Professional Documents
Culture Documents
TABLE OF CONTENTS
PICTOGRAM DEFINITION ...................................................................................................................................5
SCOPE OF USER MANUAL ....................................................................................................................................5
USER MANUAL STORAGE LOCATION .................................................................................................................5
1 GENERAL INFORMATION .........................................................................................................................6
1.1 System Identification Data .......................................................................................................................6
1.2 Technical Assistance / Application Support ..............................................................................................6
1.3 Declaration of Manufacturer.....................................................................................................................7
1.4 Liability Exclusions ...................................................................................................................................7
1.5 Warranty ..................................................................................................................................................8
1.6 License Agreement...................................................................................................................................9
1.7 Copyright .................................................................................................................................................9
1.8 Trademarks ..............................................................................................................................................9
1.9 Scope of Delivery / Delivered Content ...................................................................................................10
1.10 SCHWIND Labelling................................................................................................................................11
2 HAZARDS AND SAFETY ...........................................................................................................................12
2.1 Restrictions of Use .................................................................................................................................12
2.2 Training of Operator’s Personnel............................................................................................................12
2.3 Protection from Unauthorized Use .........................................................................................................12
2.4 Data Protection and Data Privacy ..........................................................................................................12
2.5 Virus Protection......................................................................................................................................13
2.6 Electronic Safety on the Medical Device .................................................................................................13
2.7 Dangers Resulting from Software Operation ..........................................................................................15
2.8 Dangers resulting from Network Failure ................................................................................................15
2.9 Interruptions from Network Operation Failure .......................................................................................15
2.10 In Case of Emergency ............................................................................................................................15
2.11 Contraindications / Side Effects .............................................................................................................15
3 PRODUCT INTRODUCTION ....................................................................................................................16
3.1 Overview ................................................................................................................................................16
3.2 Intended Use & Reasonably Foreseeable Misuse ...................................................................................18
3.3 Addressed User Groups ..........................................................................................................................19
3.4 Medical Network Statement ...................................................................................................................20
4 MANDATORY PREREQUISITES ..............................................................................................................21
4.1 Product Responsibilities – Overview .......................................................................................................21
4.2 Process: Planning Installation First Operation...............................................................................22
4.3 Valid System Combinations with SCHWIND Medical Devices .................................................................23
4.4 Network Characteristic, Requirement and Configuration........................................................................24
4.4.1 Infrastructure Type: “Dedicated private LAN Network” ....................................................................25
4.4.2 Infrastructure Type: “LAN over Clinic VLAN with managed Switch” .................................................26
4.4.3 Wireless Infrastructure .....................................................................................................................27
4.4.4 Infrastructure Online Remote Support / Clinic Network Access to Fileserver ...................................28
4.4.5 Satellite Clinic Infrastructure ............................................................................................................29
5 PHYSICIAN’S BEST PRACTICES ............................................................................................................31
5.1 Fileserver Directory Structure ................................................................................................................33
5.2 Dataflow.................................................................................................................................................35
5.3 SAVING/LOADING within Treatment Software.......................................................................................36
5.3.1 WORKSTATION: PHOENIX Software – SCHWIND Export .................................................................39
5.3.2 WORKSTATION: Scout Software – SCHWIND Export .......................................................................41
5.3.3 WORKSTATION: IRX3 Software – SCHWIND Export ........................................................................41
5.3.4 WORKSTATION: CAM Software, CAM Projects .................................................................................42
5.3.5 AMARIS: Application Software, CAM Projects / Treatment log / etc .................................................44
6 MEDNET MANAGER - OVERVIEW ..........................................................................................................45
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User Manual
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User Manual
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User Manual
PICTOGRAM DEFINITION
WARNING
This symbol advises the user of serious danger for the patient and the user.
CAUTION
The symbol informs the user that particular care is required for safe and efficient
operation of the system.
IMPORTANT NOTE
The purpose of the user manual is to familiarize operator(s) of the SCHWIND MEDNET with safety
instructions, setup, handling, operation and maintenance.
The networking items are based on common network technology. This requires an IT-Admin
(network responsible person) just to be familiar with basic network skills.
CAUTION
Read this User Manual carefully before starting operation of the SCHWIND MEDNET
Solution software.
WARNING
This product is used in combination with other SCHWIND medical products! The
instruction of each product remains valid and is extended by the medNet
documentation.
CAUTION
Please choose an adequate storage location for this user manual when not in use.
All users (“physician” and “IT Administrator”) shall be able to access it at any time
for reading.
1 GENERAL INFORMATION
Our customers outside of Germany should use the service hotline provided by our local
distributor or authorized service representative first.
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User Manual 1. General Information
SCHWIND MEDNET has been developed for use in several system combinations with SCHWIND
medical products. For conformity, the “medical network compound” observes relevant
regulations from MDD 93/42/EWG, IEC 60601-1 (edition 3.1).
The conformity with the “medical network compound” is ensured under the following
preconditions:
Delivery is accomplished by SCHWIND eye-tech-solutions or a distributor authorized by
SCHWIND eye-tech-solutions;
The “MEDNET network compound” must be set up and operated in explicit accordance with
the official MEDNET documentation. Abbreviations may induce hazard to the medical
systems, patient and operator. See chapter “14 IEC 60601-1 3rd Network FAQ” for more
information.
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User Manual 1. General Information
Excessive force
Power failure, voltage fluctuations, electromagnetic interference
Inappropriate storage of the data medium (i.e. extreme temperature)
Erroneous deletion of data by the user
Negligence by the user
Operating the MEDNET in any configuration not explicitly allowed in the MEDNET
documentation
Wrong, incorrectness, failure, or missing common security & safety of the “client’s
contributions to MEDNET” (infrastructure/hardware/internet access/LAN cables/…)
Wrong, incorrectness, failure of network related hardware/software
Non-observance of the MEDNET workflow or network maintenance
Acts of nature
The above liability is not valid for damages caused by SCHWIND personnel.
1.5 Warranty
2. The warranty period begins with the first startup of the device after signing of the delivery
note by the client.
3. Warranty includes all defects of the device caused by defective parts or manufacturing faults.
Malfunctions not caused by improper use are repaired under warranty. Damage caused by
abuse or improper use is not repaired under warranty.
4. The legal warranty applies only to parts that are replaced or repaired by SCHWIND eye-tech-
solutions. Components contributed by the client are excluded from SCHWIND warranty (LAN
cable, managed switch, …).
6. The damaged parts have to be sent back to SCHWIND eye-tech-solutions. When returning
defective parts, please use the original packing or coordinate alternate packing with
SCHWIND eye-tech-solutions.
7. Deficiencies that arise from the following will void the guarantee and will relieve SCHWIND
eye-tech-solutions from any responsibility:
Non-standard or extraordinary use
Repairs with not allowed parts / Repairs without original parts
Incorrect treatment of the device
Inspections, services, device modifications or any form of manipulation of the system
performed by unauthorized personnel
8. SCHWIND grants no other warranty, either express or implied, concerning the above-
mentioned parts and their documentation. Any implied warranties of merchantability and
fitness for the particular purpose are disclaimed.
9. SCHWIND shall not be liable for incidental, consequential, indirect, or special damages of any
kind, loss of information or data, or other financial loss arising from or in connection with the
sale or use of the product, whether based in contract, tort (including negligence) or any other
theory.
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User Manual 1. General Information
10. The above-mentioned exclusion of liability is void if the cause of damage is based on intent
or gross negligence. Furthermore, it does not apply to damage due to lack of warranted
quality and claims under product liability. …
11. Product improvement initiatives based on technological development are not grounds for
free-of-charge system upgrades.
12. The General Conditions for Sale, Delivery and Payment of SCHWIND eye-tech-solutions are
generally to be considered.
The license agreements realized between the licensee and SCHWIND eye-tech-solutions GmbH
are binding.
1.7 Copyright
1.8 Trademarks
All names of other companies and their products mentioned in this manual could be trademarks
or registered trademarks.
Quoting of product names is for information only and does not represent any trade mark misuse.
SCHWIND eye-tech-solutions is not liable for the performance or the use of these products.
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User Manual 1. General Information
MEDNET Package delivery is entirety annotated in the SCHWIND MEDNET packing list. Delivered
components include:
CAUTION
All MEDNET devices are pre-configured by SCHWIND with factory settings for
MEDNET. Do not alter the firmware version / configuration. Change is allowed
when mentioned in a SCHWIND instruction only.
MEDNET Router/Switch/Gateway/IP-Server
GBit Switch
*Symbol photo
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User Manual 1. General Information
NAS server
Router
Switch
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User Manual 2. Hazards and Safety
WARNING
Room conditions
The respective medical device(s) shall not be installed and operated in locations
where danger of explosion exists or in damp rooms.
Software messages
During operation of the system pay attention to warnings and error messages
displayed on the computer screen.
As with any technological highly-developed product, operation requires special training and
abilities of the Operator’s personnel.
SCHWIND eye-tech-solutions or authorized representative will instruct and train the user’s
personnel.
The completion of training for the responsible SCHWIND MEDNET operators and other persons
involved in operation of the SCHWIND MEDNET must be documented in the Medical Apparatus
Book in the accompanying documentation. The Medical Apparatus Book is a part of the
equipment documentation provided by SCHWIND eye-tech-solutions with the device(s).
The operator (clinic) is advised to protect all medical devices from unauthorized use, for security,
safety and data privacy reason.
Security and safety mechanisms of the MEDNET system shall not be bypassed or
removed (software access restrictions; internet control; network infrastructure measures
such as firewall, gateway; …)
Prevention of unauthorized use of clinic networking devices with network access to the
MEDNET Fileserver.
For security reason prevent physical access to the MEDNET devices and SCHWIND
medical devices when not in use (security doors; …).
The user is obliged to comply with any valid data protection acts, particularly regarding data
transmission to third parties.
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User Manual 2. Hazards and Safety
When using the Online Remote Services, the connected party will be able to access the PCs
without access restriction. Therefore the client must take care in the decision to grant remote
access or not. The client will be reminded of that issue just before starting the remote connection.
The manufacturer guarantees that all SCHWIND products are delivered free of malicious
software.
Use of virus- or other malware-infected media (USB-Sticks, SD-cards, etc.), which could spread
malware to the SCHWIND systems must be avoided.
The user is obliged to regularly check their own computer systems (non-SCHWIND provided
hardware) for possible viruses, Trojans, worms or any other type of malicious software.
The user is obliged to make updates of their malware-protection software on his (own, non
SCHWIND) computer systems on a regular basis.
In this regard, SCHWIND eye-tech-solutions will not assume any responsibility for consequential
damages caused by intrusion of malware to SCHWIND systems.
In case of known infection of respective medical device(s), the user shall inform their authorized
local SCHWIND representative or SCHWIND eye-tech-solutions promptly.
For electronic safety each MEDNET connected LAN adapter on the SCHWIND medical device
must include a galvanic LAN isolation.
WARNING
The PanelPC model AAEON Onyx 175 or Advantech must use an external galvanic
LAN isolator. Never operate the system without this safety relevant part!
This part is included in the MEDNET delivery. While the MEDNET is setting up, the
service technician is responsible for proper galvanic LAN isolator installation.
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User Manual 2. Hazards and Safety
Note: In case the LAN isolator is missing, check the user manual to determine whether
or not the LAN has a built-in isolator inside the PanelPC. If not, please contact
SCHWIND to obtain this part!
Workstation with ZEUS PanelPC: Connect the MEDNET network LAN cable directly to
the PanelPC LAN Port 1.
If AMARIS has a LAN Port at the MAIN SUPPLY UNIT (back side of AMARIS), the
internal LAN cable is not yet connected by factory default. It has to be connected
manually:
Connect the (unconnected) LAN cable +MS-X3 behind the PanelPCs back side to
LAN Port 1. Connect the MEDNET network LAN cable to the AMARIS LAN outlet.
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User Manual 2. Hazards and Safety
To ensure safe operation of the medical network compound and the medical devices, operate
MEDNET and the SCHWIND medical devices in accordance with their respective documentation!
In case of network failure, data transfer may not be possible, work on medical device may not be
continued. In most situations, the user can fallback to SD Card instead of network data transfer.
In case the data integrity may be violated in case of network failure, the software would detect
data corruption and does not allow to use the data.
There are no known contraindications or side effects resulting from the use of the SCHWIND
MEDNET.
Regarding possible contraindications arising from the medical device(s) refer to the
documentation of the respective medical device(s).
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User Manual 3. Product Introduction
3 PRODUCT INTRODUCTION
3.1 Overview
SCHWIND MEDNET adds outstanding networking features to the SCHWIND refractive eco-
system.
MEDNET installation is realized very quickly and easily. A standardized installation procedure,
together with SCHWIND or a Distributor provides fluent guidance for planning, installation and
first startup.
MEDNET is economic by providing a roundup set of features for best usability, clinical workflow
optimization and easy use.
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User Manual 3. Product Introduction
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User Manual 3. Product Introduction
Intended use
IMPORTANT NOTE
The MEDNET product provides a network platform for SCHWIND medical
devices.
In combination with the SCHWIND medical devices, a “medical Network
environment” has been created.
Central fileserver stores treatment data, system log data and diagnosis system
databases.
Fileserver data content access for “other” networks, the clinic network, is
allowed by following safety & security restrictions.
The product is operated by the clinic or institution including common service &
maintenance actions to keep the MEDNET system running.
WARNING
There are obvious possibilities for misuse of the MEDNET product. It must be
ensured at all times not to modify or use the MEDNET product as followed:
It is not allowed to operate non-SCHWIND devices within the MEDNET sub-
net area.
It is not allowed to install or change the network set up outside the explicit
mentioned system combinations in the MEDNET documentation.
Abbreviating system combination must be approved separately. See chapter
“14 IEC 60601-1 3rd Network FAQ” for more information.
It is not allowed to use the MEDNET environment (medical PanelPC) for
activities not covered by the intended use. (i.e. internet surfing for reading
news or network games,…)
It is not allowed to install software not permitted by SCHWIND on the
SCHWIND devices.
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User Manual 3. Product Introduction
Physicians stay focused on the daily practical work with patients. Technical
aspects on network IT can be put aside.
Users only need to know how to access MEDNET with medical software,
not how it works!
IT Administration The MEDNET Manager includes a real-time network check, displaying all
relevant information at a glance. In the worst-case occurrence of a
“network failure”, it supports fast and easy troubleshooting and problem
solving so physicians can continue with their regular work procedures with
the network use as soon as possible.
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User Manual 3. Product Introduction
The MEDNET product is not a medical product! But it adds network capabilities to the SCHWIND
medical products: a “Medical Network” is realised.
To avoid individual safety evaluation, all mandatory regulatory requirements and approvals are
already included in the MEDNET product itself for all explicitly specified setups and system
combinations listed in “4.3 Valid System Combinations with SCHWIND Medical Devices”!
IMPORTANT NOTE
WARNING
Combinations are also noted in the respective Medical Apparatus Book of the
SCHWIND medical device.
The operator/client can change the medical network compound according to the
MEDNET specification in “do-it-yourself manner”, but then he is self-responsible
to maintain the MEDNET specifications.
The operator/client is advised to check this user manual when maintaining the
network connectivity.
See chapter “14 IEC 60601-1 3rd Network FAQ” for more information.
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User Manual 4. Mandatory Prerequisites
4 MANDATORY PREREQUISITES
OPERATOR/CLIENT
(or distributor)
Client is IT responsible for network
administration & maintenance of
SCHWIND is Technology his medNet installation:
Together
provider, not IT administrator and
not IT service provider for the Client is responsible keeping the
clinic’s medNet installation network infrastructure running.
Planning,
Installation
Service technical check (safety & Client performs typically required
components, reliability of network maintenance issues on his
First Operation
Fileserver,..) own.
CAUTION
The MEDNET product is engineered to provide even persons with “basic IT” skills
the ability to fulfil that role!
All relevant service and maintenance activities for the involved medical
devices remain valid! MEDNET does not replace them! The actions are
described in the respective medical device user manual.
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User Manual 4. Mandatory Prerequisites
In cooperation with the clinic, SCHWIND is responsible for planning, installation and
proper first use to achieve a safe, secured, reliable and compliant MEDNET eco-
system.
The procedure is standardized, very quick, easy and economically effective!
C) Now it’s time for the clinic to fulfil the requirements in the “Installation
requirements document” till the day of installation.
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User Manual 4. Mandatory Prerequisites
WARNING
The MEDNET system combination must maintain its conformity at all times:
Therefore only explicitly allowed and specified system combinations are valid!
Third party devices within the MEDNET network area are not allowed without
additional and individual approval!
The used PC is different due to date of purchase and PC availability. When System is combined
with medNet, PC type must be checked if compatible. (“PanelPC Onyx 175 / Onyx Zeus” are
allowed)
Single Workstation
Art. No. 13002 – Corneal WS 230V / Scout
Art. No. 13003 – Corneal WS 120V / Scout
Art. No. 13656 – Ocular WS 230V / Aberrometer (IE)
Art. No. 13657 – Ocular WS 120V / Aberrometer (IE)
Art. No. 13765 – Corneal WS 230V / SIRIUS
Art. No. 13766 – Corneal WS 120V / SIRIUS
Art. No. 13816 – WS PERAMIS 230V
Art. No. 13907 – WS PERAMIS 120 V
Combi Workstation
Art. No. 13008 – COMBI Workstation für Wavefront (SH-OnyxPC) 230V OHNE INSTRUMENT
Art. No. 13009 – COMBI Workstation für Wavefront (SH-OnyxPC) 110V OHNE INSTRUMENT
Art. No. 13626 – COMBI Workstation für Scout/SIRIUS/Keratron 230V OHNE Instrumente
Art. No. 13627 – COMBI Workstation für Scout/SIRIUS/Keratron 110V OHNE Instrumente
Art. No. 13636 – COMBI WS 230V / Scout + Aberrometer (IE)
Art. No. 13637 – COMBI WS 120V / Scout + Aberrometer (IE)
Art. No. 13731 – COMBI WS 230V / SIRIUS + Aberrometer (IE)
Art. No. 13732 – COMBI WS 120V / SIRIUS + Aberrometer (IE)
Art. No. 13908 – COMBI WS 230V / PERAMIS + SIRIUS
Art. No. 13909 – COMBI WS 120V / PERAMIS + SIRIUS
Art. No. 13910 – COMBI WS 230V / PERAMIS + Scout
Art. No. 13911 – COMBI WS 120V / PERAMIS + Scout
Standalone PanelPC
Art. No. 18800
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User Manual 4. Mandatory Prerequisites
The MEDNET is a dedicated (private) network for SCHWIND medical devices only. As an option,
PCs or devices inside an attached clinic network can access the fileserver (treatment log files,
treatment projects,..) for reading the content for own purpose processing.
Several types of network infrastructure are specified by SCHWIND to be chosen by the customer
for best fit into the clinic/practise building. The next chapters will describe possible infrastructure
types and shows generalized examples.
See chapter “4.2 Process: Planning Installation First Operation” for the process steps.
IMPORTANT NOTE
Responsibility for the network infrastructure will remain with the operator/clinic.
WARNING
Third party network devices (for example “clinic PCs”) are not allowed
inside this MEDNET network.
It is not allowed to abbreviate the network setup in such a way which is not
explicitly mentioned in this manual or otherwise officially approved!
Network technologies
Physical connections LAN with patch cable RJ45
Router/Switch/Gateway Device
Own subnet; IP via DHCP Server assigned
File Server NAS: RAID1 (Mirroring. If one HD crashes, the other HD still contains all
data)
A 1Gbit network infrastructure is required for the Diagnosis Database on the File-Server.
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User Manual 4. Mandatory Prerequisites
SCHWIND
NAS (Fileserver)
Floor 1
SCHWIND SCHWIND
„Diagnostic Room“ device xy
Workstation #1
Example 2
LAN cable
Floor 3 Floor 3
„Treatment Room“ „Server Room“ “MEDNET Router/Switch”
+DHCP Server
SCHWIND
SCHWIND
AMARIS
NAS (Fileserver)
Switch
Floor 1 Floor 1
„Diagnostic Room 1“ „Diagnostic Room 2“
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User Manual 4. Mandatory Prerequisites
4.4.2 Infrastructure Type: “LAN over Clinic VLAN with managed Switch”
The VLAN type requires professional planning by the clinic IT.
If you are not familiar with “VLAN” or you cannot assure the correct configuration of your
managed switches (or layer 3 switch), do NOT choose this type!
The VLAN enabled switch virtually encapsulates different sub-networks using the same VLAN
switch hardware. The networks are not able to reach the other networks running over that VLAN
switch.
SCHWIND does not provide managed switches. The MEDNET connections can be established by
using the clinic’s own managed switches.
This type is intended for already existing advanced network infrastructure, especially when the
cabling has to go through several floors with no additional LAN cable left for the MEDNET. It is
possible to transmit encapsulated networks over one cable, for example, when several clinic
floors are interconnected by one fibre channel cable transmitting several different networks.
The clinic IT responsible person(s) must take care for correct VLAN configuration. It must be
assured at all times that the MEDNET network and clinic network remain separated by VLAN
capability, not reaching the other network.
It is recommended to the clinic to try out a test VLAN network to assure correct operation before
deciding for that connectivity type. There are some VLAN routers on the market which are not
fully compliant to VLAN standard, thus causing problems. If the VLAN does not work for some
reason the MEDNET installation will be aborted by the service technician.
VLAN requirements:
VLAN switch/ cables/configuration must be contributed and prepared by the clinic!
Strict encapsulation of the MEDNET network from other networks
Unique VLAN ID Number reserved for MEDNET
Port configuration “untagged”
DHCP is provided by the MEDNET Router (existing dhcp server of the clinic must be
deactivated for the MEDNET VLAN)
No Port blockings in MEDNET VLAN
Example 1:
LAN cable
SCHWIND Clinic device SCHWIND
Workstation #1 XX AMARIS
LAN Port LAN Port LAN Port LAN Port LAN Port LAN Port
VLAN 3 VLAN 2 VLAN 3
LAN Port LAN Port LAN Port LAN Port LAN Port LAN Port
VLAN 3 VLAN 3 VLAN 3 VLAN2 VLAN 3
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User Manual 4. Mandatory Prerequisites
Example 2:
There is only one cable connection between the two floors. New cable installation between the
floors can be avoided by using VLAN.
LAN cable
SCHWIND Clinic device SCHWIND
Workstation #1 XX AMARIS
LAN Port LAN Port LAN Port LAN Port LAN Port LAN Port
VLAN 3 VLAN 3
Connection to other
LAN Port LAN Port LAN Port LAN Port LAN Port LAN Port
VLAN 3 VLAN 3 VLAN 3 VLAN 3
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User Manual 4. Mandatory Prerequisites
LAN Port LAN Port LAN Port LAN Port LAN Port
FILESERVER INTERNET
LINE LINE
LAN Port LAN Port
Clinic network
LAN Port
Internet
Gateway
LAN cable Clinic
PC XYZ
IMPORTANT NOTE
The SCHWIND medical devices do not offer any type of permanent server capabilities
to the internet. When the online remote support session is initiated the internet
capability is enabled automatically and disabled after stopping. Remote connections
are possible in that timeframe only.
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User Manual 4. Mandatory Prerequisites
Satellite clinics spread over several locations are connected together into one huge clinic intranet.
This is typically established by connecting all the clinic networks together via a VPN over internet.
Another short description is “one large clinic intranet including all clinic locations” or “Intranet
with different locations spanned together” and sometimes “Extranet” (word is not fully correct
in this purpose).
Each clinic location has one independent local MEDNET network. Now it is possible to transmit
data between the MEDNET networks from location A to location B, applied by the clinic network.
This chapter illustrates the required infrastructure.
For a complete overview also refer to the following chapters:
7.4 Satellite Clinic – Fileserver Name
9.4 Satellite Clinic – Best Practise
CAUTION
If the clinic is planning some sort of satellite clinic connection without having the
technical infrastructure available, consult an external IT service provider for planning
and installation. SCHWIND cannot assist you here and can only provide the
technological instructions. It depends completely on the clinic to fulfil the technology
requirements.
If the clinic’s IT administration is not able to manage the technical and operational
fields, do not use satellite connections.
Satellite clinic connections are possible as follows:
The MEDNET Fileserver must be connected to the clinic network as described in
chapter:
„4.4.4 Infrastructure Online Remote Support / Clinic Network Access to Fileserver“
Clinic intranet/satellite connection network must exist. Technical solutions are: “VPN” or
a “MPSL meshed network” by a network solution / telecommunication provider.
The MEDNET Fileservers must be “reachable” by IP or computer name from the
workstation PC in the clinic network. (Depending on the own clinic network
infrastructure, specific network configuration changes might be required! A professional
IT administrator will be able to do this.)
MEDNET Fileserver access is possible by Microsoft Network File sharing / SMB or FTP
or http Web frontend.
Satellite clinic transaction: Now a Workstation PC in the clinic network can access the
source fileserver at location –A- and copy/move the treatment relevant data to a target
fileserver at location –B-. Refer to chapter “9.4 Satellite Clinic – Best Practise” for details.
Please contact SCHWIND for additional information and provide some information of
your integration plan.
Notes:
It is not possible to access the MEDNET medical devices directly. The fileserver in each
MEDNET is always the “interface” to the MEDNET!
It is not possible to use one MEDNET Fileserver for all clinic locations!
It is not possible to perform the “Satellite clinic transactions” on a PC within the
MEDNET!
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User Manual 4. Mandatory Prerequisites
Satellite clinic data transmission is “One large clinic intranet for all locations”
executed from PC in clinic network. with intercommunication over internet
The clinic network accesses the medNet / Intranet VPN tunnel over Internet
fileserver(s). Clinic must provide the infrastructure,
without SCHWIND responsibility.
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User Manual 5. Physician’s Best Practices
CAUTION
All MEDNET users, physicians and IT administrators shall be familiar with the
information in this chapter to guarantee safe and efficient operation of the MEDNET
enabled medical devices!
For understanding this chapter, you should be familiar with the SCHWIND medical
device treatment workflow!
The file server is the central point of all treatment relevant data for storage and data exchange.
At each stage within the treatment workflow, a file is either saved or loaded. A network
transaction from one medical device to another medical device is always carried out via the file
server.
The fileserver must always be powered on for serving the saved content to the other medical
devices. The medical devices themselves can be powered off when not in use.
Common rules for dealing with the MEDNET are essential for all users. Using the MEDNET will
be part of your daily treatment procedure and therefore mandatory for all users.
When the common MEDNET rules are ignored, the practice work can result in:
Missing project files when spread over unknown or random locations or filed
under ambiguous project file names.
Treatment of a wrong project on a patient when the patient name is ambiguous
or the project has been saved with an ambiguous name.
Significant workflow time delays when searching for a specific project file or a
project’s current state is unclear.
Wrong patient outcome.
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Common Rules
The user can easily follow the rules by simply clicking on the <save> button
without modification of the filename or path. For loading, the correct network path
is also remembered and opened.
In case the network is not available, the loading dialog will jump to a local folder.
Then the network has to be chosen once the next time in the file dialog.
Rationale
All software products provide automatic saving of names including:
ID, Last name, First name.
The default saving target locations are configured in the software products.
Recommended treatment-software settings are listed in chapter ”7.2
TREATMENT Software - Settings”.
The file saving syntax order can be configured in the software products. It
must remain the same in all products.
The user can choose between:
“[ID]_[Last name]_[First name]” and “[Last name]_[First name]_[ID]”
Recommendation: Use the one with ID in the first position.
In all software products always enter valid and unambiguous patient data
Last name, First name, ID, gender, date of birth
In the other software products the last saving path location is remembered
and opened automatically.
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The MEDNET directory structure is product oriented. Relative to root, each subdirectory is named
according a SCHWIND medical device or a software product.
Workstation#1
Amaris #2
Workstation#2
File Server
Amaris #1
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5.2 Dataflow
1
2
WORKSTATION
Creating diagnosis data Loading diagnosis
into CAM Project
Saving diagnosis STANDALONE PC
Planning Treatment
FILESERVER
auto Saving
Logfiles Loading and saving
CAM Project
Loading
3
CAM Project
AMARIS Workstation
Treatment some parameters are
changed in a CAM Project
1. A patient is initially “scanned” with the diagnostic software. Then the “SCHWIND Export”
is created and saved to the MEDNET location for the appropriate diagnostic device.
2. In the SCHWIND CAM, the previously created diagnostic data is loaded from the
MEDNET into a newly created CAM project. The CAM treatment project is then saved to
MEDNET.
In this example a Standalone PC is used, but other CAM Software-enabled devices are
also valid, for example, using the CAM Software on the diagnostic workstation.
3. In this example the CAM project is changed on the Workstation. The CAM project is re-
loaded from MEDNET, changed and re-saved to the MEDNET.
It is assumed that the saving syntax is the same on all devices, so re-saving to MEDNET
will overwrite the older project state on the MEDNET with the new saved project state!
4. The CAM treatment is loaded from MEDNET by AMARIS Software. Patient is treated. The
resulting treatment (evidence) log files are saved to the MEDNET automatically.
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All software, using file access for loading and saving, can access MEDNET Server data.
MEDNET Manager Software automatically creates shortcuts to access data quickly. Navigate to
the location and the corresponding directory structure behind...
In Windows File-Explorer or any other type of file dialog, watch out for MEDNET icons. If MEDNET
Manager is not running, the links are not available.
MEDNET Server is accessed directly, read/write permission. It represents the mounted MEDNET
Server directory share.
The Server contains a special directory order, optimized for workflow and all treatment data.
When MEDNET is not recognized or offline, the link is not available or will be removed. The link
will be automatically available, when MEDNET Server is reachable.
Use this direct access for loading any type of files in the Diagnosis or treatment Software.
It is assumed, the Server contains the latest data required for the treatments (when network is
online for all systems).
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When saving files, direct access over this link can be used, but it is not recommended! Use the
“delegate folder” instead.
Diagnosis database on the network must point directly to server for load and save.
Collected files inside the delegate folder are automatically transferred to MEDNET Server by
MEDNET Manager. The process is triggered automatically after some seconds of last save
activity. After transfer, the files are removed.
In case the MEDNET Server is not available (offline, broken connection), transfer to Server is not
possible, but collecting more files remains possible. Amount of files is increasing.
When MEDNET Server is back online, the files of the delegate folder are automatically transferred
to Server. Delegate folder is cleaned.
As a safety mechanism, the files are not deleted from delegate. They are moved to the local
“archive Folder” for later reference, if required.
Delegate folder copied date “one-way” to server only. There is no copy-back from server.
The folder can be used for saving data only, saving treatment exports.
A Database of the diagnosis systems cannot use the delegate folder, because of read/write access
to the online database.
Treatment files
SCHWIND CAM
Sirius/Peramis Saving with via
IRX3 “Delegate Folder”
Scout
Database
Online access required
(delegate not possible)
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Saving and loading path in the software products must be properly configured. This
is normally done by Service or Customer Support personnel:
In the daily workflow usage by physicians, they just have to click <Save> in the saving
dialogs. The target is already pre-configured in the pre-defined directory and the
Loading dialog already points to “medNet Filestorage”.
In case medNet is offline on the PC in use, the saving target “DELEGATE to medNet”
remains available, whereas if the network link “medNet Filestorage” is removed, the
loading dialog will fall-back to another local directory.
Now the user can use an SD card:
A) Collect the required file(s) from the device which originally created those
files (by looking inside the “local ARCHIVE” folder)
THEN load those files onto the currently used device from the SD card.
or
B) If the network is still available on another PC, you can copy the required
files from the network to the SD card (instead of the “local ARCHIVE”
folder)
THEN loading those files on the currently used device from the SD card.
When using files from the “local ARCHIVE” folder the user must ensure those
files are the right versions and have correct data! In case another device also
generates those contents, this device also must be checked for the latest file
versions.
The next sub-chapters describe how to use the MEDNET folder mechanisms in the medical
Software, involving the delegate folder.
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When you click <Export> (enabled standard path in settings, “delegate folder”), the export is
directly saved into the MEDNET “delegate folder” without any saving dialog. Very easy, very
fast and no need of manual path management.
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With right mouse button click on <Export>, popup “Save with copy” appears. You can choose
the saving path manually in additional to any location.
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Point to D:\DIAGNOSTIC_Export
Please notice, to use D:\ . There is no “delegate folder” link.
Note: Saving path cannot be fixed to a specific folder. Each time of saving, check the addressed path
is correct.
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This is applied applies for all type of data from AMARIS, Application Software:
CAM Project
Treatment PDF printouts
Treatment Logdata
System Logdata
Digital Video record
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User Manual 6. MEDNET Manager - Overview
The MEDNET Manager Software is a network management tool. It creates the “link” between
users and the MEDNET network system including sophisticated functions guaranteeing a
convenient user experience with more effectiveness in less time!
The software is required to operate the SCHWIND medical devices (PanelPC) together with the
SCHWIND MEDNET.
The MEDNET Manager will guide the physician’s network activities on the daily productive
workflow with patients and includes outstanding countermeasures to keep the workflow alive,
even in a worst-case scenario with temporary network failure.
Besides the feature overview listed in chapter “3 Product Introduction”, the MEDNET Manager
main features for productivity purpose and maintenance & service purpose are:
Automatic access binding of the central file server to the medical PC system.
Convenient and safe handling of pending network transactions.
Real time network anomaly detection with immediate user notification at the “earliest
time” possible.
The notification includes tips on anomaly removal and behaviour recommendations to
keep the on-going workflow alive.
Real-time network infrastructure check
Set of effective network tests tools
Online Remote Services for PC access over internet by SCHWIND or partners
Automatic data management
Intuitive Design
MEDNET Symbols:
When you see one of these icons, you can expect a network related function: In daily use, a
trained user usually stops reading all texts and descriptions. The screen is “scanned” rather than
read completely when choosing the next task. The MEDNET icon and its abbreviations improve
that behaviour in an easy to remember manner.
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There is no user action required for the start up or shut down process.
MEDNET Manager is started automatically with Windows and runs in the background.
When Windows is shutting down, MEDNET Manager detects the shutting down event and safely
exits. All pending or running actions are suspended and re-started when the MEDNET Manager
starts again.
workspace area
category
The status view contains the most important states of the MEDNET Manager network functions.
The status view is refreshed in short intervals (~1 minute).
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IMPORTANT NOTE
When something is wrong with the network, the MEDNET Manager DIAGNOSIS
screen should always checked first! It provides the most important details on the
network in view of the actual computer!
The complete network status is refreshed in periodic intervals (~1 Minute by default)
even when MEDNET Manager is minimized. The status is displayed in near real time
to give the user the best possible feedback!
MEDNET has a built-in rapid warning system for network failure detection. The user
is informed as early as possible by a small notification popup right after a network
anomaly has been detected. The responsible IT administrator can be informed as
early as possible for immediate repair.
Without it, the user would first become aware of a network failure at the latest time,
when the current required network action fails.
The popup always appears on top of all other windows, independent of the currently used
software product, and remains in the foreground until you click HIDE or read the notification.
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Example screenshot
To maintain the practical workflow as best as possible, the physicians should follow
the advice in the popup notification. The Instructions also include intuitive
workaround suggestions where available.
In most cases it is possible to continue with real work on patients without
significant interruptions. The instructions try to keep the physician “away” from the
offline network while the problem is being repaired by the IT administration.
With <close> the notifications are discarded and are not displayed again.
Notifications are stacked when more than one is available.
Popup can be disabled in the Settings (not recommended).
AMARIS Application Software: Performing a laser treatment is quite important. In case
the Application Software enters the Treatment Menu, all displayed notifications are
removed automatically or suppressed when they occur to avoid any interruption of the
treatment progress. When the Treatment Menu is left, the notification will appear again.
Minimized run
When MEDNET Manager is HIDE/MINIMIZED or auto-started with Windows, it appears in the tray
area in the task bar. Click on the orange icon to show the program window.
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User Manual 7. Software Configuration
7 SOFTWARE CONFIGURATION
Before start using MEDNET, Software must be installed and configured properly. MEDNET
Manager Software is mandatory for all SCHWIND PCs. AMARIS uses Application Software and
WORKSTATION is using the diagnosis software if diagnosis device is present.
You also might have to change settings after an infrastructure change or for maintenance or (at
least) after a new software installation.
MEDNET Manager startup initialisation fails at first after installing the Software. A proper
configuration is required.
7.1.1 Autostart
Autostart is required for enabling the MEDNET capabilities on the system. Default is ON.
Use OFF temporarily only, for example with service or maintenance issues, if required.
The notification popup is essential for being informed about different types of network failures
or MEDNET problems at the time they occur. The default setting is ON.
Do not set it OFF permanently, otherwise the user will not prompted of occurring network
problems and the they will notice a network problem at the latest possible time (for example:
when saving to network) instead of the earliest possible time by the popup notification!
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The correct basic system information is required. Ensure the correct setting here!
Choose the device type of the current machine: AMARIS or WORKSTATION
Enter the system serial number. This name will appear on the network! Never use a
name twice! The name must be unique! Notice the included text and serial number
locations for examples.
The input field rejects invalid characters. Length is limited.
Press TEACH-IN to save the information! A system reboot is required afterwards! You can set
other settings before the reboot.
The MEDNET Fileserver (NAS) is addressed with this configured NetBIOS name OR entered IP-
address: MEDNET-SERVER or abbreviated name if changed manually OR IP: 192.168.141.99
With introduction of MEDNET Revision of 2019, the default configuration is “fixed-IP”. With
previous Revision/Models, please check if fixed IP is already set and set Fixed IP according the
chapter: “12.3 Using fixed/static IP for Fileserver”.
CAUTION
In case the Phoenix Software -Database is moved to Fileserver, the fixed-IP
is mandatory. See chapters: ”11.3 PHOENIX (SIRIUS/PERAMIS)” and “12.3
Using fixed/static IP for Fileserver”.
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The attached “foreign clinic network” is used for internet connectivity, provided for the MEDNET
Manager’s integrated online remote access. Refer to the respective chapter for prerequisites and
for more background information.
MEDNET Manager can disable and enable access to the “foreign attached network” as a safety
feature for the PC and for the connected clinic network.
For service & maintenance issues, the internet access can be enabled by different types:
UNTIL NEXT REBOOT OR MEDNET MANAGER START
State “disallowed” is set after PC reboot or manual Manager close + restart
THE CURRENT DAY
State “disallowed” is set when PC stats the next day.
PERMANENTELY ENABLED
State is never set back automatically!! For safety, you need a password (ask Schwind if
required, however Schwind will ask for reasons ;-) )
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3. Enter your proxy settings. You might also use the ADVANCED options.
When finished, reboot the system. You can use the REBOOT NOW button or shutdown Windows.
When everything is correctly configured, MEDNET Manager will initialize successfully.
Note: The verbose initialising text is removed after a few seconds when everything is fine. If
errors are detected the text remains in the box.
All LEDs green to indicate OK state? If it is red (failure), check the configuration and the
network.
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User Manual 7. Software Configuration
IMPORTANT NOTE
Please set the following settings for medical-software on all single PanelPCs.
The path settings are important for fluent work. When saving/Loading the correct
mednet path is pre-selected.
You have to set each single software product, even in case you have to repeat the
same steps multiple times for different Computers.
WARNING
Choose a “File name format” for the automatic CAM project file naming
which fits best to the clinic’s demands:
PatientID_Lastname_Firstname is recommended
To avoid ambiguous double saved projects (each name format once), it is
important to set all available Workstations and AMARIS configurations to
the same “File name format”.
Phoenix and Scout: Set the saving path fix to DELEGATE folder.
This ensures to always save onto the local DELEGATE folder, which content
is automatically moved to mednet-Server. The user can just click
“save/export” without remember any path and path does not fall back to
other directory, for example after PC reboot or software restart.
For IRX3 Software (unfortunately) fixating the path is not possible. Restart
the software will cause fall back to a default path.
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File Path
Enable user defined path.
Y:\DIAGNOSTIC_Export
Y:\DIAGNOSTIC_Export
Y:\DIAGNOSTIC_Export
D:\FILES_DELEGATEtoMEDNET\SCHWIND_CAM
D:\FILES_DELEGATEtoMEDNET\SCHWIND_CAM
Y:\SCHWIND_CAM
Y:\DIAGNOSTIC_Export
Diagnostic Export files / Scans are saved altogether into same directory. Source
directory must be set to same directory. The open dialog is filtering the file
types by its extension.
D:\FILES_DELEGATEtoMEDNET represents the Delegate folder root, which holds data on the
local drive, then copied to Server from mednet Manager Software. Y:\ represents direct root
address to the mednet Server, for loading data directly from Server.
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Y:\DIAGNOSTIC_Export
Y:\DIAGNOSTIC_Export
Y:\DIAGNOSTIC_Export
D:\FILES_DELEGATEtoMEDNET represents the Delegate folder root, which holds data on the
local drive, copied to Server from mednet Manager Software. Y:\ represents direct root
address to the mednet Server, for loading data directly from Server.
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Setting for local drive only (non- …change to MEDNET Setting:
mednet)… Enable: SCHWIND interface and Fixed export path
Export filename: ID_Surname_Name
Export path:
D:\FILES_DELEGATEtoMEDNET\DIAGNOSTIC_Export
Ensure to point to “DELEGATE folder\DIAGNOSTIC_Export”
Do NOT point to “mednet Server”.
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DIAGNOSTIC_Export
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If you have a higher demand on structured saving, you can define own sub-directories.
Example:
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User Manual 7. Software Configuration
The fileserver’s default factory set network name is “mednet-server”. When two or more
fileservers are attached to the same clinic sub-network for date exchange (for example: subnet
192.168.123.X with mask 255.255.255.0), each fileserver name must be changed to something
unique!
When the device names are not changed and another device still has the same device name,
problems will occur in the network!
Name change
1. Point to your MEDNET server with Internet Explorer web-browser
http://mednet-server (or old name: http://sets-fileserv)
or http://mednet-server:8080
or http://mednet-[other name]
or http://[IP instead of name]
Login: admin Password: elvis222
If you can’t establish the connection, try the URL with port number “:8080” or check your
proxy settings. Disabled proxy settings might be temporarily required.
3. Change the SERVER NAME to your name (name is not case sensitive).
Use the prefix “medNet-“, add your clinic location for the unique naming part.
You can enter seven additional characters: medNet-1234567
4. Do not change any other setting! <APPLY> to save, and then leave the browse
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User Manual 8. Online Remote Services
MEDNET includes outstanding online remote support integration for real-time service & support
over internet with SCHWIND, your distributor or for your own clinic purpose.
The well-known remote software “Team Viewer” is seamlessly integrated into MEDNET
Manager. To establish the remote connection, just open MEDNET Manager, press the <start>
button for remote connection and give your remote partner a connection number to control your
computer! The reaction time of first service by third parties will be reduced to a minimum of
time!
Internet connection for MEDNET is required. A clinic network must provide the internet
gateway, connected to MEDNET-Router (WAN Port). See chapter “4.4.4Infrastructure Online
Remote Support / Clinic Network Access to Fileserver” for infrastructure requirement. Establish
the internet connections.
Network gateway
Network gateway
Team Viewer
Mediation Server
Internet
Other devices
Network gateway
Remote partner
support assisting and controlling
the SCHWIND medical device
Note: The feature depends on network infrastructure, internet availability, TeamViewer mediation server
availability and the internet speed of the clinic. The connection cannot be guaranteed but shall be possible
in most cases.
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Purpose
By starting the remote session, an invited person can see and control the SCHWIND PC
as if being behind the screen. Connections via Internet can be established across the
world.
For service and support assistance activities with remote personnel
Very easy to establish the remote session of all SCHWIND device users
Best reaction time possible
Besides telephone, alternate communication is also possible via web camera, audio
(headset), chat (typed keyboard text).
Requirements
IMPORTANT NOTE
Internet is required to be accessible via the MEDNET. The network
infrastructure must be set up properly as described in this manual
Web camera and headset for audio are optional but recommended.
Internet is always required to start the remote connection. The MEDNET PC will
address a Team Viewer server on internet to get a unique ID for your session partner.
(This is also required if you connect one of your clinic PCs to the MEDNET PC.)
WARNING
It is important not give remote access to unknown or distrusted or untrained
personnel! Only persons who have your PC’s ID can access for the time the
session is initiated.
The remote session must be initiated by a person on the MEDNET PC,
requesting a remoter partner for remote assistance!
Access from outside is never possible without “manually granted
permission”!
Do not use a remote session during a treatment on a real patient!
Data privacy statement: When the remote session is established the remote
partner sees all data on that PC and is able to do everything on the computer
as if being directly behind the screen!
It is recommended to survey the activities of the remote partner.
MEDNET Manager is designed to control the Internet access by default. The
internet capability is enabled automatically when the session is requested
and disabled at the end.
It is possible to download the treatment related files.
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User Manual 8. Online Remote Services
The medical PC is the remote supported device. The remote connected device is the support
assisting partner.
The remote session must always be started with MEDNET Manager. Press the hotkey <F4> or
the MEDNET Manager icon in the windows tray icon.
TeamViewer START
After a few seconds “Your ID” is displayed
for the computer.
YOU MUST PROVIDE THIS ID TO YOUR
REMOTE PARTNER!
Once an ID is assigned, it will remain the
same for that computer and will not change
in the future.
The Password is predefined and cannot be
changed. (Your authorized remote partner
already knows the correct password! If it is
required for your own purposes contact
SCHWIND.)
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TeamViewer END
Click <Cancel> Button in MEDNET Manager
or “close session” <X> in the App.
Close
Enable/Disable/Settings
Minimized/Maximize
for Video/Chat/Voice
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The remote connection is mainly intended to be used by SCHWIND or a distributor, but it is also
possible for the clinic to use the remote connection for own service purpose from the attached
clinic network.
Due to safety & security reasons, TeamViewer must not run as a permanent service on the
medical PC. Access must always be activated manually by a user.
Requirements:
Establishing the connection always requires an active internet connection for both
partner due to the need to access the TeamViewer mediation servers.
Note: It is not possible to establish the connection from clinic network directly to the
MEDNET device without internet access!
The clinic PC must download the TeamViewer Tool (V7 or later). Installation version or
portable versions are possible. Download from: http://www.teamviewer.com
Connection:
1. In MEDNET Manager enable the remote connection as described in the previous
chapter.
Password: elvis111
Enter it when questioned on the clinic PC.
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IMPORTANT NOTE
Web camera and the headset are included in the MEDNET package. Place them near
the devices so they will be ready when needed for the remote session.
The video and audio capability depends on Internet speed. In case the speed is too poor it is
recommended not to use the function. A real telephone can solve audio issues.
Web-Cam connection:
Headset connection:
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User Manual 9. Fileserver - Access from Clinic Network
WARNING
Only use the MEDNET Fileserver access if you know what you are doing! The
MEDNET installation must retain its conformity, so do not make any modifications.
Use READONLY access credentials if write is not required.
Use ReadWrite access temporary and only for....
Maintenance actions (file clean-up, moving old project files,…)
Satellite clinic: copy new project files to target File server to the correct
directory.
It is forbidden to modify the file’s content with third party programs (Notepad,…)
Correct use and misuse by third person remains in the clinic’s responsibility!
Accessing the MEDNET content from clinic network is optional. Use only if clinic requires
the access.
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User Manual 9. Fileserver - Access from Clinic Network
The clinic can “grab” the available treatment or system relevant files on the file
server for its own purposes. For example: loading the treatment evidence logs,
extracting information for a third party patient management system.
The clinic can process all files with its content for any purpose!
\medNet_Projects
Diagnostic data export (partly includes a bitmap screenshot; binary data is not readable)
SCHWIND CAM Treatment projects
AMARIS Treatment logfiles
AMARIS Treatment printout as pdf
AMARIS system logfiles
AMARIS Digital Video Records (if applicable on AMARIS)
PDF printouts generated by MEDNET PDF printer
The MEDNET Project share can contain a sub-directory for MEDNET PDF printer, containing the
printout files. (see Chapter “10.4 Short Manual: MEDNET Print”)
\\medNet_Projects\PDFPrint
Clinic may require access to the \PDFPrint sub-directory only, instead of the whole “Projects”
content, for security reason. The clinic can copy the PDFs easily to their digital patient
management system as an evidence document.
ReadWrite access is most often required, because of removing or moving the file after
processing.
The PDFPrint directories with files should be cleaned-up regularly. Either deleting files or
moving to an archive directory. You can define an archive sub-directory within \PDFPrint or
\PDFPrinter\pending directory.
The clinic network is connected to 2nd LAN interface of NAS. Only PDFPrint directory is mounted
from external network.
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User Manual 9. Fileserver - Access from Clinic Network
A new special NAS credential is available, which points directly to the \PDFPrint sub-directory.
(User: setsPDF, Password: T7bza8)
Mount as persistent drive letter for security reason. The password remains saved within the
windows system and is not exposed. The command line is required only once.
For mounting the \PDFPrint sub-directory, the Credential for the whole Project Folders must be
used. This increases hazard, because of full access whole clinical data.
Therefore, the mount must include the sub-directory.
Mount as persistent drive letter for security reason. The password remains saved within the
windows system and is not exposed. The command line is required only once.
For safety and security reason, it is not recommended to mount to the root folder
\medNet_Projects permanently.
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User Manual 9. Fileserver - Access from Clinic Network
The fileserver provides the following directory shares and users. Access is possible via Microsoft
Windows Network (SMB) or FTP or Web Browser. Everything is running on the file server as a
service.
Please always use the NetBIOS name of your MEDNET fileserver instead of the IP!
When the clinic network is connected to MEDNET Server, you may require readwrite
access for some reason… Set your access READWRITE only for the time, the access
is required. It is highly recommended to disconnect READWRITE mounted directory
share to the MEDNET Server after use!
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Commandline:
net use [drive-letter]: \\mednet-server\medNet_Projects\[Subfolder] [password] /user:[user]
/persistent:yes
If mounted via net use with drive letter and persistence, the user/password are stored into
the system via commandline entered only once.
Subfolder is optional. In you require just a certain sub-folder like “PDFprinter or
Logfiles”, include the subfolder in the commandline.
For mednet-server address you may use fixed IP instead of netbios name.
User accounts for MEDNET_Projects as described and for MEDNET_PublicShare use Login:
anonymous without a password. The directory shares are displayed according the user logged
in.
“Filezilla” is a very good and
free ftp tool!
IMPORTANT NOTE
Windows does not include a feature to mount a ftp account into a drive letter. Third
party tools like “Netdrive” are able to do this!
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There are also tools available which can mount an FTP share permanently as a drive letter (for
example: “NetDrive” from http://www.netdrive.net
IMPORTANT NOTE
NetDrive is free for non-commercial use. You might buy a license from the vendor.
Insert the NetBIOS name of the MEDNET-fileserver instead of IP address. Port 21 and Account
details as described above. If everything is correct it should work immediately.
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User Manual 9. Fileserver - Access from Clinic Network
INTERNET
The Infrastructure setup enables “data transmission” from a MEDNET fileserver on a location #1
to another MEDNET fileserver on location #2.
For example, when the diagnosis data was obtained in Frankfurt and then the laser treatment is
executed in London. The necessary project files are first stored in “Frankfurt” and then copied
digitally over the network to “London”. The process is carried out from any clinic PC which is
able to access all the MEDNET fileservers. In the example this would be possible by PC A; PC B
or PC C.
Due to the network architecture, this is not possible from a MEDNET PC, but instead only from a
PC in the clinic network which is able to “reach” the according MEDNET fileservers!
The work process should be established by the clinic IT administrator or IT team and then handled
by that trained person. The process requires enabling the read and write access to the involved
MEDNET fileservers as described above. It is recommended to enable read access for the source
and ReadWrite for the target file server only!
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User Manual 10. Printing
10 PRINTING
On the PanelPCs, the Windos Printer “Print to medNet” creates PDF files
from printouts and stores them on the medNet Fileserver.
The generated PDF files can optionally be printed on real paper:
Automatic printing from a clinic PC using to any type of printer with batch printing tool:
“medNet Print”.
or
Automatic printing from a medNet PC using the SCHWIND delivered printers with batch
printing tool: “medNet Print”.
All generated PDF Files are stored in medNet Server and can be copied.
WARNING
Installation and Setup shall be performed by a skilled clinic IT administrator
following the instructions described.
SCHWIND offers technical support by email or phone for setup of the batch
printing software on the clinic PC. The clinic (PC) hardware equipment itself is
not a SCHWIND device and is therefore excluded from service and support!
All instruction steps must be followed exactly according to this manual to achieve
a reliable, safe and secure installation.
Compare the scenarios. Choose one that fits best to the clinic.
The delivered SCHWIND Printer (Canon) cannot be attached into the MEDNET-network as regular
network printer. SCHWIND does not (yet) offer a central network printer for MEDNET Network.
Instead, consider: “Scenario 4: Printout on SCHWIND Printer within MEDNET Network”.
A network printer inside the MEDNET NETWORK and individual printing drivers installed on
SCHWIND PanelPCs are not allowed due to safety.
For using clinic owned printer (different to SCHWIND approved printer), consider “Scenario 3:
Printout on Printer in Clinic Network”
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medNet network
pdf Print documents to printer “medNet PDF”
…The PDF file has been created.
pdf pdf
Referenced activities
SETUP:
see Chapter “10.2 Print-Setup: SCHWIND PanelPCs (Workstation, AMARIS PC)”
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MEDNET network
pdf Print documents to printer “medNet PDF”
…The PDF file has been created
Paper
Any type of printer available on
printout
clinic PC – USB, network
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MEDNET network
pdf
Print documents to printer “medNet PDF”
…The PDF file has been created
pdf
The PDF file is automatically moved to the
MEDNET Fileserver.
When network is offline, the files are collected on
local PC and auto-copied to network when online.
pdf pdf
pdf pdf
pdf New arriving files on file server are
detected and printed automatically
Paper on the connected SCHWIND USB
printout printer
Referenced activities
SETUP 1:
see Chapter “10.2 Print-Setup: SCHWIND PanelPCs (Workstation, AMARIS PC)”
SETUP 2:
Install MEDNET Print on one SCHWIND PanelPC (Workstation) with USB printer attached.
see Chapter “10.3 Print-Setup: MEDNET Print (SCHWIND PC or clinic PC)”
USE:
MEDNET Print, installed on Workstation, is printing the new files automatically on the attached
USB printer. User can control MEDNET Print manually.
see Chapter “10.4 Short Manual: MEDNET Print”
USE:
From SCHWIND PCs, User can Access the PDF Files on Server manually:
see Chapter “10.6 Access or Print PDF-files from MEDNET Fileserver”
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Requirements:
“print to PDF-printer: SCHWIND PanelPCs must run a specific HD Image Version:
AMARIS.7.3-5 / WORKSTATION 11.0-6 or higher.
An authorized service technician should install the latest version.
If a clinic network is attached for printing to any clinic printer, the “MEDNET Print” Tool
must be installed on a Windows PC. It runs with Win XP, Win Vista, Win7, Win8 and
Win10 as a user program.
The MEDNET network must run properly.
The following instructions must be performed separately for ALL SCHWIND PCs:
MEDNET Manager
Check the following directories, if present. If they are already available, you can skip the
following steps.
Note: The name is case sensitive. Do not abbreviate it, use exactly the capital and lower
case letters as above!
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FreePDF
Install “MEDNET Print” Tool on a Windows Clinic PC attached over Network to MEDNET for
Scenario 2, or on Workstation PanelPC or Standalone PanelPC for Use Scenario 3.
When using MEDNET Print installed on any clinic PC, it scans the MEDNET Fileserver PDF
storage for new pending files in intervals (around 1-2 minutes) and prints them automatically
on any type of attached printer.
Supported file types: PDFs; simple text documents; some bitmap types (jpg, bmp, gif)
Setup
1. Ensure the correct attached clinic network to the MEDNET Fileserver according chapter:
„4.4.4 Infrastructure Online Remote Support / Clinic Network Access to Fileserver“
3. Ensure you have a correctly installed and working printer connected to the clinic PC.
4. Copy directory “medNet_Print” from the medNet CDROM to the clinic PC. You can use
the system root C:\ or C:\Programms for example…
Call SCHWIND if you don’t have the tool available on CD-ROM. Do NOT install “MEDNET
Manager” on the clinic PC, thus it’s for the SCHWIND PCs only.
5. Optional: You can create a program link to desktop or start menu manually.
6. First start:
Start medNet_Print.exe by using Windows File-Explorer. The tool does NOT require
special permissions. (“Run as administrator” is NOT required.)
Ensure to “unblock” the firewall network traffic.
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Note: The directories can be accessed directly from a SCHWIND PC running MEDNET.
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PENDING
The list is updated automatically in interval set in the configuration window.
All new detected files are first listed here first. They are sent to the Windows print spooler file
by file.
Note: Depending on the Windows print speed, the Windows printing queue can grow large if
many files are printed at the same time.
After each file has been printed is moved to PRINTED/SKIPPED or ERROR
ERROR
The list is updated automatically.
If printing failed the erroneous file will appear here. This can be some error by the printing
engine or file type is unsupported.
PRINTED/SKIPPED
The list is NOT updated automatically. The user has to use button “update List” manually to
retrieve the file overview.
All printed or skipped files without error appear here.
BUTTONS:
Update List The List is updated. VIEW The selected files are opened with the associated
program. (.PDF opens PDF viewer if installed)
(Re-Try) Print The selected files are printed (again). DELETE The selected files are deleted permanently from the
fileserver.
Skip Print The selected files in the pending list are
not printed. Suspend the monitoring
process first with button
“running/stopped”.
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Only if equired…
A 2nd or 3rd MEDNET PDF printer make sense if you like to use more than one physical (real)
printing device. Each of them to be used for specific SCHWIND devices: For example when the
Schwind devices are separated over long distances (different floors). Laser might use clinic
printer 1 and diagnosis might use clinic printer 2. The SCHWIND devices print over their specific
“MEDNET PDF printer” configuration:
The new printer name shall get an increased count number in its name like “medNet PDF Printer
2” (or 3…) and will get a new independent PDF file directory on the Fileserver. The follow setup
describes setup of a 2nd printer. For a 3rd (4th) printer simply do the same setup steps and just
change the number “2” to “3” (“4”).
The installation steps on SCHWIND PanelPC is required only if you plan to use other specific clinic
printer.
FreePDF printer
New Windows PDF printer must be created manually if not available. In case the printer is already
there just set it to the default windows printer. Do not modify or alter existing printers.
The new PDF printers will save documents to
alternative fileserver Directory “/PDFprinter[x]/”
Manual creation:
1. Open Startmenu: Misc | FreePDF | FreePDF Config
2. In Profiles select the existing “medNet PDF printer” and click <Change>
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FreePDF dialog: Add number “2” to the Path. Do not insert other characters.
<Save> the new profile.
4. Select the new profile and <Add a new printer for this profile>. Exit the configuration.
5. A new windows printer with name of the profile is now present. Set it to default printer.
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MEDNET Manager
On Schwind PanelPC the “PDFprinter2” directory structure must be available inside the
delegate folders (create the sub-directories manually if not available). This must match to the
previously installed FreePDF printer’s saving path.
Also, the PDF files storage location must be changed to the 2nd instance:
The rest of the configuration is as mentioned above for a single printer configuration, except a
different printer has to be selected.
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In example, you can copy the files to SD Card for further purpose like viewing or printing
them directly from network to a connected printer.
Do Print within the treatment programs over the “printing” function to “medNet PDF
printer”.
It is recommended to always set this printer as the default windows printer.
The CAM summary page printout must always be triggered manually with the summary page
“print button”.
“MEDNET Print” Performance vs. amount of files: The number of PDF files on the medNet
Server increases. If you reach thousands of files (especially in the “printed” subfolder), the
performance of medNet print will decrease!
To avoid this, some old dated files should be moved or deleted.
MEDNET Print will give advice if the critical amount of files is reached.
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User Manual 11. WORKSTATION Diagnostic-Database on MEDNET-
Server
11 WORKSTATION DIAGNOSTIC-DATABASE ON MEDNET-SERVER
In combination with SCHWIND MEDNET, the database can be moved to the MEDNET Fileserver,
as a shared database in the middle of other devices or software installations on other PCs.
Example: The patient data is acquired in the diagnosis room by Sirius while the database is
located on the network file server. The connected PCs in the other rooms can access the data
over network with the Sirius software, view the data and create the SCHWIND CAM Export.
Multiple Workstations,
creating the eye data
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Application example 1: Standalone PC in a doctor’s office
When the standalone PC is installed in a doctor’s office, he or she can perform the planning
actions in his own room: Viewing the patient scans with the diagnosis Software, creating the
SCHWIND CAM Export and planning the treatment with SCHWIND CAM. The planned treatment
will be saved to network to be available for following treatments in the surgery room.
CAUTION
When the network is offline for some reason, the patient database cannot
access until it is online again. This can cause delay in the clinical workflow.
A highly reliable and fast network system is required to avoid possible network
downtime! If performance issues are experienced, add 1GBit switches into
MEDNET.
Use short unambiguous directory and DB file names when creating new DB.
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11.2 Shared Database
Each Diagnosis Software can use a “shared database” on the MEDNET SERVER.
Supported Software: PHOENIX (Sirius and Peramis device), SCOUT, IRX3
Example:
Workstation 1 (Sirius)
Database Workstation 2 (Sirius)
Standalone PC 2 Standalone PC 1
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11.2.3 Concurrent Database Access
PHOENIX
Software handles access to same database. Concurrent access is possible. User may be
notified by the software, when inconsistency is detected for some reason.
The patient data displayed is not automatically updated, when then database content is
changed/data added by another network user.
Data is update in the software when the database content is re-read. For example: Patient
list is updated when DB is reloaded. Displayed scans are updated when a patient is (re-)
opened.
SCOUT
The patient data displayed is not automatically updated, when then database content is
changed/data added by another network user.
Data is update in the software when the database content is re-read. For example: Patient
list is updated when DB is reloaded. Displayed scans are updated when a patient is (re-)
opened.
IRX3
The patient data displayed is not automatically updated, when then database content is
changed/data added by another network user.
Data is update in the software when the database content is re-read. For example: Patient
list is updated when letter is entered in the “search mask”. Displayed scans are updated
when a patient is (re-) opened.
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11.3 PHOENIX (SIRIUS/PERAMIS)
11.3.1 Preparation
Software Registration
If the Software is not already “registered” by key the workstation requires the “diagnosis key
license” and the “SCHWIND Standalone PC” required the “review key license”. Diagnosis key
and two review keys are free of charge. The requested P-number is the one of the workstation
(see label at Panel-PC or SW, bottom left). The serial numbers are provided by SCHWIND. Please
make send email when required.
Fileserver Address
CAUTION
The Fileserver’s LAN Interface for MEDNET Network must be set to a fixed IP. This
IP must be set in MEDNET Manager Configuration instead of the NetBIOS Name
(“mednet-server”).
If fixed-IP configuration is not set, sporadic connection loss may occur (due to
timeout of NetBIOS to IP resolution): Software Exception in Phoenix Software will
occur sporadically.
With introduction of MEDNET Revision of 2019, the default configuration is “fixed-
IP”. With previous Revision/Models, please check if fixed IP is already set and set
Fixed IP according the chapter: “12.3 Using fixed/static IP for Fileserver”
In the following examples, sample location for SIRIUS is used. You can choose any suitable name.
If you own SIRIUS and PERAMIS, you could choose a subfolder \CSO or \SIRIUSPERAMIS.
2. Ensure that MEDNET is running. Copy the whole content including sub-directories of
D:\Patient_Data_Sirius to MEDNET Filestorage\Diagnosis_DB\Sirius
Do not skip any files!!!
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COPY
RENAME
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2. When the database window appears, change the database location. The Database
type must be type: Access. Click YES to create a new database.
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4. Now go inside the directory you just have created. You can change the database
filename. Click Save.
5. For finishing the procedure click on Ok. Now wait a few seconds until the DB is
created. Time depends on your network speed and can take up to 30 seconds! The
Sirius Software will come up when finished and the new DB is selected, but
configuration is not yet fully finished!
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“Backup in” should also point to the new network database location! For example..you can
copy’n’paste the “Database” line to “Backup in” and remove the *.mdb filename.
Example: Y:\DiagnosticDevices_Databases\Sirius\New Database
2012\MyDB2012.mdb
1. Go to the Settings then Miscellaneous and click the icon as shown above.
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2. When the database window appears, change the database location. The Database
type must be type: Access. Click NO to open an existing one.
3. Now go to the Network Filestorage and select an existing database. Pointing to:
“My Computer | medNet FileStorage |
_DiagnosticDevice_Databases\Sirius\[DatabaseSubfolder]”, select the .mdb file and
click Open.
4. The Sirius Main Screen will appear, but you are not yet finished: Image root and
Backup in directories are not yet set!
5. Open the settings again and set the other two paths!
6. After OK the database is ready to use.
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11.3.5 DELETE Database
Use Windows file-explorer. Point to the MEDNET Sirius database directory and delete the whole
subfolder.
Optionally only one Software installation is allowed to create backup. Set to backup path
either to a local PC directory or to subfolder \bak of the File-Server DB location.
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11.4 SCOUT
11.4.1 Preparation
The Software is already pre-installed on the SCHWIND PCs. Normally there are no additional
steps required.
But in case the SCHWIND CAM Export is not enabled, if the SCHWIND Icons are not displayed,
please call SCHWIND for enabling instructions.
2. Ensure that MEDNET is running. Copy the whole content including sub-directories of
“D:\ Patient_Data_Corneal_Wavefront_Analyzer” to “[medNet
Filestorage]:\_Diagnosis_DB\Scout”
Do not skip any files!!!
COPY
RENAME
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11.4.3 CREATE new Database on Network
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11.4.5 QUICK CHANGE Database
You can also use the “Recent database” entries. Every database which is loaded by “Open
DataBase” is entered in this list automatically.
Content of the currently opened Database can be cleaned by click on “Delete Database”. The
existing database is deleted and moved to windows “recycle bin” then the database is re-created
without content. The deleted database can be recovered out of the “recycle bin” if necessary.
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11.5 IRX3
11.5.1 Preparation
The Software is pre-installed on SCHWIND PCs. When the software will start with the following
error message, a separate “calibration file” must be installed in additional.
The calibration file is included separately with each IRX3 hardware device on a CD. (If your CD is
missing, you can call SCHWIND for your individual File in accordance to your device serial
number…)
CAUTION
SCHWIND recommends using the original configuration file which is shipped with
your IRX3 hardware device!
If you use another configuration file, the values are NOT falsified when viewing data,
but in case you connect a real IRX3 hardware device to the standalone PC, the
configuration file must be the correct one. If this does not match, you will create
wrong patient scans!
In case you have two or more IRX3 hardware devices available, you can choose any
configuration file of them. But you must ensure the correct configuration file when
you connect a real IRX3 hardware!
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2. Ensure that MEDNET is running. Copy the whole content including sub-directories of
D:\Patient_Data_Ocular_Wavefront_Analyzer to medNet
Filestorage:\_Diagnosis_DB\IRX3\
Do not skip any files!!!
COPY
RENAME
Step-by-step:
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11.5.4 OPEN/CHANGE Database
1. Close IRX3 Software!
2. Use Windows file-explorer. Point to the above showed folder and double click on
bdp.UDL
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4. When the Folder Dialog appears, point to the MEDNET storing location:
My Computer | medNet FileStorage | _DiagnosticDevice_Databases\IRX3\ + the existing
database directory and database file you want to use and click “Open”
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User Manual 12. Troubleshooting
12 TROUBLESHOOTING
CAUTION
It is advised to read all chapters completely before starting any actions. It is also
recommended to understand the usability of the physicians (explained in the
previous chapter).
IMPORTANT NOTE
Network technology is very dynamic. All problem causes are never foreseeable.
Finding the exact reason and evaluation speed depends on the error complexity
and experience of the IT person(s).
MEDNET Manager has network diagnosis on board!
Always refer to the Diagnostic Page on all the Schwind devices to “look on the
network in view of that device”.
This very first step will encircle affected devices and the respective
infrastructure. By combining that information, the cause is quickly identified in
most cases.
The following tips will help to determine the cause of a network related failure.
Evaluate problems by “do-it-yourself” before asking Schwind! Practice work has
shown that the error cause is most often identified within the network
infrastructure or bad configurations.
It should be possible to determine an error cause without using third party diagnosis
tools!
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Are all necessary devices permanently powered on? medNet NAS, router, switch
As a last try, if all else fails, try another power transformer. A failure after years of use
might not be recognised when voltage or current delivery has become slightly aberrant.
If managed switches across clinic network are used, set high throughput priority.
MEDNET NAS Fileserver
Connected to MEDNET Router?
Is the directory structure correct? Are all the expected files available?
File access problem? Try a device reboot (push power button 2 seconds; shutdown
will take one minute; turn it on again; boot-up takes ~2 minutes)
MEDNET Router
The original SCHWIND MEDNET Router is required at all times!
Device configured with „SCHWIND MEDNET” settings.
If numbers of ports on the router are extended by a switch, check that the switch is
properly connected.
The “LAN Ports” are only used for the “MEDNET network” and NOT connected to
foreign devices or the clinic network.
The “WAN Port” is only used for connection to clinic network and NOT connected to
any MEDNET device.
SCHWIND medical device (PanelPC)
Access to Fileserver possible?
Cable connection to MEDNET switch possible?
Use MEDNET Manager Software Diagnosis page.
Reboot the device(s)
MEDNET Manager
Is the MEDNET Manager Software properly running? (The MEDNET status area must
display “green LEDs” to indicate a correctly running network!)
Is the MEDNET Manager software properly configured?
Check MEDNET Manager logfile. The also log contains timestamp of all network breaks.
Check MEDNET Manager Software Diagnosis page and tools for anomalies.
Diagnosis Database Connection slow/offline/Exception
Ensure 1Gbit LAN ethernet connectivity
Ensure fixed IP of MEDNET NAS, correct onfiguration?
Working over network can be slower than local PC database.
Speed decreases with size of DB. For example, if the patient number is approx. above
1000 this could lead into slow speed. If so, start a new database. Switching between
database is possible (but sometimes not comfortable)
It is recommended to create a new DB in regular intervals (yearly)
If managed switches across clinic network are used, set high throughput priority.
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Combine all “network views of the Schwind device” together for ideas on possible failure
causes
Example:
C
No other devices visible
medNet Router
NAS/Fileserver
In this example PC A and B “see” all other devices and Filestorage is available. PC C does not
see any other devices and Filestorage is not available. Obvious error cause possibilities are: no
connection to medNet router; no connection to Fileserver; a connection problem on the PanelPC
itself or several causes at a time. A total Fileserver failure can be excluded because the other
devices have Fileserver connection!
In another example (not illustrated), when the medNet Manager diagnostic screen shows
“offline” Filestorage at all PanelPCs, the following could be wrong: Fileserver is off, corrupt,
defective, not connected to network or without connection to router. The router itself could
have a problem when there are no devices visible on the diagnosis screen.
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After a successful initialisation (everything works correctly) the box shows the headline only. In
case of error, the information remains visible!
An IT administrator can see the present MEDNET state of the PC by visiting the Main Display and
the LED status indicator at the MEDNET Manager bottom.
• (green)=OK
• (grey)=not active
• (red)=failed/error
During “AMARIS Application Software, treatment menu” is visible, the popup is supressed.
When popup appears, all users shall consider the displayed information. Call IT Admin to fix the
problem.
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12.2.3 Diagnosis
Advanced network analysis made easy!
Normally a professional IT administrator would go to the Windows command line, typing in
complex commands or installing and starting his own common network tools. Common
network analysation tools are available in MEDNET Manager.
All MEDNET devices must be assigned to the displayed workgroup to operate properly!
Information on the PanelPC itself.
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Traffic monitoring
This tool is intended for manual speed and transfer tests only.
Network Tool Box: Connection Tests already contains a build in and convenient network transfer
test.
An external tool is started and displayed to indicate the network traffic in real time.
You can use it for manual network speed tests, for example, when you are copying small files or
one very big file from the PC to the medNet filestorage.
It also displays the current speed of the network interface.
Accounting test
The MEDNET-required user accounts and the network shared are tested for anomalies. Ensure
that the MEDNET file storage (fileserver or NAS) is indicated as “online” before starting the test!
After <start test> MEDNET manager is degraded into a “testing mode”. MEDNET-Manager or
PanelPC must be re-started after the test!
All tests result must be “OK. If another result is displayed it is likely that the fileserver
configuration is corrupt or the MEDNET Manager user account information is wrong. If so, call
SCHWIND service.
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Connection Test
Testing the connection to the MEDNET fileserver is most important. For all pre-defined tests, the
MEDNET fileserver is always the test-target! Ensure the MEDNET is “online”.
You can find out the network speed ability and thus the overall network quality and
the reliability of network + fileserver under heavy transfer. When the speed is in
accordance with the possible speed of your special network and the transfer test is
always correct, the network should operate reliably.
Just a simple “ping”. You can select an amount of A file with defined size and random content is
loops and a pause between the pings. uploaded, downloaded and compared with a
specified amount of loops.
All pings must answered by the fileserver OK when no errors are detected and when the
without “timeouts” or “not_reached”. avg speed is approximately as expected according
to the network type.
Check your physical network when average time is
larger than 1000 ms and when pings are lost! Check your physical network and try a reboot of
the file server when errors are detected or when
the network speed is far lower than expected!
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Check your physical network and try a reboot of The test will not start again automatically after
the file server when errors are detected or when MEDNET Manager or PanelPC are restarted.
the network speed is far lower than expected! OK when no errors are detected and when the
avg. speed is approximately as expected according
to the network type.
Check your physical network and try a reboot of
the file server when errors are detected or when
the network speed is far lower than expected!
Speed comparison
A network speed of 100Mbit or 1GBit is negligible in the MEDNET environment. With
approximate treatment file sizes below 5MB the user does not notice the difference in the
real world!
The expected transfer rates are always lower than the physical speed because the network
protocols include some additional data package information, such as checksum, routing
information, etc.
If the transfer rate is bad, try a reboot of the fileserver and check the network infrastructure.
Re-start the test while no other MEDNET device accesses the network.
Network speed Expected transfer rates
LAN 100MBit 6-9 MByte
Below 6MByte is bad!
LAN 1GBit Theoretically up to hundred MB but in reality limited due to
the NAS device speed!
Rates of 20-40MByte are possible!
WLAN 54Mbit 2-4 MByte
Below 1MByte is bad!
WLAN is not recommended and might not be
supported by SCHWIND due to insufficient reliability.
Network stability
When network connection is not available or broken, error log entry is generated. If that entries
appears regularly, network may have a stability (connection) problem which needs to be fixed!
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The user can <ABORT> the process by clicking the button. The field is removed and the
delegating/syncing is paused. The remaining files are still pending. The pause depends on the
current interval time of the delegate or sync folder check. (By default the time is ~1,5 minutes and
can increase up to 10 minutes). After this time has passed the delegate/sync process is re-started
again, preceding the remaining files.
12.2.5 Logfile
MEDNET Manager includes a detailed logfile. Upon error/failure or anomalies you can open the
logfile and “interpret” what is going on! The log is easy to read and basic functionalities can be
easily readout! Try it if you have problems with only using the diagnosis screen during network
failure cause research.
Logfile Directory
Path: C:\_medNet\SETS_medNetManager\Log
Clicking the LOGFILES button on the top of MEDNET Manager opens Windows File Explorer in
the Logfile directory. You can choose any text editor to view or copy files to SD card…
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Depending on the MEDNET Revision, the Computers addresses the MEDNET Server by its
NETBIOS NAME (mednet-server) or static IP address 192.168.141.99.
Starting with MEDNET Revision of 2019 (NAS Model: QNAP TS-253Be), the addressing via fixed
IP is pre-configured. For all older models, the IP change is also recommended and must be
changed manually. This prevents possible timeouts during Fileserver-access.
1. Set NAS Fileserver to fixed IP using “QNAP Finder Tool” (recommended method)
192.168.141.99
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2. All available SCHWIND PanelPCs must be configured to the new server IP address
manually:
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IMPORTANT NOTE
After PanelPC start wait 1 minute before start diagnosis software. MEDNET
Manager requires this time to initialize the file-server connections….
Slow database
Check Network speed; Check size of Database (try a new database)
It is recommended to create a new DB in regular intervals, for example each half year…
Error Messages
Sirius/Phoenix
Software start with Network offline
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Scout
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IRX3
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It is recommended to check the MEDNET Server status in interval For example: every month,
every 3 month…
The NAS uses RAID1. The files are 1:1 stored on two drives simultaneously. If one drive failed
(for example: electronic failure, head crash) the defective drive can be exchanged while the NAS
is running. Then the “new” drive is “synchronized” with the remaining drive: The files from the
remaining drive are mirrored to the new drive and the NAS is operating properly again as before.
In case a drive is defective, all operations are performed on the remaining HD. The defective drive
should be replaced as soon as possible.
In case both drives fail, all files will be lost!
The following information is most common. If more information is required, check the
Fileserver manufacturer’s troubleshooting ressoruces about the model.
Status Check
In normal operation the drive LED indication shows no error.
In case the Server has a failure or problem, LEDs will indicate “proven” by color (red),
blinking,… Speaker output (beep, speech) may also appear.
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CAUTION
Prepare a full backup to external data media before replacing disks. If functions
are wrongly used, you may lose data on the drive(s).
For suitable replacement disk model, please ask SCHWIND for recommended
models.
Keep in mind: The File-Server is not a Backup Media. To prevent data loss, backups
should be created regularly by clinic IT Administration.
3. Connect one of the old drives (incl. data) to a USB to SATA Converter (USB3).
Connect the USB to the USB Port of NAS.
Do not insert the drive into a NAS drive bay! It may be syncronized automatically with
the regular existing drive, lossing all the data.
In case the drive is not recognized by the NAS, access the filesystem via PC and copy
the data over Network to the NAS or via an external USB drive to the NAS. Chapter:
12.7.2 Access Drives Filesystem via Windows
Do not make any write operations under Windows, READONLY. If you put back into the NAS a
drive with modified, this can lead to data corruption or loss.
“Linux File System for Windows by Paragon” works well. With some other products, drive
could be detected, but filesystem could not read.
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Put a drive out of the NAS. Connect it to a USB (3) to SATA Converter, connected to Windows.
On the mounted filesystem, look for folder \medNet_Projects containing the data for a copy
process. Do not make any modifications on the disk.
For space expansion, the two small drives are exchange one by one with the new bigger one.
Depending on size and speed, the process takes many hours. Plan the process overnight.
There are different QNAP QTS “operating” System Versions. The procedure is the
same, but may have different UI experience.
Select the drive you want to replace: the one defective drive (or both drives for space
expansion).
Start <CHANGE>. The dialog will guide you through the process. When the new drive is
inserted, the RAID system is synchronized. You have to wait until it is finished.This can
take many hours. The process can take many hours, depending on you amount of data.
It is useful to plan this during time, when the NAS is not in use. For example overnight.
3. Expand only:
For drive space expansion, <CHANGE> the next remaining smaller drive.
After both drives have been exchanged with bigger ones and RAID synchronisation is
finished, the <EXPAND> function is available. Use it to make the new space available.
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User Manual 13. Server-Data Maintenance
13 SERVER-DATA MAINTENANCE
recovery
backup
CAUTION
A backup is a full copy or snapshot of a set of data at a specific time. The clinic should
establish an own backup process for safety.
The Server system contains redundant Drives. If one drive fails, it can be exchanged
easily. If both drives fail or the device is damaged, all clinical data may be lost!
The backup should be created when the SCHWIND devices do not access the data.
Medical data content is saved with files only (no SQL database). When creating
backup, mark it with date of the day.
For recovery, a manual file replacemnt of the existing NAS files or whole folders is
required with backup media as data source.
You can copy data from an attached USB disk to the NAS via its Web frontend or
from PanelPC, accessing the mednet server, copy the data from the backup media
to the NAS over network.
A Copy tool like Microsoft’s Rich Copy is recommended. File-Explorer can crash on
folders with many ten of tousand files or directories.
When amount of data increases, check the duration of backup from time to time.
Process should be finished in the morning before work to prevent mednet server
slowdown.
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You can use a backup tool, accessing the MEDNET_Project folders via SMB Share copy the
data to a clinic backup server.
Whatever fits best: Create full backup in regular interval or update new or changed files only.
A quick and minimal backup solution is to use the NAS integrated backup function to “always
attached” USB disk. Use USB3.0 only. Shedule automatic backup at night.
In this solution, to minimize the risk of simultaneous failure of NAS and USB disk (lightning),
copy the USB disk also to other data media for offline storage.
Options recommended:
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The content of all network related folders increases over time. The IT admin is recommended to
“tidy up” those folders regularly, for example, every quarter of a year or every half a year. The
need for “tidied up” project directories must be decided individually and performed manually.
MEDNET Manager contains a short overview on remaining free space:
CAUTION
Always move “old files” to an archive folder rather than delete files! Use Windows
File Explorer.
In case the HD space is nearing zero, list the file with Windows File Explorer by date,
create a copy on an external data storage media for external archiving and then
delete all “very old” files.
The amount of content in a network directory can cause significant slowdowns in
the network (ie. thousands of entries). If you have a few hundred entries only, a
“tidy up” is not (yet) necessary.
PanelPC: D:\FILES_ARCHIVE\*
All files, “delegated” to medNet are moved to this folder after copy to Server. This folder can be
deleted, the files are stored on medNet Server anyway.
Use a self-created archive directory name. Using a “_” as the first character will list the
directory first before others….
i.e. “_Archive” or “_Archive (2012)” or “_Archive (outdated files)”
Move “outdated” single files or complete subdiretories (SCHWIND_CAM projects).
Relevant directories for Archive are DIAGNOSTIC_Export, SCHWIND_CAM and
PDFprinter. The other directories shall not be touched for archiving.
For delete (instead of move), copy to external storage media shall be considered.
Archive folders
move manually
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User Manual 14. IEC 60601-1 3rd Network FAQ
The SCHWIND medical devices are allowed to be incorporated into a computer network by use
of optional add-on product “SCHWIND MEDNET” only.
A medical network including the medical devices shall be planned, installed and
validated successfully MEDNET includes those elements by instruction.
Also a special focus on hazard and risk is required. Countermeasures are included in
MEDNET to provide a safe and secure network system, protecting the medical devices,
operator and patient.
MEDNET Server: Connected via 1st LAN to MEDNET network; no outgoing connections;
incoming connection for providing file-server services; password protected; firewall
enabled; administrative service ports active (password protected); Connected via 2nd
LAN to clinic network (option) for access to data –password protected.
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Shall the clinic identify analyse, evaluate and control additional risks
By MEDNET engineering, in combination with SCHWIND medical devices, the product
combinations already covers countermeasures for possible risks. Additional activities by
clinic are not necessary in general. It is recommended in case of using “interface”
between MEDNET and “foreign” clinic network, when MEDNET network is accessed
from clinic network: incoming connection to MEDNET Server from clinic network.
In case clinic abbreviates the official MEDNET product, creating different other
networking system (combination of SCHWIND medical devices + IT-Network) new risks
are introduced. Safety and security for the network system and medical devices are no
longer guaranteed. The customer requires analysing the system about risk.
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User Manual 15. List of Passwords
15 LIST OF PASSWORDS
WARNING: Handle confidentially. Do not modify any settings. Changes, explicitely allowed in MEDNET
manual or SCHWIND instructions are allowed. Never replace or create new access credentials (names,
passwords, settings).
Disclaimer: ReadWrite access from external non-Schwind devices to MEDNET-Server content creates
hazards. Clinic is responsible for all type of malfunctions caused by external (non-mednet) access to
MEDNET-Fileserver. Clinic is strongly advised to take adequate countermeasures (temporarily access only,
Server Backups, virus/malware protection on PC accessing the server; Trustworthy persons,… ) to
guarantee data integrity at all the time.
http://mednet-server
NAS Server or
QNAP http://mednet-server:8080 Admin / elvis222
admin console or individual server-name
or IP address
Readonly
foreignUser / R8HBhE
\\medNet_Projects
Read/Write
setsWorkstation / [ask Schwind for PW]
setsAmaris / [ask Schwind for PW]
\\medNet_Projects\medNet_pdf3
Read/Write
PDF share valid for QNAP TS-253Be or
setsPDF / T7bza8
newer (2019 model or later)
admin / elvislive
MEDNET Router
http://192.168.141.50 or admin / elvislives
admin console or admin / [blank]
MEDNET
Manager
When TeamViewer is active Password only: elvis111
TeamViewer
Remote Login
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User Manual 0. Contact Address
CONTACT ADDRESS
Manufacturer:
Tel.: +49-(0)6027-508-0
Fax: +49-(0)6027-508-208
Email: info@eye-tech.net
http://www.eye-tech-solutions.com
Service Hotline:
Tel.: +49-(0)6027-508-333
Fax: +49-(0)6027-508-245
Email: service@eye-tech.net
Customer Support:
Fax: +49-(0)6027-508–208
Tel.: +49-(0)6027-508-350
Email: apm@eye-tech.net
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User Manual
Your notes