health Insurance Portability and Accountability
Act

HIS

Hospital Information System

HIVC

High Inferior Vena Cava

HLA

Hight Left Atrium

HLV

Hight Left Ventricle

HLVA

High Left Ventricular Apex

HLVIN

High Left Ventricle Inflow

HLVOC

High Left Ventricle Outflow

HNAO

High Neo-Aorta

HR

Heart Rate

HRA

High Right Atrium

HRAO

Heart Rate

HRf

Fick Heart RateHRU

Hybrid Resistance Units

HRV

Hight Right Ventricle

HRVA

High Right Ventricular Apex

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

2021423-503H

Abbreviations

Abbreviation

2021423-503H

Description

HRVIN

High Right Ventricular Inflow

HRVIN

High Right Ventricle Inflow

HRVOT

Hight Right Ventricular Outflow

HSVC

High Superior Vena Cava

HUA

High Umbilical Artery

HUVHigh Umbilical Vein

HVC

High Vena Cava

I/O

Intake/output

IABP

Intra-Aortic Balloon Pump

IB

Inferior Baffle

IC

Intra-cardiacs

ICU

Intensive Care Unit

IMInternal Mammary

IMA

Internal Mammary Artery

INDEX

Valve Index or Area Index - No Valve

INNA

Innominate Artery

INNV

Innominate Vein

INSP CO2

Inspired CO2

IVCInferior Vena Cava

JX

Juxtaposed Appendage

LA

Left Atrium

LACV

Left Antecubital Vein

LaM

Mean Left Atrial Pressure

LAO

Low Aorta

LAPV

Left Anamolous Pulmonary Vein

LARCH

Low Transverse Aortic ArchLART

Left Arterial

LASAO

Low Ascending Aorta

LAXA

Left Auxiliary Artery

LAXV

Left Auxiliary Vein

LAZV

Left Azygos Vein

Mac-Lab/CardioLab/Centricity Cardiology INW Service ManualA-9Abbreviations

Abbreviation

A-10

Description

LBA

Left Brachial Artery

LBAO

Low Abdominal Aorta

LBV

Left Brachial Vein

LCA

Left Common Atrium or Left Coronary Artery

LCARA

Left Carotid Artery

LCNDT

Left Conduit

LCOR

Left Coronary Artery

LCV

Left Common Ventricle

LDSAO

Low Descending Aorta

LED

Light Emitting Diode

LFCLV

Left Fistula Coronary to Left Ventricle

LFCRA

Left Fistula Coronary to Right Atrium

LFCRV

Left Fistula Coronary to Right Ventricle

LFIS

Left Arterial Fistula

LFV

Left Femoral Vein

LHAZ

Left Hemiazygos Vein

LHEPA

Left Hepatic Artery

LHEPV

Left Hepatic Vein

LIB

Left Inferior Baffle

LIMA

Left Internal Mammary Artery

LINNA

Left Innominate Artery

LINNV

Left Innominate Vein

LIVC

Low Inferior Vena Cava

LJX

Left Juxtaposed Appendage

LLA

Low Left Atrium

LLV

Low Left Ventricle

LLVA

Low Left Ventricular Apex

LLVIN

Low Left Ventricle Inflow

LLVOT

Low Left Ventricle Outflow

LNAO

Left Neo-Aorta

LNPA

Left Neo Pulmonary Artery

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

2021423-503H

Abbreviations

Abbreviation

2021423-503H

Description

LOC

Level of Consciousness

LPA

Left Pulmonary Artery

LPAB

Left Pulmonary Artery Branch

LPACN

Left Pulmonary Artery Conduit

LPAVF

Left Pulmonary Artery Venous Fistula

LPAW

Left Pulmonary Artery Wedge

LPDA

Left Patent Ductus Arteriosus

LPV

Left Pulmonary Vein

LPVAT

Left Pulmonary Venous Atrium

LPVC

Left Pulmonary Vein chamber in Cor Triatriatum

LPVCN

Left Pulmonary Vein Confluence

LPVW

Left Pulmonary Vein Wedge

LRA

Low Right Atrium

LRADA

Left Radial Artery

LRENV

Left Renal Vein

LRFLOW

Left to Right Flow

LRFLOWI

Left To Right Shunt Flow Index

LRV

Low Right Ventricle

LRVA

Low Right Ventricular Apex

LRVIN

Low Right Ventricular Inflow

LRVOT

Low Right Ventricular Outflow

LSBCA

Left Subclavian Artery

LSCLV

Left Subclavian Vein

LSHNT

Left Systemic Pulmonary Shunt

LSP

Left Special

LSPHV

Left Saphenous Vein

LSVC

Low Superior Vena Cava

LTAC

Left Truncus Arteriosus Communis

LUA

Low Umbilical Artery

LUV

Low Umbilical Vein

LV

Left Ventricle

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

A-11

Abbreviations

Abbreviation

A-12

Description

LVA

Left Ventricle Apex

LVC

Low Vena Cava

LVEDP

Left Ventricular End Diastolic Period

LVEN

Left Venous

LVET

Left Ventricle Ejection Time

LVFT

Left Ventricle Filling Time

LVIN

Left Ventricle Inflow

LVOC

Left Ventricle Outflow Chamber

LVOT

Left Ventricle Outflow

LVRTA

Left Vertebral Artery

LVSW

Left Ventricular Stroke WorkLVSWI

Left Ventricle Stroke Work Index

MAP

Mean Arterial Pressure

Meds

Medications

MMF

Mean Maximum Flow

MRN

Medical Record Number

MV

Mixed Venous

MVA

Mitral Valve Area

MVF

Mitral Valve Flow

MVG

Mitral Valve Gradient

MVGpcws

Mitral Valve Splice Pulmonary Capillary Wedge

MVI

Mitral Index or Mitral Valve Area Index

NAO

Neo Aortic ArchNIBP

Non-Invasive Blood Pressure

NICU

Neuro Intensive Care UnitNPA

Neo Pulmonary Artery

O2

OxygenOp

Operative

PA

Pulmonary ArteryPa

Pressure Artery for FFR

PAB

Pulmonary Artery Branch

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

2021423-503H

Abbreviations

Abbreviation

2021423-503H

Description

PACN

Pulmonary Artery Conduit

PAFV

Pulmonary Arteovenous Fistula

PAm

Mean Pulmonary Arterial Pressure

PAO2

Mixed Venous Oxygen Saturation a/k/a
Pulmonary Artery Saturation

PAW

Pulmonary Artery Wedge

Pb

Barometric Pressure

PCI

Percutaneous Coronary Intervention

PCS

Proximal Coronary Sinus

PCW

Pulmonary Capillary Wedge Pressure

PDA

Patent Ductus Arteriosus

PER

Period - No Value

PID

Patient Identification

PO2

Dissolved Oxygen Tension a/k/a Partial Pressureof Oxygen

PV

Pulmonary Vein

PVA

Pulmonary Valve Area

PVAT

Pulmonary Venous Atrium

PVCH

Pulmonary Vein Chamber in Cor Triatriatum

PVCN

Pulmonary Vein Confluence

PVF

Pulmonary Valve Flow

PVG

Pulmonary Valve Gradient

PVGs

Pulmonary Valve Splice

PVI

Pulmonary Index or Pulmonary Valve Area Index

PVO2

Pulmonary Vein Saturation

PVR

Peripheral Vascular Resistance

PVR_SVR ratio

Pulmonary Vascular Resistance, Systemic
Vascular Ratio

PVR_W

Pulmonary Vascular Resistance in Wood Units

PVRI

Pulmonary Vascular Resistance Index

PVRI_W

Pulmonary Vascular Resistance in Wood Units

PVW

Pulmonary Vein Wedge

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

A-13

Abbreviations

Abbreviation

A-14

Description

Qeff

Effective Pulmonary Flow

Qp

Pulmonary Flow

Qp/Qs

Flow Ratio

QPEFFI

Effective Pulmonary Flow Index

Qpl

Pulmonary Flow Index

Qs

Systemic Flow

Qsl

Systemic Flow Index

R

ReportRA

Right Atrium

RACV

Right Antecubital Vein

Rad

Radiology

RADA

Radial Artery

RaM

Mean Right Atrial Pressure

RAPV

Right Anamolous Pulmonary Vein

RART

Right Arterial

RAVZ

Right Azygos Vein

RAXA

Right Auxiliary Artery

RAXV

Right Auxiliary Vein

RBA

Right Brachial Artery

RCA

Right Common Atrium or Right Coronary Artery

RCARA

Right Carotid Artery

RCNDT

Right Conduit

RCOR

Right Coronary Artery

RCV

Right Common Ventricle

RENA

Renal Artery

RENV

Renal Vein

RFA

Right Femoral Artery

RFCLA

Right Fistula Coronary to Left Atrium

RFCLV

Right Fistula Coronary to Left Ventricle

RFCRA

Right Fistula Coronary to Right Atrium

RFV

Right Femoral Vein

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

2021423-503H

Abbreviations

Abbreviation

2021423-503H

Description

RHAZ

Right Hemiazygos Vein

RHEPA

Right Hepatic Artery

RHEPV

Right Hepatic Vein

RIB

Right Inferior Baffle

RIMA

Right Internal Mammary Artery

RINNA

Right Innominate Artery

RINNV

Right Innominate Vein

RJX

Right Juxtaposed Appendage

RLFLOW

Right to Left FlowRLFLOWI

Right to Left Shunt Flow Index

RMOT

Remote Operators Terminal

RNPA

Right Neo Pulmonary Artery

ROI

Region of Interest

RPA

Right Pulmonary Artery

RPAB

Right Pulmonary Artery Branch

RPACN

Right Pulmonary Artery Conduit

RPAVF

Right Pulmonary Artery Venous Fistula

RPAW

Right Pulmonary Artery Wedge

RPDA

Right Patent Ductus Arteriosus

RPV

Right Pulmonary Vein

RPVAT

Right Pulmonary Venous Atrium

RPVC

Right Pulmonary Vein chamber in Cor Triatriatum

RPVCN

Right Pulmonary Vein Confluence

RPVW

Right Pulmonary Vein Wedge

RR

Respiratory Rate

RRADA

Right Radial Artery

RRENV

Right Renal Vein

RRP

Retrograde Refractory Period

RSCLV

Right Subclavian Vein

RSHNT

Right Systemic Pulmonary Shunt

RSP

Right Special

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

A-15

Abbreviations

Abbreviation

A-16

Description

RSPHV

Right Saphenous Vein

RT

Room Temperature

RTAC

Right Truncus Arteriosus Communis

RVA

Right Ventricle Apex

RVEN

Right Venous

RVET

Right Ventricle Ejection Time

RVFT

Right Ventricle Filling Time

RVIN

Right Ventricle Inflow

RVOT

Right Ventricle Outflow

RVSW

Right Ventricular Stroke WorkRVSWIRight Ventricle Stroke Work Index

RVTRA

Right Vertebral Artery

SA

Systemic Artery

SAm

Mean Systemic Arterial Pressure

Sat

Saturation

SB

Superior Baffle

SBCA

Subclavian Artery

SCL

Sinus Cycle Length

SCLV

Subclavian Vein

SCVSuperior Vena Cava

SEP

Systolic Ejection Period

Sep/Dfp

Systolic Ejection Period divided by Diastolic
Filling Period

SEPa

Aortic Systolic Ejection Period

SEPp

Systolic Ejection Period

SHNT

Systemic Pulmonary Shunt

SNRT

Sinus Node Recovery TimeSP

Special Pressure

SPHV

Saphenous Vein

SpO2

Peripheral Oxygen Saturation

Statstatim (Latin for immediately)

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

2021423-503H

Abbreviations

Abbreviation

2021423-503H

Description

Stim

Stimulus

STPD

Standard Temperature and Pressure of Dry Gas

STS

Society of Thorasic Surgeons

SV

Stroke Volume

SVA

Systemic Venous Atrium

SVI

Stroke Index

SVR

Systemic Vascular Resistance

SVR_W

Systemic Vascular Resistance in Wood Units

SVRI

Systemic Vascular Resistance Index

SVRI_W

Systemic Vascular Index in Wood Unitssync

synchronis

SysSystolic

T

Room Temperature

TAC

Truncus Arteriosus Communis

TDCI

Thermodilution Cardiac Index

TDCO

Thermodilution Cardiac Output

TPR

Total Peripheral Resistance

TPR_TVR ratio

Total Pulmonary Resistance, Total Vascular
Resistance Ratio

TPR_W

Total Pulmonary Resistance, Wood Units

TPRI

Total Pulmonary Resistance Index

TPRI_W

Total Pulmonary Index, Wood Units

TPVR_W

Total Pulmonary Vascular Resistance in WoodUnits

TPVRI_W

Total Pulmonary Vascular Resistance Index inWood Units

TRAM

Transport Remote Acquisition Monitor

Trig

Trigger

TSVR

Total System Vascular Resistance

TSVR_W

Total Systemic Vascular Resistance in Wood
Units

TVA

Tricuspid Valve Area

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

A-17

Abbreviations

Abbreviation

Description

TVF

Tricuspid Valve Area

TVG

Tricuspid Valve Gradient

TVGs

Tricuspid Valve Splice

TVI

Tricuspid Index or Tricuspid Valve Area Index

TVR

Total Vascular Resistance

TVRI

Total Vascular Resistance Index

TVRI_W

Total Vascular Resistance Index in Wood Units

UA

Umbilical Artery

UV

Umbilical Vein

VA

Valve Area

VC

Vena CavaVeATPS

Minute volume at ATPS

VEN

VenousVENSAT

Venous Saturation

VeSTPD

Minute volume

VeSTPD

Volume of Gas (Corrected)

VF

Valve Flow or Ventricular Fibrillation

VGs

Valve Splice

VI

Valve Index

VO2Oxygen Consumption

VRTA

Vertebral Artery

WCT

Wilson Central Terminal

WU

Wood Units

Miscellaneous Abbreviations
Abbreviation

A-18

Description

3-D

Three Dimensional

Accts

Accounts

C

Centigrade

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

2021423-503H

Abbreviations

Abbreviation

2021423-503H

Description

Cal

Calibrationcm

centimeters

cm2

centimeters squared

C02

Carbon Dioxide

FAQ

Frequently Asked Questions

FT

Feet

gm/dl

grams per deciliter

Grad

Gradient

HT

Height

HH:MM:SS

Hours:Minutes:Seconds

ID

Identity

IMG

Image

Info

Informationkgs

kilogramskPa

Kilopascal

KT

Water Vapor Pressurelbpoundsl/minliters per minutel/min/m2

liters per minute per milliliter squared

mcg

micrograms

ml/dl

milliliters per deciliter

ml/minmilliliters/minute

ml/s

milliliters per second

mm/hg

millimeters of mercury

mm/secmillimeters per seconduA

microamperes

UL

Underwriter's Laboratory

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

A-19

Abbreviations

A-20

Mac-Lab/CardioLab/Centricity Cardiology INW Service Manual

2021423-503H

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