How To Run A Pacemar Optima System On A Microsoft Powerbook 2.5 (Powerbook) With A Powerbook 1.5 And Powerbook 3.5 On A Pc Or Macbook 2 (Powerstation) With An

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1 Paceart Optima System Technical Requirements This document details the hardware and software requirements for the Paceart Optima System. Performance of the Paceart System may be impacted if these requirements are not met. Technical requirements may vary depending on your system configuration (see below for distributed and stand-alone configurations). Please contact Paceart Technical Support at 1 (800) PACEART (United States and Canada) or your local representative for additional information. Paceart Optima System Configuration #1: Distributed Model (no HL7 ) Multiple workstations connecting to a central database Medtronic Mainspring Data Express installed not using HL7 Workstation/Client Requirements Intel Pentium Core 2 Duo CPU 2.40 GHz 4GB RAM 15GB Client Configuration (No ECG Recording) Microsoft Windows 7 Professional Edition SP1 (32-bit) Client Configuration with ECG Recording Microsoft Components Microsoft.NET Framework 3.5 SP1 Windows Installer 4.5 In-Clinic Surface ECGs Isolation Transformer (contact Paceart Technical Support for isolation transformer specifications) Paceart ECG Module Programmer Import Universal Serial Bus (USB) port 3.5 floppy disk drive (contact your device clinic to determine what transport method their device programmers support) TTM Acquisition Paceart ECG Module Analog or PBX phone line Application Server Requirements Hardware (recommended minimum) Intel Pentium Core 2 Duo CPU 2.40 GHz 8GB RAM* 20GB** Server Configuration (Including Mainspring Data Express) Microsoft Windows Server 2003 R2 Standard Edition SP2 (32-bit) Microsoft Windows Server 2003 R2 Standard Edition SP2 (64-bit) Microsoft Windows Server 2008 Standard Edition SP2 (32-bit) Microsoft Windows Server 2008 Standard Edition SP2 (64-bit) Microsoft Windows Server 2008 R2 Standard Edition SP1 (64-bit) 1

2 Microsoft Components Microsoft.NET Framework 3.5 SP1 Microsoft Core XML Services (MSXML) 4.0 SP2 Windows Installer 4.5 Microsoft Core XML Services (MSXML) 6.0 Microsoft Message Queue component Microsoft IIS as specified in following table: IIS Version Microsoft Windows 7 Professional Edition 7.5 Microsoft Windows Server 2003 R2 Standard Edition SP Microsoft Windows Server 2008 Standard Edition SP Microsoft Windows Server 2008 R2 Standard Edition SP , Faxing, and Paging Microsoft Windows Fax Services component 56 KB Fax Modem Connectivity to a Simple Mail Transfer Protocol (SMTP) server Connectivity Network connectivity to Remote Systems (e.g., Medtronic CareLink Network) Paceart Database Server Requirements When installed on either the Application Server or Database Server the following requirements are needed in addition to the respective minimums. 5GB Microsoft Windows 7 Professional Edition (64-bit) Microsoft Components Microsoft Windows PowerShell 2.0 Microsoft SQL Server from the following list: Microsoft SQL Server 2005 Express Edition SP4 (4GB max file size) Microsoft SQL Server 2005 Standard Edition SP4 Microsoft SQL Server 2008 Express Edition SP3 (4GB max file size) Microsoft SQL Server 2008 Standard Edition SP3 Microsoft SQL Server 2008 R2 Express Edition SP1 (10GB max file size) Microsoft SQL Server 2008 R2 Standard Edition SP1 MS SQL Server Command Line Utilities MS SQL Server Remote Management Objects MS SQL Server Shared Management Objects MS SQL Server System CLR Types MS SQL Server Native Client Database Server Requirements Intel Pentium Core 2 Duo 2.40 GHz 4GB RAM 80GB** Microsoft Windows Server 2003 R2 Standard Edition SP 2 (32-bit) Microsoft Windows Server 2003 R2 Standard Edition SP 2 (64-bit) Microsoft Windows Server 2008 Standard Edition SP 2 (32-bit) Microsoft Windows Server 2008 Standard Edition SP 2 (64-bit) Microsoft Windows Server 2008 R2 Standard Edition SP1 (64-bit) Microsoft Components Microsoft SQL Server from the following list: Microsoft SQL Server 2005 Express Edition SP4 (4GB max file size) Microsoft SQL Server 2005 Standard Edition SP4 Microsoft SQL Server 2008 Express Edition SP3 (4GB max file size) Microsoft SQL Server 2008 Standard Edition SP3 Microsoft SQL Server 2008 R2 Express Edition SP1 (10GB max file size) Microsoft SQL Server 2008 R2 Standard Edition SP1 2 * See Memory Sizing For Application Server on Page 6 for more information. ** The amount of disk space needed will vary based on the amount of data that is kept and how much is added each month.

3 Paceart Optima System Configuration #2: Distributed Model with HL7 Multiple workstations connecting to a central database Mainspring Data Express installed using HL7 Workstation/Client Requirements Intel Pentium Core 2 Duo CPU 2.40 GHz 4GB RAM 15GB Client Configuration (No ECG Recording) Client Configuration with ECG Recording Microsoft Components Microsoft.NET Framework 3.5 SP1 Windows Installer 4.5 In-Clinic Surface ECGs Isolation Transformer (contact Paceart Technical Support for isolation transformer specifications) Paceart ECG Module Programmer Import Universal Serial Bus (USB) port 3.5 floppy disk drive (contact your device clinic to determine what transport method their device programmers support) TTM Acquisition Paceart ECG Module Analog or PBX phone line Application Server Requirements Hardware (recommended minimum) Intel Pentium Core i3 CPU 2.40 GHz 8GB RAM* 80GB** Server Configuration (Including Mainspring Data Express) Microsoft Windows Server 2003 R2 Standard Edition SP2 (32-bit) Microsoft Windows Server 2003 R2 Standard Edition SP2 (64-bit) Microsoft Windows Server 2008 Standard Edition SP2 (32-bit) Microsoft Windows Server 2008 Standard Edition SP2 (64-bit) Microsoft Windows Server 2008 R2 Standard Edition SP1 (64-bit) Microsoft Components Microsoft.NET Framework 3.5 SP1 Microsoft Core XML Services (MSXML) 4.0 SP2 Windows Installer 4.5 Microsoft Core XML Services (MSXML) 6.0 Microsoft Message Queue component Microsoft IIS as specified in following table: IIS Version Microsoft Windows 7 Professional Edition 7.5 Microsoft Windows Server 2003 R2 Standard Edition SP Microsoft Windows Server 2008 Standard Edition SP Microsoft Windows Server 2008 R2 Standard Edition SP , Faxing, and Paging Connectivity Microsoft Windows Fax Services component 56 KB Fax Modem Connectivity to a Simple Mail Transfer Protocol (SMTP) server Network connectivity to Remote Systems (e.g., CareLink Network) Network connectivity to HL7 integrated system 3

4 Paceart Database Manager Requirements When installed on either the Application Server or Database Server the following requirements are needed in addition to the respective minimums. 5GB Microsoft Components Microsoft PowerShell 2.0 Microsoft SQL Server from the following list: Microsoft SQL Server 2005 Express Edition SP4 (4GB max file size) Microsoft SQL Server 2005 Standard Edition SP4 Microsoft SQL Server 2008 Express Edition SP3 (4GB max file size) Microsoft SQL Server 2008 Standard Edition SP3 Microsoft SQL Server 2008 R2 Express Edition SP1 (10GB max file size) Microsoft SQL Server 2008 R2 Standard Edition SP1 MS SQL Server Command Line Utilities MS SQL Server Remote Management Objects MS SQL Server Shared Management Objects MS SQL Server System CLR Types MS SQL Server Native Client Database Server Requirements Intel Pentium Core 2 Duo 2.40 GHz 4GB RAM* 80GB** Microsoft Windows Server 2003 R2 Standard Edition SP2 (32-bit) Microsoft Windows Server 2003 R2 Standard Edition SP2 (64-bit) Microsoft Windows Server 2008 Standard Edition SP2 (32-bit) Microsoft Windows Server 2008 Standard Edition SP2 (64-bit) Microsoft Windows Server 2008 R2 Standard Edition SP1 (64-bit) Microsoft Components Microsoft SQL Server from the following list: Microsoft SQL Server 2005 Express Edition SP4 (4GB max file size) Microsoft SQL Server 2005 Standard Edition SP4 Microsoft SQL Server 2008 Express Edition SP3 (4GB max file size) Microsoft SQL Server 2008 Standard Edition SP3 Microsoft SQL Server 2008 R2 Express Edition SP1 (10GB max file size) Microsoft SQL Server 2008 R2 Standard Edition SP1 * See Memory Sizing For Application Server on Page 6 for more information. ** The amount of disk space needed will vary based on the amount of data that is kept and how much is added each month. Paceart Optima System Configuration #3: Replicating or Stand-Alone including Mainspring Data Express (no HL7)* Workstation/Client Requirements Intel Pentium Core 2 Duo CPU 2.40 GHz 8GB RAM** 80GB*** 4

5 Workstation/Client Requirements (continued) Client Configuration (No ECG Recording) (Including Mainspring Data Express) Client Configuration with ECG Recording Microsoft Components Microsoft.NET Framework 3.5 SP1 Microsoft Core XML Services (MSXML) 4.0 SP2 Windows Installer 4.5 Microsoft Core XML Services (MSXML) 6.0 Microsoft Message Queue component Microsoft IIS as specified in following table: IIS Version Microsoft Windows 7 Professional Edition 7.5 Microsoft Windows Server 2003 R2 Standard Edition SP Microsoft Windows Server 2008 Standard Edition SP Microsoft Windows Server 2008 R2 Standard Edition SP In-Clinic Surface ECGs Isolation Transformer (contact Paceart Technical Support for isolation transformer specifications) Paceart ECG Module Programmer Import Universal Serial Bus (USB) port 3.5 floppy disk drive (contact your device clinic to determine what transport method their device programmers support) TTM Acquisition Paceart ECG Module Analog or PBX phone line * Mainspring Data Express with HL7 interface must be installed on an application server. ** See Memory Sizing For Application Server on Page 6 for more information. *** The amount of disk space needed will vary based on the amount of data that is kept and how much is added each month. CardioVoice TTM Workstation/Client Requirements Intel Pentium Core 2 Duo CPU 2.40 GHz 4GB RAM 15GB Microsoft Components Microsoft.NET Framework 3.5 SP1 Windows Installer 4.5 Eurovoice Objects 3.0 CardioVoice TTM Assistant Hardware Intel Dialogic Voice Board (uses PCI Slot) Analog phone line Paceart Optima Web Access Module Browser Support Microsoft Internet Explorer 7 and above Mozilla Firefox 3.0 and above Adobe Acrobat browser plug-in for report viewing 5

6 Network Recommendation Replication over Wide Area Network (WAN) Bandwidth of 384 kbps or greater* Connection Paceart Client Local Area Network (LAN) Bandwidth of 100 mbps or greater Connection Paceart Application Server Local Area Bandwidth of 100 mbps or greater Network (LAN) Connection Paceart Database Server Local Area Network Bandwidth of 100 mbps or greater (LAN) Connection Printer Requirements Printable Area 7.75 X 10.5 with 0.25 margins Supported Paper Size 8.5 X 11 A4 * Bandwidth and amount of data will impact total replication time. Virtual Environments Workstation/Client, Application Server, Database Server Requirements VMware ESX or VMware ESXi versions 4.1 VMware ESX or VMware ESXi versions 4.1 with Citrix Presentation Server version 4.5 or XenApp 6 Memory Sizing For Application Server Workstation/Client, Application Server, Database Server Requirements When deciding on how much memory to configure on the Application Server, 4 GB of RAM is the absolute minimum. Add 1 Gig of RAM to the Application Server for each 2 concurrent users of the system. Each Mainspring interface (specifically SessionSync, Remote Monitoring Interfaces, HL7 Inbound, HL7 Outbound, One-Stop Scheduling and Report Export) should be considered a user for this purpose. CPU Sizing For Application Server Workstation/Client, Application Server, Database Server Requirements Processing can be broken down into three separate categories: user interaction from clients, Mainspring interaction, and HL7 interactions. If the work of the system is evenly split between all of these categories, get a CPU with 4 or more cores. If the work will mainly be done by a user via UI interaction and very little with the Mainspring, get a CPU with 2 cores, but one that is fast (higher MHz, bigger L1/L2 cache, and fast front side bus speed). 6

7 Clinic Boundary Web Client Application Server Medtronic Web Browser Web Access Server Client CareLink USB/Media Client Application HTTP Click Once Server USB HTTP Boston Scientif ic Patient Cable ECG Module Application Server Mainspring Data Express In clinic software PSTN OR PBX Client LATITUDE CardioVoice Service Telephone PSTN Dialogic Board Database Manager MLLP over TCP/IP MLLP over TCP/IP St. Jude Medical Database Server (Replicated) Database Server In clinic software Merlin.net PSTN Paceart Database Paceart Database Medtronic CareLink Programmer (SessionSync) EHR Legend: PSTN PSTN Publicly Switched Telephone Network PBX Private Branch Exchange MLLP Minimum Layer Level Protocol HTTP HyperText Transport Protocol HyperText Transport Protocol over Secure Sockets Layer 7

8 Technical Support Access (United States and Canada) Contact Paceart Technical Support at or 1 (800) PACEART (United States and Canada). Microsoft, Microsoft Windows, Microsoft Vista, and Microsoft Server are either registered trademarks or trademarks of Microsoft Corporation in the United States and/or other countries. Mozilla Firefox is a trademark or registered trademark of Sun Microsystems, Inc. in the United States and other countries, used under license. Intel and Pentium are trademarks of Intel Corporation in the United States and/or other countries. VMware is a registered trademark or trademark of VMware, Inc. in the United States and/or other jurisdictions. Citrix is a trademark of Citrix Systems, Inc. and/or one or more of its subsidiaries, and may be registered in the United States Patent and Trademark Office and in other countries. LATITUDE is a trademark of Boston Scientific, Inc. Merlin.net is a trademark of St. Jude Medical, Inc. Brief Statement Paceart System Intended Use: The Paceart System is intended for use as a 12-lead electrocardiograph, pacemaker artifact analyzer, and transtelephonic ECG receiving station. It also acts as a database for cardiac patients with or without pacemakers or implantable cardioverter defibrillators. Contraindications: There are no known contraindications for the Paceart System. Precautions: See the Paceart Manuals for more detailed information regarding precautions and use of the system. For further information regarding Paceart, please call Medtronic at 1 (800) and/or consult Medtronic s website at Medtronic CareLink Monitor/CareLink Network Intended Use: The CareLink Monitor and the CareLink Network are indicated for use in the transfer of patient data from some Medtronic implantable cardiac devices based on physician instructions and as described in the product manual. These products are not a substitute for appropriate medical attention in the event of an emergency and should only be used as directed by a physician. CareLink Network availability may be unavailable at times due to maintenance or updates. Contraindications: There are no known contraindications for the CareLink Monitor. Warnings and Precautions: The CareLink Monitor must only be used for interrogating compatible Medtronic implantable devices. The CareLink Monitor is intended for use within the prescribing country. See the device manuals for detailed information regarding the instructions for use, indications, contraindications, warnings, precautions, and potential complications/adverse events. For further information, please call Medtronic at 1 (800) and/or consult Medtronic s website at Caution: Federal law (USA) restricts these devices to sale by or on the order of a physician. World Headquarters Medtronic, Inc. 710 Medtronic Parkway Minneapolis, MN USA Tel: (763) Fax: (763) Medtronic USA, Inc. Toll-free: 1 (800) (24-hour technical support for physicians and medical professionals) Distributor Medtronic of Canada Ltd. 99 Hereford Street Brampton, Ontario L6Y 0R3 Canada Tel: 1 (800) Fax: (905) Medtronic Australasia Pty. Ltd. 97 Waterloo Road, PO Box 945 North Ryde NSW 1670 Australia Tel: (61-2) Fax: (61-2) Medtronic, Inc. Cardiac Rhythm Disease Management 8200 Coral Sea Street NE Mounds View, MN USA 1 (800) PACEART UC d EN Medtronic, Inc Minneapolis, MN. All Rights Reserved. Printed in USA. 07/2013