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FIRMM
Installation Guide – GE
®
MRI 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 – GE ® MRI 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, United States of America, 63108 Customer Support: +1-844-NOUSIMG (844-668-7464) Email: support@firmm.io © Nous Imaging, Inc. FIRMM Installation Guide - GE Page 2 ® 320-00201-DO-11 Revision 7 Released: 02/2022...
  • Page 3: Table Of Contents

    Connecting the Network ............................. 16 Configuring the Network on the FIRMM Tablet Computer ................16 Setting up the GE Scanner Computer Transfer Script to the FIRMM Tablet Computer ....... 22 Connecting the FIRMM Biofeedback Output to your MRI AV Display (Optional)....... 29 Complete the Post Installation Checklist .......................
  • 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: Overview

    4 Overview FIRMM is provided with the following hardware: FIRMM® Tablet Computer and USB drive containing GE Additional USB drive Software Scanner Scripts (has a “G- (pre-installed in dock #.#.#” label on it) port with a “DO NOT REMOVE” label on it)
  • Page 7: Setting Up The Firmm Desktop Cradle

    F. Completing the post-installation checklist 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 8 WARNING - Portable RF communications equipment (including peripherals such as antenna cables and external antennas) should be used no closer than 30 cm (12 inches) to any part of the FIRMM system including cables specified by the manufacturer. Otherwise, degradation of the performance of this equipment could result.
  • Page 9 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). CAUTION - It is important the power outlet provide a proper safety ground.
  • Page 10: Setting Up The Firmm Tablet Computer

    “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 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 Insert the right-angle CAT-6 Ethernet Cable into the network interface jack on the upper 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.
  • Page 13 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. © Nous Imaging, Inc. FIRMM Installation Guide - GE Page 13 ® 320-00201-DO-11 Revision 7 Released: 02/2022...
  • 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

    The new license key may be loaded directly into the FIRMM software as follows. From the fMRI or Settings tabs on FIRMM, select the information icon (the yellow “i”) in the upper righthand corner to bring up the software About screen: Note: This is an example screenshot of About screen.
  • 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 The first step is to configure the FIRMM Tablet Computer with the networking information provided by your IT. Turn on the FIRMM tablet and navigate to the About screen using the information icon in the upper right-hand corner of the fMRI screen.
  • Page 18 From the Application Menu choose the Settings Application: The Settings Application has a pane for entering your network configuration (yellow circle in the figure below). © Nous Imaging, Inc. FIRMM Installation Guide - GE Page 18 ® 320-00201-DO-11 Revision 7...
  • Page 19 Information Technology may have provided very specific networking instructions. The typical pattern is to simply enter an IPV4 network address as shown below by selecting the IPV4 tab from the Network Settings interface: © Nous Imaging, Inc. FIRMM Installation Guide - GE Page 19 ® 320-00201-DO-11 Revision 7...
  • Page 20 From the IPV4 tab enter the network IP address, the netmask, and the gateway as provided by Information Technology: An example configuration is shown below. Press the green “Apply” button to save the settings. © Nous Imaging, Inc. FIRMM Installation Guide - GE Page 20 ® 320-00201-DO-11 Revision 7...
  • Page 21 Reboot the FIRMM Tablet Computer by expanding the menu selection from the upper right-hand corner of the screen. Select the “Restart” option: © Nous Imaging, Inc. FIRMM Installation Guide - GE Page 21 ® 320-00201-DO-11 Revision 7 Released: 02/2022...
  • Page 22: Setting Up The Ge Scanner Computer Transfer Script To The Firmm Tablet Computer

    GE scanner host computer to the FIRMM Tablet Computer. This key also contains the FIRMM transfer scripts that must be activated to ensure data is being sent from the GE scanner computer to the FIRMM Tablet Computer for motion analysis.
  • Page 23 6. Activate a root privilege shell from the Command window: su root -s /bin/bash The system will prompt you for the root password which you will enter. password: <enter password> © Nous Imaging, Inc. FIRMM Installation Guide - GE Page 23 ® 320-00201-DO-11 Revision 7 Released: 02/2022...
  • Page 24 /mnt mkdir flash 8. Insert the GE USB key into an available USB port on the GE scanner computer and wait 10 seconds for the key to be recognized by your system. The USB key may be accessed under a few different names, and it may be simplest to identify it with the command, which will display a tree view of your drives.
  • Page 25 -200 /var/log/messages | more Look for the newest additional messages that are different from the last. The newly plugged in GE USB Key DEVICE should be among those messages, as something like “sde1”, “sdd”, or “uba1”, etc. © Nous Imaging, Inc.
  • Page 26 8. It will be of the form /dev/<DEVICE> where device is the unique name assigned by the operating system. mount -t ntfs /dev/<DEVICE> /mnt/flash Installing the FIRMM Transfer Scripts 11. Ensure you are in the USB directory and initiate the FIRMM transfer script installation by typing the following: cd /mnt/flash ./firmm_install 12.
  • Page 27 14. To remove the GE USB Key you MUST first unmount it. First, make sure you are a privileged user and you are NOT in the directory of the flash drive in the Command Window. Next, run the following command: umount /dev/<DEVICE>...
  • Page 28 19. Once you get the Connected message, you are now ready to use firmm_transfer before any exam to send DICOM images during the exam. See the FIRMM User Manual for further description of firmm_transfer. Nous Imaging Technical Support can work with your scanner Service Engineer or local Information Technology team to assist with this.
  • Page 29: Connecting The Firmm Biofeedback Output To Your Mri Av Display (Optional)

    11 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 30: Complete The Post Installation Checklist

    16:10 1920x1200 12 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. 13 Symbol Glossary The following symbols can be found on the device or the device packaging.
  • Page 31 93/42/EEC Annex I EU Certification Indicates that the medical device Section 13, Mark can be sold on the European market 93/42/EEC Article 17 © Nous Imaging, Inc. FIRMM Installation Guide - GE Page 31 ® 320-00201-DO-11 Revision 7 Released: 02/2022...
  • Page 32: Technical Support

    Medical Device device. Clause 5.7.7 14 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 33 1. Set up an MRI test phantom (any QC phantom is acceptable) 2. From the GE MRI Command Window – type firmm_transfer 3. From the GE MRI console – register the patient and select the appropriate exam 4. Open FIRMM and review the selections on the Settings page •...

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