NOUS FIRMM Installation Manual

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FIRMM

Installation Guide -

Siemens MAGNETOM Scanners

CMC Medical Devices & Drugs S.L.

C/ Horacio Lengo n18

C.P. 29006, Málaga, Spain

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Page 1 FIRMM Installation Guide - ® Siemens MAGNETOM Scanners CMC Medical Devices & Drugs S.L. C/ Horacio Lengo n18 C.P. 29006, Málaga, Spain...
Page 2 Manufactured for Nous Imaging, Inc. 393 N Euclid Ave Suite 310 St. Louis, MO 63108 Customer Support: +1-844-NOUSIMG (+1-844-668-7464) Email: support@firmm.io © Nous Imaging, Inc. FIRMM Installation Guide - Siemens Page 2 ® 320-00201-DO-05 Revision 12 Released: 02/2022...
Page 3: Table Of Contents
Activating your FIRMM License ..........................15 Connecting the Network ............................. 16 Enabling Image Transfer from Siemens MRI Host Computer to FIRMM Tablet Computer ....20 Switch McAfee Embedded Control Software to Update Mode ............21 Move Files from Siemens USB Key to Host Computer ................ 25 Leave Update Mode............................
Page 4: Introduction
Technical Support +1-844-NOUSIMG (+1-844-668-7464) support@firmm.io For instructions on how to use the FIRMM system please see the “FIRMM User Manual”. 2 Safety Considerations The following section contains the safety considerations associated with FIRMM use. The user needs to become familiar with the following information in order to use FIRMM safely and effectively.
Page 5: List Of Warnings And Cautions
All the cautions listed below are also appropriately placed throughout this Installation Guide. List of Warnings and Cautions WARNING - The FIRMM device is MRI Unsafe. The FIRMM device should only be installed and operated from within the MRI control room (MR safety zone III) and outside the 5-gauss field of the MRI scanner.
Page 6: Compatible Scanners
3 Compatible Scanners FIRMM is compatible with Siemens MAGNETOM systems. If you are installing on a Siemens Trio VB17 series system with Windows XP contact Nous Imaging technical support at +1-844-NOUSIMG (+1-844-668-7464) for additional guidance before proceeding with the installation.
Page 7 *This switch is provided for convenience in the event that no open network jack is available. Note: you will need your Siemens local service password to complete the installation. The general process for setting up FIRMM include: A. Setting up the FIRMM Desktop Cradle B.
Page 8: Setting Up The Firmm Desktop Cradle
5 Setting Up the FIRMM Desktop Cradle WARNING - The FIRMM device is MRI Unsafe. The FIRMM device should only be installed and operated from within the MRI control room (MR safety zone III) and outside the 5-gauss field of the MRI scanner.
Page 9 Complete assembly of the power supply by inserting the AC line cord into the power supply “brick”. Insert the barrel plug connector into the rear of the FIRMM Desktop Cradle as shown below. Insert the AC connector into a power outlet (100-240 V AC).
Page 10 “DO NOT REMOVE”. It is only to be removed if advised by Nous Imaging service. Note: This USB drive maintains a copy of the routine FIRMM software monitoring that can be used to assist you if detailed analysis of your system operation becomes necessary. No protected health information is stored on the USB drive.
Page 11: Setting Up The Firmm Tablet Computer
With the Desktop Cradle facing forward, insert the FIRMM Tablet Computer as shown below taking care to align the connector and the guidance pins. Note: The FIRMM Tablet Computer is intended to be left in its Desktop Cradle at all times. © Nous Imaging, Inc.
Page 12 Tablet Computer as shown: Insert the right-angle CAT-6 Ethernet Cable (or other) into the network interface jack on the © Nous Imaging, Inc. FIRMM Installation Guide - Siemens Page 12 ® 320-00201-DO-05 Revision 12 Released: 02/2022...
Page 13 The left edge of the FIRMM Tablet Computer displays Power/Battery status (see blue arrow in photo below). The LED should be blinking blue indicating the internal battery is charging. Turn on the FIRMM system by pushing and then quickly releasing the Power Button on the lower right-hand edge of the FIRMM Tablet Computer.
Page 14 The power button location from your DT313T-MD Medical Tablet Basic Operations Guide is shown below: The FIRMM system will power up with the display shown below indicating it is awaiting data from the MRI scanner. © Nous Imaging, Inc. FIRMM...
Page 15: Activating Your Firmm License
Note: The FIRMM tablet should be left on and connected at all times. If users observe that images are taking longer than expected to be displayed on the console, verify that FIRMM is running or de- activate FIRMM transfers using the FIRMM stop always-send or FIRMM stop one patient shortcuts in the Windows Start Menu.
Page 16: Connecting The Network
Press the ”Add license” button, enter the key as shown below and press the ”Submit” button when it is entered. You will note that FIRMM will insert a “–“ between every fifth character automatically. The About screen will display the correct state of the new license.
Page 17 Computer. MRI System Wall Interface Note: Your FIRMM network switch should be plugged directly into an always-on-wall outlet and not into a power strip or another AC source that might be inadvertently switched off. If the network switch is powered off this will interrupt communication between the Siemens MRI Host Computer and the Siemens MRI MARS (Measurement and Reconstruction Subsystem) and will prevent normal operation of the Siemens MRI scanner.
Page 18 Siemens internal network connection on the MRI host computer. The provided right-angle Ethernet cable  is inserted between the switch and the FIRMM tablet positioned on the desktop in view of the operator. Do not forget to plug the 5-port Ethernet switch into AC power.
Page 19 5-port switch. Two examples are shown below: After connecting the MRI Host Computer, MARS and FIRMM tablet to the network switch, power the MRI Host Computer and scanner back on by pressing the blue “System On” button on the MRI System Wall Interface.
Page 20: Enabling Image Transfer From Siemens Mri Host Computer To Firmm Tablet Computer
Menu shortcuts are provided to initiate and stop the transfers from the Siemens MRI Scanner to the FIRMM Tablet Computer. This set up is detailed in Section 9.5. In this case, at the end of the installation your Windows Start menu will have the shortcuts “FIRMM start one patient” and “FIRMM stop one patient”.
Page 21: Switch Mcafee Embedded Control Software To Update Mode
5. Enable manual mode of image transfer for each patient registration by adding shortcuts “FIRMM start one patient” and “FIRMM stop one patient” in the Windows shortcut menu. 6. Use the Windows Start Menu shortcuts to manually start and stop the transfers.
Page 22 Step B: From the Local Service interface select Utilities. © Nous Imaging, Inc. FIRMM Installation Guide - Siemens Page 22 ® 320-00201-DO-05 Revision 12 Released: 02/2022...
Page 23 Step C: From the Utilities interface select Escape to OS. © Nous Imaging, Inc. FIRMM Installation Guide - Siemens Page 23 ® 320-00201-DO-05 Revision 12 Released: 02/2022...
Page 24 Step D: In the command menu select the NT Command Interpreter, enter MREmbeddedControlGUI, and click “Go”. Select “Enter Update Mode” as shown below: Select “OK” on the acknowledgement dialog (if one appears). © Nous Imaging, Inc. FIRMM Installation Guide - Siemens Page 24 ®...
Page 25: Move Files From Siemens Usb Key To Host Computer
Move Files from Siemens USB Key to Host Computer Insert the USB Key labeled “S-#.#.#” in one of the USB ports on the Siemens MRI Host Computer front panel. Create a directory T:\FIRMM © Nous Imaging, Inc. FIRMM Installation Guide - Siemens Page 25 ®...
Page 26 On the MRI Host Computer, open a file explorer from the Windows Start Menu by pressing Ctrl+Esc and selecting the “Computer” option. As shown below, navigate to the T: drive and right click to create a New Folder. © Nous Imaging, Inc. FIRMM Installation Guide - Siemens Page 26 ®...
Page 27 Be certain to change the name of the folder to FIRMM. © Nous Imaging, Inc. FIRMM Installation Guide - Siemens Page 27 ® 320-00201-DO-05 Revision 12 Released: 02/2022...
Page 28 Your USB key may be mounted to a drive letter like “Traveler (H:)” or have a different mount Drag the contents of the Siemens USB key to the FIRMM folder location you just created. location and name. Also, the below screenshot shows the T:\FIRMM directory after the contents of the USB are copied to the location.
Page 29: Leave Update Mode
Always-Send Mode of Installation 9.4.1 Enable Automatic Siemens Transfer In the File Explorer in the T:\FIRMM folder, right-click on “FIRMM_activate_always- send.bat” and choose “Open”. Note: there are several batch files and it is important to pay careful attention to open “FIRMM_activate_always-send.bat”.
Page 30: Windows Start Menu Shortcuts For Always-Send Mode
9.4.2 Windows Start Menu Shortcuts for Always-Send Mode These shortcuts are provided for manual FIRMM activation and deactivation, to initiate and stop the transfers from the Siemens MRI Scanner to the FIRMM Tablet Computer in case it is ever required.
Page 31 Navigate to the T:\FIRMM folder and find the “FIRMM start always-send” utility. Click to select and then “hold” the “FIRMM start always-send” utility and, while continuing to press the mouse button, use Ctrl+Esc to open the Windows Start Menu. Then drag the utility to the upper area of the start menu and “drop”...
Page 32: Enable Always-Send Mode At Mri Scanner Startup
If necessary, use Ctrl+Esc on your Siemens MRI Host Computer to open the Windows Start Menu again and verify the FIRMM always-send start and stop scripts are now displayed in the Windows Start Menu. 9.4.3 Enable Always-Send Mode at MRI Scanner Startup Copy the Z_FIRMM_always-send_startup_shortcut from the T:\FIRMM directory to the Windows startup folder.
Page 33 The below screenshot shows the path to the folder if you need to navigate to the location using the Windows file explorer. For reference, the Z_FIRMM_always- send_startup_shortcut should be placed in C:\Users\meduser\AppData\Roaming\Microsoft\Windows\Start Menu\Programs\Startup\ © Nous Imaging, Inc. FIRMM Installation Guide - Siemens Page 33 ®...
Page 34: Manual Transfer Mode Of Installation
Install the Windows Start Menu shortcuts to manually initiate and manually stop the transfers from the Siemens MRI Scanner to the FIRMM Tablet Computer for each new patient registration. These are generally not used but provide an alternative method to the always-...
Page 35 CAUTION - If your Siemens MRI installation is integrated with other research applications which use the real time image transfer mechanism, please contact Nous Imaging technical support at +1-844-NOUSIMG (+1-844-668-7464) for additional guidance before proceeding with the installation. On the Siemens MRI Host Computer open a file explorer from the Windows Start Menu by pressing Ctrl-escape and selecting “Computer”.
Page 36 Navigate to the T:\FIRMM folder and find the “FIRMM start one patient” utility. Click to select and then “hold” the “FIRMM start one patient” utility and, while continuing to press the mouse button, use Ctrl+Esc to open the Windows Start Menu. Then drag the utility to the upper area of the start menu and “drop”...
Page 37: Using The Windows Shortcuts For Image Transfer
If necessary, use Ctrl-Escape on your Siemens MRI scanner host computer to open the Windows Start Menu again and verify the FIRMM start and stop scripts are now displayed on the start menu. The FIRMM Tablet Computer is now set up to communicate with the Siemens MRI.
Page 38 The Siemens MRI Host Computer will display a command prompt window to confirm that it is connected, as seen below. Press any key to dismiss the window. 3. To stop, from the Start Menu, right-click on the “FIRMM stop one patient” icon (or “FIRMM stop always-send” if always-send is enabled) and select “Open”.
Page 39: Connecting The Firmm Biofeedback Output To Your Mri Av Display (Optional)
10 Connecting the FIRMM Biofeedback Output to your MRI AV Display (Optional) FIRMM has an option for a biofeedback display to the patient in the MRI scanner to give them an indication of how much they are moving. The rear of the FIRMM Desktop Cradle provides an HDMI video output for the optionally licensed biofeedback display.
Page 40: Complete The Post Installation Checklist
11 Complete the Post Installation Checklist It is important that correct operation of the FIRMM system is documented. Please complete the checklist at the end of these instructions and send it to support@firmm.io. 12 Symbol Glossary The following symbols can be found on the device or the device packaging.
Page 41: Technical Support
European market 93/42/EEC Article 17 13 Technical Support We want you to be happy with the FIRMM device. Please contact us with any questions or concerns, or if you encounter a serious incident, by email at: support@firmm.io or call: +1-844-NOUSIMG (+1- 844-668-7464).
Page 42: Firmm Installation Checklist (Siemens)
2. From the MRI Host Computer – register the patient and select the appropriate exam 3. From the MRI Host Computer – press “Ctrl-Esc” to open the start menu 4. From the start menu – right-click “FIRMM start always-send” (or “FIRMM start one patient”) and select “Open”...