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CAE VimedixAR User Manual

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  • Page 1 with HoloLens 2 User Guide Your worldwide training partner of choice...
  • Page 2 This document, including the information contained herein, is confidential and/or proprietary to CAE Inc., and shall not be reproduced or disclosed in whole or in part, or used for any purpose whatsoever without the prior written authorization of CAE Inc.

  • Page 3: Table Of Contents

    If You Experience Discomfort ..........18 ©2020 CAE 905K803052...
  • Page 4 Step 9: Install and Update the CAE VimedixAR App ....... .
  • Page 5 Warnings ..............66 Care and Cleaning ..................... 69 ©2020 CAE 905K803052...
  • Page 6 CAEVimedixAR Contents THIS PAGE INTENTIONALLY LEFT BLANK ©2020 CAE 905K803052...

  • Page 7: Cautions And Warnings

    In fueling areas, sparks can occur and cause an explosion or fire. When you are in a fueling area, turn off your HoloLens 2 and do not remove or install battery chargers, AC adapters, or any other accessory. ©2020 CAE 905K803052...

  • Page 8: Heat Related Concerns

    Seizures may also cause loss of consciousness or convulsions that can lead to injury from falling down or striking nearby objects. Immediately stop using the HoloLens 2 and consult a doctor if you experience any of these symptoms. ©2020 CAE 905K803052...

  • Page 9: Skin Irritation

    • Do not wear over injured skin. • Adjust the headband only until snug – avoid tightening the headband uncomfortably. • If your skin becomes irritated, stop using the HoloLens 2 device. • If symptoms are severe or persist, consult your physician. ©2020 CAE 905K803052...
  • Page 10 CAEVimedixAR Cautions and Warnings THIS PAGE INTENTIONALLY LEFT BLANK ©2020 CAE 905K803052...

  • Page 11: Helpful Links

    • Setup Hololens 2: https://docs.microsoft.com/en-us/hololens/hololens2-start • Using Gestures: https://docs.microsoft.com/en-us/hololens/hololens2-basic-usage • Connect to Miracast: https://docs.microsoft.com/en-us/hololens/hololens-connect- devices#connect-to-miracast • Environment considerations for HoloLens 2: https://docs.microsoft.com/en-us/ hololens/hololens-environment-considerations • Caring for and cleaning your HoloLens 2: https://docs.microsoft.com/en-us/hololens/ hololens2-hardware • Additional instructions and references: https://docs.microsoft.com/en-us/hololens/ ©2020 CAE 905K803052...
  • Page 12 CAEVimedixAR Helpful Links THIS PAGE INTENTIONALLY LEFT BLANK ©2020 CAE 905K803052...

  • Page 13: Equipment Overview

    Connect to power supply for charging or connect to a computer Power supply 18W charger, 9V at 2A Microfiber cloth Use to clean the visor For more information about the Hololens 2 hardware, go to this link: https://docs.microsoft.com/en- us/hololens/hololens2-hardware ©2020 CAE 905K803052...
  • Page 14 CAEVimedixAR Equipment Overview THIS PAGE INTENTIONALLY LEFT BLANK ©2020 CAE 905K803052...

  • Page 15: Introduction

    The Summon Menu gesture, also referred to as the Start gesture, is used to open the Start menu and navigation menus. If a user is uncertain of what to do, the Summon Menu gesture is a good way to get reoriented. ©2020 CAE 905K803052...
  • Page 16 3. The Start menu or navigation menu will open. 4. To close the menu, repeat the Summon Menu gesture while the Start menu is open. You can also look at the Start menu and say, “Close”. Summon Menu Gesture ©2020 CAE 905K803052...

  • Page 17: Gaze

    This gesture is shown at the following link: https://docs.microsoft.com/en-us/hololens/ hololens2-basic-usage Gaze Gaze can be used to move the cursor and highlight apps and other holograms for selection. The cursor follows whole head movements as opposed to simple movement of the eyes. ©2020 CAE 905K803052...

  • Page 18: Air Tap Gesture

    2. Hold your hand straight out in front of you in a loose fist. 3. Point your index finger straight up toward the ceiling. 4. Point your thumb straight out, forming an “L” with your index finger. ©2020 CAE 905K803052...

  • Page 19: Air Tap And Hold Gesture

    Hand Ray Gesture The hand ray gesture allows you to interact with holograms or menus out of reach, also known as far field manipulation. It is used to interact with menus and content in the application. ©2020 CAE 905K803052...

  • Page 20: Zoom And Rotate

    One or both hands can be used to perform these actions. Zoom: • Zoom IN: Pinch or grab and hold, then slowly move your hand(s) towards you • Zoom OUT: Pinch or grab and hold, then slowly move your hand(s) away from you ©2020 CAE 905K803052...

  • Page 21: Resizing Holograms And App Windows

    Shared Experience Mode unless stated otherwise. Note: Voice commands for VimedixAR, such as 'Vimedix, Face Me”, are still available with Hololens 2. In some cases, the application menu might get lost. One option is to say, “Vimedix, Face Me”, to...

  • Page 22: Environmental Anchoring

    This prevents the hologram from drifting causing the device to lose its tracking. Prior to launching CAE VimedixAR, walk around with the HoloLens 2 on your head so it can map the surroundings. Microsoft suggests doing this for between 5 and 10 minutes, to look at the ceiling, the floor and other objects from all sides.

  • Page 23: Know Your Surroundings

    Note: You may see a warning icon with the text: Poor environment for tracking! Holograms may shift in position at the top left corner of your field of view during a VimedixAR simulation. This message is an indication that the HoloLens 2 is having difficulty tracking the environment. Ensure that you are taking the environmental conditions listed above into consideration and scan your environment with the HoloLens 2 until the warning disappears from your field of view.

  • Page 24: Certain Situations Can Increase Your Risk Of Discomfort

    If symptoms are severe or persist, consult your doctor. Viewing AR or Mixed Reality is not known to harm vision development or cause binocular vision disorders. If you are not able to view the AR effect clearly and comfortably, consider consulting an eye doctor, as you may have an undiagnosed binocular vision disorder. ©2020 CAE 905K803052...

  • Page 25: Setup Procedure

    Step 1: Access Azure Active Directory Account You will receive an Azure Active Directory Account at the time you purchase the VimedixAR application. This account will allow you to access the CAE Healthcare tab on the Hololens Microsoft Store, where you can install and update the application from the Hololens 2. The password is account specific and should not be changed.

  • Page 26: Battery Leds

    The back band should rest in the mid-back of your head. Note: If you wear eyeglasses, leave them on. b. To expand or loosen the fit, turn the adjustment left or right then loosen the overhead strap. Hololens 2 Overhead Strap ©2020 CAE 905K803052...

  • Page 27: Attach And Detach The Overhead Strap

    To detach the back of the overhead strap, press the button below each connection tab and gently pull the strap out. Attaching and Detaching the Overhead Strap Step 4: Connect the Hololens 2 Prior to beginning this process, start with the router and HoloLens 2 powered off. To connect the HoloLens 2: ©2020 CAE 905K803052...

  • Page 28: Step 5: Power On The Hololens 2

    Open the Start menu and select the display icon. b. Say “Connect” while gazing at the Start menu. 2. Select an available device from the list of devices that appears. 3. Complete the pairing to begin projecting. ©2020 CAE 905K803052...

  • Page 29: Step 7: Establish The Network Connection

    Step 7: Establish the Network Connection The HoloLens 2 is preconfigured to connect to the CAE Vimedix manikin or the external router, if used without the CAE Vimedix manikin, . If the network does not match the desired simulator, see the Troubleshooting section of this guide.
  • Page 30 Note: This step could take more than 20 minutes to complete. While the HoloLens 2 is restarting, you may connect the HoloLens 2 to a power source. DO NOT place the HoloLens 2 upright or you will have to recalibrate it again. ©2020 CAE 905K803052...

  • Page 31: Step 9: Install And Update The Cae Vimedixar App

    CAE Healthcare tab. If you require assistance, contact CAE Customer Service. b. Air Tap on the CAE Healthcare tab. Healthcare Microsoft Store - CAE Healthcare Tab c. Air Tap on the CAE VimedixAR App, then Air Tap the Install button. ©2020 CAE 905K803052...
  • Page 32 Microsoft Store - App Installed To update the CAE VimedixAR App: a. From the Microsoft Store, Air Tap the Download icon for the VimedixAR application. Note: The download may take a few minutes to complete. You can follow the progress of the download when the VimedixAR application appears in the download queue section.

  • Page 33: Step 10: Download Updates From Microsoft Store

    Setup Procedure c. Air Tap the Launch button to launch the CAE VimedixAR application with one of the following methods: Use Air Tap along with Gaze. º Use Gaze and follow the voice command prompt by saying "Launch" when it appears º...
  • Page 34 Use Hand Ray or Near Interaction and follow the voice command prompt by saying º “See more” when it appears at the bottom of the See More icon. See More icon Microsoft Store - See More Icon ©2020 CAE 905K803052...

  • Page 35: Step 11: Configure The Start Menu

    Microsoft Store - Get Updates Button e. If a Microsoft Store update is available, download and install the update. Step 11: Configure the Start Menu HoloLens 2 operating system updates may alter your Start menu configuration. ©2020 CAE 905K803052...

  • Page 36: Step 12: Start Cae Vimedixar Pathologies

    IMPORTANT: Be careful not to select the Uninstall option when unpinning an application. Step 12: Start CAE VimedixAR Pathologies To start CAE VimedixAR Pathologies, select and start one of these 16 augmented reality supported Pathologies: • PathologyCardiacEFast • PathologyCardiacNormal3 •...

  • Page 37: Cae Vimedixar User Interface (Ui)

    CAE VIMEDIXAR User Interface (UI) CAE V AR U (UI) IMEDIX NTERFACE The CAE VimedixAR User Interface (UI) is divided into the following three main sections: • Interactive Panel • Ultrasound Panel • Hologram Control Buttons Hologram Control Buttons Interactive...
  • Page 38 CAEVimedixAR CAE VIMEDIXAR User Interface (UI) Note: The unlocked UI will be boxed in orange when it is in your grasp and boxed in blue when it is not in your grasp. Unlocked UI Enabled for Transition Unlocked UI in Transition...

  • Page 39: Interactive Panel

    CAE VIMEDIXAR User Interface (UI) Interactive Panel The Interactive Panel is located on the left side of the UI and is controlled by the following buttons along its left side: • Information • Multi-user • Calibration • Exercises • Demo •...

  • Page 40: Multi-User Menu

    Interactive Panel - Multi-User Menu Please refer to the Shared Experience Modes section of this guide for more information about each Shared Experience Mode in VimedixAR. If the Shared Experience Mode is set to Individual, control is given over the other HoloLens by selecting the Instructor option.

  • Page 41: Calibration Menu

    CAE VIMEDIXAR User Interface (UI) Calibration Menu The Calibration menu displays the calibration status (e.g. Not Calibrated or Calibrated) and an overview of the calibration procedure steps when the Calibration button is selected. You must choose which side of the manikin you want to calibrate from.
  • Page 42 Calibration button Interactive Panel - Calibration Offline For more information about the calibration process in VimedixAR, see the Calibration Procedure section of this user guide. ©2020 CAE 905K803052...

  • Page 43: Exercises Menu

    Note: If your Shared Experience Mode is set to Individual or Student, the Start buttons of both exercises will be disabled and the "*Requires Instructor Mode" message will appear. For more information about the available exercises in VimedixAR, see the Exercises section of this user guide .

  • Page 44: Settings Menu

    To start the Local Demo, select the Local Demo button on the Interactive Panel. Note: The Local Demo button will only be enabled if your Shared Experience Mode is set to Individual. For more information about the demo modes in VimedixAR, see the Demo Modes section of this user guide. ©2020 CAE 905K803052...

  • Page 45: Help Menu

    CAE VIMEDIXAR User Interface (UI) Help Menu The Interactive Panel displays the most useful voice commands that are compatible with VimedixAR when the Help button is selected. Air Tap the Help button to open the Help menu. Help button Interactive Panel - Help Menu Ultrasound Panel The Ultrasound Panel displays the real-time ultrasound image.

  • Page 46: Hologram Control Buttons

    CAEVimedixAR CAE VIMEDIXAR User Interface (UI) Hologram Control Buttons The UI is controlled by the following Hologram Control buttons along its right side: • Adjust Menu - Lock/Unlock • Left Cross Section • Right Cross Section • Show Layers • Raise Anatomy •...
  • Page 47 CAE VIMEDIXAR User Interface (UI) Button Icon Button Name Description No Cross Section Removes the cross-sectional view of the hologram anatomy Show Layers *Expands the different anatomical systems into layers above the Physical manikin Raise Anatomy *Raises the anatomy selected in the Structures...
  • Page 48 CAEVimedixAR CAE VIMEDIXAR User Interface (UI) THIS PAGE INTENTIONALLY LEFT BLANK ©2020 CAE 905K803052...

  • Page 49: Calibration Procedure

    Calibration Procedure ALIBRATION ROCEDURE VimedixAR supports the following two methods to calibrate the position of the Hologram manikin relative to the physical manikin: • Calibration by Tag • Calibration by Gaze Note: Calibration by Tag or Gaze can always be repeated if the physical manikin is moved.

  • Page 50: Fine-Tuning A Calibration

    Gaze and Air Tap to select the arrow controls of the calibration gizmo to move the Hologram manikin 1 cm left, right, up, down, in the direction of its head, or in the direction of its feet. ©2020 CAE 905K803052...
  • Page 51 Gaze and Air Tap to select the stand control symbol of the calibration gizmo to incline the Hologram manikin at a 45° on its left side to match the inclination of the physical manikin when it is configured with both stands. To remove the 45° inclination, select the calibration gizmo symbol again. ©2020 CAE 905K803052...
  • Page 52 CAEVimedixAR Calibration Procedure THIS PAGE INTENTIONALLY LEFT BLANK ©2020 CAE 905K803052...

  • Page 53: Using Cae Vimedixar

    2. Verify that the HoloLens 2 is connected to the VMDX#### wireless network. 3. If you don’t see the VimedixAR app icon in the Start menu, Air Tap the All Apps icon to the right of the menu. 4. Air Tap and hold the VimedixAR icon, then Air Tap Pin to pin the app to the Start menu.
  • Page 54 CAEVimedixAR Using CAE VimedixAR Button Icon Button Name Description Adjust Menu - Unlocked Unpins the object or menu, allowing it to be moved Left Cross Section Displays a cross-sectional view of the hologram anatomy based on the position of the ultrasound...

  • Page 55: Demo Modes

    *Button is disabled if Shared Experience Mode is set to Student mode Demo Modes VimedixAR supports the following two Demo modes: • Shared Demo • Local Demo Regardless of whether you are the Instructor or the Student, all menu buttons and Hologram Controls are disabled during the Shared Demo and the Local Demo.
  • Page 56 CAEVimedixAR Using CAE VimedixAR One a Shared Demo is initiated, a FitBox appears in the field of view for the Instructor and the Student. It is important that each HoloLens is calibrated so that all four corners of the Fitbox are visible.

  • Page 57: Local Demo Mode

    Individual and may or may not be connected to the Vimedix system. The Local Demo mode provides Individual users with the opportunity to become acquainted with some of the features of VimedixAR even if they are not connected to the Vimedix system.

  • Page 58: Exercises

    To exit the Local Demo, select the Exit button. Settings Menu - Local Demo Options Exercises VimedixAR supports the following two exercises: • Region Scan Exercise (Instructor and Student Modes) • Find Fluids Exercise (Instructor and Student Modes) Regardless of whether you are in Instructor or Student mode, access to the following buttons during Exercises are enabled: Adjust Menu, Left Cross Section, Right Cross Section, No Cross Section, and Pause Probe.
  • Page 59 Using CAE VimedixAR b. Scan the selected region(s) with or without visual aids representing the selected region(s). c. Review the metrics and visual feedback that will be displayed in simulation once the Region Scan exercise has been completed. To start the Region Scan exercise: 1.
  • Page 60 CAEVimedixAR Using CAE VimedixAR 4. Air Tap the Start button on the bottom of the menu to begin the Region Scan exercise. The timer starts when the Region Scan exercise begins and is visible in the middle of the Interactive Panel.
  • Page 61 Using CAE VimedixAR The Interactive Panel then displays the Region Scan Results, which include the following metrics: Total time º Total distance traveled (cm) º Total angular movement (deg) º Percent scanned (%) º Interactive Panel (Instructor Mode) - Region Scan Exercise Results...
  • Page 62 CAEVimedixAR Using CAE VimedixAR a. Setting Up - occurs when the Instructor is setting up the Region Scan Parameters b. In Progress - occurs when the Instructor starts the Region Scan exercise and the exercise is running c. Completed - occurs when the Instructor completes the Region Scan...

  • Page 63: Find Fluids Exercise

    Using CAE VimedixAR Air Tap the Dismiss button at the bottom to exit the Region Scan exercise. Note: The Region Scan Results can be accessed once the exercise has been exited. Find Fluids Exercise The objective of the Find Fluids exercise is to allow a user to perform a FAST (Focused Assessment with Sonography for Trauma) ultrasound examination to locate free fluid in the shortest time possible.
  • Page 64 CAEVimedixAR Using VimedixAR To start the Find Fluids exercise: 1. Air Tap the Start button. The Interactive Panel displays the Find Fluids Parameters options panel, which include the following free fluid locations: Douglas’ Pouch º Morrison’s Pouch º Pericardial Effusion º...
  • Page 65 Using CAE VimedixAR The timer starts when the Find Fluids exercise begins and is visible in the middle of the Interactive Panel. Interactive Panel (Instructor Mode) - Find Fluids Exercise Timer 4. After locating the free fluid(s), select one or several of the following region(s) where the...
  • Page 66 CAEVimedixAR Using CAE VimedixAR When the Exercise Status is completed, the Interactive Panel displays the Instructor’s Find Fluids Results which include the following metrics: • Total time • Total distance traveled (cm) • Total angular movement (deg) Note: A green check mark represents a correct answer and a red X represents an incorrect answer.
  • Page 67 Using CAE VimedixAR b. In Progress - occurs when the Instructor starts the Find Fluids exercise and the exercise is running c. Completed - occurs when the Instructor completes the Find Fluids exercise and is now reviewing the Find Fluids Results...

  • Page 68: End The Simulation

    To end a CAE VimedixAR simulation with the HoloLens 2: 1. Use the Summon Menu gesture to access the VimedixAR Start menu. 2. Air Tap the Remove icon in the upper-right corner of the VimedixAR Startup window to exit and close the window.

  • Page 69: Troubleshooting

    Troubleshooting ROUBLESHOOTING If you encounter problems while operating your VimedixAR, check the common solutions below or contact your IT Department. Wireless Connection Issue To connect to the desired simulator network: 1. Use the Summon Menu gesture to open the Start menu.

  • Page 70: Warnings

    Warnings If a problem is detected, a warning icon will appear, prompting further action. If the problem cannot be resolved, please contact CAE customer service. Warning Icon Warnings are displayed on the Interactive Panel under the Information tab. If the Information tab is not selected when a warning is being displayed, a warning icon appears to the left of the Information tab to prompt you to select the latter and view the warning.
  • Page 71 Note: If the UI is not in your field of view when a warning is being displayed, the warning icon appears at the top left corner of your field of view with the text, “Warning! See more menu for more info.” The following table lists possible warnings you may encounter during a VimedixAR simulation with the appropriate resolution: Warning...
  • Page 72 No pathology loaded This warning message will appear when Vimedix is turning ON or OFF. When Vimedix is running, load one of the following pathologies that are supported by VimedixAR in Vimedix: • Normal Patient 3 • E-FAST_Template If these pathologies are not available in Vimedix, contact Customer Service.

  • Page 73: Care And Cleaning

    Remove dust with a camel or goat hair lens brush or bulb-style lens blower. º Lightly moisten the included microfiber cloth with a small amount of distilled water º and a mild antibacterial soap. Wipe the visor gently in a circular motion. Cleaning the Visor ©2020 CAE 905K803052...
  • Page 74 Wipe the brow pad with a microfiber cloth moistened with water and a mild º antibacterial soap. Replace the brow pad. º Note: Bleach-based wipes are NOT recommended. For more information about cleaning the Hololens 2 device, go to the link https://docs.microsoft.com/en-us/hololens/hololens2- maintenance ©2020 CAE 905K803052...
  • Page 75 For more information about CAE products, contact your regional sales manager or the CAE distributor in your country, or visit caehealthcare.com. Tel +1 941-377-5562 or 866-233-6384 For customer service, please contact CAE. Customer Service Headquarters - United States Monday - Friday from 7:00 a.m. to 6:00 p.m. ET Phone 1-866-462-7920 Email: srqcustomerservice@cae.com...

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