Phoenix Dialysis System. Dave Dotson

Transcription

1 Gambro Renal Products Technical Assistance Services 800/ / Technical Update PH/EXALIS,PR, /2005 PROCEDURE Equipment Type: Phoenix Dialysis System Subject: From: Phoenix 3.3x Monitor Operations with Exalis SW, RIMS / IBAC and other 3 rd party Interfaces Dave Dotson This bulletin publishes an operational guideline for setting up the Phoenix dialysis monitor, with 3.3x software, for use with external data collection software, such as the: Exalis Data Management Tool Gambro Healthcare interface (RIMS / IBAC) MIQS interface Cybernius Medical interface (CyberRen) It also describes how to link a patient (through a patient ID) with the patient s treatment data when the Phoenix monitor is connected to the Exalis Data Management Tool. Note: If your Phoenix monitor does not have 3.3x software the configuration screens may differ slightly in structure and layout, but the data fields required are the same. If you have difficulty locating all the configuration items described in this document on your Phoenix, call Gambro Technical Assistance Services.

2 Phoenix Monitor Operations Phoenix 3.3x Software Contents 1. Introduction 2 2. Setting the Phoenix monitor for Exalis software 3 3. Connecting a patient to the Phoenix set for Exalis 7 4. Setting the Phoenix for RIMS or 3rd party Interfaces Connecting a patient to the Phoenix set for RIMS 13

3 1. Introduction The communication environment of the Phoenix 3.3x software dialysis monitor must be configured prior to any connection to external software, such as the Exalis Dialysis Management Tool, the RIMS/IBAC interface, or to other interface and software systems such as MIQS and CyberRen. Configuring the Phoenix communications parameters can be easily done via the Phoenix touch-screens. There are two screen areas to be concerned with. COMM screen in the configuration section NET CONFIG screen in the calibration section The COMM screen contains basic parameters for controlling communications on a network. The NET CONFIG screen is a security screen, or firewall. It contains the IP addresses of devices that are allowed to connect to the Phoenix monitor. The absence of any addresses indicates a level of No Security for the monitor. Prior to connecting to the Exalis software it is assumed that all machines and patients involved in the data collection process have been added to the Exalis database. See the Exalis Operations Manual for instructions on using that software, i.e. to add machines and patients. The same assumption is made for any non-gambro software communicating with the Phoenix. This document does not cover hardware related issues. Such information can be found in the Phoenix and Exalis Operator Manuals, and in the Exalis Pre-Installation Guide. This document assumes the reader has a basic understanding of the Phoenix dialysis monitor, in addition to the software being used to communicate with the Phoenix monitor. Some options on the Phoenix touch-screens are mode driven and will automatically disappear from the screen, depending on the configuration settings selected. If your Phoenix monitor does not have 3.3x software the configuration screens may differ slightly in structure and layout, but the data fields required are the same. For additional information see the Gambro Renal Products Technical Bulletin titled Phoenix / Exalis: Comm / Net Config Screen Setup Page 2 of 13

4 2. Setting the Phoenix monitor for Exalis software This section describes how to prepare the Phoenix dialysis monitor for a network connection to the Exalis Dialysis Data Management Tool. The basic settings can be found in the COMM screen when the Phoenix is in IDLE mode. Select Page 3 of 13

5 Set appropriate values for the following parameters: CCM Identif (identifier) is the machine ID. Each Phoenix monitor must have a unique ID defining it within the Exalis network. For convenience, we advise using the same number for the CCM ID as for the IP Address 4 th number, if possible. Ext Synchro is a timeout used when switching on the Phoenix, to detect the presence of the network. It is a time delay preventing the user from setting up the Phoenix before communications are established. We recommend setting it to 00:00. Comm System must be set to Exalis Network Type must be set to Ethernet Offline Timeout is used to control the connection indicator icon to notify the user if the machine is communicating with Exalis. Minimum of 90 seconds (01:30) Recommend 5 seconds/machine The 1 st, 2 nd, and 3 rd IP Address values define the network ID for the Exalis and Phoenix software. The 4 th IP Address value is specific to the monitor; each monitor must have its own unique number. For convenience, we advise using the same number for the 4 th number as for the CCM ID, if possible. The subnet mask is used to define the network ID. We recommend using as the subnet mask for the Exalis network. The 0 value in the 4 th octet specifies that there can be up to 255 devices on the Exalis network. Station ID pertains to the physical location of the Phoenix within the dialysis clinic. This value will control where the monitor appears in the Dialysis Unit view of the Exalis software, as long as that station number is configured within the Dialysis Unit view layout. Additional Parameters There are two more areas that must be set for proper communications between the Phoenix monitor and the Exalis software. The first is located in COMM SYSTEM control using the RIMS selection for the Comm System type. Page 4 of 13

6 Select Clear all entries. Set all to 0. The Gateway is an IP Address for a device in the network responsible for forwarding communication packets from the Phoenix side of the network to the PC running the communication software, i.e., Exalis. The Gateway must have the same network ID as the Phoenix. It automatically has the same subnet mask. For Exalis, a Gateway is not normally used. The NET ROUTE and MASK ROUTE fields are not used at this time; enforce all 0 s. Select Important: Make sure to reselect Exalis as the COMM SYSTEM after you have cleared all the entries on the Gateway screen. The Exalis software will not be able to send a Prescription to the Phoenix, or see the Station ID, if the RIMS selection is enabled. Exit the configuration screen and return to the IDLE mode. All the settings implemented on the Phoenix monitor need to have their equivalent within the Exalis software. In particular, there must be total equivalence on the definition of the CCM Identifier (the Machine ID Code) and the IP Address. Page 5 of 13

7 The second set of parameters that must be set, in addition to those located in the COMM screen, are found in the NET CONFIG screen in the calibration section. Select Use the NEXT / PREV touch-keys as needed to access all fields. Clear all entries. The standard for Exalis is No Security. Set all fields to 0. Exit the screen (press ). Reboot the Phoenix to initiate any changes. Page 6 of 13

8 3. Connecting a patient to the Phoenix set for Exalis The Phoenix monitor allows the user to start a dialysis treatment with a treatment prescription (machine settings) received from the Exalis software. This section describes how to link a patient to the Phoenix and download the prescription set. Select The PT NETWORK button will be present if the Phoenix is able to communicate with the Exalis software. It will not be present if there is a problem with network communications. Page 7 of 13

9 To continue, you must know the Identifier for the patient you want to link with the Phoenix monitor. This ID is found in the Patient Management window of Exalis. *The patient ID can be found by clicking the + next to the patient name in any patient list. Enter that code into the Phoenix monitor using the touch screen keypad. Case does not matter. After some time The Phoenix displays a message notifying you that it is waiting for the patient prescription to be downloaded from the Exalis database. If there is a problem, an error will appear on the Phoenix screen. The user must correct the error before the download can succeed. Page 8 of 13

10 If the patient is not recognized by the software this is because either the patient does not exist in the Exalis database or the Patient ID was entered incorrectly at the Phoenix. If the prescription is not valid there is a conflict between one of the settings that the Exalis software sent and what the Phoenix can accept. Verify both sets of parameters. After some time When the Exalis software has identified the Patient within its database, it sends the patient prescription (machine settings) to the Phoenix monitor, which displays the prescription settings on its touch screen for confirmation. At this stage, the patient prescription can still be modified on the Phoenix, using the Touch Screen. Press to change values or to confirm and proceed. After the confirmation the Rx MGMT button on the right-hand side will turn yellow to show that the Patient has been connected. You can now proceed with the treatment. Page 9 of 13

11 4. Setting the Phoenix for RIMS or 3 rd party Interfaces This section describes how to prepare the Phoenix for a network connection to the RIMS/IBAC system, or any other 3 rd party interface such as MIQS. The basic settings can be found in the COMM screen when the Phoenix is in IDLE mode. Select Page 10 of 13

12 Set appropriate values for the following parameters: CCM Identif (identifier) is the machine ID. Each Phoenix monitor must have a unique ID defining it within the network. Comm System must be set to RIMS Offline Timeout is used to control the connection indicator icon to notify the user if the machine is communicating. Minimum of 90 seconds (01:30) Recommend 5 seconds/machine The 1 st, 2 nd, and 3 rd IP Address values define the network ID for the interface and Phoenix software. The 4 th IP Address value is specific to the monitor; each monitor must have its own unique number. The subnet mask is used to define the network ID. Check with the local IT administrator to determine the correct subnet mask. Enter an appropriate address for the Gateway, as needed. The Gateway is an IP Address for a device in the network responsible for forwarding communication packets from the Phoenix side of the network to the PC running the communication software, i.e., RIMS. The Gateway must have the same network ID as the Phoenix. It automatically has the same subnet mask. Use the Gateway address as needed. The NET ROUTE and MASK ROUTE fields are not used at this time; enforce all 0 s. Page 11 of 13

13 The final set of parameters that must be set, in addition to those located in the COMM screen, are found in the NET CONFIG screen in the calibration section. Select Use the NEXT / PREV touch-keys as needed to access all fields. Clear all entries. The standard is No Security. Set all fields to 0. Exit the screen (press ). Reboot the Phoenix to initiate any changes. Page 12 of 13

14 5. Connecting a patient to the Phoenix set for RIMS There are no specific instructions that Gambro Renal Products can provide for this action as they may differ depending on the manufacturer s software being used to interface to the Phoenix, i.e., RIMS, MIQS, CyberRen, etc. Gambro s understanding at this time is that the linkage between a patient and a machine is accomplished through the software communicating with the Phoenix. It does this by referencing the machine s ID code (CCM Identif), along with its IP Address, to the treatment data being received from the machine for the patient. Restated, the software associates the treatment data with the machine s ID set. Refer to the software manufacturer s interface operations guide for additional information. Page 13 of 13