{Specifications}{RoughDraft}{Carestream Health

{InstallationInstructs}{Production}{Carestream Inc.}{None}
Health Inc.}{Confidential}

Publication No. 9G9628

2011-10-28

VITA CR System Version 3.2 Software

Installation Guide

Important
When doing the procedures in this document, you must use safe work practices and wear the
correct personal protective equipment (for example, safety eyewear) to your company’s standard
operating procedures.

Confidential

© Carestream Health, Inc. 2011

INSTALLATION INSTRUCTIONS

CARESTREAM DIRECTVIEW VITA/VITA LE CR System Installation Instructions

Document No.: 9G9628
Copyright Carestream Health, Inc. 2011
All rights reserved. No part of this manual may be reproduced or copied in any form by any means–graphic, electronic
or mechanical, including photocopying, typing, or information retrieval systems–without written permission of
Carestream Health.

0086
Use of Manual
CARESTREAM CR Systems are designed to meet international safety and performance standards. Personnel
operating the unit must have a thorough understanding of the proper operation of the system. This manual has been
prepared to aid medical and technical personnel to understand and operate the system. Do not operate the system
before reading this manual and gaining a clear understanding of the operation of the system. If any part of this manual
is not clear, please contact your Carestream Health representative for clarification.

Authorized Representatives
Carestream Health France
1, rue Galilee
93192 NOISY-LE-GRAND CEDEX
France

Carestream Health, Inc.

Rochester, NY 14608
United States
CARESTREAM is a trademark of Carestream Health.
© Carestream Health, Inc., 2011

2 2011-10-28 – 9G9628
Table of Contents
Description Page

Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Document Conventions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Site Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Computer Requirements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Electrical Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Space Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Environmental Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Light . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Working with the System Packaging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
System Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Installing the CARESTREAM CR System Software . . . . . . . . . . . . . . . . . . . . . . . . . 12
Installing the System Driver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Connecting the Cables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Installing the Drivers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
CR System Licensing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Verify Proper System Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Back Up the System Configuration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Disable Sleep and Hibernate Modes (WINDOWS 7) . . . . . . . . . . . . . . . . . . . . . . . . . 15
Configuring DICOM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Configuring DICOM Settings for Modality Work List (MWL) . . . . . . . . . . . . . . . . . . . . 17
DICOM and PACS Workstation Destinations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Installing DICOM Printers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
About DICOM Printers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Adding a DICOM Printer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
To Set Up the Defaults for the DICOM Printer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Performing a Test Print from the Viewer Application . . . . . . . . . . . . . . . . . . . . . . . . . 25
Selecting a Default Printer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Using ECHO to Locate Available Network Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Recommended Configuration for DICOM Printers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Creating User Name Access . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Admin Tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Working with Room Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Changing Room Names . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Hiding Rooms Not in Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Appendix A: Language Setting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Chinese Language . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Installation Documentation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Pre-installation Forms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Installation Report. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Installer Training Checklist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
Publication History . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

9G9628 – 2011-10-28 3
INSTALLATION INSTRUCTIONS

4 2011-10-28 – 9G9628
 Introduction

Section 1: Introduction

Introduction
The information contained herein is based on the experience and knowledge relating to the subject matter gained by
Carestream Health prior to publication. No patent license is granted by this information.
Carestream Health reserves the right to change this information without notice, and makes no warranty, express or
implied, with respect to this information. Carestream Health shall not be liable for any loss or damage, including
consequential or special damages, resulting from any use of this information, even if loss or damage is caused by
Carestream Health’s negligence or other fault.

Caution
Cautions point out procedures that you must follow precisely to avoid damage to the system or any of its components,
yourself or others, loss of data or corruption of files in software applications.

Note
Notes provide additional information, such as expanded explanations, hints, or reminders.

Important
Important highlights critical policy information that affects how you use this manual and this product.

Document Conventions
In this document, CARESTREAM DIRECTVIEW VITA/VITA LE CR Systems will be referred to as CR System or
System.

9G9628 – 2011-08-03 5
INSTALLATION INSTRUCTIONS

6 2011-08-03 – 9G9628
 Site Preparation

Section 2: Site Preparation

General
Inform the client about the site preparation requirements prior to installing the CARESTREAM CR System Software.
Without these requirements being met, you cannot complete the installation, and the client’s ability to use the CR
System properly cannot be guaranteed. It is recommended that you send the Pre-Installation form to the client prior
to installation. See “Installation Documentation” on Page 41.

Computer Requirements
Minimum PC Requirements Recommended PC Requirements
Dual Core Intel CPU Core 2 Duo Intel CPU
2 GB RAM 2 GB RAM
80 GB HD 160 GB HD
CDx24 CDx56/DVDx22 DVD burner
WINDOWS XP SP 3 or WINDOWS XP SP 3 or
WINDOWS 7 Professional SP1 (32 bit) or WINDOWS 7 Professional SP1 (32 bit) or
WINDOWS VISTA Business SP2 (UAC disabled) WINDOWS VISTA Business SP2 (UAC disabled)

Monitor:
Size 17 in. (minimum)
Resolution 1024 x 768 or 1280 x 1024
Touch Screen is optional
Ports:
4 USB2 ports available
Parallel ports
Additional:
Network adapter (for DICOM send)

Electrical Requirements
Electrical Requirements
Voltage 100—240 V (ac)
Electrical Service 50—60 Hz
UPS—Online 700 V (ac)
UPS connected to CR system, PC, Monitor

9G9628 – 2011-08-03 7
INSTALLATION INSTRUCTIONS

Space Requirements
The CR System should be positioned on a stable surface, with at least 15 cm (6 in.) free space on every side of the
unit. A USB cable will connect the CR System to the computer. The space requirements for the CR System (including
unit dimensions and additional space) are illustrated in the following figures.

CR System Space Requirements

75 cm

34 cm

55 cm

Environmental Requirements
Light
The CR System is sealed and protected from light penetration. However, it is recommended to keep the CR System
in standard room light, away from exposure to direct sunlight.
The CR System uses phosphor plates for acquiring images. The plates are sensitive to light, and therefore exposure
to light should be kept to a minimum.
For optimal results, room light is recommended to be less than 1000 lx.

8 9G9628 – 2011-08-03
 Working with the System Packaging

Section 3: Working with the System Packaging

The CR System is shipped in a custom designed box that protects the unit. If the CR System needs to be returned
to Carestream Health or one of its dealers, the unit must be packed in its original box, and must include the software
CD and the USB cable.
Closed Box

Use all the protective parts in the box to minimize the risk of damage to the unit.
Open Box

9G9628 – 2011-08-03 9
INSTALLATION INSTRUCTIONS

10 9G9628 – 2011-08-03
 System Installation

Section 4: System Installation

General
Installation consists of the following steps:
[1] Unpack the unit and position it in the desired location.
[2] Verify that the package contents matches the packing list and the order.
[3] Install the CARESTREAM CR System software.
[4] Install the i-button (system licensing).
[5] Connect the CR System power cord and USB cable.
[6] Install the USB driver.
[7] Test the system’s functional operation.
[8] Back up the System configuration.

Important

After completing the installation, fill out the relevant installation report. See “Installation Documentation” on Page 41.

Note
The warranty will not be issued until the service department receives the installation report.

9G9628 – 2011-08-03 11
INSTALLATION INSTRUCTIONS

Installing the CARESTREAM CR System Software

Note
It is recommended to take appropriate action to disable Firewall and anti-virus software before installing the System
Software.
It is recommended to stop any WINDOWS update download or installation before starting this software installation.

Important
The System Software must be installed and operated with administrator privileges.
[1] Insert the software CD into the CD-ROM drive. The installation will start automatically.
[2] Click Install CARESTREAM CR System Software and follow the on-screen prompts.
[3] Set the following configuration options:
(a) Select Table Top or Z-Cart according to whether the unit will be positioned on a flat surface or installed
in a Z-Cart at 60 °.

Note
If you are not sure what to select, select Z-Cart.
(b) Select the Setup Type. Full System Software installation is the default setting.

Note
Lite Software will also be operational with the full version installation.
[4] Click Next to continue and follow the on-screen prompts.
[5] Click Install, or you may click Back to review your settings.
[6] Click Finish to exit the InstallShield Wizard.
[7] The installation process is complete. Click Exit.
[8] To avoid WINDOWS error messages while operating the CR System Software, in the PC anti-virus software,
disable or remove C:/Program Files/Carestream from its scanning routine.

Note
If WINDOWS VISTA or WINDOWS 7 operating system is being used, reboot the computer when prompted to do so.

12 9G9628 – 2011-08-03
 System Installation

Installing the System Driver

Connecting the Cables
[1] Connect the power cable from the CR System to the power outlet.
[2] Connect one end of the USB cable to a USB2 port on the PC.
[3] Arrange the ferrites on the cable so that they are near the opposite end of the USB cable.
[4] Place one ferrite on top of the other, and slide them both into the secure bracket.

[5] Connect the remaining length of the USB cable to the CR System.

Installing the Drivers

[1] Turn on the CR System. The system makes an initialization tone and the Installation Wizard screen appears.
Select No, not this time and then click Next.

Note
If the Installation Wizard does not appear automatically, go to Device Manager>Imaging Devices>USB
Device>Update Driver to initiate the installation procedure.
[2] Select Install from a list or specific location (Advanced) and then click Next.
[3] Select Search for the best driver in these locations and click Browse, to display your CD-ROM drive.
[4] Place a checkmark in the “Search Removable Media...” box.
[5] A Hardware Installation warning screen appears. Click Continue Anyway.
[6] Click Finish to complete the driver installation.

Note
Perform this procedure for each available USB port on the PC.

9G9628 – 2011-08-03 13
INSTALLATION INSTRUCTIONS

CR System Licensing
CR System licensing is protected with the iButton.

Available System Licenses

Open and operate the CR System Software—full version
Modality Work List (MWL)
Image Processing
DVD Burning
Long Length Imaging (LLI)
Total Quality Tool (TQT)
Standard Speed (for scanning at 40 PPH)
Image Reject Analysis

Installing the iButton

[1] Locate the iButton in the CR System packaging.
[2] Remove the iButton cover from the back of the CR System.
[3] Insert the iButton into the socket, with the writing on the button’s surface facing into the socket.
[4] Apply light force until the iButton clicks into place.
[5] Replace the iButton cover.

Verifying the iButton Functionality

[1] Launch the CR System software.
[2] Log in to the System:
(a) User name: Admin
(b) Password: Admin
[3] If the message “No license detected. Click OK for Settings screen, or click Cancel to exit.” appears, refer to the
CR System Troubleshooting Guide.
[4] If no message displays, select Settings>Settings>About tab.
[5] Click on License Manager to check available licenses currently on the System. Verify the presence of all the
options requested by the customer.

14 9G9628 – 2011-08-03
 System Installation

Verify Proper System Operation

Use the following procedure to determine that the overall system performance and response falls within acceptable
parameters, and according to manufacturer’s design and specifications. These tests should be performed as the final
step of a new CR System installation.
[1] Using typical exposure parameters (for example, 80kv, 5mAs, 1.5 SID), expose a cassette with any object
placed on it.
[2] Scan the exposed cassette using Chest AP as the body part.
[3] Verify that a complete scan takes place, with no hardware or software errors.
[4] Verify there are no image artifacts or defects on the image background, and that the resulting image is visible.

Back Up the System Configuration

In the unlikely event of a System problem, or any other change to the System configuration, it is important to back
up System configurations and settings.
[1] Go to C:\Program Files\Carestream\... \ Bin.
[2] In the Bin folder run the BackUpRestor.exe. The Backup Restore dialog box is displayed.

[3] Select all the data backup options.

[4] Browse to the desired location and create a new backup folder for the backed up data.
[5] If needed, enter a password to password-protect your backup.
[6] Click Backup. The Backup process has fnished successfully status message is displayed when the back
up is completed.
[7] Click the top-right X icon to exit the Backup Restore dialog box.

Disable Sleep and Hibernate Modes (WINDOWS 7)

If a System running the WINDOWS 7 operating system goes into Hibernate mode, the CR System driver will be
disconnected. When the System resumes, the CR driver will continue to be shown as disconnected.

To disable Hibernate mode

[1] Select Start>Control Panel>Power Options.
[2] Click on Change plan settings (for the selected Preferred plan).
[3] Expand Put the computer to sleep.
[4] Select Never.
[5] Click Save Changes.

9G9628 – 2011-08-03 15
INSTALLATION INSTRUCTIONS

16 9G9628 – 2011-08-03
 Configuring DICOM

Section 5: Configuring DICOM

Configuring DICOM Settings for Modality Work List (MWL)

When working with the HIS/RIS PACS services in an imaging facility, you must configure the DICOM Settings tab to
enable the use of the DICOM Services.
To access DICOM Settings, select Settings>DICOM Settings.
See the table below for configuration information on each field.
Settings Tab

e
1 q 3

13

2
r
w
4

6
7
8
9

10

11 12

8H8442-01 – 2011-08-24 17
SERVICE MANUAL

Item Part No. Description

1 Modality Work List Enter parameters for HIS/RIS. Note that some parameters might not be
mandatory, depending on the HIS/RIS definitions.
2 Modality Work Query Enter parameters for the query from the HIS/RIS. 0

3 DICOM send source “Send Files” interval - The interval between attempts to send accepted images.
Retries - The number of times the system will try to send the images.
Source AE title - The title of the local station sending the images to PAC.
“Failed files” interval - The time interval between attempts to send unsent
images.
“Send Files” time-out - The time-out to send an image to PACS.

Note
After the maximum number of attempts have been made to send an image, the
image is sent to the “failed files” folder. The image status is changed from progress
to failed status in the Images Storage screen. The system will then attempt to send
the next accepted image.
4 DICOM char set Allows you to choose character sets within the software DICOM header. For
example ISO_IR 100 is used for Latin languages. For information about specific
character sets support, See the DICOM Conformance Statement. 0

5 Institution Name Enter the site name to appear in the image header and/or printed on the image. 0

6 Manufacturer Enter the name of the manufacturer to appear on the image header and/or printed
on the image. This value should be Carestream Health, Inc. 0

7 Manufacturer model Enter the model name of the equipment to appear on the image header and/or
name printed on the image. This value should be “Vita CR.” 0

8 Image Storage query Enter the time interval, in seconds, that the system will query the internal database
interval to upload Accepted images. 0

9 Station Name Name of the station/site within the institution where the system is set up at. 0

10 Use Same Service When checked, all images in the scan screen are related to the same series of
UID for all study images. When unchecked, images from different series will be shown. 0

images
11 Start/Stop Service The Stop Services button is used to stop the DICOMSendService. Changes to the
button DICOM devices cannot be saved until the service is stopped. After Stop Service
is clicked and the service stops, the button changes to Start Service. Click Save,
to save changes to DICOM devices. Click Start Service to start
DICOMSendServices again. 0

12 Delete Waiting Jobs The Delete Waiting Jobs button deletes images that were not successfully sent to
the PACS as a result of connectivity problems. 0

Note
The images will not be deleted from the database and must be sent again at a later
date.
13 Echo/Test Click to verify that Modality Work List (MWL) is visible on the network. 0

18 2011-08-24 – 8H8442-01
 Configuring DICOM

DICOM and PACS Workstation Destinations

This tab is used to list PACS stations and DICOM workstation destinations.
To access, select Settings>DICOM Settings>Destinations.
See the table below for configuration information in each field.
DICOM Destinations

11
3
3 99
t

5 6 7 8

Destinations and Printers Tab Fields

No. Title Description
1 DICOM Store List of PACS stations. IP, port,and AE title are obtainable from the network
Destination administrator. Select store for PACS.
2 Add, Modify, and Add, modify, or delete a station or printer in the list.
Delete buttons
3 Storage Commitment Enters information for DICOM destination when store is selected.
4 Add/Update Click to add or update any information entered into the Storage Commitment
field.
5 Keyboard Click to enable an external keyboard.
6 Start/Stop Service Stop and then restart DICOM service to apply changes that have been made.
7 Delete Waiting Jobs Click to delete waiting jobs
8 Close Close the DICOM Settings screen
9 Echo/Test Verify the network connection to PACS, Storage Commitment, or DICOM
workstation destinations.

8H8442-01 – 2011-08-24 19
SERVICE MANUAL

20 2011-08-24 – 8H8442-01
 Installing DICOM Printers

Section 6: Installing DICOM Printers

About DICOM Printers

A DICOM Printer can be installed after the CR System has been successfully installed. The software installation
should automatically install the Printer Driver software.
A DICOM printer must be accessible on the network during the printer installation as the Add DICOM Printer Wizard
queries the printer for information before loading the appropriate driver for the printer.
The Printer Driver installation process prompts for automatic startup of the Add Printer Wizard and the Printer Status
Monitor when the installation is complete. The installation creates shortcuts for the driver’s Add DICOM Printer
Wizard and the DICOM Printer Status Monitor programs under DICOM_Printer_Driver in the Start Programs menu.

Note
Multiple instances of the same DICOM Printer Driver are allowed. To enable this, give each instance of the driver a
unique name to prevent the previous installed instance from being overwritten.
Enter the following data during the procedure:
• Printer’s Internet Address (IP)
• DICOM Application Entity Title (AE)
• Printer’s Port Number

Adding a DICOM Printer

[1] Go to Start>Program>Carestreamhealth>DICOM_Printer_Driver>Add_DICOM_Printer_Wizard
[2] In the Add DICOM Printer Wizard window, click Next.
[3] Select No, I don’t have a configuration file. I want to install a single printer interactively, and then click
Next.
[4] Enter the IP Address, Printer AE Title, and Printer Port number, then click Next.
[5] Verify the printer information and click Install.
If you are installing a printer that is not a Kodak printer, you may be asked to identify the model once the Printer
Wizard identifies the brand of printer to which you are connecting. If so, select your printer type from the drop-
down list, click OK, and then click Install.

Note
Select only the model to which you are connecting. If your printer is not listed abort the installation and check to see
if there is an updated version of the DICOM Printer Drivers software. Selecting a model that you do not have may
cause image quality issues. Each printer has its own print parameters and selecting an incorrect driver could cause
true size printing problems or other issues.
[6] The Install Wizard finds the correct driver and issues a warning message. Click Continue Anyway.
[7] DICOM printer driver installation is complete. Click Finish.
The CR System is ready for DICOM print after a DICOM printer is successfully added. The printer information
appears in Start>Settings>Printers and Faxes.

9G9628 – 2011-08-03 21
INSTALLATION INSTRUCTIONS

To Set Up the Defaults for the DICOM Printer

[1] Go to Start>Settings>Printers and Faxes.
[2] Right click on the icon of the DICOM Printer that you have just added and select Properties.
[3] Select General tab>Printing Preferences.
Printer General tab

[4] In the Printing Preferences, select Advanced.

Printing Preferences

22 2011-08-03 – 9G9628
 Installing DICOM Printers

[5] In the Advanced Options window:

(a) Click Paper Size and select the desired default setting.
Advanced Document Settings

(b) Click Copy Count and set your application default Copy Count value.
Set the Copy Count Value

(c) Set your application default Printers Features>Polarity value.

Set the Printer Features

(d) Click OK.

[6] Select the Device Settings tab.

9G9628 – 2011-08-03 23
INSTALLATION INSTRUCTIONS

(a) Select the desired default setting in the Film Cassette drop-down list.

(b) Click Apply.

[7] Select the General tab.
[8] In the “Paper Available” field, make sure the paper is the correct size.

[9] Click Print Test Page to verify the DICOM connection. If the test print fails, verify that you have selected the
correct printer model, and that the printer is on.
For more information about configuring DICOM printers, see “Recommended Configuration for DICOM Printers” on
Page 29.

Note
To enable printing to additional paper sizes, additional DICOM printers need to be added and configured. Use the
same steps as above to do this.

24 2011-08-03 – 9G9628
 Installing DICOM Printers

Performing a Test Print from the Viewer Application

[1] To perform a test print, send an image to the DICOM printer:
(a) Log in to CARESTREAM CR System software.
(b) Open the Viewer.
(c) Click the Select Printer icon on the main toolbar to select the DICOM printer.
Select the Printer

(d) Select Page Size in Print Composition pane.

Select the Page Size

9G9628 – 2011-08-03 25
INSTALLATION INSTRUCTIONS

(e) Click Browse Database to open the database, and select a demo image.
Select an Image

(f) Click Print.

(g) Check the printing results.

Selecting a Default Printer

[1] In Printers and Faxes, right click on the icon of the printer you want to set as default printer.
[2] Select Set As Default Printer.

26 2011-08-03 – 9G9628
 Using ECHO to Locate Available Network Devices

Section 7: Using ECHO to Locate Available Network Devices

Sometimes referred to as "DICOM-Ping," ECHO is used to verify network connection to PACS, DICOM printers,
Storage Commitment, and MWL.

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INSTALLATION INSTRUCTIONS

28 2011-08-03 – 9G9628
 Recommended Configuration for DICOM Printers

Section 8: Recommended Configuration for DICOM Printers

[1] Open the CARESTREAM CR System Software.
[2] Go to Viewer>Settings>Image Adjustment.
Viewer Settings Options

[3] Click Browse to select a DICOM image.

DICOM Image Adjustment Wizard

[4] In the Verify Image Source window, click Next.

9G9628 – 2011-08-03 29
INSTALLATION INSTRUCTIONS

Verify Image Source

[5] Select the printer, then click Next.

Select Printer

[6] Select TFT file parameters from the list. Select the option Use the recommended parameters. Print test
images to check the results then click Next.
Recommended TFT Set

30 2011-08-03 – 9G9628
 Recommended Configuration for DICOM Printers

[7] Click OK to accept the printing test.

[8] After the printing test finishes, review the results and change any parameters if necessary. Otherwise, click
Next.

[9] The selected printer configuration parameters are displayed. Click Finish to exit the DICOM image adjustment
wizard or Next to repeat the process for another image source and/or printer.

9G9628 – 2011-08-03 31
INSTALLATION INSTRUCTIONS

32 2011-08-03 – 9G9628
 Creating User Name Access

Section 9: Creating User Name Access

In order to control what System users are able to access in the CR System Software, it is necessary to configure the
System. This is done on the Admin tab.

Admin Tab
The Admin tab can be accessed by a key operator or a full service operator in order to manage the list of registered
users of the system and their access levels. There are three user access levels: operator, key operator and full
service operator. The assigned user access level determines the options available in the other Technician tabs.

Tab name Full Service Access Operator Access Level Key Operator Access
Level Level
Admin + +
Advanced +
About + + +
Maintenance + + +
User Preferences 1 + + +
User Preferences 2 + + +
Setup + +
Anatomical + +
Diagnostics +
SW Update & Backup + +
Calibration +
Admin tab

11

2
5 77
3
6
6
4

# Component Description
1 User list List of users registered in the system.
2 User Name User name of selected user or new user.

9G9628 – 2011-08-03 33
INSTALLATION INSTRUCTIONS

# Component Description
3 User Password Enter password of selected user or new user.
4 User Level List of permissible user access levels
5 Insert/Update button Click to add or update user details.
6 Remove button Click to remove the selected user from the system.
7 Physician Name Enter the physician name to associate with the study details.
To add a new user:
[1] Enter User Name.
[2] Enter Password.
[3] Select Level.
[4] Click Insert/Update.

Note
A key operator cannot remove himself (or the last operator) from the list.
A key operator can add or remove an operator or a key operator, but not a full service operator.

34 2011-08-03 – 9G9628
 Working with Room Settings

Section 10: Working with Room Settings

Introduction
The CR System is capable of handling several X-ray systems installed in a single hospital. For this purpose, the CR
System Software assigns four Rooms. A Room represents a set of user-defined parameters that correspond to, and
are calibrated to a specific X-ray unit in a particular location.
The Rooms are designated by default as Room1, Room2, Room3, and Room4. It is recommended that the Rooms
be given user-friendly names that correspond to the X-ray units’ location, such as Operating Room, Emergency
Room, or Dr. Smith’s Room.
Scan Preview Screen

For example: A cassette exposed in the hospital’s operating room will be developed under Operating Room in the
CR System Software and a cassette exposed in the hospital’s emergency room will be developed under Emergency
Room in the CR System Software.

Changing Room Names

[1] Log in with User Name “Admin” and password “Admin”.
[2] Enter the configuration screen.
[3] Select the Anatomical tab.
[4] In the Room Configuration field, select the desired room, and then enter a new name in the Name column.
Anatomical Screen with Name Selected

9G9628 – 2011-08-03 35
INSTALLATION INSTRUCTIONS

[5] Click Apply to save changes.

[6] Click OK to exit the Configuration screen.
Scan Preview Screen with New Room Name

Note
The result will be that each time you reach the Scan screen the new name will appear instead of Room 1.

Hiding Rooms Not in Use

If one of the rooms available is not in use, it is possible to hide it.
Anatomical Screen with “Hide” Selected

[1] Enter the configuration screen.

[2] Select the Anatomical tab.
[3] In the Show column of the room that is not in use, change the status from Show to Hide.
[4] Click Apply, and then click OK to save the changes.

36 2011-08-03 – 9G9628
 Working with Room Settings

Set Common Send To Destination Buttons

Send To buttons are configured to provide the user with the most commonly used destination selections on the Exam
screen.
Exam Screen with Configured Destination Buttons

[1] Select the Exam screen.

[2] Select Settings>Settings.
[3] Select the User Preferences2 tab.
[4] In the Common Used Buttons list, select up to three destinations.

[5] Click Apply.

[6] Click OK.
[7] Verify that the selections appear as buttons on the Exam screen.

9G9628 – 2011-08-03 37
INSTALLATION INSTRUCTIONS

38 2011-08-03 – 9G9628
 Appendix A: Language Setting

Section 11: Appendix A: Language Setting

Chinese Language
In order to activate the virtual keyboard as a Chinese keyboard, define the following regional settings, and restart
your computer.
You must have “Chinese (simplified) - Microsoft Pinyin IME 3.0” in the Windows Keyboard configuration so that the
user can switch between English and Chinese through the virtual keyboard (VKB).
To Enable the Chinese Virtual Keyboard:
[1] Go to Settings>Control Panel>Regional and Language >Regional Options.

[2] Select Chinese (PRC) from the Standards and formats drop-down list.
[3] Select China from the Location drop-down list.

9G9628 – 2011-08-03 39
INSTALLATION INSTRUCTIONS

[4] Go to the Languages tab, and then click Details.

(a) Select Chinese (PRC), and then click Add.

(b) Select Chinese (Taiwan), click Add, click OK, and then click Apply.
[5] Go to the Advanced tab and select Chinese (PRC), click OK, and then click Apply.

40 9G9628 – 2011-08-03
 Installation Documentation

Section 12: Installation Documentation

Pre-installation Forms
Before going on-site, make sure the install site meets all of the requirements in the table below, and gather all other
site information.

Important
After these forms are completed, they should be sent to the Master Dealer.

Meets
Requirements?
Installation Site Requirement: Refer to: (Yes/No)
Computer (PC, Monitor, Ports, Additional) “Computer Requirements” on Page 7
Space “Space Requirements” on Page 8
Electrical “Electrical Requirements” on Page 7
Environmental “Environmental Requirements” on Page 8

Installation Site Information (Site Coordinator)

Name
Street Address
City/State/Province/Zip
Site Coordinator/Phone #
PACS Administrator/Phone #
IT Coordinator/Phone #
Facilities Coordinator/Phone #

Network Settings for the Carestream CR Devices (IT Coordinator)

Device IP Address Name (AE Title for CR Subnet Mask Gateway
Console PC)
CR Scanner 1
Additional Scanner 2
Additional Scanner 3

Primary DICOM Devices (PACS Administrator)

HIS/RIS PACS Printer
Make/Model/Version#
AE Title
Logical Name/Nickname
IP Address
Port Number
Requires CR Registration at Device (True or
False)?

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INSTALLATION INSTRUCTIONS

Additional DICOM Devices (PACS Administrator)

Additional 1 Additional 2 Additional 3
Device Type
Make/Model/Version#
AE Title
Logical Name/Nickname
IP Address
Port Number
Requires CR Registration at Device (True or
False)?

42 9G9628 – 2011-08-03
 Installation Documentation

Installation Report
Reporting Distributor
Company name:
Technician installing the CR System Name:
Tel. No.:
e-mail:

Site Information
Name:
Address:

Tel. No.:
Additional information:

Installation Prerequisites
Date:
SN of system installed:
Computer requirements available?
Space requirements available?
Electrical requirements available?
Environmental requirements available?
* See Installation pre-requisites (“Pre-installation Forms” on Page 41.)

Installation Process
Drivers for CR:
CR Systems:

Accessories
Quantity
14 x 17 in cassettes
14 x 14 in cassettes
10 x 12 in cassettes
8 x 10 in cassettes

*** Specify the type and software version of PACS to which the images are sent.

Name: Signature:

9G9628 – 2011-08-03 43
INSTALLATION INSTRUCTIONS

Installer Training Checklist

Installation Summary
Site name
Site address and phone number
Installing technician/FE name,
telephone number, e-mail
system serial #
software version
AE title(s)
IP address(es)
Destinations
Key Operator Name(s)
Training date(s)

Key Operator Tasks/Functions Reviewed

Completed
(place check
Task Role mark)
Acquiring New Images Administrator
Logging in Administrator
Exam Screen Administrator
Creating a New Patient Administrator
Deleting a Patient Administrator
Editing a Patient Administrator
Searching for a Patient Administrator
Modality Worklist Screen (MWL) Tech
Searching for a Patient Tech
Reviewing Study Details Tech
Scanning Images Tech
Opening the Scan Screen Tech
Selecting a Room Tech
Preparing images to scan Tech
Scanning an image Tech
Reviewing an image Tech
Changing the brightness and contrast Tech
Resetting an image Tech
Applying annotations to an image Tech
Flipping or rotating the image Tech
Accepting or rejecting the image Tech
Reprocessing Screen
Applying edit mask
Applying black surround
Applying body part look
Applying annotations to an image
Flipping or rotating the image

44 9G9628 – 2011-08-03
 Installation Documentation

Key Operator Tasks/Functions Reviewed

Completed
(place check
Task Role mark)
Working with the Viewer
Overview -- the Viewer Application
Workflow
Working with the Viewer (continued) Tech
Working in the Viewing Pane vs the Print Composition Pane Tech
Optimizing the Viewer for your preferences Tech
Opening Images in the Viewer Tech
Browsing the database Tech
Opening files from a hard drive Tech
Loading images to view and adjust Tech
Working with Settings Tech
Configuring Overlays Tech
Burning images to disk Tech
*** Specify the type and software version of PACS to which the images are sent.

Installing Technician/FE Name: Signature:

Customer Name: Signature:

9G9628 – 2011-08-03 45
INSTALLATION INSTRUCTIONS

46 9G9628 – 2011-08-03
 Publication History

Publication Publication ECO Changed

Date No. No. Pages File Name Notes
2010-08-17 8H8441 8H8441.fm New Publication
2010-11-05 8H8441 Cover 8H8441.fm Changed name on
title page
2011-10-28 9G9628 All 9G9628_SG_POC_SysInstall_VitaLE.book made changes
related to version
3.2 software and to
conform with
EN1041 standards.
Publication number
changed due to
large scope change
in document.

CARESTREAM and VITA are trademarks of Carestream Health, Inc.

Printed in U.S.A.
Carestream Health, Inc.
150 Verona Street
Rochester, N.Y. 14608
United States

© Carestream Health, Inc., 2011