NOUS FIRMM Manuale utente

FIRMM®Installation Guide -

Siemens MAGNETOM Scanners

CMC Medical Devices & Drugs S.L.

C/ Horacio Lengo n18

C.P. 29006, Málaga, Spain

320-00201-DO-05 Revision 12 Released: 02/2022

Manufactured for Nous Imaging, Inc.

393 N Euclid Ave Suite 310

St. Louis, MO 63108

Customer Support: +1-844-NOUSIMG (+1-844-668-7464)

Email: support@firmm.io

320-00201-DO-05 Revision 12 Released: 02/2022

Table of Contents

1Introduction........................................................................................................................................................................4

2Safety Considerations.....................................................................................................................................................4

2.1 Definitions .............................................................................................................................................................. 4

2.2 List of Warnings and Cautions......................................................................................................................... 5

3Compatible Scanners ......................................................................................................................................................6

4Overview ............................................................................................................................................................................6

5Setting Up the FIRMM Desktop Cradle...................................................................................................................8

6Setting Up the FIRMM Tablet Computer ............................................................................................................. 11

7Activating your FIRMM License ............................................................................................................................ 15

8Connecting the Network............................................................................................................................................. 16

9Enabling Image Transfer from Siemens MRI Host Computer to FIRMM Tablet Computer............... 20

9.1 Switch McAfee Embedded Control Software to Update Mode ..........................................................21

9.2 Move Files from Siemens USB Key to Host Computer ........................................................................25

9.3 Leave Update Mode...........................................................................................................................................29

9.4 Always-Send Mode of Installation ............................................................................................................... 29

9.4.1 Enable Automatic Siemens Transfer .................................................................................................29

9.4.2 Windows Start Menu Shortcuts for Always-Send Mode ............................................................30

9.4.3 Enable Always-Send Mode at MRI Scanner Startup ...................................................................32

9.5 Manual Transfer Mode of Installation.........................................................................................................34

9.6 Using the Windows Shortcuts for Image Transfer ..................................................................................37

10 Connecting the FIRMM Biofeedback Output to your MRI AV Display (Optional)............................... 39

11 Complete the Post Installation Checklist............................................................................................................... 40

12 Symbol Glossary........................................................................................................................................................... 40

13 Technical Support......................................................................................................................................................... 41

FIRMM Installation Checklist (Siemens)........................................................................................................................ 42

320-00201-DO-05 Revision 12 Released: 02/2022

1Introduction

Thank you for acquiring FIRMM®to address patient motion in your brain MRI examinations in

research and the clinic.

Your system includes the hardware and pre-installed FIRMM software compatible with Siemens

Magnetom scanners.

FIRMM installation is straightforward, however, if you have any questions during the process,

please contact us at:

Nous Imaging, Inc.

Technical Support

+1-844-NOUSIMG (+1-844-668-7464)

support@firmm.io

For instructions on how to use the FIRMM system please see the “FIRMM User Manual”.

2Safety Considerations

The following section contains the safety considerations associated with FIRMM use. The user needs

to become familiar with the following information in order to use FIRMM safely and effectively.

2.1 Definitions

WARNING

WARNING: Indicates a hazardous situation that, if not avoided, could result in death or

serious injury

CAUTION

Caution: Indicates a hazardous situation that, if not avoided, may result in property damage,

injury, or both.

Note: Is used to alert the user to useful information to operate the device effectively.

320-00201-DO-05 Revision 12 Released: 02/2022

2.2 List of Warnings and Cautions

All the cautions listed below are also appropriately placed throughout this Installation Guide.

WARNING - The FIRMM device is MRI Unsafe. The FIRMM device should only be

installed and operated from within the MRI control room (MR safety zone III) and

outside the 5-gauss field of the MRI scanner.

WARNING - Use of this equipment adjacent to or stacked with other equipment should

be avoided because it could result in improper operation. If such use is necessary, the

FIRMM system and the other equipment should be observed to verify that they are

operating normally.

WARNING - Use of accessories, transducers and cables other than those specified or

provided by the manufacturer of this equipment could result in increased

electromagnetic emissions or decreased electromagnetic immunity of this equipment

and result in improper operation.

WARNING - Portable RF communications equipment (including peripherals such as

antenna cables and external antennas) should be used no closer than 30 cm (12

inches) to any part of the FIRMM system including cables specified by the

manufacturer. Otherwise, degradation of the performance of this equipment could

result.

CAUTION - Charge the tablet only using the power cord provided with the system.

CAUTION - It is important the power outlet provide a proper safety ground.

CAUTION - If your Siemens MRI installation is integrated with other research

applications which use the real time image transfer mechanism, please contact Nous

Imaging technical support at +1-844-NOUSIMG (+1-844-668-7464) for additional

guidance before proceeding with the installation.

CAUTION - When you complete the installation, or if you are interrupted during the

installation, it is very important to re-enable the Embedded Control software. The

Embedded Control software is an important part of your Siemens MRI scanner

computer cybersecurity.

320-00201-DO-05 Revision 12 Released: 02/2022

3Compatible Scanners

FIRMM is compatible with Siemens MAGNETOM systems. If you are installing on a Siemens Trio

VB17 series system with Windows XP contact Nous Imaging technical support at +1-844-NOUSIMG

(+1-844-668-7464) for additional guidance before proceeding with the installation.

4Overview

FIRMM is provided with the following hardware:

FIRMM® Tablet Computer and

Software

USB drive containing Siemens

Scanner Scripts (has a “S-

#.#.#” label on it)

Additional USB drive

(pre-installed in dock

port with a “DO NOT

REMOVE” label on it)

FIRMM Desktop Cradle

Power Supply

6 Foot Ethernet Cable

(straight connectors)

320-00201-DO-05 Revision 12 Released: 02/2022

6 Foot Ethernet Cable

(right angle connector for

tablet)

Biofeedback AV Interface

(HDMI – HDMI, 25 feet)

5-port Ethernet Switch*

FIRMM User Manual - Siemens

FIRMM Installation Guide (this

document)

DT-313-MD Tablet

manual

*This switch is provided for convenience in the event that no open network jack is available.

Note: you will need your Siemens local service password to complete the installation.

The general process for setting up FIRMM include:

A. Setting up the FIRMM Desktop Cradle

B. Setting up the FIRMM Tablet Computer

C. Activating your FIRMM License (if necessary)

D. Interfacing the FIRMM system to the MRI

E. Performing a simple test scan

F. Completing the post-installation checklist

320-00201-DO-05 Revision 12 Released: 02/2022

5Setting Up the FIRMM Desktop Cradle

WARNING - The FIRMM device is MRI Unsafe. The FIRMM device should only be

installed and operated from within the MRI control room (MR safety zone III) and

outside the 5-gauss field of the MRI scanner.

WARNING - Use of this equipment adjacent to or stacked with other equipment should

be avoided because it could result in improper operation. If such use is necessary, the

FIRMM system and the other equipment should be observed to verify that they are

operating normally.

WARNING - Use of accessories, transducers and cables other than those specified or

provided by the manufacturer of this equipment could result in increased

electromagnetic emissions or decreased electromagnetic immunity of this equipment

and result in improper operation.

WARNING - Portable RF communications equipment (including peripherals such as

antenna cables and external antennas) should be used no closer than 30 cm (12

inches) to any part of the FIRMM system including cables specified by the

manufacturer. Otherwise, degradation of the performance of this equipment could

result.

Remove the FIRMM Desktop Cradle from its separate packaging.

Remove the Power Supply and cord from the packaging.

CAUTION - Charge the tablet only using the power cord provided with the system.

320-00201-DO-05 Revision 12 Released: 02/2022

Complete assembly of the power supply by inserting the AC line cord into the power supply

“brick”.

Insert the barrel plug connector into the rear of the FIRMM Desktop Cradle as shown below.

Insert the AC connector into a power outlet (100-240 V AC).

Note: if your Siemens MRI scanner and Siemens MRI host computer is provided with

uninterruptible backup AC Power it is important that the FIRMM tablet be connected to an

uninterruptible backup AC source as well.

320-00201-DO-05 Revision 12 Released: 02/2022

CAUTION - It is important the power outlet provide a proper safety ground.

Confirm there is a small USB drive already inserted in the lower USB port. It is labeled (not

shown below) with a small sticker that says “DO NOT REMOVE”.It is only to be removed if advised

by Nous Imaging service.

Note: This USB drive maintains a copy of the routine FIRMM software monitoring that can be used

to assist you if detailed analysis of your system operation becomes necessary. No protected health

information is stored on the USB drive.

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