12LeadTransmission ImplementationGuide

1 2 - L e a d Tr a n s m i s s i o n
Implementation Guide
HeartStart MRx to
1 2 - L e a d Tr a n s f e r
Station
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About This Edition THIS PRODUCT IS NOT INTENDED FOR HOME
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Edition History
Medical Device Directive
Edition MRx 12-Lead Print Date The HeartStart MRx complies with the requirements of
Hardware/ Transfer the Medical Device Directive 93/42/EEC and carries the
Software Station Product
0123 mark accordingly.
Version Version
Manufacturer
1 B2/B.04 or 2.2 February,
greater 2005 Philips Medical Systems
2 B2/B.04 or 2.2 October, 3000 Minuteman Road
greater for 2005 Andover, MA USA 01810-1099
RS 232
(978) 687-1501
B1/B.05 or
greater for Authorized EU-representative:
Bluetooth Philips Medizin Systeme Böblingen GmbH
3 B2/B.04 or 2.5 December, Hewlett Packard Str. 2
greater for 2005 71034 Böblingen
RS 232 Germany
B1/B.05 or Canada EMC:ICES-001
greater for
Warning
Bluetooth
Radio frequency (RF) interference from nearby
Copyright transmitting devices may degrade the performance of the
Copyright © 2005 HeartStart MRx. Electromagnetic compatibility with
surrounding devices should be assessed prior to using the
Koninklijke Philips Electronics N.V. monitor/defibrillator.
All rights are reserved. Permission is granted to copy and
distribute this document for your organization’s internal
educational use. Reproduction and/or distribution
outside your organization in whole or in part is
prohibited without the prior written consent of the
copyright holder.
Use of supplies or accessories other than those
recommended by Philips may compromise product
performance.
i
Conventions Used in This Manual
This guide contains the following conventions:
WARNING Warning statements describe conditions or actions that can result in personal injury or loss of life.
CAUTION Caution statements describe conditions or actions that can result in damage to the equipment or loss of
data.
NOTE Notes contain additional information on usage.
TIP Tips provide hands-on insight into servicing this product.
TEXT represents messages that appear on the screen
[Softkey] represents softkey labels that appear on the screen above or below the
button to which they correspond.
On-line viewing only

Hypertext represents hypertext links, which will display as blue; click on
the blue link to go to that destination, then click on
the blue destination to return.
Abbreviations
Name Abbreviation
HeartStart MRx Monitor/Defibrillator MRx

monitor/defibrillator
device
TraceMaster ECG Management System and TraceMaster
TraceMasterVue
Bluetooth wireless technology cell phone or modem Bluetooth device
ii
1 Getting Started 1
Overview 1
12-Lead Transmission Overview 2
Bluetooth Transmission Overview 3
Understanding 12-Lead Transfer Station 3
Understanding Circuit-Switched versus
Packet-Switched Data Transfer 4
Before You Begin 5
Tasks and Skill Level 6
2 Configuring the MRx 7
Overview 7
Accessing the Configuration Menu 7
Modifying Settings 8
Configuring a Bluetooth Device Profile 9
Adding a Bluetooth Profile 9
Deleting a Bluetooth Profile 10
Configuring a Serial Phone Profile for RS 232 11
Configuring the Hub 13
Configuring Sites 14
Adding and Deleting a Site 14
3 Setting Up the Cell Phone or Bluetooth Device 17
Overview 17
Bluetooth Devices 17
Bluetooth Device Transmission Range 17
Additional Bluetooth Device Information 18
Adding Bluetooth Devices to the MRx 18
Pairing a Bluetooth Device with the MRx 18
Selecting a Bluetooth Profile 19
Changing a Bluetooth Profile 19
RS 232 20
Serial Cable Requirements for RS 232 Phones 20
Cell Phone Service Plan 21
Dial-Up Internet Plan 21
1
4 Setting up the Server 23
Overview 23
Choosing an Internet Service Provider (ISP) 23
Choosing an Operating System 23
Reading the Release Notes 24
Confirming System Requirements 24
Windows Server 2003 24
12-Lead Transfer Station 24
Storage Requirements 24
Optional Hardware 24
Installing the Operating System 25
Setting up Internet Information Services (IIS) 26
Additional Instructions for Windows XP Professional SP2 26
Additional Instructions for Windows Server 2003 27
Running Transfer Station Service Manager as a Service 28
Installing a Modem, Printer, and Fax 28
5 Installing and Configuring 12-Lead Transfer Station 29
Overview 29
Before You Begin 29
System Requirements 30
Installing 12-Lead Transfer Station 30
Starting 12-Lead Transfer Station 30
Verifying the Installation 31
Registering 12-Lead Transfer Station 31
Configuring 12-Lead Transfer Station 32
Using the Transfer Station Options 32
Sending 12-Lead Reports to Printers 33
Sending 12-Lead Reports to Faxes 34
Completing the General Window 34
Completing the Fax Settings 35
Forwarding 12-Lead Reports to a HeartStart MRx designated Fax Machine 35
Forwarding 12-Lead Reports to Additional Fax Machines 36
Completing the Fax Settings 36
Setting Up Advanced Configurations 37
Setting up the Connections 37
Adding Connections 37
Sending to TraceMaster Destinations 38
Sending to 12-Lead Transfer Station Destinations 40
Setting Up a Remote Monitor 41
2
6 Testing and Troubleshooting 43
Overview 43
Testing Bluetooth Devices 43
Testing 12-Lead Transmission 44
Scenario 1 - Manually send a report from the 12-Lead Transfer Station to a fax machine45
Scenario 2- Sending a report to an MRx-designated fax machine. 45
Scenario 3- Sending a report to multiple fax machines 47
Restarting 12-Lead Transfer Station 49
Viewing the MRx Status Log 50
Viewing the 12-Lead Transfer Station System Log 52
Troubleshooting Tables 53
Troubleshooting the Accessories 64
Customer Support 65
Our support technicians provide help for the following: 66
Our support technicians do not provide help for the following: 66
Appendix ASample Implementation Plan and Checklists 67
Overview 67
Checklists 68
Serial Phone Profile Settings 68
Bluetooth Device Profile Settings 69
Cell Phone, Modem, Service Plan, and Dial-Up Account Checklist 70
ISP Checklist 70
Server Checklist 71
12-Lead Transfer Station 71
Sample Implementation Plan 72
Glossary 73
Index 77
3
1
1Getting Started
Overview
The 12-Lead ECG transmission option enables you to send 12-Lead reports from a HeartStart MRx to
fax machines, printers, or TraceMasters and 12-Lead Transfer Stations. This chapter discusses the
components of the 12-Lead transmission option and what you need to set it up. This chapter also
discusses the roles and responsibilities and the skill level required to implement each piece.
The following topics are covered in this chapter.
Topic Page
12-Lead Transmission Overview 2

Understanding 12-Lead Transfer Station 3
Understanding Circuit-Switched versus Packet-Switched 4
Data Transfer
Before You Begin 5
Tasks and Skill Level 6
1
1 Getting Started 12-Lead Transmission Overview
12-Lead Transmission Overview

The following diagram provides an overview of how the 12-Lead report is transmitted from the
HeartStart MRx through the hub (server running 12-Lead Transfer Station) to its destination. Using
RS 232 transmission, reports are transmitted via a cell phone with internet capability connected to the
MRx’s RS 232 Serial Port. Using Bluetooth ® wireless technology transmission, reports are
transmitted to the hub using configured wireless devices such as cell phones and handheld assistants
with internet capability. Additionally, reports can be sent to a wireless modem connected to an analog
line for areas where cell transmission is unavailable. The 12-Lead Transfer Station then forwards the
report to the selected destination site.
Figure 1 12-Lead TransmissionpSystem Components
MRx Data to
Cell Phone
via
Bluetooth
or serial Fax Printer
(RS 232) Cable
Cell Tower
Internet
Hub (server
ISP HTTP running 12-Lead
Transfer Station)
Printer
MRx
Analog
MRx Data to Phone Line
External Modem
via
Bluetooth 12- Lead Transfer
Station
TraceMaster
Server
TraceMaster
Server
The following steps describe how the 12-Lead report is transmitted.

1 The MRx user configures the MRx for transmission.
2 The MRx user adds and pairs the Bluetooth device with the MRx.
or
The MRx user connects the MRx to a cell phone using a serial (RS 232) cable.
3 The MRx user selects a 12-Lead report to transmit from the MRx and presses Send.
4 The MRx makes a dial-up connection with the Internet through the cell phone.
5 The MRx encrypts the 12-Lead report.
6 The cell phone sends the 12-Lead report through the Internet to the hub (server running
12-Lead Transfer Station).
7 The 12-Lead Transfer Station receives the file and decrypts it.
2
Bluetooth Transmission Overview 1 Getting Started
8 The 12-Lead Transfer Station forwards the 12-Lead report to printers, fax machines, or other
computers depending on the MRx’s and 12-Lead Transfer Station’s configuration.
9 The 12-Lead report is archived at the 12-Lead Transfer Station for subsequent viewing, faxing,
printing, or forwarding to another 12-Lead Transfer Station or TraceMaster.
Bluetooth Transmission Overview

Setting up a Bluetooth device for transmission involves the following steps:
• Configuring the MRx - You create profiles for the Bluetooth device and configure hub and site
settings through the MRx Configuration menus. A profile is a list of specifications that define how
wireless transmission should work between different Bluetooth devices. You can use the same profile
for similar devices.
• Discovering - The MRx searches for any Bluetooth device in the vicinity. The list of discoverable
Bluetooth devices is displayed on the MRx for you to select. The discovery process is done from the
12-Lead menu.
• Pairing (also called bonding on some Bluetooth devices) - Once you select the discovered Bluetooth
device from the list, you pair it with the MRx. This requires you to enter a pass key on the MRx and
the Bluetooth device. The pairing process is done from the 12-Lead menu.
NOTE You only discover and pair when you add a new Bluetooth device. You can have up to 20 Bluetooth
devices paired to the MRx at any one time.
• Selecting a profile - Once you have discovered and paired with the Bluetooth device, you select the
profile.
• Testing - Once a profile is selected, the MRx tests the profile to determine if the Bluetooth device
can communicate with the 12-Lead Transfer Station. If testing is successful, the message
“Transmission Test Passed” is displayed and you are ready to transmit. If testing fails, the message
“Transmission Test Failed” is displayed along with additional information on where the failure
occurred. Use the tables in the Testing and Troubleshooting chapter to resolve the problem.
• Sending - Once the profile has been successfully tested, you can transmit the 12-Lead report.
Understanding 12-Lead Transfer Station

12-Lead Transfer Station is a software tool that routes 12-Lead reports to printers, fax machines,
TraceMasters, or other 12-Lead Transfer Stations.
12-Lead Transfer Station consists of the following components:
• 12-Lead Transfer Station application — IIS hands over the received data from the MRx to the
12-Lead Transfer Station application. The application saves the data in the appropriate “inbox”.
• Inbox Watcher — Monitors the 12LTS Inbox and the MRx Inbox. Inbox Watcher parses the data
into separate files and moves the data from the inbox into the database.
• MSDE 2000 — The database that stores the 12-Lead report and configuration information.
• 12-Lead Transfer Station Desktop — Displays 12-Lead reports and the System Log, which shows
all 12-Lead Transfer station activity. The Desktop provides the ability to configure manual and
automatic 12-Lead forwarding operations.
3
1 Getting Started Understanding Circuit-Switched versus Packet-Switched Data Transfer
12-Lead Transfer Station provides two options:

• Automatic Transfer: An MRx sends a 12-Lead report to the 12-Lead Transfer Station. The 12-
Lead Transfer Station forwards the report, according to instructions received from the MRx. The
MRx can instruct 12-Lead Transfer Station to forward the 12-Lead report to a printer, fax device,
TraceMaster ECG Management System, or another 12-Lead Transfer Station. If a 12-Lead report
routinely goes to multiple destinations, a 12-Lead Transfer Station user can set up the additional
destinations. 12-Lead Transfer Station refers to these destinations as the Auto Send List. When the
12-Lead Transfer Station receives the 12-Lead report, it automatically forwards the report to
all destinations on the Auto Send List and the destination specified by the MRx. Automatic
Transfer is the standard operation for 12-Lead Transfer Station.
• Manual Transfer and View: A 12-Lead Transfer Station user can view the System Log to identify a
newly received 12-Lead report. The user can then choose to view the 12-Lead report and forward it
to a printer, fax device, TraceMaster, or another 12-Lead Transfer Station. These actions are in
addition to the automatic forward performed by the 12-Lead Transfer Station. This is
considered a manual operation because the 12-Lead Transfer Station user must select the report to
forward, and then choose the destination. A user may want to do this if an automatic forward was
incomplete or there is an ad hoc request for a report.
Understanding Circuit-Switched versus

Packet-Switched Data Transfer
The MRx transmits 12-Lead reports using the latest technology of packet-switched data transfer. This
section provides a brief overview of the differences between packet-switched and circuit-switched data
transfer methods.
• Packet-switched describes the type of network in which relatively small units of data, called packets,
are routed through a network based on the destination address contained within each packet.
Breaking communication down into packets allows the same data path to be shared among many
users in the network. This type of communication between sender and receiver is known as
connectionless (rather than dedicated).
• Circuit-switched is a type of network such as the regular voice telephone network in which the
communication circuit (path) for the call is set up and dedicated to the participants in that call. For
the duration of the connections, all resources on that circuit are unavailable for other users.
4
Before You Begin 1 Getting Started
Before You Begin

You will need the following items before you begin:
Bluetooth
• HeartStart MRx Hardware Version B1 and Software Version B.05 or greater, the HeartStart MRx
Instructions for Use (M3535-91900), and the HeartStart MRx 12-Lead Transmission Implementation
Guide (M3536-90900)
RS 232
• HeartStart MRx Hardware Version B2 and Software Version B.04 or greater, the HeartStart MRx
Instructions for Use (M3535-91900), and the HeartStart MRx 12-Lead Transmission Implementation
Guide (M3536-90900)
NOTE Check the Hardware Version label on battery compartment B to see the device’s Hardware Version.
Print the device info to determine the device’s Software version. See “Printing the Device Info” in
Chapter 1 of the Service Manual for information on determining the devices’s Software version. The
Service Manual and other documentation can be found on the Philips website at:
www.medical.philips.com/goto/productdocumentation.
• Cell phone or other Bluetooth device, cell phone data service, and cell phone or other Bluetooth
device documentation (See “Setting Up the Cell Phone or Bluetooth Device” on page 17 for
additional information.)
• Internet Service Provider (ISP) and documentation
• Dial-up internet plan if using a Bluetooth modem
• PC running one of the following operating systems:
– Microsoft® Windows® Server 2003 Standard Edition or Windows XP Professional and
documentation
• 12-Lead Transfer Station 2.0 or greater application and documentation
TIP A glossary is provided that defines the terms used in this guide. Appendix A provides checklists,
configuration worksheets, and a sample implementation plan to help you set up the 12-Lead
transmission option. It is suggested that you refer to the sample implementation plan and fill out the
worksheets before beginning the installation.
5
1 Getting Started Tasks and Skill Level
Tasks and Skill Level

The following table outlines the tasks and skill level required for setting up each piece of the 12-Lead
transmission option.
Task Skill Level

Configuring the MRx • Knowledge of the MRx
• Ability to determine cell phone or modem settings
Setting up the cell phone or Bluetooth device • Ability to determine cell phone or modem settings
Setting up the hub (server running 12-Lead If you do not have an Information Technology (IT) professional (or
Transfer Station) someone with the skills listed below) to install and configure the hub,
it is recommended that you purchase a server with the Microsoft
Installing and configuring the 12-Lead Transfer
operating system pre-installed.
Station application
If you will be installing and configuring the hub and integrating it
into an existing network, you should have the following skills:
• Experience installing the Microsoft operating system that you will
be using
• Experience setting up an IIS server
• Experience addressing security issues, such as firewalls, anti-virus
software, authentication, and encryption
• Experience installing and configuring a fax modem on a server
• Experience setting up networks
Testing and troubleshooting • Knowledge of the MRx
• Knowledge of 12-Lead Transfer Station
• Experience installing the Microsoft operating system that you will
be using
• Experience setting up an IIS server
• Experience addressing security issues, such as firewalls, anti-virus
software, authentication, and encryption
• Experience installing and configuring a fax modem on a server
• Experience setting up networks
6
2
2Configuring the MRx
Overview
You can customize your HeartStart MRx 12-Lead transmission settings through the Configuration
menus. Save configuration settings to a data card for backup purposes and replication on other devices.
TIP Before starting the configuration, it may be helpful to fill out the HeartStart MRx Configuration
checklist in Appendix A to ensure that you have all of the information you need.
Topic Page
Accessing the Configuration Menu 7

Modifying Settings 8
Configuring a Bluetooth Device Profile 9
Configuring a Serial Phone Profile for RS 232 11
Configuring Sites 14
Accessing the Configuration Menu

To access the Configuration Main menu:
1 Turn the Therapy Knob to Monitor.
2 Press the Menu Select button.
3 Using the Navigation buttons, select Other and press the Menu Select button.
4 Using the Navigation buttons, select Configuration and press the Menu Select button.
The Configuration Main menu is displayed, listing sub-menus for each category of configurable
parameters. You may use this menu to view or print your device’s configuration, as well as to modify
the date and time settings. To modify any other settings, you must enter the configuration
password:387466.
To return to normal operating mode, press the [Exit Config] soft key.
7
2 Configuring the MRx Modifying Settings
WARNING The HeartStart MRx should never be connected to a patient while performing configuration activities.
Modifying Settings
When modifying configuration settings, the device should be connected to external power and have a
battery with at least 20% capacity installed. To modify configuration settings, from the Configuration
Main menu:
1 Press the [Change Config] soft key.
2 When prompted, enter the configuration password: 387466
3 Press the Menu Select button. Use the Navigation buttons to select the sub-menu for the
category of parameters to be changed. Then press the Menu Select button.
4 Use the [Prev Item] and [Next Item] soft keys to select a parameter.
5 Use the Navigation buttons to highlight the desired choices. Press the Menu Select button to select
the highlighted choice.
6 Repeat steps 3, 4 and 5 to select another sub-menu and modify additional settings.
7 Once the desired setting changes have been made, from the Configuration Main screen, press the
[Save Changes] soft key.
You may press the [Cancel Changes] soft key to return to the previous settings.
8 Press the [Exit Config] soft key to return to normal operating mode.
If you press [Exit Config] before saving the changes, you are prompted with the message
Configuration Not Saved - Exit Anyway? Select No and press the Menu Select button. Then press
the [Save Changes] soft key.
The tables on the following pages list configurable parameters for the 12-Lead Transmission
sub-menus on the Configuration Main menu. A description of each parameter is provided along with
the possible choices for settings. Default settings are in bold type.
8
Configuring a Bluetooth Device Profile 2 Configuring the MRx
Configuring a Bluetooth Device Profile

This section provides instructions for configuring profiles for Bluetooth devices. Phone/Modem
Profiles let you set the characteristics for the Bluetooh device you are using. The first time you select
Phone/Modem Profiles the Add Profile menu is displayed.
Once you have configured Bluetooth devices, a list of up to ten configured Bluetooth profile names are
displayed. If you also have the RS 232 option, the first profile listed is the Serial Phone Profile.
When you select 12-Lead Transmission from the Main Configuration menu, the menu shown in
Figure 2 is displayed if you purchased the Bluetooth option.
NOTE You add and pair Bluetooth devices and change profiles from the 12-Lead menu. See Chapter 3 for
more information.
Figure 2 Bluetooth and Modem 12-Lead Transmission Configuration Menu
Phone/Modem Profiles
Adding a Bluetooth Profile

To add a Bluetooth profile:
1 From the Configuration menu, press the Menu Select button. Use the Navigation buttons to
select 12-lead Transmission.
2 From the 12-lead Transmission menu, select Phone/Modem Profiles.
3 From the Phone/Modem Profiles menu, select Add Profile.
4 Enter the appropriate information, referring to Table 1.
9
2 Configuring the MRx Configuring a Bluetooth Device Profile
Deleting a Bluetooth Profile

To delete a Bluetooth profile:
1 From the Phone/Modem Profiles menu, select the profile you want to delete.
2 Select Delete Profile and acknowledge the confirmation prompt.
Table 1 Bluetooth and Modem Profile Settings
TIP Remember to select Done from the menu after you have entered each parameter before moving on to
the next one.
Parameter Description Setting Choices

Profile Name Name of the profile. 20 characters, blank
Configuration String Available from your cell phone service provider. 45 characters, blank
Landline Set to Yes if you are using a modem. Yes, No
Dial Prefix Only configurable if Landline is set to Yes. The dial prefix is 10 characters, blank
the number or numbers you dial before the phone number.
For example, you may need to dial a 9 for an outside line or
an area code in addition to the number.
Dial String Available from your cell phone service provider. 40 characters, blank
Wait for Dial Tone Available from your cell phone service provider. Yes, No
User Name / Password Available from your cell phone service provider. Per Profile, Per device
Config Per profile - allows you to associate a user name and
password with this profile.
Per device - allows you to associate a differenct user name
and password for every device that uses this profile.
PPP User Name Typically not needed but may be required by some cell 30 characters, blank
phone service providers.
PPP Password Typically not needed but may be required by some cell 40 characters, blank
Static IP Address Typically not needed but may be required by some cell 15 characters
phone service providers. (nnn.nnn.nnn.nnn), blank
Primary DNS Typically not needed but may be required by some cell nnn.nnn.nnn.nnn, blank
Secondary DNS Typically not needed but may be required by some cell nnn.nnn.nnn.nnn, blank
http Proxy Address Typically not needed but may be required by some cell 15 characters, blank
http Proxy Port Typically not needed but may be required by some cell 15 characters, blank
10
Configuring a Serial Phone Profile for RS 232 2 Configuring the MRx
Configuring a Serial Phone Profile for RS 232

This section provides instructions for configuring a serial phone profile for RS 232 phones.
When you select 12-Lead Transmission from the Main Configuration menu, the following menu is
displayed if you purchased the RS 232 option only.
Figure 3 RS 232 12-Lead Transmission Configuration Menu
A Serial Phone profile lets you set the characteristics for the RS 232 phone you are using. When you
select Serial Phone Profile from the menu, the Profile screen is displayed, allowing you to configure
the parameters listed in Table 2.
11
2 Configuring the MRx Configuring a Serial Phone Profile for RS 232
Table 2 Serial Phone Profile Settings
TIP Remember to select Done from the menu after you have entered each parameter before moving on to
the next one.

Profile Name Name of the profile. This name is fixed at “Serial Phone N/A
Profile.
Configuration String Available from your cell phone service provider. 45 characters, blank
Dial String Available from your cell phone service provider. 40 characters, blank
Wait for Dial Tone Available from your cell phone service provider. Yes, No
PPP User Name Typically not needed but may be required by some cell 30 characters, blank
PPP Password Typically not needed but may be required by some cell 40 characters, blank
Static IP Address Typically not needed but may be required by some cell 15 characters
phone service providers. (nnn.nnn.nnn.nnn), blank
Primary DNS Typically not needed but may be required by some cell nnn.nnn.nnn.nnn, blank
Secondary DNS Typically not needed but may be required by some cell nnn.nnn.nnn.nnn, blank
http Proxy Address Typically not needed but may be required by some cell 15 characters, blank
http Proxy Port Typically not needed but may be required by some cell 15 characters, blank
Baud Rate Available from your cell phone documentation. If your 9600, 19200, 38400,
phone transmits “high speed” data, set to 115200. 57600, 115200
Flow control Available from your cell phone documentation. Hardware, None,
12
Configuring the Hub 2 Configuring the MRx
Configuring the Hub

A hub is a hardware device that provides the interconnection between networked devices. For
12-Lead transmission, the hub is the server running the 12-Lead Transfer Station. When you select
Hub from the menu, the Hub screen is displayed, allowing you to configure the parameters listed in
Table 3. Work with your ISP to ensure that these MRx settings match the settings on the server.
Table 3 Hub Settings

Server URL Hub server address. Available from your ISP. For example, 40 characters, blank
you could enter a domain name such as www.yahoo.com or
a static IP address, such as 211.33.111.1. The MRx adds the
prefix http:\\ to the address, but it does not appear on
the screen.
User Name http user name. Use your server documentation to create 30 characters, blank
user accounts on the hub.
Password http password. Use your server documentation to create user 40 characters, blank
accounts on the hub.
NOTE The 12-Lead Transfer Station does not require a user name and password and these features are
disabled during the default installation of the 12-Lead Transfer Station application. However, it is
recommended that you create an account on the hub with a user name and password and enable these
features for MRx users. You should contact your system administrator before creating the account to
ensure that the account has limited permissions.
13
2 Configuring the MRx Configuring Sites
Configuring Sites
A site is the final destination of a 12-Lead report. You can configure up to 20 sites on the MRx. When
you select Sites from the menu, the Sites screen is displayed, allowing you to configure the parameters
listed in Table 4.
Adding and Deleting a Site

To add a site:
1 From the 12-Lead Transmission Configuration menu, select Sites.
A list of configured sites is displayed. If fewer than 20 sites are configured, Add Sites appears on the
menu.
2 Select Add Site.
The Sites screen is displayed.
3 Enter the site information. (See Table 4 for more information.)
To delete a site:
1 From the 12-Lead Transmission Configuration menu, select Sites.
A list of configured sites is displayed.
2 Select the site you want to delete.
The site name menu is displayed with Delete Site near the top.
3 Select Delete Site and press the Menu Select button.
The prompt “Delete Site <site name>? is displayed.
4 Select Yes to delete the site.
The select site is deleted from the configuration.
14
Configuring Sites 2 Configuring the MRx
Table 4 Site Settings

Site Name This name appears in the Send To menu when intitiaing a 12-20 characters, blank
transmission. The name should be an easy to recognize
name.
Site Type Indicates the end destination receiving the 12-Lead report. Fax, Printer, TraceMaster,
Note: All reports are sent through the hub, regardless of 12-LTS, Hub
whay site type you select. From the hub, reports can be
forwarded to fax machines, printers, TraceMaster systems,
or other 12-Lead Transfer Stations (12-LTS).
• Select Fax (and enter the phone number) if you want to send
the report to a single fax machine. If you want to send the
report to multiple fax machines, you must also configure the
12-Lead Transfer Station Auto Send Lists. See “Sending 12-
Lead Reports to Faxes” on page 34.
• Select Printer if you want to send the report to a printer or
multiple printers. The printer must be set up in the
Windows operating system and the 12-Lead Transfer Station
Auto Send List. See “Sending 12-Lead Reports to Printers”
on page 33.
• Select TraceMaster (and enter the URL) if you want to send
the report to a TraceMaster. If you want to send the report to
multiple TraceMasters, you must also configure the 12-Lead
Transfer Station Auto Send Lists. See “Sending to
TraceMaster Destinations” on page 38.
• Select 12-LTS (and enter the URL) if you want to send the
report to another 12-Lead Transfer Station. If you want to
send the report to multiple 12-Lead Transfer Stations, you
must also configure the 12-Lead Transfer Station Auto Send
Lists. See “Sending to 12-Lead Transfer Station
Destinations” on page 40.
• Select Hub if you want to send the report to the destinations
configured in the 12-Lead Transfer Station Auto Send Lists.
Phone number Phone number for fax site type, otherwise N/A. 20 characters
Note: It is important that you know the dialing rules for the
12-Lead Transfer Station. For example, does the 12-Lead
Transfer Station need to dial a 9 for an outside line or an
area code in addition to the number? If it does, the number
sent by the MRx must include these digits.
URL URL for TraceMaster or another 12-Lead Transfer Station. 30 characters, blank
The MRx adds the prefix http:\\ to the address, but it
does not appear on the screen.
Use Hub’s Routing Reserved for future release.
Default Site If yes, this will be the highlighted site when the Send to Yes, No
menu is displayed. When set to yes, this field will
automatically be set to no for all other sites.
15
3
3Setting Up the Cell Phone or

Bluetooth Device
Overview
This chapter provides information on cell phone and modem settings, cell phone and internet service
plans, and serial cable requirements. The following topics are covered in this chapter:
Topic Page
Bluetooth Devices 17
RS 232 21
Cell Phone Service Plan 21
Dial-Up Internet Plan 21
Bluetooth Devices
There are a variety of Bluetooth devices on the market today with many different capabilities. When
purchasing a Bluetooth device, make sure that it has the following capabilities:
• Supports the Bluetooth version 1.1 or greater standard
• Supports the Bluetooth Dialup Networking (DUN) profile
• Compatible with the AT command set standards, such as ETSI TS 100916 and ITU-T V.250
Bluetooth Device Transmission Range

The class of a Bluetooth device is a definition of the maximum range of transmission. The HeartStart
MRx is a Bluetooth Class I device. This means that it is possible for the MRx to communicate with a
Bluetooth device within a maximum distance of 100 meters (approximately 328 feet). However, the
maximum communication distance between two Bluetooth devices is dependent upon the device with
the lowest class. See the documentation that came with your Bluetooth device for more information on
Bluetooth classes.
17
3 Setting Up the Cell Phone or Bluetooth Device Bluetooth Devices
Additional Bluetooth Device Information

Keep the following points in mind when working with Bluetooth devices:
• Many Bluetooth devices are not discoverable by default. Check your device’s documentation to see if
you need to enable discovery.
• As a general security practice, you should not leave your Bluetooth device in discovery mode.
• Some devices require that you turn on the Bluetooth functionality.
• Some devices may prompt you to authorize each time. Check your device’s documentation to see if
you can configure it to always communicate with the MRx.
• Give your Bluetooth device an easily recognizable name as this is the name that appears on the MRx
menus. The name should be no more than 15 characters in order to display properly on the MRx.
• Bluetooth modems and fax machines use analog lines to transmit data. If you are transmitting using
a Bluetooth modem, plug it into the analog line used by the fax machine.
Adding Bluetooth Devices to the MRx

Up to 20 Bluetooth devices may be configured for use. Adding a twenty-first device replaces the device
used least recently. You cannot add or modify Bluetooth devices during 12-Lead transmission.
Conversely, you cannot transmit a 12-Lead report during Bluetooth device configuration.
To add a Bluetooth device to the MRx:
1 From the 12-Lead Main Menu, select Bluetooth Devices.
2 Select Add Device and press the Menu Select button.
The message “Searching for Bluetooth” devices is displayed.
3 From the Add Devices menu, select the desired device.
You must now pair the device with the MRx, described in the next section.
NOTE Bluetooth devices within the specified range are discovered by the MRx and are displayed on the Add
Device menu, even if you have already paired with the device. If the device you are searching for does
not appear on the Add Devices list, select Search Again.
Pairing a Bluetooth Device with the MRx

After you have added a Bluetooth device to the MRx, you are prompted to enter a passkey to pair (also
called bonding on some devices) the Bluetooth device with the MRx. The passkey is a user-defined
character sequence, such as 000, or 1234, etc. You must ensure that you enter the same passkey on
both the Bluetooth device and the MRx.
If you are pairing with a Bluetooth modem, refer to the device’s documentation to determine the
passkey you should enter.
TIP Some Bluetooth devices only allow pairing for 30 seconds, so be ready to enter the passkey.
1 Use the Navigation buttons to enter the passkey on the MRx and select Done.
The Bluetooth device prompts you for a passkey.
2 Enter the same passkey on your Bluetooth device. See the documentation that came with your
Bluetooth device for instructions.
Once the Bluetooth device has been paired with the MRx, you are prompted to select a profile. See
“Selecting a Bluetooth Profile” on page 19.
18
Bluetooth Devices 3 Setting Up the Cell Phone or Bluetooth Device
Selecting a Bluetooth Profile

After you have paired the Bluetooth device with the MRx, a list of configured profiles is displayed.
Select the profile you want to use with that Bluetooth device to transmit the 12-Lead report.
To select a Bluetooth profile:
1 Use the Navigation buttons to select the profile from the list of configured profiles.
The MRx tests the profile to determine if the Bluetooth device can communicate with the 12-Lead
Transfer Station. Progress messages, such as, Transmission Test Connecting to Device, Connecting
to Network, Dialing, and Connecting to Server, are displayed during the testing. If the test passes,
the message “Transmission Test Passed” is displayed. If the test fails the message “Transmission Test
Failed” is displayed along with additional information on where the failure occurred. Refer to Table
6 in the Testing and Troubleshooting chapter of this Guide to troubleshoot the problem.
NOTE No files are transferred during the test.
Changing a Bluetooth Profile

To change a Bluetooth profile:
1 From the 12-Lead menu, select Bluetooth Devices.
A list of paired Bluetooth devices is displayed.
2 Use the Menu Select button to select a device.
3 Select Change Profile.
A list of configured profiles is displayed, with the currently associated profile highlighted.
4 Select the profile you want to use with that Bluetooth device to transmit 12-Lead reports.
Transfer Station. Progress messages, such as, Transmission Test Connecting to Device, Connecting
to Network, Dialing, and Connecting to Server, are displayed during the testing. If the test passes,
the message “Transmission Test Passed” is displayed. If the test fails the message “Transmission Test
Failed” is displayed along with additional information on where the failure occurred. Refer to Table
6 in the Testing and Troubleshooting chapter of this Guide to troubleshoot the problem.
19
3 Setting Up the Cell Phone or Bluetooth Device RS 232
RS 232
When purchasing a cell phone, make sure that it has the following capabilities:
• RS 232 electrical interface
• 9-pin D serial cable connection (see Figure 4 for the MRx pin assignments)
• Compatible with the AT command set standards, such as ETSI TS 100916 and ITU-T V.250
Some cell phones configure themselves automatically when they are plugged into the MRx. Other cell
phones may require you to enable the RS 232 port. Read your cell phone documentation and work
with your cell phone provider to set up your cell phone as a modem using the RS 232 port.
Serial Cable Requirements for RS 232 Phones

You need a serial cable that plugs into the MRx and your cell phone. Work with your cell phone
provider to obtain a serial cable that connects to your phone and the MRx with a 9-pin D serial cable
connection. There are also many 3rd-party providers of serial cables.
The MRx end of the serial cable has a 9-pin connector. The following diagram shows the pinouts of
the MRx end of the cable. Table 5 defines the pin assignments.
Figure 4 MRx Serial Cable Connector Pin Assignments
Table 5 MRx Serial Cable Connector Pin Assignments
Pin Number Name Description

1 DCD Data Carrier Detect
2 RD Receive Data (a.k.a. RxD, Rx)
3 TD Transmit Data (a.k.a. TxD,Tx)
4 DTR Data Terminal Ready
5 SGND Ground
6 DSR Data Set Ready
7 RTS Request To Send
8 CTS Clear To Send
9 RI Ring Indicator
NOTE Use the screw locks (shipped with the12-Lead transmission option and upgrade kit) to secure the serial
cable to the MRx. Use a nut driver (3/16-inch or 5 mm) to start securing the screw locks and needle
nose pliers to firmly anchor the screw locks to the MRx.
20
Cell Phone Service Plan 3 Setting Up the Cell Phone or Bluetooth Device
Cell Phone Service Plan

When selecting a cell phone service plan, make sure that the plan has data transfer capability, usually
referred to as a data plan or Internet plan. The HeartStart MRx is compatible with cell phone plans
that connect a PC to the Internet.
You can purchase unlocked phones directly from some manufacturers, such as Sony Ericsson, and
purchase a SIM card from a service provider, such as Cingular or T-Mobile. A SIM card tells the phone
to which carrier it can connect.
Dial-Up Internet Plan

When transmitting using a Bluetooth modem, you must have a dial-up Internet account that supports
PPP with PAP or MD5 CHAP authentication, such as Earthlink or MSN.
NOTE The MRx does not support plans that use MS CHAP.
21
4
4Setting up the Server

This chapter provides an overview of setting up a server to support the 12-Lead Transfer Station. The
information in this chapter assumes that an IT professional is performing the tasks. The information is
an overview and highlights only the configuration required to support 12-Lead Transfer Station. Please
refer to Microsoft documentation for all installation and configuration details.
Overview
This chapter is organized into the following topics:
Choosing an Internet Service Provider (ISP)

Web hosting: To receive 12-lead reports from the HeartStart MRx Monitor/Defibrillator, you need to
have a World Wide Web site. You must host the web site locally on your network. Not all ISPs support
local web hosting.
DNS: Most computers use a static IP address as their permanent address on the Internet. If the
network adapter you use to connect to the Internet has a dynamically assigned IP address (instead of
the static IP address that is the standard), your ISP must support Domain Name System (DNS)
dynamic updates.
The Help and Support Center for Microsoft Server 2003 and XP Professional provides information
about hosting an Internet site on your local network. To access the Microsoft Help and Support
Center, click Start on the Windows task bar. Click Help and Support, and then search for “Hosting a
Web site.” The Microsoft Web site at http://www.microsoft.com/iis has additional information.
Domain name: the HeartStart MRx communicates with 12-Lead Transfer Station through the
Internet. To do this, the HeartStart MRx sends data to an Internet address that you set up for this
purpose. An Internet address is known as a domain name. You will need a domain name. Many ISPs
can obtain and register a domain name for you, or you can do it yourself. For more information, see
the Accredited Registrar Directory at the InterNIC Web site (http://www.internic.net).
Choosing an Operating System

Either of the following operating systems is acceptable for the server:
• Windows XP Professional, SP 2, running IIS 5.1
• Windows 2003 Server, SP1 running IIS 6
23
4 Setting up the Server Reading the Release Notes
Reading the Release Notes

The ReadMe file, which is on the 12-Lead Transfer Station Installation disk, contains any change to
the documentation that is too new to be included in this manual. These changes could influence your
installation.
Confirming System Requirements

Review Microsoft documentation to ensure that your hardware supports the chosen operating system.
The following requirements are included for your convenience. Please check with Microsoft for their
current recommendations.
Windows Server 2003

Requirement Windows Server Windows XP 12-Lead Transfer
2003 Standard Professional, SP 2 Station
Edition, SP 1
Recommended CPU Speed 550 MHz 300 MHZ 500 MHZ
Recommended Minimum 256 MB 128 MB 512 MB
RAM
Maximum RAM 4 GB no limitation listed no limitation
Disk Space for Setup 1.5 GB 1.5 GB 300 MB
Display Resolution no requirements 800 x 600 1024 x 768
CD-ROM Drive yes yes yes
12-Lead Transfer Station

Confirm that your hardware supports 12-Lead Transfer Station.
• Computer/Processor: 500 MHZ or higher
• Display Resolution: 1024x768
• Memory: 512 MB Minimum
• Hard Disk: 300 MB of available disk space during software installation
• Drive: CD-ROM drive
Storage Requirements
The MSDE 2000 is the database that stores the 12-Lead reports and configuration information. It can
store up to 2 GB of data. Assuming that on average, each 12-Lead report is approximately 60K, then
the MSDE database can store approximately 33333 12-Lead reports. Contact Customer support if you
plan to store more than this amount.
Optional Hardware
Depending on your needs, you may want to use additional hardware such as a tape backup device or
fax modem.
24
Installing the Operating System 4 Setting up the Server
• Tape or other backup device: Installing a tape or other backup device is recommended. It is
recommended that you store backup information at a separate location. You should have a plan for
recovering information in the case of a software or hardware failure.
• Modem or fax device: If you plan to use Fax Service to forward 12-Lead reports from the
HeartStart MRx, it is recommended that you dedicate a modem to the 12-Lead Transfer Station.
Having multiple computers trying to use the same modem may result in service conflicts. For
example, a 12-Lead Transfer Station trying to fax a 12-Lead report and a workstation trying to fax a
scanned document could create a conflict. The modem must be on the same computer as the 12-
Lead Transfer Station.
• Printer: If you plan to print 12-Lead reports, you need a printer on the same network as the
12-Lead Transfer Station.
Installing the Operating System

The purpose of this manual is to provide you with instructions specific to setting up the server to
support 12-Lead Transfer Station. You are responsible for making all decisions for supporting your
business and security needs such as installing firewall and anti-virus software. The Microsoft
installation documentation and web site provides instructions for installing and configuring a secure
server. After installing the operating system, make sure that you install all the latest security patches and
updates.
In addition to configuring the system to meet your business and security needs, include the following
configurations:
• Configure the system as an Application Server and install Internet Information Services (IIS)
• Do not delete or rename the IIS default web site page. 12-Lead Transfer Station uses its settings.
• You do not need to install Active Directory service, DHCP server, or DNS server, Front Page
extensions, or ASP.
25
4 Setting up the Server Installing the Operating System
Setting up Internet Information Services (IIS)

12-Lead Transfer Station uses Internet Information Services (IIS) to send and receive information from
the Internet. Although IIS ships with the Windows application, Windows XP does not automatically
install IIS when you install the operating system. You must install IIS separately.
During IIS installation, IIS installs optional components such as Common Files, Documentation, and
the Internet Information Services snap-in. You can choose not to install the optional components;
however, not installing some components can decrease IIS functionality or disable IIS services. If you
are unfamiliar with the optional components, install IIS with the default settings. After you install IIS,
you can view “Installing IIS Optional Components” in the IIS online documentation for more
information.
NOTE You may need your Windows installation CD to complete the setup.
To install IIS
1 On the Windows taskbar, click Start.
2 Click Control Panel, and then click Add or Remove Programs.
3 Click Add/Remove Windows Components. Windows displays the Windows Components
Wizard.
4 Click the box for Internet Information Services and accept the defaults.
5 Follow the on-screen instructions.
Additional Instructions for Windows XP Professional SP2

Microsoft enhanced the security settings for the Firewall in Service Package 2 (SP2). To receive
12-Lead reports on a system running Windows XP Professional SP2, make the following changes to
the Firewall settings.
To change Firewall settings
1 In the Control Panel, click Security Settings.
2 Click Windows Firewall.
3 Click the Exceptions tab.
4 Click Add Port.
5 In Name, type HTTP-12LTS, or another name of your choice.
6 In Port number, type 80.
7 Click TCP.
8 Click OK.
26
Installing the Operating System 4 Setting up the Server
The results will be similar to the following example.
Additional Instructions for Windows Server 2003

The installation of 12-Lead Transfer Station will fail unless you make the following changes before
attempting the installation on a Windows Server 2003.
To make changes on IIS Manager
1 Start IIS Manager (Control Panel / Administrative Tools/Internet Information Services (IIS)
Manager
2 Click on your local computer name.
3 Double-click Web services extension.
4 Click All Unknown ISAPI Extensions.
5 Click Allowed.
To make changes on Identity of IIS
1 Start IIS Manager (Control Panel / Administrative Tools/Internet Information Services (IIS)
Manager
2 Click Application Pools (under local computer).
3 Right-click DefaultAppPool, and then click Properties.
4 Click the Identity tab.
5 In Predefined, choose Local System.
6 Click OK.
27
4 Setting up the Server Running Transfer Station Service Manager as a Service
Running Transfer Station Service Manager as a

Service
The default installation delivers 12-lead reports to 12-Lead Transfer Station only when 12-Lead
Transfer Station is running. If you need to receive 12-lead reports on a 24/7 schedule, you need to run
the Transfer Station Service Manager as a Service.
To set up the service
1 Complete the normal installation.
2 Open the Windows Service Manager.
a On the Windows Start menu, click Run.
a In the Open, type services.msc.
3 In Service Manager, right click Transfer Station Service Manager.
4 Click Properties.
5 In Startup type on the General tab, choose Automatic.
6 In Log on as on the Log On tab, choose This account.
NOTE The account must have administrator privileges on this machine.

It must require a password.
If 12-Lead Transfer Station forwards reports to a printer or fax, they must be configured for this
user.
7 Complete the account and password information.
8 Unless you have specific reasons to do so, do not change the entries in the Recovery or
Dependencies tabs.
9 If you want to start the service now, return to the General tab and choose Start.
- Or -
When you reboot the computer, the service will start.
Installing a Modem, Printer, and Fax

You will need your modem installation CD, printer installation CD, and the Windows CD to install
these components.
NOTE Make sure that the 12-Lead Transfer Station has the latest fax drivers installed. See the Microsoft web
site at: http://www.microsoft.com for additional information.
• Install the modem software driver from your modem installation CD.
• Install the printer software driver from your printer installation CD.
• Install the fax component from your Windows CD.
• Once the fax component is installed and set up, open an application, such as Microsoft Word, and
fax a file. The first time you fax a file, the Setup wizard runs and provides instructions on correctly
faxing a file.
• Set up the printer through the Windows Control Panel. Once the printer is set up, verify printing by
printing a file.
28
5
5Installing and Configuring

This chapter describes how to install and configure the 12-Lead Transfer Station.
Overview
This chapter is organized into the following sections:
Topic Page Topic Page

Before You Begin 29 Using the Transfer Station Options 32
System Requirements 30 Sending 12-Lead Reports to Printers 33
Installing 12-Lead Transfer Station 30 Sending 12-Lead Reports to Faxes 34
Starting 12-Lead Transfer Station 30 Setting Up Advanced Configurations 37
Verifying the Installation 31 Sending to TraceMaster Destinations 38
Registering 12-Lead Transfer Station 31 Sending to 12-Lead Transfer Station 38
Destinations
Configuring 12-Lead Transfer Station 32 Setting Up a Remote Monitor 40
Before You Begin

• Confirm that the server is set up according to the instructions in Chapter 4 “Setting up the Server.”
• Confirm that IIS is installed and running (Control Panel\Administrative Tools\Services).
• Review the ReadMe file, which is on the 12-Lead Transfer Station Installation disk.
29
5 Installing and Configuring 12-Lead Transfer Station System Requirements
System Requirements
Confirm that your hardware supports 12-Lead Transfer Station.
• Computer/Processor: 500 MHZ or higher
• Display Resolution: 1024x768
• Memory: 512 MB Minimum
• Hard Disk: 300 MB of available disk space during software installation
• Drive: CD-ROM drive
• Windows Server 2003 Standard Edition SP1 or Windows XP Professional SP2.
NOTE Installing a tape or other backup device is recommended. It is recommended that you store backup
information at a separate location. You should have a plan for recovering information in the case of a
software or hardware failure.
Installing 12-Lead Transfer Station

The default installation installs all components on one computer. An alternative installation provides
for a workstation that monitors the activity on the server. For help with the alternative installation, see
“Setting Up a Remote Monitor” on page 41.
To install 12-Lead Transfer Station from a CD
1 Start Windows.
2 Insert the 12-Lead Transfer Station Installation disc into your CD-ROM drive.
3 When you insert the installation disc, Windows displays the installation menu. If the installation
menu does not appear:
– Double-click My Computer.
– Double-click your CD-ROM icon.
– Double-click Setup.exe.
Starting 12-Lead Transfer Station

The automatic services provided by 12-Lead Transfer Station are only active while the application is
running and do not start automatically.
To start 12-Lead Transfer Station
1 Log in with your user name and password.
2 Click Start.
3 Point to All Programs.
4 Point to 12-Lead Transfer Station.
5 Click 12-Lead Transfer Station v2.5.
30
Verifying the Installation 5 Installing and Configuring 12-Lead Transfer Station
Verifying the Installation

1 Type the following URL in the browser:
http://IP address or domain name/ems/MRxtest.mrx?SourceName=test
If you see the following window, the operating system, IIS, and the 12-Lead Transfer Station are
installed correctly.
If this window does not appear, make sure that IIS is running. If not, restart IIS or check the IIS
log to make sure it’s configured properly.
2 Make sure that the 12-Lead Transfer Station software is running on the server. The automatic
services provided by 12-Lead Transfer Station are only active while the application is running and
do not restart automatically. Thus, if there is a power outage you must restart the 12-Lead Transfer
Station application on the server.
Registering 12-Lead Transfer Station

As soon as you install 12-Lead Transfer Station, start the application and register the product. 12-Lead
Transfer Station stops working if you do not register within 30 days of installation. Until you
register 12-Lead Transfer Station, you will see the License Manager when the application starts.
Registering your copy of 12-Lead Transfer Station helps Philips Medical Systems to provide you with
information and software updates.
You can register by telephone or on the Internet. Either way, you will receive the registration key by
email.
To register by telephone
Call one of the following telephone numbers. Tell the operator you want to register 12-Lead Transfer
Station. The help desk staff will complete the registration and send you the registration key by email.
• In the United States, call 1.800.263.3342.
• Outside the United States, call 011.1.206.664.7745.
31
5 Installing and Configuring 12-Lead Transfer Station Configuring 12-Lead Transfer Station
To register using the Internet

1 Connect to the Internet.
2 Start 12-Lead Transfer Station.
3 When the License Manager appears, click I would like to register now.
4 Click Next. 12-Lead Transfer Station displays the Registration window.
5 Click Register online at our web site. 12-Lead Transfer Station connects you to the registration
web site.
6 Complete the registration form, and then click Submit. You will receive the registration key by
email.
To enter the registration key
2 When the License Manager appears, click I would like to register now.
3 Click Next. 12-Lead Transfer Station displays the Registration window.
4 In Enter your key, type the registration key. It is not case-sensitive.
5 Click Next. 12-Lead Transfer Station displays a verification message.
6 Click OK.
To use 12-Lead Transfer Station without registering
2 When the License Manager appears, click I want to register this product later.
3 Click Finish. 12-Lead Transfer Station displays the main window.
Configuring 12-Lead Transfer Station

NOTE Unless the instructions specifically refer to the Remote Monitor, all instructions refer to 12-Lead
Transfer Station running on the server.
12-Lead Transfer Station provides two services: The primary function of 12-Lead Transfer Station is
automatically forwarding 12-Lead reports. In addition, 12-Lead Transfer Station provides the ability to
manually forward 12-Lead reports.This section describes how to configure the 12-Lead Transfer
Station to automatically print or fax 12-Lead reports.
Using the Transfer Station Options

Because the HeartStart MRx is limited to selecting only one destination for a report, you use the
Transfer Station Options to set up automatic forwarding of 12-Lead reports. Destinations can be
printers, fax devices, TraceMasterss, TraceMasterVue, or additional 12-Lead Transfer Stations. To
access the Transfer Station Options windows, choose Options from the Tools menu in the 12-Lead
Transfer Station main window. Transfer Station Options has five windows. You open a window by
clicking the tab at the top of the display.
32
Sending 12-Lead Reports to Printers 5 Installing and Configuring 12-Lead Transfer Station
Sending 12-Lead Reports to Printers

You configure printer settings for two situations: You configure a default printer for the HeartStart
MRx to use when it sends a 12-Lead report to a printer, and you configure printers for 12-Lead
Transfer Station to use when it automatically forwards reports to printers.
All printers must be on the same network as the 12-Lead Transfer Station server, and you must define
them as printers in Windows. You can only configure these settings on the server. If you set up
workstation monitors, you cannot use them to configure printers or Auto Send options. (See “Setting
Up a Remote Monitor” on page 41 for more information about workstation monitors.)
You configure printer settings for three situations:
• Manually print a report from the 12-Lead Transfer Station by clicking Print on the Report Tree
toolbar. See the 12-Lead Transfer Station Instructions for Use for more information.
• Automatically print a specific report sent from the MRx to the printers listed in the Auto Send List in
the Printer/Fax window.
• Automatically print all reports sent from the MRx to the printers listed in the Auto Send List in the
Printer/Fax window.
The first step in configuring a printer is to define it in the Windows operating system.
To add a printer to the Windows operating system
1 From the Windows Start menu, on the 12-Lead Transfer Station server, choose Printers and
Faxes.
2 In the Printers and Faxes window, choose Add Printers. Windows displays the Add Printers
Wizard.
After you add the printers, complete the Printer section of the Printer/Fax window and the General
window.
Forwarding Reports to HeartStart MRx Designated Printer

To send to a printer from the HeartStart MRx, you must define the printer in Windows. The
HeartStart MRx operator must enter the printer exactly as you defined it in Windows. The 12-Lead
Transfer Station automatically sends the report based on the instructions in the HeartStart MRx
routing file. You do not need to complete the settings in the General window.
Forwarding Reports to Additional Printers

To automatically forward 12-Lead reports to a printer or multiple printers, you need to select the print
style and enable printers in the Auto Send List. After you select the print style and enable the Auto
Send List for the printers, change to the Printer/Fax window and complete the printer settings.
To select the print style
1 In Transfer Station Options, click the General tab.
2 If you want 12-Lead Transfer Station to print grid lines on the report, choose Print with grid.
- OR -
If the printer paper has grid lines, instruct 12-Lead Transfer Station not to print the grid lines.
Choose Print without grid.
33
5 Installing and Configuring 12-Lead Transfer Station Sending 12-Lead Reports to Faxes
To enable the Auto Send List for printers

2 In the Auto Send List, select Send to Printers. 12-Lead Transfer Station will automatically send all
12-Lead reports to the printers you chose in the Printer/Fax window.
Completing the Printer Settings

To complete the printer settings, you need to add the printer or printers to the Auto Send List in the
Printer/Fax window. The Printer Destination section of the Printer/Fax window lists all the printers
you configured for this computer. If the printer you want is not in the list, see the instructions on the
previous page for adding a printer to the Windows operating system.
To add a printer to Auto Send List
1 In Transfer Station Options, click the Printer/Fax tab.
2 In the Available Printers list, click the printer name. 12-Lead Transfer Station enables the Add
button.
3 Click the Add button.
4 If you want to add more printers, repeat steps 1 and 2. When you finish adding printers, click OK.
Sending 12-Lead Reports to Faxes

To use the fax option, you must connect the 12-Lead Transfer Station server to a fax modem, and you
must install Microsoft Fax Service, or a comparable application, on the server. After you enable the
Auto Send List for the fax, change to the Printer/Fax window and complete the fax settings.
Completing the General Window
Forwarding Reports to HeartStart MRx Designated Faxes

To send a fax from the HeartStart MRx, the HeartStart MRx operator must enter the fax number
according to the dialing rules for the 12-Lead Transfer Station. The 12-Lead Transfer Station
automatically sends the report based on the instructions in the HeartStart MRx routing file. You do
not need to complete the settings in the General window.
Configuring Retry Settings in the Microsoft Fax Console

To ensure that faxed reports are received in a timely manner, change the fax retry defaults in the
Windows Fax Console. You want to minimize the number of retries and the amount of time between
retries so that the fax queue does not fill up.
To set up Fax Console for Windows 2003
1 Select Tools/Fax Services.
2 Right-click on Fax (Local).
3 Select Properties/Outbox.
4 Set the # of Retries to 2.
5 Set the Retry after xx minutes to 0 or 1.
34
Sending 12-Lead Reports to Faxes 5 Installing and Configuring 12-Lead Transfer Station
To set up Fax Console for Windows XP

1 Select Printers/Faxes.
2 Right-click on Fax.
3 Select Properties/Devices/Properties.
4 Set the # of Retries to 2.
5 Set the Retry after xx minutes to 0 or 1.
Forwarding Reports to Additional Faxes

To automatically forward 12-Lead reports to a fax or multiple faxes, you need to enable faxes in the
Auto Send List of the General window.
To enable Auto Send List for faxes
2 In the Auto Send List section, select Send to Fax Auto List. 12-Lead Transfer Station will
automatically send all 12-Lead reports to the faxes you chose in the Printer/Fax window.
Completing the Fax Settings

The Fax section of the Printer/Fax window does not list faxes you may have added to the address book
for Microsoft Fax Service. You must add each phone number to the Available Fax Numbers list.
To add a number to Available Fax Numbers
1 In the Add/Remove Fax Number section, type a number in the Fax Number field. Type the
number in the format required by the dialing rules you set up for this computer.
2 Click Add.
3 If you want to add more faxes, repeat steps 1 and 2. When you finish adding faxes, click OK
To add a fax number to the Auto Send List

1 In the Available Fax Numbers list, click the number you want to add. 12-Lead Transfer Station
enables the Add button.
If you want to add more fax devices, repeat steps 1 and 2. When you finish adding fax devices, click
OK.
Forwarding 12-Lead Reports to a HeartStart MRx designated Fax

Machine
To send a Fax from the HeartStart MRx, the HeartStart MRx operator selects Fax as the Site Type in
the MRx configuration screens. See “Configuring Sites” on page 14 for information.
Forwarding a 12-Lead report to an MRx-designated fax requires no additional configuration. The
report from the MRx contains the dialing information. It is important that the MRx user know the
dialing rules for the 12-Lead Transfer Station. For example, does the 12-Lead Transfer Station need to
dial a 9 for an outside line or a 1 in addition to the number? If it does, the number sent by the MRx
must include these digits.
35
5 Installing and Configuring 12-Lead Transfer Station Sending 12-Lead Reports to Faxes
Forwarding 12-Lead Reports to Additional Fax Machines

To automatically forward 12-Lead reports to a fax or multiple faxes, you need to enable faxes in the
Auto Send List of the General window.
To enable Auto Send List for faxes
2 In the Auto Send List section, select Send to Fax Auto List. 12-Lead Transfer Station will
automatically send all 12-Lead reports to the faxes you chose in the Printer/Fax window.
Completing the Fax Settings

The Fax section of the Printer/Fax window does not list faxes you may have added to the address book
for Microsoft Fax Service. You must add each phone number to the Available Fax Numbers list.
To add a number to Available Fax Numbers
1 In the Add/Remove Fax Number section, type a number in the Fax Number field. Type the
2 Click Add.
3 If you want to add more faxes, repeat steps 1 and 2. When you finish adding faxes, click OK
To add a fax number to the Auto Send List

1 In the Available Fax Numbers list, click the number you want to add. 12-Lead Transfer Station
enables the Add button.
3 If you want to add more fax devices, repeat steps 1 and 2. When you finish adding fax devices, click
OK.
36
Setting Up Advanced Configurations 5 Installing and Configuring 12-Lead Transfer Station
Setting Up Advanced Configurations

You can send 12-Lead reports from the MRx to a TraceMaster or another 12-Lead Transfer Station by
setting the Site Type in the MRx configuration to TraceMaster or 12- LTS and entering the URL.
You do not need to configure any other settings on the 12-Lead Transfer Station.
If you want to send 12-Lead reports from the MRx to a TraceMaster or another 12-Lead Transfer
Station using the Auto Send lists or manually send the MRx report from the 12-Lead Transfer Station
to a TraceMaster or another 12-Lead Transfer Station, use the procedures in this section.
12-Lead Transfer Station can send 12-Lead reports to TraceMasters, TraceMasterVue, or additional
12-Lead Transfer Stations through a dial up connection to the destination’s network. The first step in
setting up these destinations is to complete the Connections window in Transfer Station Options. To
complete these settings, you may need to know the User Name and Password for the internet account
you are using to connect.
Setting up the Connections

Both the TraceMaster and 12-Lead Transfer Station windows require that you choose a connection
that you defined in the Connections window. Complete the Connections window settings before you
complete the TraceMaster or 12-Lead Transfer Station windows.
Adding Connections
If you have dial-up connections configured for your system, Transfer Station Options displays them in
the Connections settings list. If you need to add connections, you can add them from Windows or you
can add them in the Connections window.
To add a connection from Windows
1 Open the Network Connections window.
a Click the Windows Start menu.
b Click Control Panel.
c Double-click Network Connections.
2 Choose Create a new connection. Follow the on-screen prompts.
To add a connection
1 In the Connections window of Transfer Station Options, click Add. 12-Lead Transfer Station
opens the Microsoft New Connection Wizard.
The New Connection Wizard selects Dial-up to Private network by default (The other options
do not apply to 12-Lead Transfer Station connections. The New Connection Wizard is a Windows
application. The display cannot be changed.).
2 Click Next. The New Connection Wizard displays the Phone Number to Dial window.
3 Enter the phone number in the format required by the dialing rules you set up for your computer.
4 Click Next. The New Connection Wizard displays the Finished window.
5 Type a name for this connection. The connection name can be anything that is meaningful to you.
6 Click Finish. The Connection Wizard displays the Internet Account Information window.
7 Complete the fields on the screen. This information is for the internet account you are using to
connect to the TraceMaster or 12-Lead Transfer Station. If you need help, contact the system
manager for that TraceMaster or 12-Lead Transfer Station.
37
5 Installing and Configuring 12-Lead Transfer Station Sending to TraceMaster Destinations
8 Click Next. The New Connection Wizard displays a completion message and adds this connection
to the Connection setting list.
Configuring Advanced Settings

Most connections do not require additional configuration. If the network you are connecting to
requires special settings for security, networking, or firewall, use the Settings button to display
additional configuration options.
To use the Settings button
1 Select a connection.
2 Click Settings.
If you need help configuring a connection, contact the system administrator for that TraceMaster
or 12-Lead Transfer Station.
Setting up a Proxy Server

A proxy server is a firewall component that manages Internet traffic to and from a local area network. A
proxy server can provide other features, such as document caching and access control.
Most connections do not require special proxy settings. If the system you are connecting to requires
these settings, use the Set up proxy section to complete them. If you need help, contact the system
administrator for that TraceMaster or 12-Lead Transfer Station.
Changing the Connection Settings List

If you need to modify the settings for an existing connection, use the Settings button.
To change Connection settings
1 In Connection settings section of the Connections window, click the setting to change.
2 Click Settings. 12-Lead Transfer Station displays the Properties window.
3 Make the changes.
4 Click OK.
Sending to TraceMaster Destinations

NOTE A TraceMaster ECG Management System cannot process a 12-Lead report if the filter settings are
between .05 to 40 Hz. The HeartStart MRx operator sets this filter. The TraceMasterVue does not
have this restriction.
To forward 12-Lead reports to a TraceMaster, complete the settings in the TraceMaster window of
Transfer Station Options.
If you know that you will always forward 12-Lead reports to a specific TraceMaster (or multiple
TraceMaster systems), add them to the Auto Send List. This setting will become effective when you
choose Send to TraceMaster, which is in the Auto Send List of the General window.
If you occasionally send 12-Lead reports to a specific TraceMaster (or multiple TraceMaster systems),
complete all the settings, but do not add those destinations to the Auto Send List. 12-Lead Transfer
Station will add these destinations to the Forward list. The Forward list is on the toolbar in the 12-
Lead Transfer Station main window.
38
Sending to TraceMaster Destinations 5 Installing and Configuring 12-Lead Transfer Station
For each TraceMaster destination, complete the settings in Connect through LAN or Connect
through Dial-up connection.
To set up a LAN (Local Area Network) connection
1 In Name, type a name to identify this TraceMaster destination in the TraceMaster List and the
Forward list. For example, you might enter Rosenberg or Evergreen ICCU.
2 Choose either TraceMaster or TraceMasterVue.
3 In TraceMaster URL, type the URL for the TraceMaster system.
4 If you want this TraceMaster added to the Auto Send List, so that all the 12-Lead reports are
automatically forwarded to this TraceMaster, click Auto Send. (If you do not click Auto Send, the
HeartStart MRx can send reports to a TraceMaster or you can manually forward a 12-Lead report.)
5 Click Connect through LAN.
6 Click Add. 12-Lead Transfer Station adds this TraceMaster to the TraceMaster List. If you chose
Auto Send, 12-Lead Transfer Station enters Yes in the Auto Send column.
7 To continue adding destinations to the list, click Apply. When you finish adding to the list, click
OK to save the settings and close the window.
8 Switch to the General window by clicking on the General tab.
9 In the Auto Send List, click Send to TraceMasters.
10 Click OK.
To set up a Dial-up connection
1 In TraceMaster Name, type a name to identify this TraceMaster in the TraceMaster List and the
Forward list.
2 Choose either TraceMaster or TraceMasterVue.
3 Click Connect through Dial up connection. 12-Lead Transfer Station enables the Select a dial up
connection field.
4 If you want this TraceMaster added to the Auto Send List, click Auto Send.
5 In Select a dial up connection, click the down arrow to display the list of dial-up connections.
6 Select the connection for this entry.
7 Click Add. 12-Lead Transfer Station adds this TraceMaster to the TraceMaster List. If you chose
Auto Send, 12-Lead Transfer Station enters Yes in the Auto Send column.
8 To continue adding TraceMasters destinations to the list, click Apply. When you have finished
adding to the list, click OK. OK saves the settings and closes the window.
10 In the Auto Send List, click Send to TraceMasters.
11 Click OK.
39
5 Installing and Configuring 12-Lead Transfer Station Sending to 12-Lead Transfer Station Destinations
Sending to 12-Lead Transfer Station Destinations

If you know that you will always forward 12-Lead reports to a specific 12-Lead Transfer Station (or
multiple 12-Lead Transfer Stations), add them to the Auto Send List. This setting will become
effective when you choose Send to 12-Lead Transfer Station, which is in the Auto Send List of the
General window.
If you will occasionally send 12-Lead reports to a specific 12-Lead Transfer Station (or multiple 12-
Lead Transfer Stations), complete all the settings, but do not add those destinations, to the Auto Send
List. 12-Lead Transfer Station will add these destinations as a choice in the Forward list. Forward is on
the toolbar in the 12-Lead Transfer Station main window.
For each 12-Lead Transfer Station destination, complete the settings in Connect through LAN or
Connect through Dial-up connection.
To set up a LAN (Local Area Network) connection
1 In Name, type a name to identify the 12-Lead Transfer Station in the 12-Lead Transfer Station
List. For example, you might enter Rosenberg or Evergreen ICCU.
2 In 12-Lead Transfer Station URL, type the URL for the 12-Lead Transfer Station system.
3 If you want this 12-Lead Transfer Station added to the Auto Send List, so that all the 12-Lead
reports are automatically forwarded to this 12-Lead Transfer Station, click Auto Send. (If you do
not click Auto Send, the HeartStart MRx can send reports to an additional 12-Lead Transfer
Station or you can manually forward a 12-Lead report.)
4 Click Connect through LAN.
5 Click Add. 12-Lead Transfer Station adds this 12-Lead Transfer Station to the 12-Lead Transfer
Station List. If you chose Auto Send, 12-Lead Transfer Station enters Yes in the Auto Send
column.
6 To continue adding connections to the list, click Apply. When you have finished adding to the list,
click OK. OK saves the settings and closes the window.
8 In the Auto Send List, click Send to 12-Lead Transfer Stations.
9 Click OK.
To set up a Dial-up connection
1 In 12-Lead Transfer Station Name, type a name to identify the 12-Lead Transfer Station in the
12-Lead Transfer Station List.
2 Click Connect through Dial up connection. 12-Lead Transfer Station enables Select a dial up
connection.
3 In Select a dial up connection, click the down arrow to display the list of dial-up connections.
4 Select the connection for this entry.
5 If you want this 12-Lead Transfer Station added to the Auto Send List, click Auto Send.
6 Click Add. 12-Lead Transfer Station adds this 12-Lead Transfer Station to the 12-Lead Transfer
Station List. If you chose Auto Send, 12-Lead Transfer Station enters Yes in the Auto Send column.
7 To continue adding connections to the list, click Apply. When you have finished adding to the list,
click OK. OK saves the settings and closes the window.
40
Setting Up a Remote Monitor 5 Installing and Configuring 12-Lead Transfer Station

9 In the Auto Send List, click Send to 12-Lead Transfer Stations.
10 Click OK.
Setting Up a Remote Monitor

You can configure 12-Lead Transfer Station with a workstation that monitors the activity on the
server. The workstations can only be used to monitor, view or print 12-Lead reports stored on the
server.
NOTE You cannot use the workstations to configure Auto Send Lists, TraceMaster connections, or other 12-
Lead Transfer Station connections. The workstations must be on the same network as the server. After
you complete the installation and configuration, you can stop Internet Information Services (IIS) for
the workstations.
To set up a system to use a remote monitor, an IT professional with knowledge of XML file structure,
modifies the SysConfig.xml file.
To modify the SysConfig.xml file
1 On the workstation computer, navigate to SysConfig.xml (Program Files/Philips/HeartStart/12-
Lead Transfer Station. Make a backup copy of the file.
2 Open SysConfig.xml in a text editor. Make the following changes:
Change the following section to point to the server
<DataSource>yourservername\HeartStart</DataSource>.For example, if
the server name is Mozart, the statement will be:
<DataSource>Mozart\HeartStart</DataSource>.
3 Save the file.
To complete the configuration
1 Start 12-Lead Transfer Station on the workstation.
2 On the Tools menu, click Options. 12-Lead Transfer Station opens the Transfer Station Options
window.
3 In the Station ID of the General window, select the Station ID for the server.
4 Click OK.
41
6
6Testing and Troubleshooting
Overview
This chapter provides information on testing and troubleshooting the 12-Lead transmission option.
The first section discusses testing Bluetooth devices when adding them to the MRx. The next sections
provides three test scenarios to help you verify the initial installation and troubleshooting procedures
and tables to help you narrow down any problems.
Topic Page
Testing Bluetooth Devices 44
Testing 12-Lead Transmission 44
Viewing the MRx Status Log 50
Viewing the 12-Lead Transfer Station System Log 52
Troubleshooting Tables 53
Troubleshooting the Accessories 64
Customer Support 65
Testing Bluetooth Devices

After you have added and paired a Bluetooth device to the MRx and selected a profile, the MRx checks
that it can communicate with the Bluetooth device, connect to the network, and connect to the
12-Lead Transfer Station. This test occurs automatically whenever you change a profile for the
Bluetooth device.
You can test a profile of a previously paired Bluetooth device by using the following procedure:
1 From the 12-Lead menu, select Bluetooth Devices.
A list of configured Bluetooth devices is displayed.
2 Use the Menu Select button to select a Bluetooth device.
3 Select Change Profile.
A menu of configured profiles for that Bluetooth device is displayed, with the currently associated
profile highlighted.
43
6 Testing and Troubleshooting Testing 12-Lead Transmission
4 Select the profile you want the Bluetooth device to use to transmit 12-Lead reports.
Transfer Station. Progress messages, such as Transmission Test Connecting to Device, Connecting
to Network, Dialing, and Connecting to Server, are displayed during the testing. If the test
completes successfully, the message “Transmission Test Passed” is displayed. If the test fails, the
message “Transmission Test Failed” is displayed, along with more detailed information on the
failure. See Table 6 for messages and suggested solutions.
Testing 12-Lead Transmission

Once all of the pieces of the 12-Lead transmission option are installed and configured, you can test the
entire 12-Lead transmission option using the follow scenarios.
• Scenario 1 — Manually send a report from the 12-Lead Transfer Station to a fax machine. This tests
that 12-Lead Transfer Station and the Windows fax component are installed and configured
correctly.
• Scenario 2 — Send a report from the MRx to an MRx-designated fax machine. This tests that
12-Lead Transfer Station and the Windows fax component are installed and configured correctly,
the MRx and cell phone are configured correctly, and the MRx can communicate with the 12-Lead
Transfer Station.
• Scenario 3 — Send a report from the MRx to multiple fax machines. This tests that 12-Lead
Transfer Station and the Windows fax component are installed and configured correctly, the MRx
and cell phone are configured correctly, the MRx can communicate with the 12-Lead Transfer
Station and the 12-Lead Transfer Station Auto Send lists are configured correctly.
44
Testing 12-Lead Transmission 6 Testing and Troubleshooting
Scenario 1 - Manually send a report from the 12-Lead Transfer

Station to a fax machine
Step 1: Click on the report in the Report tree of 12-Lead Transfer Station.
Step 2: From the File menu, click Fax/Print.
Step 3: Select the fax from the window that is displayed and click OK.
Step 4: Follow the instructions in the Send Fax Wizard.
Troubleshooting when a report fails to fax

Step 1: Is the fax set up in the Windows Fax Console and ready to receive?
• Confirm that the fax is set up in the Windows Fax Console.
• Confirm that the fax number of retries and amount of time between retries is a low number, such as
2 and 0.
• Confirm that paper orientation of the fax service is set to Landscape
• Confirm with the receiving site that the fax is ready to receive.
• Confirm that the fax is plugged in and has paper.
Step 2: Follow Microsoft Windows Fax troubleshooting procedures for additional information.
Scenario 2- Sending a report to an MRx-designated fax machine.

Step 1: Send a 12-Lead Report from the MRx to the designated fax.
Use a simulator to acquire a 12-Lead report (See the HeartStart MRx Instructions for Use for
information on acquiring 12-Lead reports):
1 Upon acquisition of the 12-Lead ECG, the 12-Lead report View is displayed.
3 Select Send from the 12-Lead Main Menu and press the Menu Select button.
4 Select Fax as the Site Type.
5 Enter the fax number.
6 Press the Menu Select button to complete the selection.
7 If you are transmitting using a Bluetooth phone or modem, select the device from the
Transmission Devices menu.
Step 2: Confirm that the 12-Lead Report was sent to the designated fax machine. If not, begin
troubleshooting.
45
Troubleshooting when a report fails to fax to an MRx-designated fax

Step 1: Check the MRx screen and status log for error messages.
If an error message appears, use Table 6 or Table 7 to understand and correct the problem.
Step 2: Did you enter the fax number correctly from the MRx?
• Confirm that the fax number was entered correctly on the MRx, using the dialing rules for the 12-
Lead Transfer Station. For example, you may need to dial a 9 for an outside line or an area code in
addition to the number.
Step 3: Did 12-Lead Transfer Station receive the file?

To confirm that 12-Lead Transfer Station received the file
1 Open the System Log by selecting View System Log on the toolbar of 12-Lead Transfer Station.
The log should show Saved ECG for that 12-Lead report ID.
2 If the report was received, check to see if there are error message for the transmission. Use Table 8
to understand and correct the problem.
Step 4: Confirm the 12-Lead Transfer Station installation.

Type in the following URL in the browser:
http://IP address or domain name/ems/MRxtest.mrx?SourceName=test
If you see the following window, the operating system, IIS, and the 12-Lead Transfer Station are
installed correctly.
If this window does not appear:

• Make sure that IIS is running. If not, restart IIS or check the IIS log to make sure it’s configured
properly.
46
Step 5: Make sure that the 12-Lead Transfer Station software is running on the server.
The automatic services provided by 12-Lead Transfer Station are only active while the application is
running and do not restart automatically. Thus, if there is a power outage you must restart the 12-Lead
Transfer Station application on the server by clicking Start/Programs/12-Lead Transfer Station.
Step 6: Is the fax set up in the Windows Fax Console and ready to receive?
• Confirm that the fax is set up in the Windows Fax Console.
• Confirm that the fax number of retries and amount of time between retries is a low number, such as
2 and 0.
• Confirm that paper orientation of the fax service is set to Landscape
• Confirm with the receiving site that the fax is ready to receive.
• Confirm that the fax is plugged in and has paper.
Scenario 3- Sending a report to multiple fax machines

Step 1: Set up a fax Auto Send List on the 12-Lead Transfer Station.
To add a number to Available Fax Numbers:
1 In the Transfer Station Options window, click the Printer/Fax tab.
2 In the Add/Remove Fax Numbers section, type a number in the Fax Number field. Type the
3 Click Add.
4 Repeat steps 2 and 3 until you have added all numbers.
To add a fax number to the Auto Send List:
1 In the Available Fax Numbers list, click the number you want to add.
3 If you want to add more faxes, repeat steps 1 and 2. When you finish adding faxes, click OK.
To enable the Auto Send List:
1 Click the General tab of the Options window.
2 Enable Send to Faxes Auto Send List. Do not enable any other Auto Send Lists.
3 Click OK.
47
Step 2: Send a 12-Lead Report from the MRx to the designated fax.
Use a simulator to acquire a 12-Lead report (See the HeartStart MRx Instructions for Use for
information on acquiring 12-Lead reports):
1 Upon acquisition of the 12-Lead ECG, the 12-Lead report View is displayed.
3 Select Send from the 12-Lead Main Menu and press the Menu Select button.
4 Select Fax as the Site Type.
5 Enter the fax number.
6 Press the Menu Select button to complete the selection.
7 If you are transmitting using a Bluetooth device, select the device from the Transmission Devices
menu.
Step 3: Confirm that the 12-Lead Report was sent to the designated fax machine and the fax
machines in the Auto Send List. If not, begin troubleshooting.
Troubleshooting when a report fails to fax to multiple fax machines

Step 1: Check the MRx screen for error messages.
If an error message appears, use Table 6 or Table 7 to understand and correct the problem.
Step 2: Did you enter the fax number correctly from the MRx?
• Confirm that the fax number was entered correctly on the MRx, using the dialing rules for the 12-
Lead Transfer Station. For example, you may need to dial a 9 for an outside line or an area code in
addition to the number.
Step 3: Is there a Fax Auto Send List configured?

1 On the Tools menu of 12-Lead Transfer Station main window, click Options.
2 Click the Printer/Fax tab.
3 Check to see that the fax numbers are listed in the Auto Send List. If not, add them. See “Sending
12-Lead Reports to Faxes” on page 34.
Step 4: Is the Send to Faxes Auto Send List enabled?

1 On the Tools menu of 12-Lead Transfer Station main window, click Options.
2 In the General window, confirm that there is a check mark in front of the Send to Faxes Auto Send
List.
Step 5: Follow Steps 3 through 6 of the previous scenario to complete the troubleshooting.
48
Restarting 12-Lead Transfer Station

The automatic services provided by 12-Lead Transfer Station are only active while the software is
running and do not restart automatically. Thus, if there is a power outage you must restart the 12-Lead
Transfer Station software on the server.
To restart 12-Lead Transfer Station:
Click Start/Programs/12-Lead Transfer Station.
49
6 Testing and Troubleshooting Viewing the MRx Status Log
Viewing the MRx Status Log

CAUTION Be sure that the monitor/defibrillator is not connected to a patient when performing any function in
Service Mode.
NOTE Make sure that you insert a battery charged to at least 20% into the device or connect external power
when you are performing functions in Service Mode.
To view the MRx Status log:
1 Access Service Mode by turning the Therapy Knob to Monitor.
2 Press the Menu Select button to display the Main menu.
3 Select Other.
4 From the Other menu select Service.
The message “Leaving Normal Operating Mode. Patient Monitoring is Off. To return to Normal
Operating Mode, press the Exit Softkey.” appears.
5 Press the Menu Select button to acknowledge the message.
You are prompted to enter a password.
6 Enter the password (27689) by scrolling through the list until the desired number is highlighted.
7 From the Service Mode Main menu, select Status Log and press the Menu Select button.
8 Press the [Print Log] soft key if you want to print the log.
50
Viewing the MRx Status Log 6 Testing and Troubleshooting
26 Apr 2003 10:52
Service . STATUS LOG

25 Apr 2003 10:50 Selftest - NBP Module (autotest)
24 Apr 2003 15:15 Main Software 0x0020040C (runtime)
23 Apr 2003 8:15 Internal Fan Failure - Fan Assembly (service)
22 Mar 2003 5:20 Communication - NBP Module (autotest)
21 Mar 2003 11:00 Processor 5V - Power PCA (opcheck)
20 Feb 2003 13:20 ECG Gain Accuracy - Processor PCA (service)
19 Feb 2003 7:45 ECG Bias - Processor PCA (opcheck)
18 Jan 2003 15:15 Main Software 0x00A00151 (runtime)
17 Jan 2003 2:25 Communication - SpO2 Module (autotest)
16 Jan 2003 2:24 Communication - SpO2 Module (autotest)
15 Dec 2002 18:18 Communication - SpO2 Module (autotest)
14 Dec 2002 18:18 Communication - Printer Assembly (opcheck)
13 Dec 2002 3:30 Communication - Printer Assembly (opcheck)
12 Nov 2002 17:05 Main Software 0x00C00082 (runtime)
11 Oct 2002 11:11 ECG 5V - Processor PCA (autotest)
10 Oct 2002 7:25 Main Software 0x00C00082 (runtime)
9 Oct 2002 5:23 Main Software 0x00C00082 (runtime)
8 Oct 2002 4:23 Selftest - NBP Module (autotest)
7 Oct 2002 4:23 Communication - SpO2 Module (autotest)
6 Oct 2002 4:23 Selftest - Printer Assembly (autotest)
5 Oct 2002 5:23 Pads Noise - Processor PCA (autotest)
4 Oct 2002 5:15 DSP Communication - Processor PCA (autotest)
3 Oct 2002 3:25 Pads Noise - Processor PCA (autotest)
2 Sep 2002 1:20 Selftest - CO2 Module (opcheck)
1 Sep 2002 1:20 Selftest - CO2 Module (opcheck)Status Log
Main Prev Next Print Clear Log
Service Page Page Log Exit
51
6 Testing and Troubleshooting Viewing the 12-Lead Transfer Station System Log
Viewing the 12-Lead Transfer Station System Log

To view the 12-Lead Transfer Station System Log:
Click View System Log on the toolbar of 12-Lead Transfer Station.
52
Troubleshooting Tables 6 Testing and Troubleshooting
Troubleshooting Tables
The Troubleshooting tables provide information on messages and common troubleshooting issues.
Table 6 provides information on the Bluetooth messages that are displayed on the HeatStart MRx and
in the Status log. These messages can occur during the Bluetooth device testing phase as well as during
transmission of 12-Lead reports. Errors that occur during the testing phase include the word “Test” in
the message. For example, “Transmission Test Failed. Cannot Connect to Device” is displayed when
the MRx is testing the connection. The possible causes and solutions are the same for both testing and
normal operation.
Table 7 provides information on the RS 232 messages that are displayed on the HeatStart MRx and in
the Status log. The tables present the messages according to where they occur in the transmission
process.
Table 8 provides information on the messages that are displayed in the 12-Lead Transfer Station
System log.
Table 6 Bluetooth Transmission Messages
User Message Status Log Error Possible Causes Possible Solutions

BLUETOOTH DEVICE
Bluetooth Malfunction • No/Bad Bluetooth • The MRx does not have a • Check to see if the Bluetooth
Card Bluetooth card. card is installed in the
PCMCIA slot. See the Repair
chapter of the Service Manual.
• Bluetooth
Communication • The Bluetooth card is • Replace the Bluetooth card.
Failure incompatible. Use Philips Bluetooth cards
only.
• The Bluetooth card is corrupt. • Replace the Bluetooth card.
Not available at this time • None • You cannot perform multiple • Wait until one action is
actions with the Bluetooth complete before starting
card. For example, you cannot another.
add a device or pair while
transmitting a 12-Lead report.
BLUETOOTH DEVICE DISCOVERY
No Bluetooth Profiles • No Bluetooth • There are no profiles • Create a profile for the
Configured Profiles - 12LXMit configured for the Bluetooth Bluetooth device. See
Config device. “Configuring a Bluetooth
Device Profile” on page 9 for
• No Bluetooth
more information.
Devices - 12LXMit
Device
53
6 Testing and Troubleshooting Troubleshooting Tables
Table 6 Bluetooth Transmission Messages (Continued)

No Bluetooth Devices None • The MRx could not discover • Try searching again for
Detected the Bluetooth device. Bluetooth devices.
• The Bluetooth device is not • Make sure the Bluetooth

turned on. device is turned on.
• The Bluetooth device is not • See the Bluetooth device’s

authorized to pair with the documentation to set
MRx. authorization.
• The Bluetooth device is not • Move the Bluetooth device

within range. closer to the MRx, within the
transmitting range. (See
“Bluetooth Device
Transmission Range” on
page 17 for information.)
BLUETOOTH DEVICE PAIRING
Bluetooth device pairing • None. • The wrong pass key was • Check the pass key. Select the
failed entered on the Bluetooth device from the MRx Add
device. Devices list and pair again.
• The pairing process timed out. • Try pairing again.
54

SEND
Transmission Settings Missing settings - • The Hub information settings • Modify the Hub
Have Not Been Configured 12LXmit Config are not correct. Configuration settings on the
MRx as needed.
No Bluetooth Devices • No Bluetooth • The Bluetooth device has not • Pair the Bluetooth device with
Configured Devices - 12LXmit been paired with the MRx. the MRx.
Device
CONNECTING TO DEVICE
No transmission devices • No response - • The Bluetooth device is not • Make sure the Bluetooth
detected 12LXmit Device turned on. device is turned on.
• Connection failed -
12LXMit Device • The Bluetooth device is not • Move the Bluetooth device
“Bluetooth Device
page 17.)
• The Bluetooth device is not • See the Bluetooth device’s
authorized to pair with the documentation to set
MRx. authorization.
• The Bluetooth pairing • Pair the Bluetooth device with

information has been lost. the MRx.

Transmission Failed. Error Configure Failed - • The wrong Bluetooth Profile • Check the profile to ensure it is
configuring transmission 12LXmit Device was selected. the correct one for that
device • The Configuration String
Bluetooth device.
under the Phone Profile • Work with your cell phone
settings is not correct. provider to ensure that the
Configuration String is correct.
Bluetooth Connection • Bluetooth • The Bluetooth device is not • Move the Bluetooth device
Lost* Connection Lost - within range. closer to the MRx, within the
12LXmit Device transmitting range. (See
*(can occur during any
“Bluetooth Device
phase)
page 17 for information.)
55

DIALING
Transmission Failed. No No Dial tone - • Cell phone service is • Check that the cellular signal
Dial Tone 12LXmit Dialing unavailable. strength is sufficient.
• The Bluetooth modem • Check that the connection
connection is not secure. between the Bluetooth modem
and analog line is secure.
• The connection you are using • Set the “Wait for Dial Tone”
does not provide dial tones. configuration parameter to No.
See the “Configuring a
Bluetooth Device Profile” on
page 9 for more information.
Transmission Failed • Connect Failed - • The wrong Bluetooth Profile • Check the profile to ensure it is
Connection Failed 12LXmit Dialing was selected. the correct one for that
Bluetooth device.
• Disconnect Failed -
12LXmit Dialing • The Dial String under the • Work with your cell phone
Phone Profile settings is provider to ensure that the Dial
incorrect. string is correct.
• Data transfer service is • Work with your cell phone

unavailable on the phone. provider to ensure that your
cell phone plan has data
transfer capability.
• Wrong number. • Check the number and re-
send.
CONNECTING TO NETWORK
Invalid Password • User/pw failure - • The wrong Bluetooth Profile • Check the profile to ensure it is
12LXmit Network was selected. the correct one for that
Bluetooth device.
• The PPP User Name or PPP • Modify the Phone Profile
Password under the Profile setting as needed.
Phone settings is incorrect.
• User/pw failure - • The server User Name or • Modify the Hub settings as
12LXmit Server Password is incorrect. needed.
56

CONNECTING TO SERVER
Transmission Failed Unreachable - 12LXmit • No server or the connection • Re-send the 12-Lead report.
Cannot reach server Server has been lost.
Transmission Failed Server DNS query failure - • The DNS has timed out or Work with your ISP to ensure the
unknown 12LXmit Server there has been a failure in the Serial Phone Profile and Hub
DNS. settings are correct.
Transmission Failed. • Bad URL Format - • There is a problem with the Work with your ISP to ensure the
Settings Configured 12LXmit Server Server URL, Proxy user name, Phone Profile and Hub settings
Incorrectly • Bad proxy settings -
Proxy password are correct.
12LXmit Server
• Bad user/pw settings
- 12LXmit Server
TRANSMITTING
Transmission Failed. Modem Connection • The network is down • Check that the cellular signal
Connection Interrupted. Lost - 12LXmit strength is sufficient.
Network
• Re-send the 12-Lead report.
• The Bluetooth device is not • Move the Bluetooth device
“Bluetooth Device
page 17 for information on
transmission ranges.)
Transmission Failed • PPP Attach Timeout • The network is down. • Check with your ISP to see if
- 12LXmit Network your service is down.
• Request Timeout -
12LXmit Server • The server connection has • Re-send the 12-Lead report.
timed out.
• Invalid request - 12L
Transmit • TCP/IP Failure • Re-send the 12-Lead report. If
still unsuccessful, check the
• HTTP client error -
MRx configuration settings.
12L Transmit • The 12-Lead Transfer Station
has rejected the data. • Check the MRx and the12-
Lead Transfer Station to ensure
that the correct product
versions are installed.
57
NOTE The first step in attempting to solve an RS 232transmission problem, is to disconnect the serial cable
from the phone, reconnect it, and re-send the 12-Lead report.
Table 7 MRx RS 232 Transmission Process Troubleshooting

SEND
Transmission Settings • Missing settings - • The Hub information settings • Modify the Hub
Have Not Been Configured 12LXmit Config are missing or incorrect. Configuration settings on the
MRx as needed.
CONNECTING TO PHONE
No transmission devices • No response - • The cell phone is not • Check that the phone is
detected 12LXmit Device connected properly. connected to the serial cable
and that the serial cable is
connected to the RS232 port
on the MRx. For some phones,
it may be necessary to
disconnect the cable and
reconnect it before each
transmission.
• The cell phone’s RS232 port is • Work with your cell phone
not configured correctly. provider to enable the RS232
port on your cell phone.
• The cell phone’s RS232 port • Work with your cell phone
hardware is incompatible. provider to choose a phone
that is compatible.
• The serial cable is defective or • Work with your cell phone
incompatible. provider to obtain a serial
cable that connects to your
phone and the MRx with a 9-
pin D serial cable connection.
• The cell phone is not set up • Work with your cell phone
properly. provider to ensure that the cell
phone is set up as a modem
using the RS232 port.
Transmission Failed.Error • Configure Failed - • The Configuration String • Work with your cell phone
configuring transmission 12LXmit Device under the Serial Phone Profile provider to ensure that the
device settings is not correct. Configuration String is correct.
58
Table 7 MRx RS 232 Transmission Process Troubleshooting (Continued)

DIALING
No Dial Tone • No Dial tone - • The cell phone is not • Check that the phone is
12LXmit Dialing connected properly. connected to the serial cable
on the MRx.
• Cell phone service is • Check that the cellular signal
unavailable. strength is sufficient.
Transmission Failed • Connect Failed - • The Dial String under the • Work with your cell phone
Connection Failed 12LXmit Dialing Serial Phone Profile settings is provider to ensure that the Dial
not configured or is incorrect. string is correct.
• Disconnect Failed - • Data transfer service is • Work with your cell phone
12LXmit Dialing unavailable on the phone. provider to ensure that your
cell phone plan has data
transfer capability.
• Wrong number • Check the number and re-
send.
CONNECTING TO NETWORK
Invalid Password • User/pw failure - • The PPP User Name or PPP • Modify the Serial Phone
12LXmit Network Password under the Serial Profile setting as needed.
Profile Phone settings is
incorrect.
Transmission Failed • PPP Attach Timeout • The network is down. • Check with your ISP to see if
- 12LXmit Network your service is down.
Transmission Failed. • Modem Connection • The network is down. • Check that the cellular signal
Network
59

CONNECTING TO SERVER
Invalid Password • User/pw failure - • The server User Name or • Modify the Hub settings as
12LXmit Server Password is incorrect. needed.
Transmission Failed • Unreachable - • No server or the connection • Check that the phone is
Cannot reach server 12LXmit Server has been lost. connected to the serial cable
on the MRx.
Transmission Failed Server • DNS query failure - • The DNS has timed out or • Work with your ISP to ensure
unknown 12LXmit Server there has been a failure in the the Serial Phone Profile and
DNS. Hub settings are correct.
Transmission Failed • Request Timeout - • The server connection has • Re-send the 12-Lead report.
12LXmit Server timed out.
Transmission Failed. • Bad URL Format - • There is a problem with the • Work with your ISP to ensure
Settings Configured 12LXmit Server Server URL, Proxy user name, the Serial Phone Profile and
Incorrectly • Bad proxy settings -
Proxy password Hub settings are correct.
12LXmit Server
• Bad user/pw settings
- 12LXmit Server
Network
60

TRANSMITTING
Transmission Failed • Partial transmission - • The phone is disconnected. • Check that the phone is
12LXmit connected to the serial cable
on the MRx.
• Invalid request - • TCP/IP Failure • Re-send the 12-Lead report. If
12LXmit still unsuccessful, check the
MRx configuration settings.
• HTTP client error - • The 12-Lead Transfer Station • Check the MRx and the12-
12LXmit has rejected the data. Lead Transfer Station to ensure
that the correct product
versions are installed.
Network
61
Table 8 12-Lead Transfer Station System Log Messages
Action Type Description Possible Causes

INFORMATION MESSAGES
ECG Saved ECG ID 12-Lead Transfer Station processed the
MRx 12-Lead report that was imported
ECG acquired Date and Time stamp
from a Data card and saved it to the
imported from Data card
database.
File name:GUID file name.XML
MRx 12-Lead report that was transmitted
and saved it to the database. If a duplicate
Imported from MRx 12-Lead report is received, it overwrites
File name:GUID file name.XML the existing report. The 12-Lead Transfer
Station uses the 12-Lead report ID,
patient ID, and the acquired date and
time to identify the report.
MRx 12-Lead report that was forwarded
from another 12-Lead Transfer Station
Imported from 12-Lead Transfer Station and saved it to the database.
File name:GUID file name.XML
ECG sent to fax queue ECG ID 12-Lead Transfer Station sent the MRx
12-Lead report to the fax service. The fax
Printer name: fax number
service continues to retry faxing
File name: GUID file name.XML depending on how it’s configured.
However, the 12-Lead Transfer Station
does not know if the fax was successful.
Possible reasons for failure are:
• Fax machine is out of paper
• Fax machine is out of service
• Fax machine is not plugged in.
Each fax number has its own entry in the
log.
ECG sent to print queue ECG ID 12-Lead Transfer Station sent the MRx
12-Lead report to the printer. The report
Printer name: Printer name
remains in the print queue until it prints.
File name: GUID file name.XML However, the 12-Lead Transfer Station
does not know if the print job was
successful.
Possible reasons for failure are:
• Printer is out of paper
• Printer is out of service
• Printer is unplugged.
Each printer name has its own entry in
the log.
62
Table 8 12-Lead Transfer Station System Log Messages (Continued)
Action Type Description Possible Causes

ECG forward ECG ID 12-Lead Transfer Station sent the MRx
12-Lead report to TraceMaster. Each
TraceMaster name has its own entry in the
Sent: TraceMaster HTTP address log.
ECG forward ECG ID 12-Lead Transfer Station sent the MRx
12-Lead report to another 12-Lead
Transfer Station. Each 12-Lead Transfer
Sent to 12-Lead Transfer Station: 12- Station name has its own entry in the log.
Lead Transfer Station HTTP address
ECG deleted Delete xx 12-Lead ECG 12-Lead Transfer Station deleted xx
number of 12-Lead reports due to a user
initiated clear all activity or because the
reports exceeded the number of days to
store on the system.
ECG deleted ECG ID The user selected and deleted a single
ECG acquired Date and Time stamp 12-Lead report from the Report Tree.
ERROR MESSAGES
Fail to Process Destination ECG ID 12-Lead Transfer Station processed the
Information MRx 12-Lead report but cannot process
the destination information. Possible
File name:MRx 12-Lead Report name causes:
Destination type: (Fax, Printer, Hub, or • no fax number entered for fax
PC) destination
Destination: value • no URL entered for PC destination
Value = <empty> if no string • invalid URL
• no connection to URL
Fail to forward Connection failed: Please check modem 12-Lead Transfer Station cannot connect
connection or RAS server to the modem. The modem cannot dial
out or connect to TraceMaster.
Possible reason for failure is: no dial tone.
Fail to forward ECG ID The MRx 12-Lead report was rejected by
TraceMaster because it contained the.05 -
40 Hz 12-Lead filter setting. TraceMaster
Rejected by TraceMaster: TraceMaster does not support this filter setting.
name Error code: 1013
63
6 Testing and Troubleshooting Troubleshooting the Accessories
Troubleshooting the Accessories

This section provides some guidance on troubleshooting the printer, fax, and modem.
• Printer
– Check the print queue for printing status. Select Printers/Faxes from the Windows control panel
to view the print queue.
• Fax
– Make sure that the 12-Lead Transfer Station has the latest fax drivers installed. See the Microsoft
web site at: http://www.microsoft.com for additional information.
– Check the fax console for fax status. Select Printers/Faxes from the Windows control panel to
view the fax console queue.
– If the 12-Lead report is printing on multiple pages or is getting clipped, send a test page from
another application, such as Microsoft Word. If that page is also not printing correctly, it could be
the fax machine.
• Modem
– Check that the modem is configured correctly. Select the phone and modem icons from the
Windows control panel.
64
Customer Support 6 Testing and Troubleshooting
Customer Support
At Philips Medical Systems, we strive to provide you with excellent customer service and technical
support. For telephone assistance, call the Response Center nearest to you, or visit our website at:
www.medical.philips.com/cms and follow the links for “CMS Response Center.”
North America
Canada 800-323-2280
United States of America 800-548-8833
Latin America 954-835-2600
Europe
European International Sales 41 22 354 6464
Austria 01 25125 333
Belgium 02 778 3531
Finland 010 855 2455
France 0803 35 34 33
Germany 0180 5 47 50 00
Italy 800 825087
Netherlands 040 278 7630
Sweden 08 5064 8830
Switzerland 0800 80 10 23
United Kingdom 07002 43258472
Asia/Asia Pacific
Australia 1800 251 400
China (Beijing) 800 810 0038
Hong Kong 852 2876 7578
Macau 0800 923
India:
New Delhi 011 6295 9734
Mumbai 022 5691 2463/2431
Calcutta 033 485 3718
Chennai 044 823 2461
Bangalore 080 5091 911
Hyderabad 040 5578 7974
Indonesia 021 794 7542
Japan 0120 381 557
Korea 080 372 7777
02 3445 9010
Malaysia 1800 866 188
New Zealand 0800 251 400
65
Philippines 02 845 7875
Singapore 1800 PHILIPS
Thailand 02 614 3569
Taiwan 0800 005 616
Our support technicians provide help for the following:

• Explaining the proper use of the HeartStart MRx and 12-Lead Transfer Station features and
answering your questions about how the product works.
• Explaining the proper installation, configuration and maintenance of the HeartStart MRx and
12-Lead Transfer Station.
• Helping you to determine if the problem is not with the MRx or 12-Lead Transfer Station and
directing you to the possible causes.
Our support technicians do not provide help for the following:

• Server hardware and software support. The support technicians cannot help you fix problems with
the server hardware or operating system. Contact your hardware and software provider.
• Cell phone and serial cable support. The support technicians cannot help you with cell phone or
serial cable issues. Contact your cell phone provider.
• ISP support. The support technicians cannot help you with Internet issues. Contact your ISP.
Appendix A
Sample Implementation
Appendix A
Plan and Checklists
Overview
This chapter provides checklists of the items you will need to set up the 12-Lead transmission option.
There is also a sample implementation plan that lists the required tasks and estimated timeframes.
Topic Page
Checklists 68
Sample Implementation Plan 72
67
Appendix A Sample Implementation Plan and Checklists Checklists
Checklists
Serial Phone Profile Settings
Serial Phone Profile Parameters Setting Choices

Profile Name
Configuration String
Dial String
Wait for Dial Tone
PPP User Name
PPP Password
Static IP Address
Primary DNS
Secondary DNS
http Proxy Address
http Proxy Port
Baud Rate
Flow control
Hub Parameters Setting Choices
Server URL
User Name
Password
Site Parameters Setting Choices
Site Label
Site Type
Phone number
URL
Default Site
68
Checklists Appendix A Sample Implementation Plan and Checklists
Bluetooth Device Profile Settings
Bluetooth Device Profile Setting Choices

Parameters
Profile Name
Configuration String
Landline
Dial Prefix
Dial String
Wait for Dial Tone
PPP User Name
PPP Password
Static IP Address
Primary DNS
Secondary DNS
http Proxy Address
http Proxy Port
Hub Parameters Setting Choices
Server URL
User Name
Password
Site Parameters Setting Choices
Site Label
Site Type
Phone number
URL
Default Site
69
Appendix A Sample Implementation Plan and Checklists Checklists
Cell Phone, Modem, Service Plan, and Dial-Up Account Checklist
RS 232
Can the cell phone be used as a modem?
Does the cell phone have a serial (RS 232) electrical interface?
Does the serial cable that connects to the cell phone have a 9-pin D
serial cable connection?
Is the cell phone compatible with the AT command set standards,
such as ETSI TS 100916 and ITU-T V.250?
Bluetooth Device
Does the device support the Bluetooth version 1.1 or greater
standard?
Does the device support the Bluetooth Dialup Networking (DUN)
profile?
Is the device compatible with the AT command set standards, such
as ETSI TS 100916 and ITU-T V.250?
Cell Phone Service Plan
Does the cell phone service plan have an Internet/data plan?
Dial-Up Internet Plan
Does the dial-up account support PPP with PAP or MD5 CHAP?
ISP Checklist
Does the ISP support local web hosting?

Does the ISP support static IP addresses?
If using a domain name, can the ISP obtain and register a domain name for you or will you
do it yourself?
70
Checklists Appendix A Sample Implementation Plan and Checklists
Server Checklist
Make sure your operating system is either Windows XP Professional (running IIS 5.1) or
Windows 2003 Server Standard Edition (running IIS 6).
Configure the server as an Application Server.
Do not delete or rename the IIS default web site page.
Do not install Active Directory service, DHCP server, DNS server, Front Page extensions,
or ASP
Make sure you Install IIS
Make sure your operating system has all the latest security patches, updates, and fax drivers.
Confirm that IIS is installed and running on the server.

Review the ReadMe file on the 12-Lead Transfer Station Installation disk.
Make sure that you register 12-Lead Transfer Station.
Make sure that the 12-Lead Transfer station application is running.
71
Appendix A Sample Implementation Plan and Checklists Sample Implementation Plan
Sample Implementation Plan

The following sample implementation plan provides information on the tasks required to set up the
12-Lead transmission option and the estimated amount of time it takes.
Table 9 Sample Implementation Plan
Task Time Frame

1 Purchase cell phone or Bluetooth device and cell phone service. For RS 232 2 days
phones, work with cell phone provider or 3rd party to obtain serial cable. Modify
cell phone or Bluetooth settings, as needed.
2 Configure MRx for 12-Lead transmission. 30 minutes
3 Prepare hardware and physical location for server installation. For example, 1/2 day
determine if the server will be located in a locked room, how many data ports are
needed, and if you need an uninterruptible power source.
4 Set up ISP. (Provider lead times and availability could take 2 to 3 weeks and 1 day
involve telephone or cable company, ISP, domain name registrar, and physical
wiring to be installed at the site.)
5 If using Bluetooth modem, set up dial-up Internet account. (Provider lead times 1 day
and availability could take 2 to 3 weeks and involve telephone or cable company.)
6 Set up dedicated analog phone line for fax. (Provider lead times and availability 1 day
could take up to 1 week and involve telephone or cable company.)
7 Set up and test server operating system. 2 days
8 Install and configure 12-Lead Transfer Station. 1 hours
9 Test and verify end-to-end 12-Lead transmission from HeartStart MRx to 1 day
destination.
72
Glossary
Auto Send List
The list configured in the Transfer Station Options window. It designates the destination for
automatically forwarding the 12-Lead report.
baud
Units of information transmitted per second. Baud is used as a means of matching transmission and
receiving speeds. Baud is not necessarily the same as bits per second, especially at higher speeds,
although the terms are often used interchangeably.
Baud is the number of signal level changes per second in a line, regardless of the information content of
those signals.
baud rate
Signaling rate (not necessarily the same as bits per second), that is, the number of signaling elements
transmitted each second. See also bits per second.
bit, byte
The basic units of computer information. A bit (from binary digit) is equivalent to the result of a
choice between two alternatives (as yes or no, on or off). A byte is a group of adjacent binary digits that
a computer processes as a unit; the size of a byte in practically all modern systems is eight bits.
bits per second (bps)

Bits per second is the rate of transfer of information bits.
data bits
Data bits are transmitted "upside down and backwards." That is, inverted logic is used and the order of
transmission is from least significant bit (LSB) to most significant bit (MSB).
data encryption
Encrypting data is accomplished by applying a special scrambling code that makes the data unreadable
to anyone who does not have a decryption key. Authorized personnel with access to this key can
unscramble it.
destination
The intended recipient of a 12-Lead report. The destination can be a printer, fax device, a TraceMaster
ECG Management System, or a 12-Lead Transfer Station.
73
Glossary
DNS
The domain name system (DNS) is the way that Internet domain names are located and translated into
Internet Protocol (IP) addresses. A domain name is a meaningful and easy-to-remember "handle" for
an Internet address.
domain
A domain is a group of computers and devices on a network that are administered as a unit with
common rules and procedures. Within the Internet, domains are defined by the IP address. All devices
sharing a common part of the IP address are said to be in the same domain.
flow control
The process of adjusting the flow of data from one device to another to ensure that the receiving device
can handle all of the incoming data. This is particularly important where the sending device is capable
of sending data much faster than the receiving device can receive it. There are many flow control
mechanisms. One of the most common flow control protocols for asynchronous communication is
called xon-xoff. In this case, the receiving device sends a an xoff message to the sending device when its
buffer is full. The sending device then stops sending data. When the receiving device is ready to receive
more data, it sends an xon signal. Flow control can be implemented in hardware or software, or a
combination of both.
HTTP
Hypertext Transfer Protocol (HTTP) is the set of rules for exchanging files (text, graphic images,
sound, video, and other multimedia files) on the World Wide Web.
hub
A hardware device providing the interconnection between networked devices. It is called a hub because
the network wiring can be sketched like a spoked wheel with the hub at the center. For 12-Lead
transmission, the hub is the server running 12-Lead Transfer Station.
IP address
An Internet address or IP address is a unique computer (host) location on the Internet (expressed either
as a unique string of numbers or as its associated domain name). Computers use IP addresses to locate
and talk to each other on the Internet, much the same way people use phone numbers to locate and
talk to one another on the telephone.
MD5 Challenge Handshake Authentication Protocol (MD5 CHAP)

A type of authentication in which the authentication agent (typically a server) sends the client a
random value and an ID value. These values are used to create a hash value (a number generated from
a string of text) on the client. The client encrypts the hash value, and sends it with the user’s name and
password over a network. The server then decrypts both the message and the hash, produces another
hash, and compares the two. If they are the same, the client is authenticated.
MSDE 200
The database that stores the 12-Lead report and configuration information.
Password Authentication Protocol (PAP)

A basic form of authentication in which a user’s name and password are transmitted over a network
and compared to a table of name-password pairs.
74
Glossary
Point to Point Protocol (PPP)

Provides a method for transmitting data over serial point-to-point links.
profile
A list of specifications that define how wireless transmission should work between different Bluetooth
devices. For example, you create a profile on the MRx that defines how the Bluetooth device
communicates with the MRx.
protocol
The special set of rules of communication that the terminals or nodes (and related software) in a
telecommunication connection use when they send signals back and forth.
proxy
A computer program that acts as an intermediary between a web browser and a server. To give users
rapid access to popular web destinations, Internet Service Providers use proxy servers as "holding bins"
to store frequently requested pages, rather than going out and fetching them repeatedly from the
Internet.
Report Tree
The list that displays all available 12-Lead ECGs stored in the 12-Lead Transfer Station database. The
right pane of the main window displays the Report Tree.
RS232
A standard developed by the Electronic Industries Association (EIA) and other interested parties
specifying the serial interface between Data Terminal Equipment (DTE) and Data Communication
Equipment (DCE.) The RS-232 standard includes electrical signal characteristics (voltage levels),
interface mechanical characteristics (connectors), functional description of interchange circuits (the
function of each electrical signal), and some recipes for common kinds of terminal-to-modem
connections. The most frequently encountered revision of this standard is called RS-232C. Parts of this
standard have been "adopted" (with various degrees of fidelity) for use in serial communications
between computers and printers, modems, and other equipment.
serial
Serial transfer is the sequential transmission of the eight bit-voltages that constitute a byte. A
transmitter breaks each byte into bits, then sends the bits one after another; the receiver cooperates by
reassembling the set of bits into a single byte.
Static IP address
A static IP address is a number (in the form of a dotted quad) that is assigned to a computer by an
Internet service provider (ISP) to be its permanent address on the Internet. A dot address (sometimes
known as a dotted quad address) refers to the notation that expresses the four-byte (32-bit) IP address
as a sequence of four decimal numbers separated by dots. Each number represents the binary value of
one of four bytes.
status log
The MRx status log includes entries for all errors logged during normal operating mode, Automated
tests, Service and Configuration Mode, and Operational Checks. It is accessed from Service Mode.
75
Glossary
system log
System Log displays 12-Lead Transfer Station activity. It is available from the toolbar in the main
window.
TCP/IP
Transmission Control Protocol over Internet Protocol. The TCP/IP protocol defines how data can be
transmitted in a secure manner between networks. TCP/IP is the most widely used communications
standard and is the basis for the Internet.
URL
Uniform Resource Locator - the addressing system used in the World Wide Web and other Internet
resources. The URL contains information about the method of access, the server to be accessed and the
path of any file to be accessed.
76
Index
Index
# B
12-Lead Reports Backing up
faxing MRx configuration settings 7
MRx settings 15 Bluetooth device
printing adding 18
MRx settings 15 changing a profile 19
sending to 12-Lead Transfer Station Destination, 12-Lead pairing 18
Transfer Station settings 37 selecting a profile 19
sending to 12-Lead Transfer Station, MRx settings 15 settings 17
sending to TraceMaster, 12-Lead Transfer Station settings 37 transmission range 17
sending to TraceMaster, MRx settings 15
Bluetooth device profile
12-Lead reports adding 9
faxing configuring 9
automatically 34 deleting 10
components 3 C
configuring 32
Cell phone
installing 30
serial cable 20
registration 31
service plan 21
starting 30
storage requirements 24 Connections
verifying installation 31 changing 38
configuring 37
12-Lead Transfer Station Destination
TraceMaster and 12-Lead Transfer Station 37
Auto Send Lists 40
automatic forward 39 D
configurations 39
MRx settings 15 Dial-up
configuring 37
A connections 37
Auto Send Lists DNS See Domain Name System
12-Lead Transfer Station Destination 40 Domain name
faxes 35, 36 explained 23
printers 34 Domain Name System 23
TraceMaster 39
Automatic forward F
12-Lead Transfer Station Destinations 40 Fax
faxes 35, 36 available fax numbers 36
printers 34 installing 28
TraceMaster 39 retry settings 34
Automatic Transfer troubleshooting 64
overview 4 Faxes
available fax numbers 35
Faxing
12-Lead reports
automatically 34
MRx settings 15
77
Index
Forwarding Printing
12-Lead Transfer Station MRx settings 15
automatically 39 Proxy Server 38
TraceMaster
automatically 38 R
H Registration 31
registration key 32
Hardware requirements 24 Remote monitor
Hub Monitoring server 41
configuring 13 RS232 cell phone
definition 2 settings 20
I S
IIS See Internet Information Services Serial cable 20
Internet Information Services Serial phone profile
setting up 26 configuring 12
Internet Service Provider Service Mode
choosing 23 password 50
L Sites
configuring 15
License Manager 32 Status log
MRx 50
M
printing 50
Manual Transfer Storage requirements 24
overview 4 SysConfig.xml 41
Modem System log
installing 28 12-Lead Transfer Station 52
troubleshooting 64 System Requirements
MRx 12-Lead Transfer Station 24, 30
configuration menu 7 operating system 24
configuration password 7
service password 50 T
status log 50
Testing
MSDE 2000 database 3
12-Lead Transmission 44
N TraceMaster
Auto Send Lists 39
New Connection Wizard 37 automatic forward 38
configuration
O
Local Area Network 39
Operating System configurations 38
choosing 23 MRx settings 15
installing 25 Transfer Station Options 32
Optional Hardware 24 Troubleshooting
Options window 32 12-Lead Transfer Station system log 52
MRx status log 50
P tables 53
Printer U
installing 28
troubleshooting 64 User name and password 13
Printer/Fax window V
faxes 35, 36
printers 34 Verifying the 12-Lead Transfer Station installation 31
Printers
available printers 34
78
Index
W
Web hosting
explained 23
Windows Server 2003
configuration 27
Windows XP Professional SP2
configuration 26
79
Index
80
M3536-90900
Edition 3
Philips Medical Systems
Printed in the U.S.A. December 2005
*M3536-90900*
*3*

12LeadTransmission ImplementationGuide

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NOTE Notes contain additional information on usage.

TIP Tips provide hands-on insight into servicing this product.

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HeartStart MRx Monitor/Defibrillator MRx

2 Configuring the MRx 7

3 Setting Up the Cell Phone or Bluetooth Device 17

5 Installing and Configuring 12-Lead Transfer Station 29

Appendix ASample Implementation Plan and Checklists 67

12-Lead Transmission Overview 2

12-Lead Transmission Overview

The following steps describe how the 12-Lead report is transmitted.

Bluetooth Transmission Overview

Understanding 12-Lead Transfer Station

12-Lead Transfer Station provides two options:

Understanding Circuit-Switched versus

Before You Begin

Tasks and Skill Level

Task Skill Level

2Configuring the MRx

Accessing the Configuration Menu 7

Accessing the Configuration Menu

Configuring a Bluetooth Device Profile

Adding a Bluetooth Profile

Deleting a Bluetooth Profile

Table 1 Bluetooth and Modem Profile Settings

Parameter Description Setting Choices

Configuring a Serial Phone Profile for RS 232

Table 2 Serial Phone Profile Settings

Parameter Description Setting Choices

Configuring the Hub

Parameter Description Setting Choices

Adding and Deleting a Site

Table 4 Site Settings

Parameter Description Setting Choices

3Setting Up the Cell Phone or

Bluetooth Device Transmission Range

Additional Bluetooth Device Information

Adding Bluetooth Devices to the MRx

Pairing a Bluetooth Device with the MRx

Selecting a Bluetooth Profile

NOTE No files are transferred during the test.

Changing a Bluetooth Profile

NOTE No files are transferred during the test.

Serial Cable Requirements for RS 232 Phones

Table 5 MRx Serial Cable Connector Pin Assignments

Pin Number Name Description

Cell Phone Service Plan

Dial-Up Internet Plan

4Setting up the Server

Choosing an Internet Service Provider (ISP)

Choosing an Operating System

Reading the Release Notes

Confirming System Requirements

Windows Server 2003

12-Lead Transfer Station

Installing the Operating System

Setting up Internet Information Services (IIS)

Additional Instructions for Windows XP Professional SP2

The results will be similar to the following example.

Additional Instructions for Windows Server 2003