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Installation Manual i
1 Overview ..............................................................................................................1
1.1 Intended Use.................................................................................................................................................................................... 1
1.2 Introduction ..................................................................................................................................................................................... 1
1.3 Warnings, Cautions, and Notices ............................................................................................................................................... 1
2 Parts List ..............................................................................................................3

2.1 System ............................................................................................................................................................................................... 3
2.2 Accessories Carton.......................................................................................................................................................................... 3
2.2.1 IV Pole Carton....................................................................................................................................................................... 3
2.3 Control Room Unit (Display and Pod) Carton - 60726971.................................................................................................. 4
2.4 Scan Room Unit (Injector) Carton .............................................................................................................................................. 4
3 Unpacking the System and Installation Considerations ...................................5

3.1 Unpacking the System .................................................................................................................................................................. 5
3.1.1 Unpacking the Scan Room Unit (Injector).................................................................................................................... 5
3.1.2 Unpacking the Control Room Unit, Accessories Carton, and IV Pole Carton ...................................................... 7
3.2 Installation Considerations ......................................................................................................................................................... 8
4 Installing the Scan Room Unit ..........................................................................11

4.1 Installing the IV Pole to the Injector .......................................................................................................................................11
4.2 Installing the Fiber Optic Cable and DC Power Cable to the Scan Room Unit .............................................................11
4.3 Installing the In-Room Power Supply with AC Power Cord and DC Power Cable........................................................15
5 Installing the Control Room Unit......................................................................17

5.1 Attaching the Pod Assembly to the Display Stand ..............................................................................................................17
5.2 Attaching the Display to the Display Stand ..........................................................................................................................18
5.3 Control Room Unit Cable and Accessory Attachments ......................................................................................................19
5.4 Control Room Unit Attachments..............................................................................................................................................20
5.5 Installing Certegra and MRXperion Injector Software on the Display............................................................................21
5.5.1 Before Installing the Software.......................................................................................................................................21
5.5.2 Installing Certegra Software ..........................................................................................................................................21
5.5.3 Configuring System Application Software..................................................................................................................24
5.5.4 Installing MRXperion Service Application Software .................................................................................................26
5.5.5 Installing MRXperion Injector Application Software................................................................................................29
5.5.6 Installing System Accessories ........................................................................................................................................32
5.5.7 Setting Up the Hospital’s Viewing Stations................................................................................................................32
5.5.8 Setting Up the Hospital’s Default Parameters ..........................................................................................................33
5.5.9 Configuring Mirth If Connect.SR Has Been Ordered.................................................................................................37
5.5.10 Contrast Dose Management Platform Installation...............................................................................................37
5.5.11 Installation Checkout....................................................................................................................................................37
A Configuring TCP/IP.............................................................................................39
A.1 Configuring TCP/IP .......................................................................................................................................................................39
B The Mirth Connect Tool .....................................................................................41

B.1 Starting Mirth and Logging On.................................................................................................................................................41
ii MEDRAD® MRXperion
B.2 Configuring Nuance Channels..................................................................................................................................................42

B.2.1 Enabling Nuance Channels............................................................................................................................................42
B.2.2 Configuring Nuance Channels ......................................................................................................................................42
B.2.3 Enabling HL7 Channels...................................................................................................................................................45
B.2.4 Knowing the HL7 Channels That Need To Be Configured ......................................................................................46
B.2.5 Configure the HL7 Designation IP Address and Port ...............................................................................................46
B.3 Dictation System Trouble Shooting Guide .............................................................................................................................48
C Checkout Procedure...........................................................................................49
C.1 Installation Checkout..................................................................................................................................................................49
C.1.1 Thread Test .........................................................................................................................................................................49
C.1.2 Verify Connect.SR (If Installed) ......................................................................................................................................53
C.1.3 Purge All Test Injections..................................................................................................................................................55
D Downloading and Applying the License to the Display ...................................57

D.1 Downloading and Applying the License to the Display .....................................................................................................57
E Troubleshooting ................................................................................................59
E.1 Troubleshooting Modality Worklist / Certegra Issues.........................................................................................................59
E.2 General Troubleshooting............................................................................................................................................................61
Installation Manual 1-1
1 Overview
1.1 Intended Use
These instructions are intended to allow the user to install the MEDRAD® MRXperion MR Injection System at the customer
location.
1.2 Introduction
This manual contains important information about use of the MEDRAD MRXperion MR Injection System, referred to as the
system throughout this document.
Read this manual carefully, become familiar with the procedures and system functions that it describes, and follow its
recommendations to assure proper use of the system.
Labels on the system or statements in this manual preceded by any of the following words and/or symbols are of special
significance and are intended to help the user install and operate the system in a safe and successful manner. Refer to the
MRXperion Operation Manual for a complete list of system labels and symbols.
Indicates that the information is a warning. Warnings advise you of circumstances that could
WARNING result in injury or death to the patient or operator. Read and understand the warnings before
operating the injection system.
Indicates that the information is a caution. Cautions advise you of circumstances that could
CAUTION result in minor or moderate injury to the patient or operator. Read and understand the cautions
before operating the injection system.
Indicates that the information is a notice. Notices advise you of circumstances that could result
NOTICE in damage to the device. Read and understand the notices before operating the injection system.
Indicates that the information that follows is an important communication related to the
Note: functionality of the system and/or the efficacy of a procedure. Read and understand the notes
before operating the system.
1.3 Warnings, Cautions, and Notices
WARNING
Electric Shock Hazard - Serious patient and/or worker injury or death may result from exposure to hazardous
voltages existing within the system.
Q Use of an unapproved extension cord, adapter, inverter, or multi-outlet strip may compromise electrical safety.
Q Plug the system directly into a properly grounded AC outlet or contact Bayer HealthCare Services for installation assistance.
Personal injury or equipment damage may result from use of tools containing ferrous materials.
Q Use only non-magnetic tools to install any scanner/magnetic room components.
CAUTION
Electric Shock Hazard - Minor or moderate patient and/or worker injury or equipment damage may result from
incorrect voltage.
Q Verify that the voltage and frequency as labeled matches the voltage and frequency of the electrical outlet.
Q Verify that the injector has the appropriate power cord plug for the power outlet.
1-2 MEDRAD® MRXperion
CAUTION
Damage can occur to fiber optic cabling due to mishandling during installation.
Q Install following proper handling procedures or contact Bayer HealthCare Services for further assistance.
NOTICE
Electro-Mechanical Hazard - Equipment Damage may result.

Q Condensation may cause electrical damage to the injection system. Do not use the system immediately after it has been brought
indoors from extreme outside temperatures. Allow the system to stabilize at room temperature before use.
2 Parts List
2.1 System
Description Part Number

System, MEDRAD® MRXperion MR Injection System 3038162
2.2 Accessories Carton

Customer-selected and accessory materials vary by customer.

Available System Power Supply Power Cords:
Power Cord - NA and Japan (3 each) 535-0243-012
Power Cord - China (3 each) 3013369
Power Cord - Brazil (3 each) 3029224
Power Cord - International (3 each) 535-0127-012
Power Supply - Control Room Pod 3036308
Certegra MR 1.0 Software (USB stick) 3043705
MRXP Injector Software (USB stick) 3038592
Multi-lingual Operators Manual CD 3038565
Installation Manual (English) 3041584
Optional Materials
ASSY,DRV,USB,CERTEGRA SNP,4.X 3039967
Hand Switch 3006265
3038661 (Printed)
Service Manual (English)
3038664 (CD)
3038663 (Printed)
Schematic Manual
3038662 (CD)
Warranty documentation sheet
Additional cables, printer, printer labels, language label
2.2.1 IV Pole Carton

Includes one of the following:

IV Pole - Double Hook 3018637
IV Pole - Single Hook 3042322
2.3 Control Room Unit (Display and Pod) Carton - 60726971

Display (touch screen computer) 60721082
Power Supply - Display 3031679
Display VESA Mount 3030170
Pod Assembly 60765519
Qty. 4 - Screws (M4 x 10mm) 3035144
1 ft. (.3m) CAT5 cable (Display to Pod) 3040964
25 ft. (7.6m) CAT5 cable (Pod to Hospital Network) 3018492
Warranty sheet (Product Hierarchy)
2.4 Scan Room Unit (Injector) Carton

Scan Room Module Assembly 3027631
Power Supply - Injector 3035161
40 ft. DC Power Cable Assembly 3032078
40 ft. Fiber Cable Assembly 3026652
MR Fiber Optic Disconnect Kit 3019751
150 ft. Fiber Optic Cable Assembly 3026653
Cable strain relief 3035383
Fiber Optic Pen Panel Kit 3010861
Certificate of Conformance 204627
Warranty sheet (Product Hierarchy)
3 Unpacking the System and Installation Considerations

3.1 Unpacking the System
WARNINGS
Do not unpack any shipping carton inside the MR scan room. Patient and/or worker injury or equipment damage
may result.
Q Unpack all shipping cartons outside the MR scan room. Assemble and prepare all scan room unit materials before entering the
scan room.
Q The display and Pod are MR unsafe.
Q The Injector (scan room unit) and power supply are MR conditional.
CAUTION
Mechanical Hazard - Minor or moderate worker injury may result.
Q Use two persons to lift or move heavy and/or large packaging.
Q Visually inspect contents and package before use.
Q Do not use if package is damaged.
The system is shipped in multiple cartons, with the number of cartons depending on the type of installation. The major
components of the system are shipped in four shipping cartons:
Q Carton containing the scan room unit (injector) and related materials
Q Carton containing the control room unit (display and Pod) and related materials
Q Carton containing system accessories (i.e. product software, manuals, customer-selected line items such as power
cords, etc.)
Q Carton containing the IV pole
Contact Bayer if problems are found while unpacking the cartons.
3.1.1 Unpacking the Scan Room Unit (Injector)

1. Before unpacking the scan room unit, review all shipping carton markings.
2. Cut banding straps and remove the carton from the skid. Remove the outer cardboard sleeve from the carton.
3. Open the carton on the indicated side. Carefully slide out the center accessory carton from the carton. Then, remove
the three cardboard inserts. Verify the contents of the cartons against the enclosed material lists. Retain all
materials and documentation. (Note that materials in the accessories carton are located under the power supply.
Two carton
inserts
One carton
insert
Accessories Carton
4. To remove the scan room unit from the carton, stand the packaging upright with base wheels facing down. Lower
the flap on the base of the packaging tray. Unlatch the center pole support shipping cardboard. Unlock the two
alternate base locking wheels (lock lever facing upward). The two remaining wheels have built-in friction
resistance, which will apply some restriction when moving the unit. Slowly roll out the scan room unit from the
container.
Center pole
support
Locking
wheels
5. Remove insert from head and cut tie wrap then remove protective plastic bag from scan room unit.
Tie wrap
3.1.2 Unpacking the Control Room Unit, Accessories Carton, and IV Pole Carton
1. Before unpacking the control room unit, accessories, and/or IV pole, review all shipping carton markings.
2. Open the top of the carton. Remove carton inserts and materials before standing the carton upright. Verify the
contents of each carton against the enclosed material list. Retain all materials and documentation.
3.2 Installation Considerations

The following image shows a typical system installation in a MR suite. Refer to the MEDRAD MRXperion Room Planning
Guide (3041585) for more details about cable routing and the placement of components within the MR suite.
1 - Scan Room Unit (injector) 2 - Control Room Unit (Display and Pod)
3 - Fiber Optic Communications Link (in Scan Room) 4 - Fiber Optic Communications Link (in Control Room)
5 - Fiber Optic Quick Disconnect 6 - Scan Room Unit DC Power Cable
7- Scan Room Unit Power Supply
Review the following general connections prior to installing the MEDRAD MRXperion MR Injection System:
3 - 10 MEDRAD® MRXperion
Installation Manual 4 - 11
4 Installing the Scan Room Unit
WARNING
Electric Shock Hazard - Serious patient and/or worker injury or death may result.
Q Use only the power cord approved for use with this system.
Q For US installations, equipment shall only be connected to Hospital Grade or Hospital Only outlets.
Injury or equipment damage may result from use of tools containing ferrous materials.
Q Use only non-magnetic tools to install any scanner/magnet room components.
Q All material or hardware that is intended to be used in the scan room is evaluated for MR compatibility and safety. Do not
substitute any material or hardware on the scan room unit or accessories.
Tools required: Non-magnetic #2 Phillips Head screwdriver
4.1 Installing the IV Pole to the Injector

1. Remove the four mounting screws from the scan room unit top tube, if installed, and place in handle cups. (A set of
mounting screws are also supplied with the IV Pole. Either can be used to mount the IV Pole. Discard unused
screws.)
2. Locate the IV pole vertically on top tube and start the four Phillips screws into the tube through the mounting
bracket holes, starting the top two screws first.
3. Evenly tighten all four mounting screws using a repeated sequence to ensure the IV pole is secured and there are no
gaps between the IV pole mount and the top tube.
4. If installing the single hook IV Pole, install the supplied brass thumb screw loosely in the top mounting clamp. Slide
and adjust the clamp to position the hook to its final desired location. Tighten the thumb screw completely to
secure the clamp and hook to the pole.
4.2 Installing the Fiber Optic Cable and DC Power Cable to the Scan Room Unit
Special care should be taken when routing and connecting the fiber optic cables to ensure:
Q No cable bend radius is less than 1 in. (2.54 cm)
Q Fiber optic connector dust caps are not removed until connections are made
Q Cable does not run across any sharp edges
Q Cable is run across a low traffic area of the floor
Q Established standards for fiber optic cabling installation should be followed if routing through conduit
NOTE: System installation requires that the suite have a 1.5 inch (3.81 cm) minimum tuned port (either separate
or within the penetration panel) available for connections between the scan room and the control room.
NOTE: Follow all institutional, local, and national safety regulations related to routing cabling on the floor.
1. Raise the orange stand base collar to expose the base cover screws.
2. Remove the two screws that secure the base cover on the side that has the stainless steel plate with a hole and
cutout opening at top. Lift the cover straight up off the base.
3. Remove the two screws that secure the other base cover then remove the cover. Remove and discard the cardboard
shipping insert around the housing. Replace the cover on that side only and reinstall the two screws but do not fully
tighten them. Make sure the two cover alignment pins engage properly with the base casting cover pin holes.
4. Locate the DC power cable. Route the 45-degree angled connector end of the cable facing left and down (as shown)
through the cutout opening in the stainless steel plate. Connect and secure the DC power cable by tightening the
two connector retention screws using a Phillips Head screwdriver.
5. Route one end of the 40 foot fiber optic cable through the cutout opening in the stainless steel plate with the DC
power cable. Ensure that there is sufficient fiber optic cable inside the housing to meet the fiber optic minimum
bend radius and so the cables are not damaged when connecting to the electronic housing.
6. Remove the protective caps from the fiber optic cable plugs and the base housing fiber optic connectors. Connect
the orange fiber to the TX connector and the blue fiber to the RX connector on the electronic housing.
7. Insert the fiber optic plug into the into the socket and turn the plug body to align the keys. The connector will insert
partially. Turn the spring loaded locking collar to align the locking pins then fully insert the plug then push the
collar down and turn clockwise to lock it.
8. Locate the split strain relief from the unpackaged product materials. Adjust the cables side by side. Close the split
strain relief around both cables, aligning the four alignment pins. Squeeze the split strain relief completely together
and align the flat surface of the strain relief (with the tethered retaining clamp) to the top of the bracket hole
cutout. Push and snap the strain relief in flush to the plate.
NOTE: Do not clamp the strain relief against the cables at this time.
9. Adjust the fiber optic cable length so that the fiber cable is located to the right side of the electronic housing
against the orange casting, tucked under the top of the orange casting as shown below. Ensure a smooth bend
radius of the individual fiber cables is kept within the base. This will ensure that the cable will fit under the cover
and will not get pinched when the cover is installed.
10. Install the strain relief clamp and tighten against both cables.
11. Verify that the orange internal base fiber optic cable is in place within the casting area and will not get pinched by
the covers. If needed, adjust the cable to ensure it maintains the minimum fiber optic bend radius and will not be
pinched or damaged when the cover is installed.
12. Carefully place the front base cover on top of the housing. Ensure the cover does not pinch the fiber optic cable or
the fiber optic connector strain reliefs under the cover.
13. Align the edges of the two base cover pieces. Align the base plastic cover pins on the underside of the cover piece
with the holes in the casting above the wheels. Slowly lower the cover in place. The cover seam will completely close
when the two base cover pieces are correctly aligned.
14. Close the remaining seam gap by gently squeezing the covers together. If the gap does not close with gentle
pressure, check and adjust the alignment of the covers and pins with the base as needed. Install the two cover
screws loosely, then secure the base covers by tightening all four cover screws.
15. Slide the stand base collar back into position.
16. Ensure that there are no tight bends in the fiber optic cable. Route the fiber optic and DC power cables together
along the scan room floor to a location on the wall where they may split apart from each other.
17. Secure the floor section of the fiber optic and DC power cables together using harness wrap material or cable tie
wraps, spacing them every 8 to 12 inches (20 to 30cm) apart.
18. Route the DC power cable to the location where the power supply will be mounted. Route the fiber optic cable near
the location where the Fiber Optic Quick Disconnect will be mounted.
19. Route and install the 150 foot blue fiber optic extension cable from the Fiber Optic Quick Disconnect in the scan
room through the tuned port or penetration panel into the control room where the display and Pod will be located.
Locate any excess fiber optic extension cable outside the scan room.
20. Locate, mount, and connect the fiber optic cables to the Fiber Optic Quick Disconnect per the instructions for use
included in the kit (DN-210943).
21. Gather and loop any extra lengths of the 40 foot and 150 foot fiber optic cables. Secure them and place in a
location that is out of the way of foot or equipment traffic.
4.3 Installing the In-Room Power Supply with AC Power Cord and DC Power Cable
WARNING
Contains ferromagnetic material. Failure to properly install the scan room unit power supply and DC cabling
may result in equipment damage or injury.
Q Using the provided adhesive strips, attach the power supply to the floor or the wall at least 6 feet (1.8m) from the scanner bore or
external surface.
Q When installing the power supply or DC power cable in the scan room, do not walk directly in front or close to the scanner bore.
Keep the power supply and DC power cable as far from the scanner as possible to reduce the possibility of magnetic attractive
forces.
Q Do not to remove any ferrites from the scan room unit or cables in the scan room because of their magnetic attractive forces.
NOTE: The AC power switch and fuses are located on the AC connection side of the power supply and should be
easily accessible to turn the scan room unit power ON and OFF and for servicing.
1. Position the power supply on the floor or on a smooth flat surface near an AC power receptacle within reach of the
power cord length. The power supply should be mounted a minimum of 6 feet (1.8m) from the scanner bore or
external surface near a wall away from equipment or high traffic areas.
2. Prepare the power supply mounting surface by removing dirt, debris, and cleaning the mounting surface areas
where the adhesive strips will contact.
3. Remove the protective film covering the adhesive strips on the bottom of the power supply. Position the power
supply in place with the adhesive side facing the cleaned mounting surface. Press down to contact the entire
adhesive strip to the mounting surface.
4. Route and attach the DC power cable along the wall in the scan room to the power supply location.
5. Connect and secure the DC power cable to the power supply by tightening the two connector retention screws using
a Phillips screwdriver. Gather and loop any extra length of the 40 foot DC power cable. Secure it and place in a
location that is out of way of any foot or equipment traffic.
6. Install the AC power cord to the power supply. Plug the AC power cord directly into a properly grounded scan room
AC outlet. Gather and loop any extra length of the AC power cord. Secure it and place in a location that is out of the
way of any foot or equipment traffic.
5 Installing the Control Room Unit
WARNING
Electric Shock Hazard - Serious patient and/or worker injury or death may result.
Q Use only the power cord approved for use with this system.
Q For US installations, equipment shall only be connected to Hospital Grade or Hospital Only outlets.
NOTE: Follow all relevant institutional, local, or national safety guidelines related to cable routing and system
installation.
NOTE: Perform an operational checkout after installing the system. Reference the Operational Checkout section
of the MEDRAD MRXperion operation manual for more information.
Reference the cable interconnection diagram at the beginning of this document if needed. Be certain to tighten any
hardware that secures and holds cable connectors in place.
Tools required: USB keyboard Phillips #2 screwdriver
USB mouse M3 Hex Head Driver (display mount)
Utility knife 5/32” Hex Head Driver (base mount)
Small-tipped flat head screwdriver 9/16” (or adjustable) wrench
NOTE: Control room unit materials and display are NOT MR safe.
NOTE: The small Phillips head screws packaged with the display (pictured below) are not used to assemble the
control room unit. Do not use these screws:
5.1 Attaching the Pod Assembly to the Display Stand

1. Separate the lower base from the upper VESA mount by loosing the upper hex screw using the hex key provided with
the VESA mount.
NOTE: The top and bottom cosmetic cable covers, tools, and hardware are located in the mount accessory bag,
which may be located inside the stand tube. Remove before assembly.
2. Attach the lower base to the Pod assembly at the forward located mounting holes. Ensure the stand tube is in the
lowest position by loosening the hex screw, lowering the tube so the cable routing cutout is opposite the hex screw,
then tightening the hex screw at the bottom. Ensure that the hex adjustment screw on the lower base is to the rear
when mounting the stand base to allow for reassembly and height adjustment.
Use the hex head screws (pictured below) to secure the base. They may be silver in color.
5.2 Attaching the Display to the Display Stand

1. Attach the upper VESA mount to the rear of the display using four M4 x 10mm Allen screws (PN 3035144).
2. Reconnect the upper and lower sections of the stand. Adjust the stand to the desired height and tighten the hex
screw to secure in position.
NOTE: The attachment is held via friction. Do not over-tighten.

3. Remove the protective tension cover caps from the VESA mount rotation joint. Adjust the tension nuts on both sides
using a 9/16” (or adjustable) wrench, then reattach both protective tension cover caps and the top and bottom
cosmetic cable covers by snapping them in place.
4. Remove the protective plastic cover from the display touch screen.
5. Position the control room unit (display, Pod assembly, and stand) within 10 feet (3.0m) of a Hospital Grade or
Hospital Only outlet.
5.3 Control Room Unit Cable and Accessory Attachments
Table 5 - 1: Pod Assembly Connections
1 - Hand Switch Connection 2 - Ethernet Connection 1 (LAN 1)
3 - Ethernet Connection 2 (LAN 2) 4 - Fiber Optic Connections
5 - Pod Power Supply Connection

Table 5 - 2: Display Connections
A - DC Inlet B - Gigabit LAN x 2
C - Audio Inlet (Not currently used) D - USB 2.0 x 4
E - GPIO x 1 (Not currently used) F - VGA x 1 (Not currently used)
G - COM x 2 (Not currently used) H - Power Switch
I - USB Port J - 3-in-1 Memory Card Reader (Not currently used)
5.4 Control Room Unit Attachments

1. The optional hand switch accessory connects to the Pod by removing the protective connector cover using a Philips
screwdriver. Connect and secure the Hand Switch using both finger jackscrews on the connector.
2. Using the 12 inch Cat 5 cable (PN 3040964), connect the LAN 2 Ethernet connection on the Pod to the LAN 2 port on
the display. Connect the cable end with the ferrite to the display LAN 2 port (Note the ferrite on cable is toward the
display LAN 2 connector).
3. Using the Cat 5 cable (PN 3018492), connect the LAN 1 Ethernet connection from the display to the designated
Hospital Network port. Locate the fiber optic connectors on the back of the Pod and remove the protective covers
from both connectors.
4. Remove the protective covers from one end of the spooled fiber optic extension cables. Connect the orange banded
fiber optic extension cable to the Pod connector with the arrow pointing out of the circle (Transmit). Connect the
solid blue fiber optic extension cable to the Pod connector with the arrow pointing into the circle (Receive).
5. Insert the fiber optic plug into the into the socket and turn the plug body to align the keys. The connector will insert
partially. Turn the spring loaded locking collar to align the locking pins then fully insert the plug then push the
collar down and turn clockwise to lock it.
6. Locate the Pod DC Power Supply and the mating power connector on the back of the Pod. Connect and secure the
power supply connector with the mating Pod connector. Connect an AC power cord to the AC input of the Pod Power
Supply. Then, connect the AC power cord to the Hospital Grade or Hospital Only outlet. The Pod is now powered.
7. Connect the DC side of the display Power Supply cable to the DC Inlet connection on the display. (Refer to Table 5-2
for display connection locations.) Connect the display AC power cord to the AC input of the display Power Supply.
Then, connect the AC power cord to the Hospital Grade or Hospital Only outlet. The display will power on as soon as
the AC power cord is connected to a powered outlet.
5.5 Installing Certegra and MRXperion Injector Software on the Display

Software is packaged with the system on USB memory sticks. (Certegra Informatics Software USB = PN 3043705, MRXperion
Injector Software USB = PN 3038592)
5.5.1 Before Installing the Software

1. Connect the USB keyboard and mouse to the display.
2. Power the display.
3. Set the date, time, and time zone.
a. Set the date, time, and time zone in the operating system to match the scanner.
5.5.2 Installing Certegra Software
NOTE: The screenshots that follow in this section are sample screenshots. The display version numbers may not
match.
1. Insert the USB memory stick (PN 3043705) into a USB port on the display.
2. Use the connected mouse and/or keyboard to navigate to the USB drive. Double-click the Certegra Installer. When it
opens, click Next.
3. Click Install and wait while the files are installed.
4. Once the files are installed, the Certegra.Tools.PlatformSetup application will automatically run. This tool can
perform the following:
Q Record serial number into registry Q Configure network cards Q Apply license files
Q Print label with barcode Q Configure computer name
a. Verify that the serial number in Box 1 (Serial Number) on the screen is the same as the serial number on the
back of the display. If the numbers do not match, select Box 1 to set the serial number, then click OK to accept.
b. Ensure Box 2 (Auto-Configure Network Cards) is set to OFF.
c. Ensure Box 3 (Auto-Configure Computer Name) is set to ON.
d. Ensure Box 4 (Print Barcode Label) is set to OFF.
e. Optionally, to apply a license, select Box 5 (Apply License). Browse to find the license file, then click Open. See
Appendix E for details.
5. When completed with the changes, select the Start button in the open window. Wait for the tools set to ON to
complete setup. When a green check appears next to all selected tools, select the Close button.
6. Wait for the installation to complete and for the AVG Anti-Virus updates to be applied.
NOTE: Database encryption and AVG Anti-Virus updates may take several minutes. Do not interrupt the process.
7. Java Runtime Environment will automatically install.

8. When prompted by the message window, select OK to shutdown the system.
NOTE: Remove the USB stick before shutting down the system.
NOTE: The system must be shut down and rebooted for the installation to be successful.
5.5.3 Configuring System Application Software
5.5.3.1 Power ON the Display with Informatics System

1. Press the Power Switch on the rear of the Display. (Reference Table 5 - 2 for switch location.) The Display will power
up to the desktop screen.
5.5.3.2 Configuring the Display’s RIS/LAN 1 Port (See Appendix A for details)
1. Configure the IP address, subnet mask, default gateway, preferred and alternate DNS server addresses of the LAN 1
RIS port as per the pre-installation checklist.
5.5.3.3 Configure the Application

1. Start a remote desktop session, open the Certegra Home Web Page and select Services Setup.
a. Configure the Modality Worklist / RIS settings (bold fields are required):
Q WorklistProvider.EnableEmptyItemWorkaround: Leave default value as False.
Q WorklistProvider.EnableScheduleSetupTimeQueries: Leave default value as False.
Q WorklistProvider.EnableWildCardsForPersonNames: Leave default value as True.
Q WorklistProvider.LocalAeTitle: The AE title of the local Stellant with Certegra Workstation unit from the
Pre-Install Checklist.
Q WorkListProvider.OverrideModalityType: Leave default value as Blank.
Q WorkListProvider.QueryTimeoutSecs: Leave default value as 300.
Q WorklistProvider.RemoteAeTitle: The AE Title of the modality worklist provider (RIS).
Q WorklistProvider.RemoteHost: The IP address of the modality worklist provider (RIS).
Q WorklistProvider.RemotePort: The port of the modality worklist provider (RIS).
b. Configure the Modality and Study Harvesting.

Q Nickname: Name for modality used in logs.
Q AE Title: The AE Title of the modality.
Q Address: The IP Address of the modality.
Q Port: The port of the modality.
Q Modality Type: The modality types which should be set to CT for CT systems.
Q DICOM Service Type: The type of DICOM service, set to QR.
Q Enable Study Harvester:
Q Study Harvester Query Interval: Leave at default value.
c. Configure the SC Image:

Q Injection Image Modality: The modality type which should be set to CT for CT systems.
Q Injection Image Series Number:
Q Injection Image Series Description:
Q Injection Image Station Name:
d. Configure the PACS Archive.

Q Name: The name of the PACS to be used in the logs.
Q AE Title: The AE Tile of PACS.
Q Address: The IP address of the PACS.
Q Port: The port of the PACS.
Q Enable Auto Transfer: Check to enable the auto transfer of PACS.
Q Auto Transfer Delay: Leave at the default.
e. Configure the Supplemental Study Query.

Q Select SSQ Source: Select either Current Modality or Current PACS if required. Otherwise leave at Disabled.
Q Maximum Attempts per Query: Leave at the default value.
Q Wait Between Attempts: Leave at the default value.
f. When complete, save by clicking Apply Change.

Q Click Apply Change, enter credential, and click OK.
Q Reboot the entire system.
5.5.4 Installing MRXperion Service Application Software
match.
5.5.4.1 Axeda Extensions Setup Wizard Software Installer

1. Insert the USB memory stick (PN 3038592) into a USB port on the display. Use the connected mouse and/or
keyboard to navigate to the USB drive. Double-click on the executable file name “DN-219561-RVJ-Setup.exe” the
Axeda Extensions software installer.
2. On the Setup Wizard screen and then the Destination Location screen, click Next.
3. On the Folder Location screen, click Yes.
4. On the Ready to Install screen, click Install. On the Prepare to Install screen, click Next.
5. When the Setup Error message is displayed, click OK. Then, on the Completing screen, click Finish.
5.5.4.2 VirtualCare Monitor Service Setup Wizard Software Installer

keyboard to navigate to the USB drive. Double-click on the executable file name "DN-214434-RVG-Setup.exe" the
VirtualCare software installer.
2. On the Setup Wizard screen and then the Destination Location screen, click Next.
3. On the Ready to Install screen, click Install. On the Completing screen, click Finish.
5.5.4.3 Workstation Service Tools Setup Wizard Software Installer

keyboard to navigate to the USB drive. Double click on the executable file name “DN-233464-RVA-Setup.exe” the
Workstation Service Tools software installer.
2. On the Setup Wizard screen, click Next.
3. On the Ready to Install screen, click Install.
4. When the Setup Error message is displayed, click OK.
5. When the application closes, installation is complete. Remove the USB drive from the display.
5.5.5 Installing MRXperion Injector Application Software
match.
1. Insert the USB memory stick (PN 3038592) into a USB port on the display.
2. Use the connected mouse and/or keyboard to navigate to the USB drive. Double-click the injector application
software installer. When it opens, click Next.
3. Click install and wait while the files are installed.
NOTE: The following message may appear multiple times during installation. Click Yes to continue for compatible
file dependencies.
4. Before completing the final step of injector software installation, ensure that all parts of the system (display, Pod,
scan room unit, scan room unit power supply) are connected and powered properly.
Q When the Pod is powered but not turned on (standby mode), the LED status light will be solid amber.
Q Press the power button on the Pod. The LED status light should change to solid green.
Q If the LED status light is flashing green, press the power button again to change it to solid green.
Q When the scan room unit (injector) is powered, all indicators will flash and dashes will be displayed on the Side
A and Side B volume indicators.
NOTE: There are communication status indicators located directly above the fiber optic connectors and within
each Ethernet connector on the Pod. Reviewing the status of these indicators provides the state of the
connected communication link. A blinking status indicator shows communication is present between the
connected units. A non-lit indicator shows communication is not present between the connected units.
This can be used for troubleshooting during a system installation.
5. When prompted by the message window, select OK to reboot the system. The display will reboot automatically.
NOTE: Remove the USB stick before rebooting the system.
NOTE: The system must be rebooted for the installation to be successful.
6. During system startup, the Status screen will be on the display indicating connection between the major system
components, software versions of the hardware, and uploading of software to all targets if necessary. Once the
startup is completed, the system will display the Safety Screen with a Continue button. Selecting the Continue
button will enter the Home screen.
a. Successful connection between various identified system components will be indicated by a check mark icon. A
communication error or an unnecessary upgrade will be indicated by a red “X.”
Q The Display will indicate the status of a communication ping. This indicates that communication has suc-
cessfully been established between the identified hardware.
Q If the communication ping passes, the system will continue to establish a connection. This indicates that
the application software is functioning between the hardware.
Q Once communications are established, the Display computer will check the versions of the installed injec-
tor software. If the display and injector software versions are not matched, the system will automatically
load the latest injector software version. The system will indicate when it has verified that the latest injec-
tor software version is installed.
NOTE: Communication status indicators are located directly above the fiber optic connectors and within each
Ethernet connector on the Pod. Reviewing the status of these indicators provides the state of the connected
communication link. A blinking status indicator shows communication is present between the connected
system components. A non-lit indicator shows communication is not present between the connected
components.
b. If a communication error occurs indicated by a red “X:”

Q Check all connections between system components per the system installation and interconnect diagrams.
Q Manually cycle system power per the instructions below.
Q If the conditions persist, contact Bayer HealthCare Services or an authorized dealer for further assistance.
7. If new software has been installed, the Display will provide a prompt to manually power cycle the injector and
display.
a. Powering the unit OFF:
Q Turn the Scan Room Unit Power Supply to OFF using the power switch located on the rear of the Scan Room
Unit Power Supply.
Q Turn the display completely off by pressing and holding the display power button, located on the rear side
of the display, for at least 7 seconds.
Q Place the Pod in standby mode by pressing and holding the Pod power button until the green LED starts
flashing.
b. Powering the unit ON:
Q Turn the Scan Room Unit Power Supply to ON using the power switch located on the rear of the Scan Room
Unit Power Supply box.
Q Power the Pod ON by pressing the Pod power button so the green LED is illuminated solid.
NOTE: The display should automatically restart when the Pod power button is pressed and the green LED is
illuminated solid. If it does not automatically restart, press the display power button located on the rear
side of the display.
5.5.6 Installing System Accessories
5.5.6.1 Installing VirtualCare: Certegra Configuration Files for the Axeda Service Agent
1. Obtain the executable from DN-219561. Download the .zip file onto a USB stick.
2. Remote desktop into the Display.
3. Extract the .zip files.
4. To install on a fresh PC, run setup.exe.
5. To upgrade an existing installation silently, run setup.exe/silent.
6. To remotely deploy the upgrade, the following screenshot will illustrate the suggested installation package:
NOTE: For VirtualCare devices, the device type must be set in the deployment tool to use the device type of
VirtualCare.
5.5.7 Setting Up the Hospital’s Viewing Stations

1. Set up a favorite for the main Certegra Box web page (IE).
a. Open the web browser on the hospital viewing station.
b. Insert the IP address of the RIS / LAN 1 port in the URL field and hit ENTER.
Q For example: http://192.168.100.112/connectPacs/default.aspx
Q Click Favorites followed by Add to Favorites.
Q Select an existing folder or create a new folder, depending on the customer preference.
Q Type the name of the Favorite in the Name field.

Q Click OK. The favorite should now be available in the Favorites menu.
2. Set up a bookmark for the main Certegra Box web page (Firefox).
a. Open the web browser on the hospital viewing station.
b. Insert the IP address of the RIS / LAN 1 port in the URL field and hit ENTER.
Q For example: http://192.168.100.112/connectPacs/default.aspx
Q Click Bookmarks followed by Bookmark This Page.
Q Select an existing folder or create a new folder, depending on the customer preference.
Q Type the name of the bookmark in the Name field.
Q Click Done. The bookmark should now be available in the Bookmarks menu.
5.5.8 Setting Up the Hospital’s Default Parameters

1. Start the Connect.PACS web page from the desktop of your remote desktop session and log in.
2. Select Management as the primary navigation tab and select Configuration from the menu bar at the left.
Secondary navigation tabs are: Facility Info, System, Defaults, Labels, DICOM, Image, Privacy, and Reports.
3. From the Facility tab shown above, work with the suite representative to configure the Site Name, Suite Name,
Scanner Name, Injector Name, and site contact information, if available.
4. From the System tab shown, ensure that the Default Language is set to the correct language. Configure the data
expiration date, if Web Certificates are installed, Date Format, Time Format, Start of Calendar Week, Length, Weight,
Pressure, Contrast, and Catheter information if available.
5. From the Default tab shown, configure the study and contrast information, if available.
6. From the Labels tab shown, configure the type of label and the number of labels to be printed automatically.
7. Select the DICOM tab to configure AE Title.
Do not select “CT” in this field.

“OT” is recommended for MR.
However, some hospitals’ PACS
systems may accept “MR.”
8. From the Privacy tab, check the settings you want to require a logout for the changes to take effect.
a. Enable session timeout.
b. Enable user login from multiple locations.
c. Enable user to delete injections.
d. Enable “Backup file must be saved to the hospital network only” message.
e. Set the appropriate password authenticate.
9. Select the Management tab as the primary navigation and select Site from the menu bar on the right.
a. Select Add User and configure the user name, password, first name, middle name, last name, and role as
shown.
b. From the management tab as the primary navigation, select Site from the menu bar at the left and select
Users as the secondary navigation.
c. If the site has not provided a user name on the pre-installation checklist, enter the user name as the first initial
of the first name followed by the first six initials of the last name - no spaces.
d. The initial user password will be set to “welcome”.
e. Provide this information to the facility IT and recommend that users change passwords on first login.
NOTE: User names are not case sensitive.
NOTE: Before leaving the site, inform the customer that it is recommended that at least one user to have facility
IT access with a changed password to take responsibility to manage accounts.
10. The Image tab does not need to be configured.

5.5.9 Configuring Mirth If Connect.SR Has Been Ordered

If Connect.SR has been ordered, configure Mirth per Appendix B.
5.5.10 Contrast Dose Management Platform Installation

If the injector is to be connected to a hospital server, the server node software 3039967 will need to be installed on the
hospital server. The server and injector will need to have the DbSync actiavted. Reference DN-233316 for installation, setup,
and activation.
5.5.11 Installation Checkout

See Appendix C for details.
Installation Manual A - 39
A Configuring TCP/IP
A.1 Configuring TCP/IP
1. Configure a static IP address on the LAN 1 - RIS port.
2. From the desktop, select Start Control Panel.
3. From the control panel, select Network and Sharing Center, then select Change Adapter Settings.
4. Right click on the LAN-1 RIS port and select Properties from the dropdown menu. The LAN 1 - RIS Properties
dialogue box will be displayed.
5. Select Internet Protocol Version 4 (TCP/IP v4) and select Properties again. The Internet Protocol Version 4 (TCP/IP v4)
Properties dialogue box will be displayed.
a. Select Use the Following IP Address and fill in:
Q IP Address
Q Subnet Mask
Q Default Gateway
b. Select Use the Following DNS Server and fill in:
Q Preferred DNS server
Q Alternate DNS server
A - 40 MEDRAD® MRXperion
Installation Manual B - 41
B The Mirth Connect Tool

B.1 Starting Mirth and Logging On
1. Start Menu >> All Programs >> Mirth Connect >> Select MirthConnectServerManager.
2. Start Mirth:
a. Right-click the Mirth icon in the system tray and select Launch Administrator.
b. Select Run in the Warning-Security box about the digital signature.
3. You will be presented with the following screen. Log in to Mirth as shown below using a username of “admin” and a
password of “admin”. Ensure that the two boxes at the bottom of the window are unchecked, then click Finish.
4. Close the Mirth window.

5. If a Mirth backup is available, place it in the D:\Certegra\Install folder. It will be named:
MirthConnect_PreBuiltConfiguration.dat.
6. Double-click the Reset Mirth icon on the desktop to reset Mirth to the prebuilt configuration.
7. Start the Mirth Connect (Administrator) tool by double-clicking the icon. It may take several minutes to load. Click
Run if prompted in the Warning-Security box for digital signature.
8. Log in using a username of “admin” and a password of “admin”.

B - 42 MEDRAD® MRXperion
B.2 Configuring Nuance Channels

1. From the Mirth Connect options bar on the left side, click Channels.
2. From the Channel Tasks options bar on the left side, click Redeploy All.
B.2.1 Enabling Nuance Channels

1. There are three Nuance channels:
Q D1_Nuance_01_Listener
Q D1_Nuance_02_Configuration_And_Process
Q D1_Nuance_03_Certegra_SetJobStatus
2. To enable a channel, select it and click Enable Channel in the Channel Tasks panel on the left side.
3. Enable all three channels before starting the configuration.
4. To disable a channel, click Disable Channel.
B.2.2 Configuring Nuance Channels

1. Channel D1_Nuance_01_Listener should not be configured.
2. Double-click on the second channel, D1_Nuance_02_Configuration_And_Process.
3. Click on the Source tab.
4. Click on Edit Filter link to go to the configure page.
5. Configure the Nuance server information to match the parameters specified on the pre-installation checklist:
Q Nuance_Server_IPAddress
Q Nuance_Server_Username
Q Nuance_Server_Password
Q Nuance_Server_Sitename
The following are pre-configured authentication values for every Nuance Webservice used by Certegra. They should
not be altered unless the Nuance site administrator advises. It is recommended to double-check the values with the
Nuance site administrator.
Q Nuance_Auth_SystemID
Q Nuance_Auth_AccessCode
Q Nuance_Explorer_SystemID
Q Nuance_Explorer_AccessCode
Q Nuance_CustomField_SystemID
Q Nuance_CustomField_AccessCode
In addition, the following configurations are retry and delay parameters that are pre-configured with default val-
ues. As they may vary from site to site, it is highly recommended to check with the site administrator and Nuance
site administrator and tune them if necessary.
Q Retry_Max_Attempts
Q Retry_Delay_Minutes
6. When finished, click Back to Channel in the Mirth Views on the left.
7. Click on the Destinations tab.
8. Select the item Nuance:Authenticate.

9. Configure the Nuance Server IP Address value configured in step 5 in place of the existing “192.168.1.127” in the
WSDL URL field located in the Web Service Sender section at the bottom half of the screen.
10. Repeat the above for the following items:
Q Nuance:GetOrderID
Q Nuance:SetCustomField1
Q Nuance:SignOut
11. Select Channels and then select Save Changes on the left panel.
12. After the configuration is complete, select the three nuance channels in step 1. Click Redeploy All in the Channel
Tasks in the left panel to run the configured channels.
13. If the following popup appears, click Yes to save. This completes the Nuance Integration configuration.
B.2.3 Enabling HL7 Channels

1. From the Mirth Connect option bar on the left side, click Channels.
2. There are three channels for reach type of HL7 Integration, either VR or RIS. The channels are to be enabled based on
the type of integration.
3. HL7 VR - To enable a channel, right click and select Enable.
Q D1_HL7_Imm_Ch1_ReadDB
Q D1_HL7_Imm_Ch2_Msg
4. HL7 RIS - To enable a channel, right click and select Enable.
Q D1_HL7_RIS_Imm_Ch1_ReadDB
Q D1_HL7_RIS_Imm_Ch2_Msg
B.2.4 Knowing the HL7 Channels That Need To Be Configured

1. Double-click on the second channel to configure the HL7 destination:
2. Channels that do not need to be configure:
B.2.5 Configure the HL7 Designation IP Address and Port

1. To configure theHL7 server destination, click on the Source tab. Then click Edit Transformer in the Channel Tasks
panel on the left.
2. Configure the HL7 server IP address and port number.
3. Change the HL7 destination 1_IP Address and HL7_Destination_Port to match the parameters specified on the pre-
installation checklist.
4. The HL7_Sitename, HL7_Destination_Application, and HL7_Destination_Facility are optional configurations.
5. When finished, click Back to Channel in the Mirth Views on the left panel.
6. Click Save Changes in the Channel Tasks panel on the left.
7. After deploying the channels, the dashboard will display the Status as “Started” and the Connection as “Waiting.”
8. Save the channel if prompted. This completes the HL7 Integration.

B.3 Dictation System Trouble Shooting Guide
Symptom Solution
1. There may be a hardware issue with the MRXperion
a. Verify LEDs
2. There may be a network issue preventing communication
a. Verify the physical layer by checking link lights
b. Verify the network layer with ping and trace route
3. For an HL7 system, there may be a problem with the destination IP address and port
a. The required parameter may not match the dictation system
b. The required parameter may not be configured properly in Mirth
c. Ensure these parameters are properly configured
4. There may be a problem with one of the channels
a. For a Nuance system, there may be a problem with the Rad portal IP address,
username, password, and/or Nuance site name
Q The required parameter may not match the dictation system
Q The required parameter may not be configured properly in Mirth
Q Ensure these parameters are properly configured
b. For an HL7 system, there may be a problem with the destination IP address and
Messages are not port
received by the
dictation system Q The required parameter may not match the dictation system
Q The required parameter may not be configured properly in Mirth
Q Ensure these parameters are properly configured
c. Select Channels from the Mirth Connect Options along the left bar
Q Ensure that the appropriate channels are enabled
Q From the channel tasks bar along the left side, refresh and redeploy all
channels
d. For a Nuance system, The destination of the D1_Nuance_Imm_Ch1_ReadDB
channel may not be pointing to the appropriate channel. Verify that the channel
writer in this channel’s destination is the D1_Nuance_IMM_Auth channel.
e. For a Nuance system, the destination of the D1_HL7_Imm_Ch1_ReadDB channel
may not be pointing to the appropriate channel. Verify that the channel writer in
this channel’s destination is the D1_HL7_Imm_Ch2_Msg channel
5. Custom fields do not get transferred to the Nuance system
a. Nuance blocks the accession# against any update requests (including coming
from Mirth-connect) whenever that accession# or exam report is opened by
multiple PS360 users for reading.
b. When multiple injections are associated with one accession#, the last injection
will be recorded in the Nuance system.
Installation Manual C - 49
C Checkout Procedure
C.1 Installation Checkout
1. Open the Certegra Web Home via the remote desktop session.
2. Verify Status:.
a. Select Core >> Status.
b. Verify that all services have a green checkmark next to them and that Is Running says True.
c. Verify that the injector status is Idle.
d. Verify that the LAN 1 and LAN 2 ports show the correct IP addresses, subnet masks, and have a green status.
e. Ping the WorklistProvider.RemoteHost IP address.
f. Ping the scanner IP address.
g. Ping the PACS IP address.
C.1.1 Thread Test

1. If the IT Admin is available, have them add one (1) patient to the MWL and name the test patient: “This step may
have been completed during Pre-Installation Checklist.” Enter patient information:
a. First Name: Test
b. Last Name: Test
c. Accession Number: 999999999
C - 50 MEDRAD® MRXperion
2. Retrieve the Patient Worklist from the Display.
*Example protocol screen only. Actual injector protocol screens may differ.
3. Select the patient name “Test, Test.”
*Example screen only. Does not contain actual patient data.

4. Perform a scan and an injection during the scan.
5. Verify that the secondary capture was transferred to the PACS.
6. If the IT Admin is not available, input the test patient manually by selecting the Patient tab on the Display and
enter
a. First Name: Test
b. Last Name: Test
c. Accession Number: 999999999
*Example protocol screen only. Actual injector protocol screens may differ.
7. Perform a scan and an injection during the scan.
8. Verify that the secondary capture was transferred to the PACS.
9. If the patient information was entered manually, ensure that the Patient Worklist is accessible by selecting the
Patient Worklist button. Do not select a patient. Select Exit to exit the menu.
C.1.1.1 Check Scanner Compatibility- Only if Study Harvester is Enabled

1. Perform a scan.
2. Go to the Service page and select Configuration.
3. Under feature set, select ConnectPacs and check StudyHarvesterQueryIntervalMinutes. (Default is 15 minutes.)
4. Wait N minutes, then proceed to the next step.

5. Log in to the Connect.Pacs web UI using Service account.
6. Navigate to the Match page.
7. Under Match Options, select Not Matched (to Match Records).

8. Click on the day that the study was performed in both calendars.
9. Click Search.
NOTE: If there are studies listed under the Studies heading, then the system will function properly. No additional
configuration is needed.
NOTE: If there are no studies listed, you will need to configure one additional item. See step 10 below.
10. Go to the Service Page and select Configuration, under feature set select ConnectPacs.
11. Change the StudyHarvesterQueryByStudyTimeValue value to FALSE.
C.1.2 Verify Connect.SR (If Installed)

1. From a command prompt, ping the Rad Portal IP address.
2. From the Injection Browse result on the MRXperion injector UI, verify that the RIS / VR was sent.
3. Have the site’s nuance administrator verify that the custom fields were sent to the Nuance system.
Q Medrad1_Contrast_Quickread
Q Medrad2_Event_desc
Q Medrad3_Study_Protocol_description
Q Medrad4_Programmed_Protocol
Q Medrad5_Actual_Protocol
C.1.3 Purge All Test Injections

1. Log in to the Connect.PACS.
2. From the primary navigation bars management tab, select Site from the menu bar on the left. Then, select the
Backup/Restore subtab from the secondary navigation bar.
3. Press the Purge button and select OK as shown.
Installation Manual D - 57
D Downloading and Applying the License to the Display

D.1 Downloading and Applying the License to the Display
1. Download the license from the share point site as per DN-223360.
2. Open the Certegra Home Web using the icon on the desktop.
3. Apply the license.

D - 58 MEDRAD® MRXperion
Installation Manual E - 59
E Troubleshooting
E.1 Troubleshooting Modality Worklist / Certegra Issues
System Status - The technical assistance center (TAC) may ask you for some or all of the information described below when
you call them for assistance. To access this information select Management from the primary navigation bar. Next, select
Status from the menu options on the left. Then, select System, Injector, Printer or DICOM from the secondary navigation
bar. These Status screens provide a great deal of basic troubleshooting information.
The System tab provides the following information:

Q The system date and time. - These values should match the modality (scanner).
Q The date that the injection records begin to expire (based on the system level parameter “data expires after”)
Q Storage Utilization provides an indication of the amount of storage space currently being used
Q The serial number of the box
Q The software version. - This is the current version of the application software.
The Injector tab displays the status of the system, providing an indication of the model, software version, and if the system is
connected to the Display.
E - 60 MEDRAD® MRXperion
The Printer tab displays a basic status of the printer. An OK indication lets you know that the printer is connected and
operational.
The DICOM tab displays the Certegra IP address and AE title, the number of matched injections and the number of transfers
to the PACs, the state of the modality, and the archive. It also allows you to perform a DICOM ECHO.
NOTE: The System Health Monitor is always available under the left side menu options on any of the tabs in the
primary navigation bar. It provides a quick summary of system, injector, printer, modality, and archive.
E.2 General Troubleshooting
Symptom Diagnostic Corrective Action
1. Ensure that the address in the browser window is correct

2. Ensure that the network cables are securely attached to
the Pod and the network outlet
3. Verify that the status of the LAN 1 / RIS is green from the
status webpage of the Certegra web home site available
from the desktop
Web pages are
Visual using preset 4. Verify that the Display is powered. If it is not, check the
unavailable from all
bookmarks AC power cord between the Display, power supply, and
the viewing station(s)
the AC outlet. verify AC power is present at that AC outlet
5. Verify functionality of the Display itself by directly
connecting a laptop to the Displays’ LAN 1 / RIS port.
Check operation using local host. Investigate problems
with the Display itself, such as application software not
running, IIS not started, Hard Drive failure, Compact
Flash failure.
1. This indicates that the Display is probably working

Web pages are properly. The issue could lie within the hospital network.
unavailable from a Visual using preset Investigate the network, inspect link lights, and use ping
subset of the viewing bookmarks and tracert commands. If problems exist, provide the
stations hospital IT representative with TCP / IP configuration of
end stations and output from tracert commands. Also
provide the status of link LEDs.
Contact facility IT for a new login or to reset the password for an
Cannot login
existing login
1. Confirm that the injection system was connected to the

Hospital Network system at the time of injection.
Injection data not
found 2. Ensure that the parameters for the search criteria are
correct or use alternative criteria.
3. Reboot the Display, followed by rebooting the injector.
1. Ensure that the permissions associated with the login

allow for backup and restore of data.
Cannot backup or 2. Verify that network location for the backup and restore is
restore data accessible from the viewing station
3. Confirm that sufficient storage capacity exists on the
target backup location
1. Check power and data connections. check wall outlet

with known good 110V device, cables, and LEDs.
2. Verify that the labels are loaded correctly.
A label is not printed 3. Verify that the print job has been sent to the print queue.
after an injection is 4. Verify that the Display shows that the Labelwriter printer
Labels do not print complete. is online.
Blue indicator on front
of printer 5. Verify that only one instance of the DYMO Labelwriter
400 printer exists in the “Printers and Faxes” folder in
Control Panel. If more than one exists, delete them all
and physically remove and reattach the printer’s USB
and power connections to the Display. This will reinstall
the driver.
Cannot access certain
Verify appropriate permissions are associated with the user login.
functions
1. Verify physical power connections at the printer, power

No Power Indication supply, and wall.
(Printer) 2. Check wall outlet with a known good 110V device.
3. Replace power cube and line cords.
1. Select the Certegra bookmark or enter the IP address of

the Certegra LAN 1 / RIS port in the browser address bar.
From a web browser on
the viewing station or 2. Log in as Service. From the Management tab, select
This application
laptop connected System Status.
software is not
directly to the Certegra
running 3. Verify that the serial number is returned and that the
open a web window or
system, injector, and printer are OK.
tab
4. Verify services listed on the Status page of the Certegra
Web Home site says that True Video is “Running.”
1. Verify cable insertion at both ends.

2. Check cable integrity.
3. Try a new cable.
Visually check the LED. 4. It may be necessary to configure the link speed and
No Link Light
It should be green. duplex settings of the Network Interface card. This can be
done by accessing: Start >> Control Panel >> Network
Connections. Right click on the appropriate network
connection >> Properties >> Configure >> Advanced.
5. Check power on each Display.
No reply from ping From a command
Ping the default gateway first. Verify link lights, IP addresses, and
from viewing station prompt, issue the
default gateway. Consult hospital IT, providing end station TCP /
to Stellant with command: Ping
IP configuration from both ends.
Certegra Workstation xxx.xxx.xxx.xxx
From a command
Tracert does not prompt, issue the Verify link lights and IP addresses. Consult hospital IT. Provide end
complete command: Ping station TCP / IP configuration from both ends.
xxx.xxx.xxx.xxx
1. Ensure that the permissions associated with the login

allow backup and restore of data.
2. Verify that the network location for the backup and
Cannot backup or restore is accessible from the viewing station.
restore data
3. Confirm that sufficient storage capacity exists on the
target backup location.
Q Do not select “CT” in this field. “OT” is recommended for MR.
However, some hospitals’ PACS systems may accept “MR.”
A message on the 1. Ping the LAN 1 / RIS default gateway.

Display screen will
The Modality Worklist 2. Ping the WorklistProvider.RemoteHost IP address.
appear saying “Could
is not displayed
not retrieve patient 3. Verify that the WorklistProvider.LocalAEt title, LocalPort,
work list at this time.” RemoteATTitle, RemoteHost, RemotePort
DICOM Connection to
Verify DICOM echo to Modality
Modality fails
1. Verify TCP / IP configuration to the scanner using

Ping xxx.xxx.xxx.xxx (scanner IP address)
Tracert xxx.xxx.xxx.xxx (scanner IP address)
2. Ensure IP parameters are properly configured on the LAN
1 port of the Display as per the installation manual and
complete site Pre-Installation Checklist.
3. Ensure that the Display contains the appropriate ports
for the modality.
DICOM ECHO to
Modality fails using Q/ 4. Ensure that the Modality contains the appropriate port
R (DICOM ECHO is not for the Display.
supported under the 5. Verify that the Modalities TCP / IP port is listed as an
MPPS service exception in the Windows firewall on the Display.
DICOM connection
with the Modality fails 6. Ensure that the Display contains the appropriate AE Title
for the modality.
7. Ensure that the modality contains the appropriate AE
titles for the Display.
8. Verify that the Display is configured to use the preferred
service of the scanner.
9. Verify that the Modalities port is open in the Windows
firewall as specified in the Certegra Installation Manual
(DN-210056).
1. Verify DICOM echo to Archive

2. Verify TCP / IP configuration to the scanner using
Ping xxx.xxx.xxx.xxx (scanner IP address)
Tracert xxx.xxx.xxx.xxx (scanner IP address)
3. Ensure IP parameters are properly configured on the LAN
1 port of the Display as per the installation manual and
the Pre-Installation Checklist.
4. Ensure that the Display contains the appropriate ports
for the archive.
5. Ensure that the Modality contains the appropriate port
for the Display.
DICOM connection to
the Archive fails 6. Verify that the Modalities TCP / IP port is listed as an
exception in the Windows firewall on the Display.
7. Ensure that the Display contains the appropriate AE Title
for the modality.
8. Ensure that the modality contains the appropriate AE
titles for the Display.
9. Verify that the Display is configured to use the preferred
service of the scanner.
10. Verify that the archives port is open. Go to Certegra Web
Home page, Data > Setup. Confirm the ports are
configured according to the completed site Pre-
Installation Checklist.
1 - ii MEDRAD® <ADD-PRODUCT>
© 2014 Bayer. All rights reserved. Reproduction of this
manual is strictly prohibited without express written consent
of Bayer Medical Care Inc.
Bayer, the Bayer Cross, MEDRAD MRXperion, and Certegra may
be registered trademarks of Bayer in the US and other
countries.
DYMO may be a registered trademarks of its respective owner
and is used herein solely for informative purposes. No
relationship or endorsement should be inferred or implied.
In accordance with data privacy and protection laws in the
United States and other countries, all patient data that
appear in this document are fictitious. No actual patient
information is shown.
Bayer HealthCare and Bayer HealthCare Services.
For a full list of Bayer offices and authorized dealers, go
to: http://www.radiology.bayer.com
3041584 Rev. B October 6, 2014
Radiology www.radiology.bayer.com
Bayer Medical Care www.bayerhealthcare.com
UNITED STATES EUROPE JAPAN

Bayer Medical Care Inc. Bayer Medical Care B.V. ᪥ᮏ࣓ࢻࣛࢵࢻᰴᘧ఍♫
1 Bayer Drive Horsterweg 24 ࠛ 530-0001
Indianola, PA 15051-0780 6199 AC Maastricht Airport ኱㜰ᕷ໭༊ᱵ⏣ 2-4-9
U.S.A. The Netherlands
Phone: +1.412.767.2400 hone: +31 (0) 43-3585601 ᪥ᮏ
+1.800.633.7231 Fax: +31 (0) 43-3656598 㟁ヰ
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2 Parts List ..............................................................................................................3

3 Unpacking the System and Installation Considerations ...................................5

4 Installing the Scan Room Unit ..........................................................................11

5 Installing the Control Room Unit......................................................................17

B The Mirth Connect Tool .....................................................................................41

B.2 Configuring Nuance Channels..................................................................................................................................................42

D Downloading and Applying the License to the Display ...................................57

1.3 Warnings, Cautions, and Notices

Electro-Mechanical Hazard - Equipment Damage may result.

Description Part Number

2.2 Accessories Carton

Description Part Number

2.2.1 IV Pole Carton

Description Part Number

2.3 Control Room Unit (Display and Pod) Carton - 60726971

Description Part Number

2.4 Scan Room Unit (Injector) Carton

Description Part Number

3 Unpacking the System and Installation Considerations

3.1.1 Unpacking the Scan Room Unit (Injector)

3.2 Installation Considerations

4 Installing the Scan Room Unit

Tools required: Non-magnetic #2 Phillips Head screwdriver

4.1 Installing the IV Pole to the Injector

5 Installing the Control Room Unit

Tools required: USB keyboard Phillips #2 screwdriver

USB mouse M3 Hex Head Driver (display mount)

Utility knife 5/32” Hex Head Driver (base mount)

Small-tipped flat head screwdriver 9/16” (or adjustable) wrench

5.1 Attaching the Pod Assembly to the Display Stand

5.2 Attaching the Display to the Display Stand

NOTE: The attachment is held via friction. Do not over-tighten.

5.3 Control Room Unit Cable and Accessory Attachments

Table 5 - 1: Pod Assembly Connections

1 - Hand Switch Connection 2 - Ethernet Connection 1 (LAN 1)

3 - Ethernet Connection 2 (LAN 2) 4 - Fiber Optic Connections

5 - Pod Power Supply Connection

Table 5 - 2: Display Connections

A - DC Inlet B - Gigabit LAN x 2

C - Audio Inlet (Not currently used) D - USB 2.0 x 4

E - GPIO x 1 (Not currently used) F - VGA x 1 (Not currently used)

G - COM x 2 (Not currently used) H - Power Switch

I - USB Port J - 3-in-1 Memory Card Reader (Not currently used)

5.4 Control Room Unit Attachments

5.5 Installing Certegra and MRXperion Injector Software on the Display

5.5.1 Before Installing the Software

5.5.2 Installing Certegra Software

3. Click Install and wait while the files are installed.

Q Print label with barcode Q Configure computer name

7. Java Runtime Environment will automatically install.

5.5.3 Configuring System Application Software

5.5.3.1 Power ON the Display with Informatics System

5.5.3.3 Configure the Application

b. Configure the Modality and Study Harvesting.

Q Study Harvester Query Interval: Leave at default value.

c. Configure the SC Image:

d. Configure the PACS Archive.

e. Configure the Supplemental Study Query.

f. When complete, save by clicking Apply Change.

5.5.4 Installing MRXperion Service Application Software

5.5.4.1 Axeda Extensions Setup Wizard Software Installer

3. On the Folder Location screen, click Yes.