GE MARS v8 Ambulatory ECG System Service Manual_SM_2083129-004_D MiniOX 1A Oxygen Analyzer Operation Manual

GEHealthcare

MARS™V8

AmbulatoryECGSystem
ServiceManual

SoftwareVersion8
2083129-004RevisionD

MARS™V8AmbulatoryECGSystem
English
©2014-2017GeneralElectricCompany.
AllRightsReserved.

PublicationInformation

TheinformationinthismanualappliesonlytotheMARSAmbulatoryECGSystemVersion8runningservicepack4orlater.Itdoesnotapply
toearlierproductversions.Duetocontinuingproductinnovation,specicationsinthismanualaresubjecttochangewithoutnotice.

MARS,MUSE,andCardioSoftaretrademarksownedbyGEMedicalSystemsInformationTechnologies,Inc.,aGeneralElectricCompany
goingtomarketasGEHealthcare.Allothertrademarkscontainedhereinarethepropertyoftheirrespectiveowners.

Revision

A

B

C15May2015

D

Date

25October2014Internalrelease.

25October2014Customerrelease.

5May2017

Comments

Updatedthelistofsecuritykeys(dongles)inChapter8,“PartsList”.

Madethefollowingchanges:

•ChangedsupportedsoftwarefromSP4toservicepack4orlater.

•AddedinstructionstoexcludeMARSprocessesfromAVsoftware

scans.

•CorrectedMARSWebServerdefaultport.

•Removedobsoletesecuritykeys.

ToaccessotherGEHealthcareDiagnosticCardiologydocuments,gototheCommonDocumentationLibrary(CDL),locatedat

www.gehealthcare.com/documents

,andclickCardiology.

2MARS™V82083129-004D

5May2017

ServiceManualLanguageInformation

WARNING
(EN)

ПРЕДУПРЕЖДЕНИЕ
(BG)

警告

(ZH-CN)

警告

(ZH-TW)

UPOZORENJE
(HR)

VAROVÁNÍ
(CS)

ThisservicemanualisavailableinEnglishonly.

•Ifacustomer'sserviceproviderrequiresalanguageotherthanEnglish,itisthecustomer's

responsibilitytoprovidetranslationservices.

•Donotattempttoservicetheequipmentunlessthisservicemanualhasbeenconsulted

andisunderstood.

•Failuretoheedthiswarningmayresultininjurytotheserviceprovider ,operator,orpatient,

fromelectricshock,mechanicalorotherhazards.

Товаупътванезаработаеналичносамонаанглийскиезик.

•Акодоставчикътнауслугатанаклиентаизискадругезик,задължениенаклиентае

даосигурипревод.

•Неизползвайтеоборудването,предидастесеконсултиралииразбралиупътването

заработа.

•Неспазванетонатовапредупреждениеможедадоведедонараняваненадоставчика

науслугата,оператораилипациентврезултатнатоковударилимеханичнаили
другаопасност.

本维修手册仅提供英文版本。

•如果维修服务提供商需要非英文版本，客户需自行提供翻译服务。

•未详细阅读和完全理解本维修手册之前，不得进行维修。

•忽略本警告可能对维修人员，操作员或患者造成触电、机械伤害或其他形式的伤害。

本維修手冊只提供英文版。

•如果客戶的維修人員有英語以外的其他語言版本需求，則由該客戶負責提供翻

譯服務。

•除非您已詳閱本維修手冊並了解其內容，否則切勿嘗試對本設備進行維修。

•不重視本警告可能導致維修人員、操作人員或病患因電擊、機械因素或其他因素

而受到傷害。

Oveuputezaservisiranjedostupnesusamonaengleskomjeziku.

•Ukolikokorisničkiserviszahtijevanekidrugijezik,korisnikovajeodgovornostosigurati

odgovarajućiprijevod.

•Nemojtepokušavatiservisiratiopremuukolikonistekonzultiraliirazumjelioveupute.

•Nepoštivanjeovogupozorenjamožerezultiratiozljedamaservisnogosoblja,korisnikaili

pacijentaprouzročenimelektričnimudaromtemehaničkimilinekimdrugimopasnostima.

Tentoprovoznínávodexistujepouzevanglickémjazyce.

•Vpřípadě,žeexterníslužbazákazníkůmpotřebujenávodvjinémjazyce,jezajištění

překladudoodpovídajícíhojazykaúkolemzákazníka.

•Nesnažteseoúdržbutohotozařízení,anižbystesipřečetlitentoprovoznínávoda

pochopilijehoobsah.

•Vpřípaděnedodržovánítétovarovánímůžedojítkporaněnípracovníkaprodejního

servisu,obslužnéhopersonálunebopacientůvlivemelektrickéhoproudu,respektive
vlivemmechanickýchčijinýchrizik.

2083129-004DMARS™V8

3

ServiceManualLanguageInformation(cont'd.)

ADVARSEL
(DA)

Denneservicemanualndeskunpåengelsk.

•Hvisenkundesteknikerharbrugforetandetsprogendengelsk,erdetkundensansvar

atsørgeforoversættelse.

•Forsøgikkeatservicereudstyretmedmindredenneservicemanualharværetkonsulteret

ogerforstået.

•Manglendeoverholdelseafdenneadvarselkanmedføreskadepågrundafelektrisk,

mekaniskellerandenfareforteknikeren,operatørenellerpatienten.

WAARSCHUWING
(NL)

DezeservicemanualisalleeninhetEngelsverkrijgbaar.

•Indienhetonderhoudspersoneeleenanderetaalnodigheeft,danisdeklant

verantwoordelijkvoordevertalingervan.

•Probeerdeapparatuurnietteonderhoudenvoordatdezeservicemanualgeraadpleegd

enbegrepenis.

•Indiendezewaarschuwingnietwordtopgevolgd,zouhetonderhoudspersoneel,de

gebruikerofeenpatiëntgewondkunnenrakenalsgevolgvaneenelektrischeschok,
mechanischeofanderegevaren.

HOIATUS
(ET)

Käesolevteenindusjuhendonsaadavalainultinglisekeeles.

•Kuiklienditeeninduseosutajanõuabjuhenditinglisekeelesterinevaskeeles,vastutab

klienttõlketeenuseosutamiseeest.

•Ärgeüritageseadmeidteenindadaenneeelnevaltkäesolevateenindusjuhendiga

tutvumistjasellestarusaamist.

•Käesolevahoiatuseeiraminevõibpõhjustadateenuseosutaja,operaatorivõipatsiendi

vigastamistelektrilöögi,mehaanilisevõimuuohutagajärjel.

VAROITUS
(FI)

Tämähuolto-ohjeonsaatavillavainenglanniksi.

•Josasiakkaanhuoltohenkilöstövaatiimuutakuinenglanninkielistämateriaalia,tarvittavan

käännöksenhankkiminenonasiakkaanvastuulla.

•Äläyritäkorjatalaitteistoaennenkuinoletvarmastilukenutjaymmärtänyttämän

huolto-ohjeen.

•Mikälitätävaroitustaeinoudateta,seurauksenavoiollahuoltohenkilöstön,laitteiston

käyttäjäntaipotilaanvahingoittuminensähköiskun,mekaanisenviantaimuun
vaaratilanteenvuoksi.

ATTENTION
(FR)

Cemanueltechniquen'estdisponiblequ'enanglais.

•Siunservicetechniqueclientsouhaiteobtenircemanueldansuneautrelangueque

l'anglais,ildevraprendreenchargelatraductionetlaresponsabilitéducontenu.

•Nepastenterd'intervenirsurleséquipementstantquelemanueltechniquen'apasété

consultéetcompris.

•Lenon-respectdecetavertissementpeutentraînerchezletechnicien,l'opérateuroule

patientdesblessuresduesàdesdangersélectriques,mécaniquesouautres.

4

MARS™V82083129-004D

5May2017

ServiceManualLanguageInformation(cont'd.)

WARNUNG
(DE)

ΠΡΟΕΙΔΟΠΟΙΗΣΗ
(EL)

FIGYELMEZTETÉS
(HU)

AÐVÖRUN
(IS)

PERINGATAN
(ID)

DieseServiceanleitungistnurinenglischerSpracheverfügbar .

•FallsderKundendiensteineandereSprachebenötigt,musserfüreineentsprechende

Übersetzungsorgen.

•KeineWartungdurchführen,ohnedieseServiceanleitunggelesenundverstandenzu

haben.

•BeiZuwiderhandlungkanneszuVerletzungendesKundendiensttechnikers,des

AnwendersoderdesPatientendurchStromschläge,mechanischeodersonstigeGefahren
kommen.

Τοπαρόνεγχειρίδιοσέρβιςδιατίθεταιστααγγλικάμόνο.

•Εάντοάτομοπαροχήςσέρβιςενόςπελάτηαπαιτείτοπαρόνεγχειρίδιοσεγλώσσαεκτός

τωναγγλικών,αποτελείευθύνητουπελάτηναπαρέχειυπηρεσίεςμετάφρασης.

•Μηνεπιχειρήσετετηνεκτέλεσηεργασιώνσέρβιςστονεξοπλισμόεκτόςεάνέχετε

συμβουλευτείκαιέχετεκατανοήσειτοπαρόνεγχειρίδιοσέρβις.

•Εάνδενλάβετευπόψητηνπροειδοποίησηαυτή,ενδέχεταιναπροκληθείτραυματισμός

στοάτομοπαροχήςσέρβις,στοχειριστήήστονασθενήαπόηλεκτροπληξία,μηχανικούς
ήάλλουςκινδύνους.

Ezaszervizkézikönyvkizárólagangolnyelvenérhetőel.

•Haavevőszervizellátójaangoltóleltérőnyelvretartigényt,akkoravevőfelelőssége

afordításelkészíttetése.

•Nepróbáljaelkezdenihasználniaberendezést,amígaszervizkézikönyvbenleírtakat

nemértelmeztékésértettékmeg.

•Ezengyelmeztetésgyelmenkívülhagyásaaszervizellátó,aműködtetővagyapáciens

áramütés,mechanikaivagyegyébveszélyhelyzetmiattisérüléséteredményezheti.

Þessiþjónustuhandbókereingöngufáanlegáensku.

•Efaðþjónustuveitandiviðskiptamannsþarfnastannarstungumálsenensku,erþaðskylda

viðskiptamannsaðskaffatungumálaþjónustu.

•Reyniðekkiaðafgreiðatækiðnemaþessiþjónustuhandbókhefurveriðskoðuðogskilin.

•Brotáaðsinnaþessariaðvörungeturleitttilmeiðslaáþjónustuveitanda,stjórnandaeða

sjúklingifráraosti,vélrænumeðaöðrumáhættum.

ManualservisinihanyatersediadalambahasaInggris.

•JikapenyediajasaservispelangganmemerlukanbahasalainselaindariBahasaInggris,

merupakantanggungjawabdaripenyediajasaservistersebutuntukmenyediakan
terjemahannya.

•Janganmencobamelakukanservisterhadapperlengkapankecualitelahmembacadan

memahamimanualservisini.

•Mengabaikanperingataninibisamengakibatkancederapadapenyediaservis,operator ,

ataupasien,karenaterkenakejutlistrik,bahayamekanisataubahayalainnya.

2083129-004DMARS™V8

5

ServiceManualLanguageInformation(cont'd.)

AVVERTENZA
(IT)

警告

(JA)

경고

(KO)

ЕСКЕРТУ
(KK)

BRĪDINĀJUMS
(LV)

ĮSPĖJIMAS
(LT)

IlpresentemanualedimanutenzioneèdisponibilesoltantoinInglese.

•Seunaddettoallamanutenzionerichiedeilmanualeinunalinguadiversa,ilclienteè

tenutoaprovvederedirettamenteallatraduzione.

•Siprocedaallamanutenzionedell'apparecchiaturasolodopoaverconsultatoilpresente

manualeedavernecompresoilcontenuto.

•Ilnonrispettodellapresenteavvertenzapotrebbefarcompiereoperazionidacuiderivino

lesioniall'addetto,allamanutenzione,all'utilizzatoreedalpazienteperfolgorazione
elettrica,perurtimeccaniciodaltririschi.

このサービスマニュアルは英語版しかありません。

•サービスを担当される業者が英語以外の言語を要求される場合、翻訳作業はその業

者の責任で行うものとさせていただきます。

•このサービスマニュアルを熟読し、十分に理解をした上で装置のサービスを

行ってください。

•この警告に従わない場合、サービスを担当される方、操作員あるいは患者が、感電

や機械的又はその他の危険により負傷する可能性があります。

본서비스지침서는영어로만이용하실수있습니다.

•고객의서비스제공자가영어이외의언어를요구할경우,번역서비스를제공하는것

은고객의책임입니다.

•본서비스지침서를참고했고이해하지않는한은해당장비를수리하려고시도하

지마십시오.

•이경고에유의하지않으면전기쇼크,기계상의혹은다른위험으로부터서비스제

공자,운영자혹은환자에게위해를가할수있습니다.

Бұлқызметкөрсетубойыншанұсқаулығытекағылшынтіліндеқолжетімді.

•Тұтынушыныңқызметпровайдеріағылшынтіліненбасқатілдегінұсқаныталапетсе,

аударубойыншақызметтеріменқамтамасызетутұтынушыжауапкершілігіндеболуы
тиіс.

•Бұлқызметкөрсетубойыншанұсқаулығынназарғаалып,түсінбегенше,жабдыққа

қызметкөрсетуденбастартыңыз.

•Бұлескертудіелемеуқызметпровайдері,операторнемесеемделушініңэлектр

шогынан,механикалықнемесебасқақауіптернәтижесіндежарақаталуынаәкелуі
мүмкін.

Šīapkalpotājurokasgrāmatairpieejamatikaiangļuvalodā.

•Jaapkalpošanassniedzējamnepieciešamainformācijacitā,nevisangļu,valodā,klienta

pienākumsirnodrošināttāstulkošanu.

•Neveicietaprīkojumaapkopi,neizlasotunnesaprototapkalpotājurokasgrāmatu.

•Šībrīdinājumaneievērošanavarradītelektriskāsstrāvastrieciena,mehāniskuvaiciturisku

izraisītutraumuapkopessniedzējam,operatoramvaipacientam.

Šiseksploatavimovadovasyraprieinamastikanglųkalba.

•Jeiklientopaslaugųtiekėjasreikalaujavadovokitakalba-neanglų,numatytivertimo

paslaugasyraklientoatsakomybė.

•Nemėginkiteatliktiįrangostechninėspriežiūros,nebentatsižvelgėteįšįeksploatavimo

vadovąirjįsupratote.

•Jeineatkreipsitedėmesioįšįperspėjimą,galimisužalojimaidėlelektrosšoko,mechaninių

arkitųpaslaugųtiekėjui,operatoriuiarpacientui.

6MARS™V82083129-004D

5May2017

ServiceManualLanguageInformation(cont'd.)

ADVARSEL
(NO)

Denneservicehåndbokennnesbarepåengelsk.

•Hviskundensserviceleverandørtrengeretannetspråk,erdetkundensansvaråsørge

foroversettelse.

•Ikkeforsøkåreparereutstyretutenatdenneservicehåndbokenerlestogforstått.

•Manglendehensyntildenneadvarselenkanføretilatserviceleverandøren,operatøren

ellerpasientenskadespågrunnavelektriskstøt,mekaniskeellerandrefarer .

OSTRZEŻENIE
(PL)

Niniejszypodręcznikserwisowydostępnyjestjedyniewjęzykuangielskim.

•Jeślidostawcausługklientawymagajęzykainnegoniżangielski,zapewnienieusługi

tłumaczeniajestobowiązkiemklienta.

•Nienależyserwisowaćwyposażeniabezzapoznaniasięizrozumienianiniejszego

podręcznikaserwisowego.

•Niezastosowaniesiędotegoostrzeżeniamożespowodowaćurazydostawcyusług,

operatoralubpacjentawwynikuporażeniaelektrycznego,zagrożeniamechanicznego
bądźinnego.

AVISO
(PT-BR)

Estemanualdeassistênciatécnicasóseencontradisponíveleminglês.

•SeoserviçodeassistênciatécnicadoclientenãoforGE,eprecisardeoutroidioma,será

daresponsabilidadedoclientefornecerosserviçosdetradução.

•Nãotenterepararoequipamentosemterconsultadoecompreendidoestemanualde

assistênciatécnica.

•Onãocumprimentodesteavisopodeporemperigoasegurançadotécnico,operadorou

pacientedevidoachoqueselétricos,mecânicosououtros.

AVISO
(PT-PT)

Estemanualtécnicosóseencontradisponíveleminglês.

•Seaassistênciatécnicadoclientesolicitarestesmanuaisnoutroidioma,éda

responsabilidadedoclientefornecerosserviçosdetradução.

•Nãotenterepararoequipamentosemterconsultadoecompreendidoestemanual

técnico.

•Onãocumprimentodesteavisopodeprovocarlesõesaotécnico,aoutilizadorouao

pacientedevidoachoqueseléctricos,mecânicosououtros.

AVERTISMENT
(RO)

Acestmanualdeserviceestedisponibilnumaiînlimbaengleză.

•Dacăunfurnizordeserviciipentruclienţinecesităoaltălimbădecâtceaengleză,estede

datoriaclientuluisăfurnizezeotraducere.

•Nuîncercaţisăreparaţiechipamentuldecâtulteriorconsultăriişiînţelegeriiacestui

manualdeservice.

•Ignorareaacestuiavertismentarputeaducelarănireadepanatorului,operatoruluisau

pacientuluiînurmapericolelordeelectrocutare,mecanicesaudealtănatură.

ПРЕДУПРЕЖДЕНИЕ
(RU)

Настоящееруководствопообслуживаниюпредлагаетсятольконаанглийскомязыке.

•Еслисервисномуперсоналуклиентанеобходиморуководствоненаанглийском,ана

каком-тодругомязыке,клиентуследуетобеспечитьпереводсамостоятельно.

•Преждечемприступатькобслуживаниюоборудования,обязательнообратитеськ

настоящемуруководствуивнимательноизучитеизложенныевнемсведения.

•Несоблюдениетребованийданногопредупрежденияможетпривестиктому,что

специалистыпообслуживанию,операторыилипациентыполучатударэлектрическим
током,механическуютравмуилидругоеповреждение.

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ServiceManualLanguageInformation(cont'd.)

UPOZORENJE
(SR)

VAROVANIE
(SK)

OPOZORILO
(SL)

ADVERTENCIA
(ES)

VARNING
(SV)

UYARI
(TR)

Ovoservisnouputstvojedostupnosamonaengleskomjeziku.

•Akoklijentovserviserzahtevanekidrugijezik,klijentjedužandaobezbediprevodilačke

usluge.

•Nepokušavajtedaopraviteuređajakonistepročitaliirazumeliovoservisnouputstvo.

•Zanemarivanjeovogupozorenjamožedovestidopovređivanjaservisera,rukovaocaili

pacijentausledstrujnogudara,ilimehaničkihidrugihopasnosti.

Tentonávodnaobsluhujekdispozíciilenvangličtine.

•Akzákazníkovposkytovateľslužiebvyžadujeinýjazykakoangličtinu,poskytnutie

prekladateľskýchslužiebjezodpovednosťouzákazníka.

•Nepokúšajtesaoobsluhuzariadeniaskôr,akosineprečítatenávodnaobsluhua

neporozumietemu.

•Zanedbanietohtovarovaniamôževyústiťdozraneniaposkytovateľaslužieb,obsluhujúcej

osobyalebopacientaelektrickýmprúdom,mechanickýmaleboinýmnebezpečenstvom.

Taservisnipriročnikjenavoljosamovangleškemjeziku.

•Čeponudnikstoritvestrankepotrebujepriročnikvdrugemjeziku,morastrankazagotoviti

prevod.

•Neposkušajteservisiratiopreme,četegapriročnikanistevcelotiprebraliinrazumeli.

•Četegaopozorilaneupoštevate,selahkozaradielektričnegaudara,mehanskihalidrugih

nevarnostipoškodujeponudnikstoritev,operateralibolnik.

Estemanualdeserviciosóloexisteeninglés.

•Sielencargadodemantenimientodeunclientenecesitaunidiomaquenoseaelinglés,el

clientedeberáencargarsedelatraduccióndelmanual.

•Nosedeberádarserviciotécnicoalequipo,sinhaberconsultadoycomprendidoeste

manualdeservicio.

•Lanoobservanciadelpresenteavisopuededarlugaraqueelproveedordeservicios,el

operadoroelpacientesufranlesionesprovocadasporcausaseléctricas,mecánicaso
deotranaturaleza.

Denhärservicehandbokennnsbaratillgängligpåengelska.

•Omenkundsserviceteknikerharbehovavettannatspråkänengelskaansvararkunden

föratttillhandahållaöversättningstjänster.

•Försökinteutföraservicepåutrustningenomduinteharlästochförstårdenhär

servicehandboken.

•Omduintetarhänsyntilldenhärvarningenkandetresulteraiskadorpåserviceteknikern,

operatörenellerpatiententillföljdavelektriskastötar,mekaniskafarorellerandrafaror .

Buserviskılavuzununsadeceİngilizcesimevcuttur.

•Eğermüşteriteknisyenibukılavuzuİngilizcedışındabirbaşkalisandantalepederse,bunu

tercümeettirmekmüşteriyedüşer.

•Serviskılavuzunuokuyupanlamadanekipmanlaramüdahaleetmeyiniz.

•Buuyarıyauyulmaması,elektrik,mekanikveyadiğertehlikelerdendolayıteknisyen,

operatörveyahastanınyaralanmasınayolaçabilir .

8MARS™V82083129-004D

5May2017

ServiceManualLanguageInformation(cont'd.)

ЗАСТЕРЕЖЕННЯ
(UK)

CẢNHBÁO
(VI)

Данекерівництвозсервісногообслуговуванняпостачаєтьсявиключноанглійськоюмовою.

•Якщосервіснийінженерпотребуєкерівництвоіншоюмовою,користувачзобов'язаний

забезпечитипослугиперекладача.

•Ненамагайтесяздійснюватитехнічнеобслуговуванняданогообладнання,якщо

винечитали,абонезрозумілиінформацію,наданувкерівництвізсервісного
обслуговування.

•Недотриманняцьогозастереженняможепризвестидотравмуваннясервісного

інженера,користувачаданогообладнанняабопацієнтавнаслідокелектричногошоку,
механічногоушкодженняабозіншихпричинневірногообслуговуванняобладнання.

TàiLiệuHướngDẫnSửaChữachỉcóbảntiếngAnh.

•Nếucácđơnvịcungcấpdịchvụchokháchhàngyêucầumộtngônngữnàokháctiếng

Anh,thìkháchhàngsẽcótráchnhiệmcungcấpcácdịchvụdịchthuật.

•KhôngđượcsửachữathiếtbịtrừkhiđãthamkhảovàhiểuTàiliệuHướngdẫnSửachữa.

•Khôngtuânthủnhữngcảnhbáonàycóthểdẫnđếncáctổnthươngchongườithực

hiệnsửachữa,ngườivậnhànhhaybệnhnhân,dosốcđiện,cácrủirovềcơkhíhay
cácrủirokhác.

2083129-004DMARS™V89

10MARS™V82083129-004D

5May2017

Contents

1ManualInformation

ManualPurpose........................................................................................15

IntendedAudience....................................................................................15

DocumentationConventions....................................................................16

TypographicalConventions........................................................................16

Illustrations............................................................................................16

RegulatoryandSafetyInformation...............................................................16

RelatedDocuments...................................................................................17

SafetyInformation....................................................................................17

ServiceInformation...................................................................................18

Identication.............................................................................................18

SecurityUpdates.......................................................................................18

2SystemOverviewandSetup

SystemOverview......................................................................................21

IntendedUse..........................................................................................21

GeneralDescription..................................................................................22

SystemCongurations..............................................................................22

SupportedOperatingSystems.....................................................................24

ApprovedSoftware...................................................................................24

SupportforVirtualMachines.......................................................................25

SystemSetup............................................................................................26

VerifyingAppropriateVoltage......................................................................26

ConnectingtheEquipmentandPeripherals.....................................................27

ProtectingAgainstViruses..........................................................................27

InstallingtheMARSApplication....................................................................28

ConnectingtotheNetwork.........................................................................28

VerifyingtheInstallation............................................................................28

3NetworkSetup

FolderSharingandSecurity......................................................................29

SettingUpClientNetworkAccess.............................................................30

ConguringtheOSNetworkSettings.............................................................30

ConguringNetworkSettingsonMARSClients.................................................31

4TheoryofOperation

2083129-004DMARS™V811

5Maintenance

MARSFolderStructure..............................................................................33

ReportsFolder........................................................................................34

SlotsFolder............................................................................................34

MARSServices...........................................................................................35

TheMARStoMUSEOption.........................................................................36

TheCICInterfaceOption...........................................................................36

RequirementsforUsingtheCICInterface.......................................................37

CICPerformance.....................................................................................41

TheWebUploadOption............................................................................42

MARSWebUploadComponents..................................................................42

MARSWebUploadServicesandFiles............................................................44

BackingUpandStoringData....................................................................47

ArchivingData........................................................................................47

BackingUpHolterData.............................................................................48

BackingUptheSystemConguration............................................................49

SafeShutdownProcedures.......................................................................49

ShuttingDownaMARSClientorStandaloneWorkstation....................................49

ShuttingDownaMARSServer.....................................................................49

CheckoutProcedures................................................................................50

TimeChanges............................................................................................53

6Troubleshooting

InitialQuestions........................................................................................55

VisualEquipmentInspection.....................................................................55

LogFileReview..........................................................................................57

SpecicErrors...........................................................................................58

7SystemRebuild

ProcessOverview......................................................................................61

VisualInspection......................................................................................50

AcquisitionDeviceCheckoutProcedures........................................................50

SystemCheckoutProcedures......................................................................51

MARSServerandClient.............................................................................57

MARSWebClient.....................................................................................57

MARSWebServer....................................................................................58

SpecicMARSWebUploadErrorConditions....................................................58

SpecicCICInterfaceErrorConditions...........................................................60

Requirements............................................................................................62

BackingUptheMARSSystem...................................................................62

BackingUpMARSCongurationandActivatorCodes........................................62

12MARS™V82083129-004D

BackingUpMARSSlotsandReportsFolders....................................................63

RemovingtheHardwareKey(Dongle).......................................................63

Re-imagingtheMARSPlatform.................................................................63

ReinstallingtheMARSSystem...................................................................63

ReinstallingtheApplicationSoftware.............................................................64

ReinstallingSEERLightHookupSoftware........................................................64

8PartsList

Peripherals................................................................................................65

SecurityKey(Dongle)................................................................................65

ASlotFileToolUserGuide

UnderstandingSlotFileSize,DiskCapacity,andPerformance.................68

SettingSlotFilesLocation.........................................................................68

AddingSlots..............................................................................................69

DeletingSlots............................................................................................70

DeletingEmptySlots.................................................................................70

DeletingSelectedSlots..............................................................................71

DeletingAllEmptySlots.............................................................................72

DeletingtheSlotFileOwner........................................................................72

RestartingtheSystem...............................................................................73

ClosingtheSlotFileTool...........................................................................73

BDongleDrivers

InstallingtheDongleDrivers....................................................................75

COptionalCardReaders

18-in-1MenoryCardReader.....................................................................79

Components...........................................................................................79

Specications.........................................................................................80

OmniDriveProfessionalCardReader(USB)...............................................80

Components...........................................................................................81

Specications.........................................................................................81

2083129-004DMARS™V813

14MARS™V82083129-004D

1

ManualInformation

Thischapterprovidesgeneralinformationaboutthisdocument(purpose,audience,
andconventions),identiesrelateddocuments,prescribesprecautionsforthesafe
useofthesystem,detailsserviceresponsibilities,andinstructsyouonhowtolocate
securityupdatesforthird-partysoftwareapprovedforusewiththesystem.

ForanoverviewoftheMARSsystem,seeChapter2,“SystemOverviewandSetup”.

ManualPurpose

Thismanualprovidestechnicalinformationtoserviceandtechnicalpersonnelso
theycaninstallandmaintaintheMARSAmbulatoryECGSystem.Wherenecessary,
themanualidentiesadditionalsourcesforrelevantinformationand/ortechnical
assistance.

ThismanualisintendedonlyforusewithMARSversion8andsystemsthathave
beenqualiedforusewithMARSversion8runningservicepack4orlater.For
earlierversionsofMARSandsystemssupportingearlierversions,refertotheMARS
AmbulatoryECGSystemServiceManualthatoriginallyshippedwithyourproduct.

SeetheMARSV8Operator’sManual(PN2083129–003)fortheinstructionsnecessary
tooperatethesystemsafelyinaccordancewithitsfunctionandintendeduse.

IntendedAudience

ThismanualisintendedtobeusedbytrainedGEHealthcareservicepersonnel,
approvedthirdpartyservicepersonnel,andlocalbiomedicalandITpersonnel.

2083129-004DMARS™V815

ManualInformation

DocumentationConventions

Thefollowingconventionsareusedinthismanual.

TypographicalConventions

StyleDenition
BoldTextIndicateskeysonthekeyboard,texttoenter,orhardwareitemssuch

Italicized-BoldTextIndicatessoftwaretermsthatidentifymenuitems,buttonsoroptions

Ctrl+EscIndicatesakeyboardoperation.A(+)signbetweenthenamesoftwo

<Space>

Enter

Note

asbuttonsorswitchesontheequipment.

invariouswindows.

keysindicatesyoupressandholdtherstkeywhilepressingthe
secondkeyonce.

Forexample,“PressCtrl+Esc”meanstopressandholddowntheCtrl
keywhilepressingtheEsckey.

Indicatesthatyoumustpressthespacebar .
Wheninstructionsaregivenfortypingaprecisetextstringwithone

ormorespaces,thepointwherethespacebarmustbepressedis
indicatedas:<Space>.Thepurposeofthe<>bracketsistoensure
youpressthespacebarwhenrequired.

Indicatesthatyoumustpressthe“Enter”or“Return”keyonthe
keyboard.Donottype“Enter”.

Providesapplicationtipsorotherusefulinformationtoensurethatyou
getthemostfromyoursystem.

Illustrations

Allillustrationsinthemanualareprovidedasexamplesonly.Dependingonsystem
conguration,screenshotsthatappearinthemanualmaydifferfromthescreens
astheyappearonyoursystem.

Allpatientnamesanddataarectitious.Anysimilaritytoactualpersonsis
coincidental.

RegulatoryandSafetyInformation

RegulatoryandSafetyInformationoutlinestheresponsibilityofthemanufacturer,
generalsafetyinformationfortheuser,andwarningsandcautionsrelevanttothis
system.

Theusershouldbecomefamiliarwiththesafetyinstructions,andreadandunderstand
allinstructionsbeforeattemptingtousethissystem.

Disregardingthesafetyinformationprovidedisconsideredabnormaluseofthe
system.

SafetyConventions

ThetermsDANGER,WARNING,andCAUTIONareusedthroughoutthismanualtopoint
outhazards,andtodesignateadegreeorlevelofseriousness.Familiarizeyourself
withtheirdenitionsandsignicance.

16MARS™V82083129-004D

AHazardisasourceofpotentialinjurytoaperson.

ManualInformation

Convention

DANGER

WARNING

CAUTION

Denition

Indicatesanimminenthazardwhich,ifnotavoided,willresultindeath
orseriousinjury.

Indicatesapotentialhazardorunsafepracticewhich,ifnotavoided,
couldresultindeathorseriousinjury.

Indicatesapotentialhazardorunsafepracticewhich,ifnotavoided,
couldresultinminorpersonalinjuryorproduct/propertydamage.

Safetymessagesmaybefoundthroughoutthismanual.

RelatedDocuments

Additionalinformationcanbefoundinthefollowingdocuments:

RelatedDocumentsfortheMARSAmbulatoryECGSystem

PartNumberTitle

2083129–001
2083129–002
2083129–003
2083129–005
2083129–006
2083129–007

MARSV8AmbulatoryECGSystemPre-InstallationGuide

MARSV8AmbulatoryECGSystemInstallationGuide

MARSV8AmbulatoryECGSystemOperatorsManual

MARSV8WebServerInstallationManual

MARSV8WebClientManual

MARSV8UNIXtoPCConversionGuide

SafetyInformation

TheMARSAmbulatoryECGSystemisintendedforuseunderthedirectsupervisionof
alicensedhealthcarepractitioner.

CAUTION:

U.S.federallawrestrictsthisdevicetosaleby,orontheorderof,aphysician.

Toensurepatientsafety,useonlysoftwareandaccessoriesmanufacturedor
recommendedbyGEHealthcare.ContactGEHealthcareforinformationbefore
installinganysoftwareorconnectinganyaccessoriesthatarenotrecommendedin
thismanual.

CAUTION:

InstallationofsoftwareoraccessoriesnotapprovedbyGEHealthcaremay
damagethesystemorcausethelossorcorruptionofdata.

2083129-004DMARS™V817

ManualInformation

ServiceInformation

Customersareresponsibleforthemaintenanceandrepair,includingequipment
checkout,oftheequipmentonwhichtheyinstalltheMARSAmbulatoryECGSystem.
GEHealthcareServicecanassistinthereinstallationandcongurationoftheMARS
systemasneeded.

Regularmaintenance,irrespectiveofusage,isessentialtoensurethattheMARS
AmbulatoryECGStandalone,Client,andServerarealwaysfunctionalwhenrequired.
Failureonthepartoftheresponsibleindividual,hospital,orinstitutionusingthe
MARSsystemtoimplementasatisfactorymaintenanceschedulemaycauseundue
equipmentfailureandpossiblehealthhazards.Customerswhohaveupgraded
existingsystemsonlegacyGE-suppliedhardwareshouldrefertotheMARSService
Manualsoriginallyshippedwiththeirproductforinformationabouttheequipment,
preventivemaintenance,anddisasterrecovery.

Identication

Inadditiontothesoftwareversion,acopyrightstatement,andaprescription
statement,theMARSV8Informationscreendisplaystwoidentiers,asshowninthe
followingscreencapture:

Identier

DongleSerial
Number

UDI

TheUDIandDongleSerialNumberarebothrequiredwhenrequestingserviceor
support.

ToaccesstheInformationscreen,selectHelp>AboutfromtheMARSV8menu.

Description

Thedongleserialnumberuniquelyidentiesthedongleusedtoauthenticate
theMARSV8system.Allsoftwareactivationcodesarelinkedtoit,andit
mustbepresentinordertoinstall,restore,orusethesystem.

TheUDI(UniqueDeviceIdentication)uniquelyidentiestheMARSV8
medicaldevice.

SecurityUpdates

TheGEHealthcareProductSecurityDatabaseisawebportaltocommunicate
security-relatedinformationtocustomers.AccesstothedatabaseisrestrictedtoGE
HealthcarecustomersandrequiresaSingleSignOn(SSO)account.Ifyoudonothave
anSSOaccount,youcansignupforonewhenyourstaccesstheportal.

TheGEHealthcareProductSecurityDatabasecontainsinformationaboutsecurity
patchesfromthird-partyvendorsofsoftwarecontainedinGEHealthcareproducts.
Thisinformationincludestheaffectedproductandversion,thepatchidentier,the

18MARS™V82083129-004D

ManualInformation

patchassessmentdate,thepatchassessmentstatus,andthepatchassessment
details.Whenapatchhasanapprovedstatus,youcandownloadthepatchfromthe
third-partyvendorandinstallitontheidentiedproduct.Thedatabasedoesnot
containinformationaboutthird-partypatchesthatarenotrelatedtosecurity.

TheProductSecurityDatabasealsoallowsaccesstoManufacturer’sDisclosure
StatementofMedicalDeviceSecurity(MDS2)documentsforGEHealthcareproducts.

Tocheckonthelatestinformationregardingvalidatedsecuritypatches,dothe
following:

1.BrowsetotheGEHealthcareSecuritywebsite:

http://prodsecdb.gehealthcare.com/

TheGEHealthcareSingleSignOnpageopens.

2.EnteryourSSOuserIDandpasswordandclickLogIn.
TheSecuritypageopens.

NOTE:

IfyoudonothaveanSSOaccount,clickSignUpandfollowtheinstructions
tocompletetheregistrationforanSSOaccount.Aftertheregistrationis
complete,theaccountisgeneratedandtheSecuritypageopens.

3.ExpandProductSecurityandselectProductVulnerabilityDatabase.

TheProductSecurityDatabasepageopens.

4.SearchtheProductSecurityDatabaseforsecuritypatchesapprovedforuse
withyourGEHealthcareproduct.

Formoreinformation,doanyofthefollowing:

•ReviewGettingStartedatthebottomofthewebpageforaquickoverview

ofusingthedatabase.

•SelectHelp>FAQatthetopofthewebpageforfrequentlyaskedquestions

aboutthedatabase.

•SelectHelp>TrainingDocumentatthetopofthewebpagefordetailed

instructionsonusingthedatabase.

2083129-004DMARS™V819

ManualInformation

20MARS™V82083129-004D

SystemOverviewandSetup

ThischapterprovidesageneraloverviewoftheMARSAmbulatoryECGSystemandits
setupprocedure.ForadetaileddescriptionoftheMARSsystem,refertotheMARSV8
Pre-InstallationManual(2083129–001).Foradetaileddescriptionoftheinstallation
procedure,refertotheMARSV8InstallationandUpgradeGuide(2083129–002).

SystemOverview

ThefollowingsectionsprovideanoverviewofMARSAmbulatoryECGSystem.

IntendedUse

TheMARSHolterAnalysisWorkstationisdesignedfortheacquisition,analysis,edit,
review,report,andstorageofambulatoryandmulti-parameterECGdata.

Resultsoftheautomatedanalysisareintendedtoassistthephysicianinthe
interpretationoftherecordeddata.Thisinformationisnotintendedtoserveasa
substituteforthephysicianoverreadoftherecordedECGdata.

2

TheMARSsystemisintendedtobeusedbytrainedoperatorsunderthedirect
supervisionofalicensedhealthcarepractitionerinahospitalorclinicenvironment.

Patientpopulationincludesbothadultandpediatric(greaterthan10Kg)human
patient.

TheMARSsystemprovidestheuserarrhythmiastudiesandHolteranalysiscapabilities.
Dataacquiredmaybeusedforthefollowingindications:

•Evaluationofsymptomsthatmaybecausedbycardiacarrhythmiaand/or

conductiondisturbances.

•Evaluationofsymptomsthatmaybeduetomyocardialischemia.

•DetectionofECGeventsthatalterprognosisincertainformsofheartdisease.

•Detectionandanalysisofpacemakerfunctionandfailure.

•Determinationofcardiacresponsetolifestyle.

•Evaluationoftherapeuticinterventions

•Investigationsinepidemiologyandclinicaltrials.

2083129-004DMARS™V821

SystemOverviewandSetup

GeneralDescription

SystemCongurations

TheMARSAmbulatoryECGSystemisamulti-parameteranalysisandreview
applicationthatcanbeinstalledandrunoncustomer-suppliedsystemsthatmeet
thehardwareandsoftwarespecicationsprovidedintheMARSV8Pre-Installation
Manual(2083129–001).

TheMARSapplicationisavailableinthreebasiccongurationsdesignedtomeetthe
needsandbudgetsofdifferentenvironments:

•Enterprise

Designedforlarge,multi-departmentenvironments,theEnterpriselineoffers
client/serversystemsthatcanacquire,analyze,review,andreportonECGdata
acrossanetwork.TheclientsconnecttoacentralserverthatstoresallECGdata;
intheeventtheserverisunavailable,thecustomercanstorethedatalocally.In
addition,Enterprisemodelssupportthird-partyandexternalsysteminterfaces.
Enterprisesystemsrequireaserverandsupportupto25clients.Enterpriseservers
cannotacquireoranalyzeECGdata.

•Department

Designedforsmallclinicsorsingle-departmentenvironments,theDepartmentline
offersclient/serversystemsthatacquire,analyze,review,andreportonECGdata
acrossanetwork.TheclientsconnecttoacentralserverthatstoresallECGdata;
intheeventtheserverisunavailable,thecustomercanstorethedatalocally.In
addition,Departmentmodelssupportthird-partyandexternalsysteminterfaces.
Departmentsystemsrequireaserverandsupportfromone(1)tove(5)clients.
UnlikeEnterprisesystems,thecustomerscansetuptheDepartmentserverasan
additionalclientanduseittoacquireandanalyzeECGdata.

•Ofce

Designedforsingle-ofceenvironments,theOfcelineoffersstandalonesystems
thatacquire,analyze,review,andreportonECGdataindependently.Theydonot
connectwithotherMARSsystems,soalldataisstoredlocally.Customerscanset
upOfcemodelstoprinttoanysupportednetworkprinterandtostorepatient
reportsonaMUSEsystem.However,theydonotsupportinterfacestoanyother
third-partyorexternalsystems.

22MARS™V82083129-004D

SystemOverviewandSetup

Eachcongurationisavailableinmultiplevariations,eachofwhichprovidesa
differentsetoffeatures.Thefollowingtableidentiestheavailablecongurations,
theirvariations,andtheirstandardfeatures.Availabilitydiffersbyregion.Consult
withyourGEHealthcaresalesrepresentativeforalistofcongurationsandfeatures
availableinyourregion.

Conguration

Servers

Clients

Variations

Enterprise

Enterprisei

Department

Departmenti

DepartmentAdvanced

DepartmentAdvancedI

OfceCorefeatures Standalone

OfceAdvanced

ClientCorefeatures

ClientAdvanced

StandardFeatures

Holteracquisition
EnterpriseplusMonitoringFullDisclosure

acquisition
Corefeatures
DepartmentplusMonitoringFullDisclosure

acquisition
CorefeaturesplusSTAnalysis,QTAnalysis,HRV

Analysis,WaterfallDisplay,andMARStoMUSE
interface

DepartmentAdvancedplusMonitoringFull
Disclosureacquisition

CorefeaturesplusSTAnalysis,QTAnalysis,HRV
Analysis,WaterfallDisplay,andMARStoMUSE
interface

CorefeaturesplusSTAnalysis,QTAnalysis,HRV
Analysis,WaterfallDisplay,andMARStoMUSE
interface

ClientOutreachAcquisitionandreviewonly

ClientCIC

AcquisitionandreviewofCARESCAPECICProor
CARESCAPECentralStationdataonly

Thecustomerisresponsibleforprovidinghardwareandoperatingsystemthatmeet
theMARSsystemrequirementsoutlinedintheMARSV8Pre-InstallationManual
(2083129–001).ConsultwithyourGEHealthcaresalesrepresentativeforalistof
congurationscurrentlyavailableinyourregion.

2083129-004DMARS™V823

SystemOverviewandSetup

SupportedOperatingSystems

Thefollowingtableprovidesahigh-leveloverviewofthesupportedoperatingsystems.

WindowsServer2008(R2SP1)(64-bit)
WindowsServer2008(SP2)(32-bit)
Windows7(SP1)(64-bit)
Windows7(SP1)(32-bit)
Windows8.1(32–bitor64–bit)

1

RunningtheMARSserveronavirtualmachineissupportedonlyonWindowsServer2008
(R2SP1)(64-bit).ItisnotsupportedonWindowsServer2008(SP2)(32-bit).

Foracompletelistofthesupportedoperatingsystemsandancillarysoftware
components,refertotheMARSV8Pre-InstallationManual(2083129–001).

ApprovedSoftware

Servers

1

1

YY
YY

Clients/

Standalone

YYY
YYY

Y

ThefollowingsoftwareisapprovedforuseontheMARSAmbulatoryECGSystem.The
additionofnon-approvedsoftwareprogramsisnotrecommendedorsupported
byGEHealthcare.

CAUTION:

DONOTloadanysoftwareotherthanthatspeciedbyGEHealthcareontheMARS
AmbulatoryECGSystem.InstallationofsoftwarenotspeciedbyGEHealthcare
maydamagetheequipmentorcauselossorcorruptionofdata.

MARSAmbulatoryECGSystemApplication

TheMARSAmbulatoryECGSystemapplicationacquiresECGdatafromelectronicECG
recordersandpatientmonitors.Thesoftwareprovides:

•Multipletechniquesofscanningforcomplexediting.

•Algorithmenhancementformoreprecisebeatandnoisedetection.

•Upto12high-resolutiontrendssimultaneouslyononescreen.

•Pre-conguredstandardnalreports.

•Dualchannelsuperimpositiondisplayedatupto240timesreal-time.

NOTE:

DependingonwhichfeatureswerepurchasedwithyourMARSAmbulatoryECG
System,youmayneedtousetheMARSsoftwareactivatortoactivateafeature
beforeyoucanuseit.SeetheMARSV8Operator’sManual(2083129–003)foralist
offeaturesthatrequireactivationandinformationonhowtoactivatethem.

24MARS™V82083129-004D

CardioSoft/CSDiagnosticSystem

TheMARSAmbulatoryECGSystemisfullycompatiblewiththeCardioSoft/CS
DiagnosticSystems.CardioSoft/CSclientsoftwarecanoperateonaMARSAmbulatory
ECGclientorstandaloneworkstation.TheMARSAmbulatoryECGServerand
CardioSoft/CSServersarequaliedtooperatesimultaneouslyonthesamecomputer.

NOTE:

YoucannotinstallCardioSoft/CSclientsoftwareandCardioSoft/CSserver
simultaneouslyontheMARSAmbulatoryECGServer.

MARSWebServer

TheMARSWebUploadInterfaceallowsremotewebclientstouploadacquisition
informationtotheMARSserverusingtheInternet(viasecureVPN)orthehospital’s
intranet.TheMARSServerandMARSWebServerarequaliedtooperate
simultaneouslyonthesamecomputer.

InSiteExC

InSiteExCisasupportapplicationusedbyGEHealthcaretodeployremoteservices
overtheInternettoequipmentbehindthecustomer’srewall.Itconnectstothe
customer’sexistingoutboundbroadbandInternetconnectionviaaVPNtunnel,utilizes
128–bitSecureSocketLayer(SSL)encryption,andcomplieswithexistingrewall
rulesandWebproxies.

SystemOverviewandSetup

SupportforVirtualMachines

GEHealthcareServiceResponsibilities

AccesstothesystemisrestrictedtoauthorizedGEpersonnelonly.Toensurethatonly
qualiedandtrainedengineerscanaccessthesystem,authorizedGEHealthcare
userswillberequiredtologonwithusernameandpasswordauthentication,andall
userandsysteminteractionswillbelogged.GEHealthcarepersonnelcomplywithall
patientprivacyregulationsasdenedbyapplicablegovernmentagencies.

TosetupandconguretheInSiteExCconnection,thecustomer’sproxyserver
information—suchasIPaddress,portnumber,andauthenticationprotocols—is
required.

MARSserversandMARSWebserverscanberuninvirtualenvironments.However,
MARSclients,MARSWebclients,andstandaloneworkstationscannotberuninvirtual
environments;theymustberunonphysicalPCs.

NOTE:

DoNOTinstalltheMARSserveronavirtualmachinewithintheCARESCAPE
InformationExchange(IX)network.TheMARSservercanbeinstalledonavirtual
machineonlyifitresidesontheEnterprisenetwork;theCARESCAPEIXnetwork
doesnotsupportMARSserversthatareinstalledonvirtualmachines.

GEHealthcareServicesupportstheMARSHoltersystemrunningontheWindows
operatingsystemsasstatedinthisguide,regardlessofwhetherthatoperatingsystem
isinstalledonaphysicalorvirtualmachine.However,GEHealthcaredoesnotprovide
supportfortheinstallationorcongurationofthevirtualenvironmentorforany
featuresetprovidedaspartofthatenvironment,suchashighavailability,failover
clusters,orSAN.Toresolveissuesspecictothevirtualenvironment,thecustomer
mustcontactthevirtualmachinesoftware’svendor.

2083129-004DMARS™V825

SystemOverviewandSetup

CustomerResponsibilities

GEHealthcareServicereservestherighttorequesttheVM’svirtualhardware
congurationandtorequesttheallocationofadditionalCPUcoresormemoryto
resolveperformance-relatedissues.

CustomersareresponsibleforthefollowingwhenoperatingtheMARSHoltersystem
inavirtualenvironment:

•Providingvirtualmachines(VMs)thatmeetorexceedthephysicalhardware

requirementsforservers,asspeciedintheMARSV8Pre-InstallationManual.

•ProvidingvirtualizationsoftwarethatsupportstheMARSandMARSWebserver

operatingsystemsandservicepacks,asspeciedin“SupportedOperating

Systems”onpage24.

•ProvidingaUSBredirectapplicationonvirtualmachinesthathousetheMARS

server,toallowtheservertoaccesstheUSBdongleusedtoauthenticatetheMARS
system,asdescribedinAppendixB,“DongleDrivers”.

NOTE:

Thisisnotrequirediftheselectedvirtualizationsoftwarenativelysupports
USBredirection.

•Completingthesetupandcongurationofthevirtualmachine(s)onwhichthe

MARSserverand/orMARSWebserverwillbeinstalledpriortothearrivaloftheGE
Healthcareinstallationengineer.

SystemSetup

ThefollowingsectionsoutlinethebasicprocedureforsettinguptheMARSclient-server
andstandaloneworkstations.Whennecessary,youareinstructedwheretolookfor
additionalinformation.

VerifyingAppropriateVoltage

WARNING:

CURRENTLEAKAGE—Electricalshockcouldresultfromcomponentfailureand
lackofpowerisolation.

TheMARSsystemisnotintendedforuseinthepatientvicinity.Intheevent
thissystemisusedinthepatientvicinity,itmustbeconguredinsuchaway
thatitandallofitselectrically-connectedperipheraldevicesareisolatedfrom
mainspowertopreventexcessiveleakagecurrenttothepatient.Allnon-medical
peripheraldevicesshallcomplywithIECandISOsafetystandardsthatare
relevanttothatequipment(i.e.,IEC60950,UL60950).

UseoftheSEERLightConnectdeviceinthepatientvicinityrequiresthatthese
measuresbeobserved.

Tominimizetheriskofcurrentleakageandpotentialelectricshock,dothefollowing:

•VerifythevoltageofthepowersourcewheretheMARSAmbulatoryECGSystemwill

belocatedisappropriateforyourgeographicarea(115Vor230V).

•VerifythePConwhichyouwillinstalltheMARSapplicationissetforthecorrect

voltage.
ThepowersuppliesofsomePCareequippedwithavoltageswitchthatallows
userstotogglethepowersupplybetween115Vand230V.Ifyoursystemhassucha

26MARS™V82083129-004D

powerswitch,conrmitissettothecorrectvoltageforyourpowersource.Failure
tosetthevoltageswitchtotheproperinputvoltagemayresultindamagetothe
unitwhenconnectedtoapowersource.
Ifyoursystemdoesnothaveavoltageswitch,verifyinthemanufacturer’smanual
thatthepowersupplyautomaticallydetectsthepowerlinevoltagebeforeyou
connectittothepowersource.

ConnectingtheEquipmentandPeripherals

UsethefollowingguidelinesforconnectingtheMARSSystem.Customersare
responsibleforallhardwareconnections.Thefollowingconnectionguideprovides
generalinformation.Formoredetailedportandconnectioninformation,refertothe
manufacturer’smanual.

CongurationInterconnections

DeviceConnection

KeyboardandMouseConnecttoappropriateportsontheMARSworkstation.

SystemOverviewandSetup

Monitor
SecurityKey(dongle)ConnecttoaUSBportontheMARSworkstation.

SEERLightConnector
SEER1000or
Multi-cardReader

Printer

ProtectingAgainstViruses

ThecustomerisresponsibleforinstallingantivirussoftwareiftheMARSsystemwill
beconnectedtoanetwork.Thesoftware’sautomaticprotectionoptionshouldbe
enabled,anditsvirusdenitionsmustbekeptcurrent.Discussvirusprotectionwith
thehospitalInformationSystems(IS)departmentbeforeinstallingthesystemona
network.

ConnecttotheappropriatevideoportontheMARSworkstation.

ASecurityKeyisrequiredforinstallationanduseoftheMARS
application.

NOTE:

IfinstallingMARSonavirtualmachine,thesecuritykey
driversmustbeinstalledonthesystemwherethekey
physicallyresides.SeeAppendixB,“DongleDrivers”,for
details.

ConnecttoaUSBportontheMARSworkstation.

•Connecttotheappropriateconnection(USBorparallel)on
theMARSworkstation

•ConnecttoanACpoweroutlet.

AlthoughGEdoesnotprovideantivirussoftware,theMARSsystemwastestedwith
NortonAntivirusCorporateEditionv10andMcAfeeVirusScanPlus2009.Other
antivirusproductsmaybeused,aslongastheyarequaliedfortheoperating
systemandservicepackonwhichtheyareused.However,GEcannotguaranteefull
compatibilitywithotherantivirusprogramsandreservestherighttorequestthat

2083129-004DMARS™V827

SystemOverviewandSetup

InstallingtheMARSApplication

antivirussoftwarebeturnedoffasneededtotroubleshootordiagnoseproblems
affectingtheMARSsystem.

NOTICE:

AVOIDANCEOFERRORS—Toavoidpossibleerrorsduringtheinstallation,disable
anyantivirussoftwarebeforestartingtheMARSInstallation.
ToavoidpossibleerrorswhileusingtheMARSinstallation,congureyourantivirus
softwaretoexcludethefollowinglocations:C:\gemsit,itssub-folders,andyour
archivetargetfolders.

Ifyourantivirussoftwaresupportstheexclusionofprocesses—suchasMicrosoft
ForefrontClientSecurity,MicrosoftForefrontEndpointProtection,Microsoft
SecurityEssentials,andKasperskyAnti-Virus—congureittoexcludethefollowing
processes:

•C:\gemsit\opt\MarsNT\bin\ekpro.exe

•C:\gemsit\opt\MarsNT\bin\ekpro_srvr.exe

•C:\gemsit\opt\MarsNT\bin\superapp.exe

Aftertheequipmentisconnectedandantivirussoftwareinstalled,installtheMARS
AmbulatoryECGSystemapplication.

Ifyouareinstallingtheapplicationforthersttime,orifyouareupgradinganearlier
versionoftheapplication,refertotheMARSV8InstallationandUpgradeGuide
(2083129–002).

Ifyourebuildinganexistingsystem,seeChapter7,“SystemRebuild”.

ConnectingtotheNetwork

AftertheMARSapplicationhasbeeninstalled,youarereadytoconnecttheMARS
clientsandserverstothenetwork.Fordetails,seeChapter3,“NetworkSetup”.

VerifyingtheInstallation

ThenalstepinsettinguptheMARSAmbulatoryECGSystemistoverifyitwas
installedcorrectly.Fordetails,referto“VerifyingtheInstallation”intheMARSV8
InstallationandUpgradeGuide(2083129–002)..

28MARS™V82083129-004D

NetworkSetup

Thischapterdescribesthesharingandsecuritysettingscreatedbydefaultduringthe
MARSinstallation,explainshowtoadduserstothedefaultusergrouporhowtoadd
theMARSsystemtoanexistingdomain,andtellsyouonwheretondinstructionsto
conguretheMARSclientsforconnectingtotheMARSserver.

FolderSharingandSecurity

DuringMARSinstallation,thefollowingdefaultaccountsandfoldersharesarecreated:

DefaultAccounts

3

AccountTypeAccountName

LocalUsers

LocalUserGroups

DefaultFolderSharingandSecurityPermissions

MARS
SystemFolderGroup/AccountPermissionsGroup/AccountPermissions

\gemsit

Server

Standalone

\gemsit\reports

\gemsit\reports

NOTE:

FormoreinformationabouttheMUSEbkgndaccount,see“TheMARStoMUSE

Option”onpage36.

GEService

MUSEbkgnd

MARSWORKGROUP

SharingSecurity

MARSWORKGROUP

MUSEbkgndFullControl

MUSEbkgndFullControlMUSEbkgndFullControl

Description

ForGEremotesupportaccess(addedtolocal
AdministratorsGroup)

ForMARStoMUSEcommunication
IncludesMARSuserswhorequireaccesstothe

MARSfoldershares

FullControl

MARSWORKGROUP

MUSEbkgnd
MARSWORKGROUP

FullControl

FullControl

2083129-004DMARS™V829

NetworkSetup

SettingUpClientNetworkAccess

Inaclient-serverconguration,allMARSusersloggedinataMARSworkstation
requireaccesstothe\gemsitfolderontheMARSserverwheretheMARSslotand
reportlesaresaved.

Whenconguringaclient-serversystem,youneedtoperformtwotaskstosetup
networkaccessontheclient:

•ConguretheOSnetworksettingsontheclientandtheserver.

•ConguretheMARSnetworksettingsontheclient.

ConguringtheOSNetworkSettings

TheMARSinstallationprogramdoestwothingstofacilitatenetworkaccessbetween
clientsandserver:

•Onservers,clients,andstandalonesystems,itcreatesaWindowsusergroup
namedMARSWORKGROUP,whichprovidessecureclientaccesstotheserver's
driveshare.

•Onservers,itcreatesadrivesharecalledx:\gemsit,wherex:istheMARS
installationdriveletter.
Onadefaultinstallation,xistypicallyc:\.Thisdrivesharegrantsread,write,and
executepermissionstoanymemberoftheMARSKWORKGROUP,allowingthe
clientstoreadandwritepatientdataontheserver.

Inordertotakeadvantageoftheusergroupanddrivesharetoallowclientstoaccess
dataontheserver,allusersoftheclientmustbemembersoftheMARSWORKGROUP
onboththeclientandserver.Therearetwomethodstoachievethis:

•ManuallyaddinguserstotheMARSKWORKGROUPonboththeclientsandthe
servers.

•JoiningtheMARSsystemtoadomain.

Bothoptionsaredescribedinmoredetailinthefollowingsections.

NOTE:

Formaximumsecurity,athirdoptionisavailable:thecustomercanlimitdrive
shareaccessbychangingthesharepermissionsforthe\gemsitfolderfor
individualusersratherthanfortheentireMARSWORKGROUPordomain.

AddingUserstoMARSWORKGROUP

WhenyoumanuallyaddausertotheMARSWORKGROUPonboththeMARSclient
andMARSserver,theusernameandpasswordmustmatchexactlyonbothsystems.
Anydiscrepancywillpreventthatuserfromaccessingthedataontheserver.

ThismethodisnotascomplicatedasjoiningtheMARSsystemtoadomain,butitis
morelaborintensive:itrequiresyoutomaintainusersinmultiplelocations.Each
timeyouaddormodifyauseraccountonaclient,youmustaddormodifythe
correspondingaccountontheserver.

RefertotheWindowsdocumentationforinstructionsonhowtoadduseraccountsto
ausergroup.Applyallchangestoboththeclientandtheserver.

30MARS™V82083129-004D

JoiningtheMARSSystemtoaDomain

ThismethodismorecomplicatedthanusingtheMARSWORKGROUPandlocal
accounts,butitislesslaborintensive:itallowsyoutomaintainusersinasingle
location—thedomaincontroller.Anychangestouseraccountsonthedomain
controllerarereectedonboththeserverandallclientsonthedomain.Italso
reducestheopportunityforconictsbetweentheclientsandtheserver.Thefollowing
processassumesthatthecustomeralreadyhasadomaincontrolleronthenetwork.

TheprocessofjoiningtheMARSsystemtoadomainconsistsofthefollowinggeneral
tasks.RefertotheWindowsdocumentationfordetailedinstructionsforeachtask.
Workwiththelocalsystemadministratortomodifythesite'sdomaincontrolleras
necessary.

1.AddallMARSuseraccountstothedomaincontroller.

Theseuserswillbeabletoaccessanycomputerthatallowsaccesstothedomain.

2.AddtheMARSserverandclientstothedomain.

Thisallowsanymembersofthedomaintoaccessboththeclientandtheserver.

NOTE:

Youmayalsowanttoaddstandalonesystemstothedomainifyouplanto
exchangeinformationwithaMUSEsystem.

NetworkSetup

3.AddalltheMARSdomainuseraccountstotheMARSWORKGROUP.

Thisusergrouphasread-writepermissionstothe\gemsitsharedfolder .

4.Verifythatusersontheclientcanview,select,andeditpatientrecordsonthe

server.
ThisconrmsthattheMARSsystemwassuccessfullyjoinedtothedomain.Refer
totheMARSV8OperatorsManual(2083129–003)forinstructionsonhowtoview,
select,andeditpatientrecords.

ConguringNetworkSettingsonMARSClients

MARSclientsneedtoknowthenameorIPaddressoftheMARSServer.Thisis
conguredoneachclient.RefertotheMARSV8Operator'sManual(2083129–003)for
moreinformationonnetworksetupforclients.

NOTE:

WhileyoucancongureaclientformultipleMARSservers,itcanonlyconnectto
anddisplaytheinformationfromoneserveratatime.

2083129-004DMARS™V831

NetworkSetup

32MARS™V82083129-004D

TheoryofOperation

ThischapterdescribesthefoldersandservicesthatarecreatedwhentheMARS
applicationisinstalledandprovidesanoverviewoffouroptionalfeatures:MARSto
MUSECommunication,CICInterface,andWebUpload.

MARSFolderStructure

DuringtheMARSinstallation,theinstallercreatesthe\gemsitfolderontheselected
destinationdrive,typicallydrivec:.Withinthe\gemsitfolder,thefollowing
sub-foldersarealsocreated:

\GemsitFolderStructure

4

Sub-Folder

AcqBackup

IdtIncludeslesneededtosupportMARSWeb.Formoreinformation,see

Opt
reports

ScratchHoldsatemporarycopyofSlotFileduringanalysis.
slotsStorespatientHolterandmonitoringdataacquiredbytheMARS

var

XmlNotcurrentlyused.

Description

Temporaryfolderusedduringacquisition/analysistobackupcorrupt
les.

“TheWebUploadOption”onpage42.

HoldstheMARSBinaryApplicationles.
StorestheMARSHolterReports.Formoreinformationsee“Reports

Folder”onpage34.

System.Formoreinformationsee“SlotsFolder”onpage34.
StoresMARSconguration,setup,andlogles.

2083129-004DMARS™V8

33

TheoryofOperation

ReportsFolder

SlotsFolder

The\reportsfolderstorestheHolterreportsforallpatientsstillactiveontheMARS
system.Whenapatientisdeleted,anyreportsassociatedwiththatpatientarealso
deleted.Thereportfolderislocatedatc:\gemsit\reports.

Ifpurchased,theMARStoMUSEoptioncanbeusedtopermanentlystorereports
onaMUSEsystem.

SlotlesstorethepatientdataacquiredbytheMARSsystem.Slotlesizesare
dynamic,withnewslotlesstartingat16KBandgrowinginsizetoaccommodatethe
databeingacquired.ThisdiffersfromearlierversionsofMARS,whichusedstaticslot
lessizes.Theslotfolderislocatedinc:\gemsit\slots.

Followingisalistofslotletypesandtheirassociatedlenamingconventions:

SlotFileTypesandNames

SlotFileTypesDevicesAcquiredFromSlotFileNames

AcquiredMonitoringSlotCIC(dataanalyzedbyMARS)Acquiredslot0.h72c9.nat
RawMonitoringSlotCIC(storedinitsrawstate)Monslot0.h72c.nrt
SEERSlotSEER12,SEERLight,SEERLight

Extend,SEERMC,SEER1000

TapeSlot

1Tapeacquisitionhardwareisnolongersupported,butyoucanimportarchivedtapedataintotheMARSsystem.

1

Tape

Seerslot0.s48.nat

Tapeslot0.h48c3.nat

OnaMARSserverorstandalonesystem,theuserselectsthenumberandtypeofslots
theywanttocreateduringtheMARSinstallation.TheMARSinstallerlimitsthetotal
numberofslotlesyoucancreateto300.WhiletheMARSsystemcanaccommodate
morethanthisnumber,theMARSuseroradministratorshouldbeawarethatalarge
amountofslotscanincreasetheamountoftimeittakestodisplaythePatientSelect

List.Thisismoreapparentonclientsthatmustpollacrossthenetworktoobtainthe
PatientSelectListfromtheserver.Toincreasethenumberofslotles,orchangethe

slotletypeaftertheinitialinstallation,seeAppendixA,“SlotFileToolUserGuide”.
OnMARSclients,20slotsofeachtypeareautomaticallycreated.Theslotlesonthe

clientareonlyusedwhenconnectivitytotheMARSserverislost.Thisallowstheuser
tocontinuetoacquire,store,andreviewdatalocallyuntilconnectiontotheserver
isreestablished.Oncetheconnectionisrestored,theuserispromptedtotransfer
theacquireddatatotheserver.

Theslotfolderincludesadiskman.datlethatcontainsanindexofactiveslotlesand
reports.Anytimenewpatientdataisacquired,apatientisdeleted,oraHolterreportis
saved,thesystemupdatesthediskman.datle.Themars_creatediskmandatservice
readsthediskman.datlewhentheapplicationstarts,andintermittentlythereafter,
andusestheinformationitcontainstogeneratetheMARSPatientSelectList.

NOTE:

WhenpatientsaredeletedfromMARS,thesystemdoesnotimmediatelydelete
theinformationfromthele.Instead,itmarkstherecordasavailableinthe
diskman.datle.Thesystemoverwritestherecordwhennewdataisacquired.

34

MARS™V82083129-004D

TheoryofOperation

MARSServices

DuringtheMARSinstallation,thefollowingservicesarecreated:

MARSServices

ServiceDescriptionOptionReq'dServerClientSingle

MARS.IDT.SlotFileCopierChecksforpatientdatathatwas

uploadedtotheMARSWebserver.

mars_cicbedsyncAccessestheCARESCAPEIXnetwork

tokeepthelistofselectedbeds
currentinMARS.

mars_clientpingUnlocksopenpatientles,ifthe

clientusingthemgoesdown.

mars_creatediskmandatInitializesthepatientlistand

periodicallyupdatestokeepthe
listcurrent.Thisservicerunsonce
uponsystemstartupandthenexits.
Itisresponsibleforcreatingthe
diskman.datle.

mars_EkproSvrLaunchesreanalysisofdatawhen

requestedbyclient.

mars_monacqmon

mars_musesrvr

Updatestheciclimit.inileto
restorethecorrectMARS-CIC
acquisitionentriesintheevent
theconnectionbetweentheMARS
serverandclientfails.

SendspatientreportstoaMUSE
system.

WebUpload

CICInterface

CICInterface

MARStoMUSE

X

X

XX

XX

XX

X

XX

Whilealltheseservicesarecreatedduringinitialinstallation,servicesthatrequirethe
purchaseandactivationofanoptionalfeature(mars_musesvr,mars_cicbedsync,
mars_monacqmon,andMARS.IDT.SlotFileCopier)areinitiallystoppedandtheir
startuptypeissettoManual.ActivationofanoptioninMARSstartsitsserviceand
changesitsservicestartuptypetoAutomatic.

Formoreinformationabouttheoptionsassociatedwiththeseservices,refertothe
followingtopics:

•“TheMARStoMUSEOption”onpage36

•“TheCICInterfaceOption”onpage36

•“TheWebUploadOption”onpage42

2083129-004DMARS™V8

35

TheoryofOperation

TheMARStoMUSEOption

IfyoupurchasetheMARStoMUSEoption,youcanconguretheMARSsystemto
saveHolterrecordstoaGEHealthcareMUSEsystem.Thisrequiresthattheuser
accountconguredtostartthegeneracqserviceontheMUSEserverhavereadand
writeaccesstothe\gemsit\reportsshareontheMARSserverorstandalone
workstation.

Bydefault,theMUSEBkgndaccountontheMARSserveralreadyhasallthenecessary
permissionstothe\gemsit\reportsshare.Theeasiestwaytograntthe
appropriatepermissionstotheuseraccountconguredtostarttheMUSEgeneracq
serviceistocreatealocalaccountontheMUSEserverwiththesameusernameand
passwordastheMUSEBkgndaccountontheMARSserver.

Iftheaccountnameorpasswordischangedoneithersystem,theMARStoMUSE
optionwillbreak.Therefore,itisnecessarytoduplicateanychangestotheaccount
onbothsystemstoensuretheoptioncontinuestowork.

NOTE:

DonotmodifythegeneracqlogonaccountontheMUSEsystemtomatchthe
MUSEBkgndaccountontheMARSsystem.Youmustalwaysmodifytheaccount

ontheMARSsystemtomatchtheaccountontheMUSEsystem.

IfyouchoosetouseadomainaccountfortheMUSEgeneracqserviceinstead,you
mustensurethatthedomainaccounthasaccesstothe\gemsit\reportsshare
(see“FolderSharingandSecurity”onpage29).

TheCICInterfaceOption

TheCICInterfaceoptionallowstheMARSsystemtoacquirefulldisclosure(FD)data
frombedsidemonitorsconnectedtotheGEHealthcareCARESCAPEMonitoring
Network.ThedatacollectedfromthebedsidemonitorsarestoredonaCentral
InformationCenter(CIC)thatresidesontheCARESCAPEInformationExchange(IX)
network.MultipleCICsmayresideonthesameIXnetwork.

FollowingisanoverviewoftheMARS-CICworkow:

1.TheMARSclientrequestsalistofavailablebedsfromaCIC.

2.OntheMARSclient,theuserselectsfromthelistwhichbedstomonitor .

3.TheMARSclient’smars_cicbedsyncservicepollstheCICatregularintervalsfor

patientinformationandavailableFDdatafortheselectedbeds.

4.OntheMARSclient,theuserselectsthebed(s)fromwhichtoacquiredata.

5.TheMARSclientrequeststheFDdatafromtheCICwherethedataisstored.

6.TheCICtransfersthestoredFDdatatotheMARSclient.

7.TheMARSclienttemporarilystoresandcompressestheFDdata.

8.TheMARSclienttransfersthecompressedFDdataletotheMARSserver,where

itisavailableforreviewbyallMARSclients.

ThefollowingsectionsprovidemoredetailabouttheCICInterfacerequirements,
networkconnectivity,andrestrictions.

36MARS™V82083129-004D

RequirementsforUsingtheCICInterface

BeforeyoucanusetheCICInterface,certainrequirementsmustbemetbyboththe
CICandMARSsystems.

ThefollowingrequirementsmustbemetbyeachCICthatwillprovideFDdatato
theMARSsystem:

•ItmustbeaCICProV5.1orCARESCAPECentralStationV1.

•Itmustbelicensedforfulldisclosure.

•Itmusthaveatleast10minutesofstoredFDdata.

Formoreinformation,refertothedocumentationthataccompaniedyourCICPro
orCARESCAPECentralStationsystem.

ThefollowingrequirementsmustbemetbyeachMARSclientthatwillacquireFD
datafromtheCIC:

•TheclientmusthaveadequatediskspaceforthevolumeofFDdatatobeacquired.
WhentheclientdownloadsFDdata,ittemporarilycompressesandstorestheles
locallybeforeuploadingthemtotheserver.Theclientmusthaveadequatefree
spaceforthatdata.FormoreinformationaboutthesizeofFDdatalesandtheir
compressionratio,see“DataFileSizes”onpage37.

TheoryofOperation

DataFileSizes

NetworkConnectivity

•TheclientmustbeconnectedtotheCARESCAPEIXnetwork.
YouhavetwooptionsforconnectingtheMARSclienttotheCARESCAPEIXnetwork.
See“NetworkConnectivity”onpage37foradescriptionofeachoption.

•TheCICInterfaceoptionmustbeactivatedandconguredontheclient.
ThisenablestheclienttobeginacquiringFDdatafromtheCIC.Formore
information,see“ActivatingandConguringtheCICInterface”onpage38.

FullDisclosuredatalesizevariesdependingonthenumberofchannelsandthe
numberofhoursacquired.OntheCIC,afull76–hourFDdatalecanbe1.0to1.5GB,
whilea24–hourFDdataleisapproximatelyone-thirdthatsizeat341to512MB.

WhenMARSclientacquiresFDdatafromtheCIC,itcompressestheleandstoresitin
theMARSSlotFilefolderontheMARSserver.Whiletheamountofthecompression
variesdependingonthequalityandconsistencyofthedata,itisapproximately
one-halftheoriginallesize.So,thestoragerequirementswouldrangefrom
approximatelyfrom170–256MBfora24–hourrecordto512–768MBfora76–hour
record.Keepthatinmindwhensizingyourdiskdrive.

TheMARSclientsthatacquiredatafromtheCICcanresideoneitherthehospital’s
EnterpriseNetworkorontheCARESCAPEIXnetwork.

•MARSclientsontheCARESCAPEIXnetwork

2083129-004DMARS™V8

37

TheoryofOperation

ClientsontheIXnetworkcancommunicatedirectlytotheCIC,buttheyrequire
aroutertocommunicatetotheMARSserver,whichistypicallyinstalledonthe
HospitalEnterpriseNetwork.Datatransferonthisnetworkconsistsof:

•FDdatatransferredfromtheCIC(s)totheMARSclientovertheIXnetwork.

•AcquireddatatransferredfromtheMARSclientthroughtheroutertotheMARS

severontheEnterprisenetwork.

•MARSclientsonhospital’sEnterprisenetwork
ClientsontheEnterprisenetworkcancommunicatedirectlytotheMARSserver,but
theyrequirearoutertocommunicatetotheCIContheIXnetwork.Datatransferon
thenetworkconsistsof:

•FDdatatransferredfromtheCIContheIXnetworkthrougharoutertotheMARS

clientontheEnterprisenetwork.

•AcquireddatatransferredfromtheMARSclienttotheMARSserveracrossthe

Enterprisenetwork.

MARSworkstationsrequiringrouteraccesstoeithertheIXnetworkortheMARSserver
needadefaultgatewayaddressandsubnetmaskassigned,dependingonhowthe
networkdesignisimplemented.Forexample,iftheMARSworkstationisontheIX
network,itneedsaccesstotheMARSserverontheEnterprisenetwork,andtheMARS
serverontheEnterprisenetworkneedsaccesstotheMARSworkstationontheIX
network.Thisisshowninthefollowingdiagram:

Inthisexample,theMARSclientrequiresadefaultIPaddressforGateway1andthe
MARSserverrequiresadefaultaddressforGateway2.

ActivatingandConguringtheCICInterface

ActivatingtheCICInterfaceoptionisdoneontheSystem:SoftwareActivatorSetup
windowandenablestheCICservicesthatwereinstalledwiththeMARSapplication.
ConguringtheCICInterfaceoptionisdoneontheSystem:CICConguration
windowandidentiestheIPaddressesoftheCICsandMARSserverswithwhichthe
MARSclientwillcommunicate.Forinformationonbothprocesses,refertotheMARS
V8Operator’sManual(2083129–003).

38MARS™V82083129-004D

DescriptionoftheCICServicesandFiles

AftertheCICInterfaceisactivatedandcongured,itusesseverallesandservicesto
initiateandtrackcommunicationwiththeCIC.Thefollowingtableprovidesadditional
informationaboutthoselesandservices:

TheoryofOperation

Item

PrimaryMARSserver

SecondaryMARSserverAnyMARSservernotdesignatedasprimary.Secondary

ciclimit.iniStoredontheprimaryMARSserver,thislecontains

Description

TheMARSserverthatcontainstheciclimit.inile.Onlyone
primaryservercanexist.

serverscontainthecic.inile.Anynumberofserversmay
bedesignatedassecondary.

informationabouttheMARSclientscurrentlyconnectedto
eachCIC.Thisleisautomaticallyupdatedasconnections
openandclose.Followingisanexampleofanentryinthe
le:

3.62.121.1=“MARSCLIENT02”“MARSCLIENT03”
“MARSCLIENT05”

ThisentryindicatesthatthreeMARSclients(MARSCLIENT02,
MARSCLIENT03,andMARSCLIENT05)areconnectedtothe
CICat3.62.121.1.

NOTE:

IftheconnectionbetweenaMARSclientandtheserver
islost,theclientwillnotbeabletoaccessthisle.Inthis
case,theclientwillnotbeabletoinitiatecommunication
withtheCICuntiltheconnectionwiththeserveris
reestablished.Ifadownloadisinprocesswhenthe
connectionislost,thedatawillbestoredlocallyonthe
client.

cic.ini

StoredoneachsecondaryMARSserver,thislecontains
anentrylabeledCIC_PrimaryServer,whichthesecondary
serversusetoidentifytheIPaddressoftheprimaryMARS
serversotheycanlocatetheciclimit.inile.

NOTE:

ThisinformationisenteredviatheSystem:CIC
CongurationwindowwithintheMARSapplication.

Manualentryofdatainthisleisnotneededor
recommended.

2083129-004DMARS™V839

TheoryofOperation

Item

mars_cicbedsyncThisserviceisinstalledoneachMARSclientthatacquires

mars_monacqmon

Description

datafromaCIC.ItpollstheCIContheIXnetworkusing
Port9001atregularintervalsandreturnsthefollowing
informationforallbedswithavailableFDdataonthe
SelectedBedList:

•Nameofcareunit

•Bednumber

•Patientname

•PatientID

•Starttime(startofavailableFDdata)

•Endtime(endofavailableFDdata)

•Status(admittedordischarged)
BedswithnoavailableFDinformationarenotdisplayedin

theMARSsystem.
ThisserviceisinstalledoneachMARSclientthatacquires

datafromaCIC.Itperiodicallydetermineswhethertheclient
isconnectedtoaCICandeitheraddsordeletesanentry
intheciclimit.inileasnecessarytoensurethatthele
accuratelyreectsthecurrentCICconnectionstatus.

Forinformationonconguringthisservice,referto

“ConguringtheCICMonitoringService”.

ConguringtheCICMonitoringService

WhenyouactivatetheCICInterface,themars_monacqmonserviceissettostart
automatically.Bydefault,theservicerunsusingtheLocalServiceaccount.Because
theservicemonitorsconnectionsbetweentheMARSclientsandCICsandupdatesthe
ciclimit.inile,theservicemustbemodiedtorunusinganaccountwithreadand
writeaccesstothenetworksharewheretheciclimit.inileislocated.

ThefollowingproceduremustbeperformedoneachMARSclientthatwillbeset
uptoacquireFDdata.

1.Fromthesystemdesktop,selectStart>Run.

TheRundialogboxopens.

2.Typeservices.mscandpressEnter.

TheServiceswindowopens.

3.Locatethemars_monacqmonservice,right-clickonit,andselectProperties

fromthepopupmenu.
TheMARS_MONACQMONPropertiesdialogboxopens.

4.SelecttheLogOntab.

5.SelecttheThisAccountradiobuttonandenterthenameandpasswordofthe

accountthisserviceshouldusetologon.
ThelogonaccountmustbeauserwithFullControlpermissionsunderboth

theSharingandSecuritytabsforthe\gemsitfoldershareontheMARS
server.Anyaccountcanbeused,includingadomainaccount,aslongasthe

40MARS™V82083129-004D

TheoryofOperation

correctpermissionshavebeensetandtheaccountandpasswordexiston
boththeclientandtheserver.Itisrecommendedthatthesameaccountused
bythemars_monacqmonserviceonallclientsandthatitbeaddedtothe

MARSWORKGROUPusergroupontheMARSserver.Duringinstallation,the
MARSWORKGROUPusergroupisgiventhecorrectpermissionstothe\gemsit

foldershare.

6.Afteryouentertheusernameandpassword,clickOK.

7.ClickOKforanymessagesthatopen.

8.Restartthesystem.

9.ConguretheMARSclients.

RefertotheMARSV8SystemOperator'sManual(2083129–003)forinformation
onconguringtheclients.

CICPerformance

ExcessiveconnectionsbetweenMARSclientsandasingleCICunitcouldpotentially
affecttheperformanceoftheCICunit.Therefore,theMARSsystemimplementstwo
methodstolimitanegativeimpactonCICperformance.

CICConnectionLimits

CAUTION:

GEHealthcareprovidesnetworkservicestorecommendanappropriatenetwork
designtoensuretheperformanceoftheIXnetworkandtheCIC.DONOTconnect
additionalMARSclientstotheIXnetworkwithoutrstreviewingtheirimpactto
networkandCICperformancewithGEHealthcare.

TheCICInterfacelimitsthenumberofconcurrentconnections:nomorethanthree
(3)MARSclientscanconnecttoasingleCICunitconcurrently.BeforeaMARSclient
caninitiateadownloadfromaCIC,itmustverifythatitwillnotexceedthemaximum
numberofconnectionsforthatCIC.

Tomonitortheseconnections,theMARSsystemusesalecalledciclimit.ini,
locatedinthe\gemsit\var\MarsNT\systemdirectoryontheMARSserver.Forlarge
installationwithmultipleservers,oneisdesignatedastheprimaryserverandtherest
aredesignatedassecondaryservers.Theciclimit.inileisstoredonlyontheprimary
MARSserver;thesecondaryserverscontainalecalledcic.ini,whichidentiestheIP
addressoftheprimaryserver.

BeforeaMARSclientacquiresdatafromaCIC,itopenstheciclimit.inileandcounts
thenumberofMARSclientsalreadyconnectedtotheCIC.Ifthenumberofconnected
clientsisalreadyatthelimit,amessagedisplaysontheclientindicatingthatthelimit
hasbeenreached.Ifthenumberofconnectedclientsdoesnotexceedthelimit,the
clientaddsitsnametotheentryforthatCICandbeginsthedownload.Whenthe
downloadiscomplete,theMARSclientopenstheciclimitl.inileandremovesits
namefromtheentryforthatCICtofreeupthatCICforanotherconnection.

IftheconnectionbetweenaMARSclientandserverislost,theMARSclientwillnotbe
abletoupdateitsentryintheciclimit.inile.Tocorrectthis,themars_monacqmon
servicerunsperiodicallyoneachclientandupdatestheciclimit.inileappropriately
whentheclient/serverconnectionisrestored.

2083129-004DMARS™V841

TheoryofOperation

NetworkUsage

InadditiontolimitingthenumberofconcurrentMARSconnectionstoasingleCIC,the
CICInterfacealsocontrolstheowofFDdatatoconnectedMARSclients.

IfmultiplebedsareselectedforacquisitionfromasingleMARSclient,thedatais
acquiredsequentially.Thatis,thesecondbedisnotacquireduntiltherstbed
completes.Whilenetworkusageislonger,theamountofnetworkbandwidthused
isthesameasasinglebedacquisition.

IftwoormoreMARSclientsareacquiringbeddatafromdifferentCICsatthesame
time,thedataisacquiredsimultaneously.Thisusesalargeramountofnetwork
bandwidththanacquiringfromasingleCIC.

DuetothelargesizeofFDlesbeingtransmitted,ifmorethanoneMARSworkstation
isaccessingtheIXnetworkatthesametime,networkswitches,routers,andtrunks
mustbesizedcorrectlytohandletheadditionaltrafc.

TheWebUploadOption

TheWebUploadInterfaceisaMARSoptionthatallowsremoteclientstoacquireHolter
dataanduploadittoacentralMARSWebServer.WhentheMARSServerdetectsnew
HolterdataontheMARSWebServer,itcopiesthedataforanalysis,reporting,and
archiving.TheMARSWebUploadInterfaceisintendedtobeusedbyfacilitiesthatdo
nothavethepersonnel,resources,orbudgettoconducttheirowndataanalysis.

MARSWebUploadComponents

Thefollowingsectionsprovideahigh-leveloverviewortheMARSWebUploadOption.
Fordetailedinstallationinstruction,operatinginstructions,andtroubleshooting
assistance,,refertotheMARSV8WebServerInstallationManual(2083129–005)and
MARSV8WebClientOperatorManual(2083129–006).

TheMARSWebUploadInterfaceconsistsofthreemaincomponents,eachofwhich
performadifferentstepintheprocess:

1.MARSWebClient:AcquiresdataattheuserPCandtransmitsdatatotheMARS

WebServer.

2.MARSWebServer:ReceivesdatafromtheuserPC.

3.MARSServer:CopiesdatafromtheMARSWebServertotheMARSServer.

NOTE:

TheMARSWebservercanbephysicallyinstalledonthesamePConthe
MARSserver.

42MARS™V82083129-004D

TheoryofOperation

ThefollowingdiagramshowsthehighleveldataowfromtheMARSWebclientto
MARSserver.

Thefollowinginformationdiscusseseachcomponentinmoredetail.GEHealthcare
recommendskeepingdefaultfoldersandportstoavoidaddingcomplexitytotheow
ofdata.Usingthedefaultsettingssimpliestroubleshootingandreducesservicecalls.

MARSWebClient

TheMARSWebClientacquiresdataattheuser’sPCandtransmitsittothe
MARSWebServer.DataacquiredattheuserPCisstoredinalocalfolder
speciedintheWebClientsettingsonthePC.Thedefaultlocalfolderis
c:\gemsit\idt\var\acquireddata.ThisiscreatedthersttimetheWeb
ClientacquiresHolterdata.AftertheWebClientsuccessfullyacquiresthedata,itis
compressedtoreducetransmissiontimeswhenuploadedtotheWebServer.

EachWebClientmustspecify:

•IPaddressoftheMARSWebserver

•ServerporttousefortheMARSWebserver(default8089)

•Archivefolderpathwherethedatalesarestoredlocally(defaultacquireddata)

MARSWebServer

TheMARSWebServertemporarilyholdstheHolterdatatransmittedbytheMARSWeb
Client.Bydefault,thelesaretransmittedusingport8089.

NOTE:

NOTE:

TheserverportspeciedontheWebClientisfordatatransmissiononly.The
portthatestablishestheinitialcommunicationbetweentheclientandWeb
serverisport80.

Ifyouchangethisport,youmustrecongureitontheMARSWebserverandeach
Webclient.RefertotheMARSV8WebServerInstallationManual(2083129–005)
fordetails.

Uploadedlesarestoredtemporarilytoafolderlocationidentiedasthe
ArchiveFolderPath,whichisinc:\gemsit\idt\var\IISServerDataby
default.Thedefaultlocationcanbechangedbymodifyingtheholterstream.ini

2083129-004DMARS™V8

43

TheoryofOperation

MARSServer

le,whichislocatedinc:\gemsit\var\MarsNt\idt_configontheMARS
Webserver.

NOTE:

DuetothewaytheMARSsystemparsesthefolderpath,thepath
mustbeenteredusingdoubleslashes(\\)inplaceofasingle
slash(\).Forexample,intheHolerstream.inile,youmust
enterthepathc:\gemsit\idt\var\IISServerDataas
“c:\\gemsit\\idt\\var\\IISServerData”(includingthequotation
marks).ThissamepatternoccursinotherplacesintheMARSsystem.

TheMARSServerusestheMARS.IDT.SlotFileCopierservicetomovetheHolterdata
fromtheMARSWebServerandmakeitavailableforreviewandanalysisontheMARS
system.Fordetails,referto“SlotFileCopier”onpage44.

DatasuccessfullymovedtotheMARSServerisautomaticallydeletedfromtheWeb
Server.IfanopenslotleisavailableontheMARSserver,thedataismovedfromthe
MARSServerDatafolderandplacedintotheopenle.Ifnoslotlesareopen,thele
remainsintheMARSServerDatafolderandthedisplayfortheWebAlerticonthat
displaysoneachMARSclientischangedtonotifytheuserthattherearependingles
waitingforanopenslotle.Onceaslotbecomesavailable,theleisautomatically
movedtotheopenslotleanddeletedfromthetemporaryfolder.

MARSWebUploadServicesandFiles

TheMARSWebUploadoptionusesacoupleofservicesandaniniletocontrolthe
communicationbetweentheMARSWebClient,MARSWebServer,andMARSServer.

SlotFileCopier

TheMARSServerusestheMARS.IDT.SlotFileCopierservicetoperiodically
polltheIISServerDatafolderontheMARSWebServerfornewHolterdata.
Whenitndsnewdata,itcopiestherecordtoatemporarylelocatedat
\gemsit\idt\var\MarsServerDataontheMARSServer.Ifthereareavailable
slots,itthenmovestheHolterdatatotheavailableslotanddeletesboththe
temporaryrecordsontheMARSserverandtheMARSWebServer.

TodeterminethelocationoftheMARSWebServer,thepathandnameofthefolder
wheretheHolterrecordsarestored,theMARS.IDT.SlotFileCopierservicereadsthe

44

MARS™V82083129-004D

valuesstoredin\gemsit\var\MarsNT\idt_config\SlotFileCopier.ini
ontheMARSserver.

Thefollowingtableidentiesthedefaultvaluesinthe.inile.Thelecanbemodied
asappropriate.

SlotFileCopier.iniFile

TheoryofOperation

VariableNameDefaultValue

Webslotpath

TempFolderPath

IISServerName127.0.0.1

IISServerData

c:\\gemsit\\idt\\var\\
MarsServerData

Description

ThenameofthefolderontheMARS
WebServerusedtotemporarilystorethe
uploadeddatalesfromtheClient.
IISServerDataisthedefaultandyou
usuallydonotneedtochangeit.

Thepathtothefolderthattemporarily
storesthedatalesthatcopiedfromthe
WebServertotheMARSServer.
MarsServerDatausuallydoesnotneedto
change.

TheIPaddressoftheMARSWebServer.
IftheMARSWebServerisonthesame
serverasMARS,youcanusethedefaultIP
address.Ifitisonaseparateserver,you
mustenterthecorrectIPaddress.

NOTE:

Ifyoumodifythedefaultvalues,youmustencloseallvaluesinquotemarks('").

TheMARS.IDT.SlotFileCopierservicemusthavefullpermissiontomovedatafromthe
IISServerDatafolderontheMARSWebServer.

OnewaytodothisistoassigntheGEServiceaccountasthelogonaccountforthe
MARS.IDT.SlotFileCopierserviceontheMARSserver.Youmustalsoduplicatethe
accountontheMARSWebServerandassignFullControlpermissionsforSharing
andSecuritytotheIISServerDatafolder .Changingtheaccountorpasswordinone
locationrequireschangingitintheother.

Ifyouchoosetouseadomainaccountasthelogonaccountforthe
MARS.IDT.SlotFileCopierserviceandtheIISServerDatafoldershare,assignaccount
administratorprivilegestotheMARSserver.

MARS.IDT.RemotingService

WhiletheMARS.IDT.SlotFileCopierservicecontrolscommunicationbetweenthe
MARSServerandMARSWebServer,MARS.IDT.RemotingService,whichisinstalled
ontheMARSWebServerduringinstallation,handleslogonandcommunication
betweentheMARSWebClientandtheMARSWebServer.Congurationof
MARS.IDT.RemotingServiceisautomaticanddoesnotrequiremanualintervention.

2083129-004DMARS™V8

45

TheoryofOperation

MARSWebAlert

TheMARSWebUploadusestheWebAlerticontonotifyuserswhenWebUploadles
arewaitingforanopenslotle.

FortheMARSWebAlerticontodisplaycorrectly,MARSusersmusthavepermissions
tothec:\gems\it\var\MarsServerDatafolderontheMARSserver.Todothis,
sharetheMarsServerDatafolderandassigntheMARSWORKGROUPfullcontrol
permissionsforsharingandsecurity.

46MARS™V82083129-004D

5

Maintenance

Aregularpreventativemaintenanceprogramhelpspreventunnecessaryequipment
andpowerfailuresandreducespossiblehealthhazards.Becausethecustomer
ownstheequipmentonwhichtheMARSAmbulatoryECGsystemresides,thesole
responsibilityforestablishingandexecutingsaidmaintenanceprogramrestswiththe
individualorinstitutionusingtheequipment.

Whilethecustomershouldrefertothemanualsthataccompaniedtheirequipment
fordetails,GEHealthcarerecommendsthatthemaintenanceroutineincludethe
following:

•Visualinspectionoftheequipmentfordamage

•Cleaningthecoolingfansandventilationobstructions

•Cleaningtheexteriorandinterioroftheequipment

•Cleaningtheequipment’speripherals,suchaskeyboardandmonitors

Typically,thesemaintenanceactivitiesareperformedannuallyandwheneverinternal
assembliesareserviced.

NOTE:

Customerswhoupgradedlegacy,GE-suppliedhardwareshouldrefertothe
documentationthataccompaniedtheoriginalequipmentformaintenance
information.

BackingUpandStoringData

BeforeperforminganyserviceontheMARSAmbulatoryECGSystemorits
components,itisrecommendedthatyoubackuppatientdataandsystem
conguration.ThissectiondescribeshowtoarchiveHolterdata,howtobackup
Holterdata,andhowtobackupthesystemconguration.

ArchivingData

MARSisnotintendedforlongtermstorageandprovidestwomethodsforsavingdata.
ItishighlyrecommendedthatMARSusersestablishaformalscheduleorprocessto
ensuredataisarchivedorsavedonaregularbasistolimitlossofdataintheevent
ofaharddrivefailure.Dataandreportsshouldbearchivedorsavedassoonas
possibleaftercompletingtheanalysisandcreatingthereporttolimitanyexposure
ofthedatatoasystemfailure.

2083129-004DMARS™V8

47

Maintenance

Useoneofthefollowingmethodstosaveandstorereportsanddata.

•MARSArchive
MARSprovidesanarchivefeaturethatallowsyoutosavebothHolterreportsand
HolterdatatoaCD,DVD,USBdrive,ornetworkshare.Oncearchived,youcan
deletethereportordatalefromtheMARSsystem.Youcanrestorearchived
reportsanddatatotheMARSsystemfromthestoragelocation.Ifyouaresavingto
anetworkshare,MARSusersmusthavereadandwritepermissionstoit.
Archivesonnetworkandlocaldrivesarelimitedtoamaximumof5000records,
regardlessofavailablespaceonthedrives.Onceyoursystemreachesthislimit,
youneedtospecifyanewarchivelocationbeforeyoucanarchiveadditional
patientrecords.Eacharchivefoldercreatesitsownindexle,whichisupdated
eachtimeanewreportorslotleisarchived.

NOTE:

TheArchiveandRestorefromArchivefeaturesaredescribedintheMARS
V8Operator’sManual(2083129–003).

•MARStoMUSE
CustomerswhohaveactivatedtheMARStoMUSEoption(see“TheMARStoMUSE

Option”onpage36)canstorenalHolterreportstoaGEHealthcareMUSEsystem.

OncetheMARSreportsarestoredontheMUSEsystem,theHolterreportcanbe
viewedandprintedfromanyMUSEclientandisbackedupaspartoftheMUSE
database.TheMUSEsystemdoesnotstoretherawHolterdata.TostorerawHolter
data,youmustusetheMARSarchiveprocess.
MARStoMUSErequiresinstallationoftheMARSprintformatterontheMUSE
systeminordertoprintfullHolterReports.Inaddition,theMUSEsystemmusthave
read/writepermissionstothe\gemsit\reportsfolderontheMARSsystem.
ContactGEHealthcareTechnicalSupportorthelocalMUSEadministratorformore
information.

BackingUpHolterData

NewlyacquireddataresideinslotlesontheMARSserverorMARSstandalone
systemuntilitisarchived.Duringthistimethedataandreportsarestoredlocallyand
canbelostifthesystemfails.Customersconcernedaboutdatalossduringthistime
shouldconsiderusingasystemwithadditionalfaulttolerance,suchasRAID,tolimit
lossofdataduetoasingleharddrivefailure.

TobackupHolterrecords,youneedtobackupthefollowingfolders:

•C:\gemsit\reports

•C:\gemsit\slots

NOTE:

Establishingaregularbackupscheduleisthecustomer'sresponsibility.Youmay
useanybackuputilityinplaceatthecustomersite,aslongyoucanrestorethe
reportsandslotsfoldersontheMARSsystemwhenneeded.

48MARS™V82083129-004D

BackingUptheSystemConguration

Youshouldbackupsystemsetupsaftermakingachangetoanyitemlistedinthe
System>SystemSetupmenu.UsethefollowingproceduretobackuptheMARS
system’ssetuples.

1.FromthetopmenuinMARS,selectSystem>SystemSetup>Backupand

Restore.

2.Enteranameforthebackupleandbrowsetothepathwhereyouwantto

storethebackuple.
Ifyouaresavingtoanetworkdrive,mapthedriveshareontheMARSsystem

rstsoitisavailableinthelist.
AdditionalinstructionsareincludedintheMARSV8Operator’sManual

(2083129–003).

Torestorethesystemsetups,followinstructionsincludedintheMARSV8Operator's
Manual(2083129–003).

SafeShutdownProcedures

Maintenance

Beforeperforminganymaintenanceorreplacinganyperipherals,itisrecommended
thatthecomputerhostingtheMARSapplicationbeshutdown.Thefollowing
proceduresdescribeshowtoshutdownthesysteminasafeandcontrolledmanner.

ShuttingDownaMARSClientorStandaloneWorkstation

1.Closeallpatienttests.

2.ExittheMARSapplication.

3.Closeanyopenbrowserwindowsorotherapplications.

4.ShutdowntheWindowsoperatingsystem.

Dependingontheconguration,shuttingdowntheoperatingsystemtypically
turnsofftheequipmentautomatically.

ShuttingDownaMARSServer

1.BeforeshuttingdowntheMARSserver,notifyallMARSusersofthescheduled

shutdown.

2.RequestuserstocloseanyopenpatientteststheyareaccessingontheMARS

server.

NOTE:

Clientscancontinuetoacquiredatawhiletheserverisshutdown.Anynewly
acquiredtestsarestoredlocallyontheclient.Assoonastheconnection
totheMARSserverisre-established,anylocallystoredtestismovedto
theMARSserver.

3.ExittheMARSapplication.

2083129-004DMARS™V849

Maintenance

4.Closeanyopenbrowserwindowsorotherapplications.

5.ShutdowntheWindowsoperatingsystem.

Dependingontheconguration,shuttingdowntheoperatingsystemtypically
turnsofftheequipmentautomatically.

CheckoutProcedures

Usethefollowingcheckoutproceduresasappropriate.Fordetailedinstructionsfor
performinganyofthefunctionaltasks(suchasacquiringdata,selectingpatients,and
soforth)refertotheMARSV8Operator'sManual(2083128–003).

VisualInspection

Beforeperforminganyfunctionalcheckout,conductathoroughvisualinspectionfor
thefollowing:

•Signsofcracksoranyothervisualdamagetothecaseormonitor .

•Signsoffrayingordamagetocordsandcables.

•Bentprongsorpinsinplugs,cables,andconnectors.

•Secureseatingofallcords,socketedcomponents,andconnectors.

Ifsystemwasopened,youshouldalsoverifythattheinteriorisfreeofexcessivedust
buildup.Ifnecessary,usecommerciallyavailablecompressedairtoclean,following
manufacturer'sinstructions.

AcquisitionDeviceCheckoutProcedures

Wheneveranacquisitiondeviceisadded,replaced,orrepaired,thecheckout
procedureappropriateforthatdeviceshouldbeperformed:

AcquisitionDeviceCheckoutProcedures

Device

MultimediaCardReader
(external)

OmniDrive(external)
SEERLTRecorder(external)SEERLTRecorder(See“SEERLTRecorder”onpage51.)
SEER12Recorder(external)
SEER1000Recorder

(external)

CheckoutProcedures

MultimediaCardReader(See“MultimediaCardReader”on

page50.)

OmniDrive(See“OmniDrive”onpage51.)

SEER12(See“SEER12”onpage51.)
SEER1000(See“SEER1000”onpage51.)

SEERMCRecorder(external)

SEERMC(See“SEERMC”onpage51.)

MultimediaCardReader

1.InsertaCompactFlashcardandverifythatthesystemrecognizesit.

2.Conrmthatyoucanviewthecontentsofthecard.

3.Conrmthatyoucanopenlesfromandsavelestothecard.

4.ConrmthatyoucanacquiredataintotheMARSsystemfromthecard.

50MARS™V82083129-004D

OmniDrive

SEERLTRecorder

SEER12

Maintenance

1.InsertthecardandverifythattheDownloadscreenopens.

2.SelectStart.

3.Verifythatthedownloadcompletes.

1.InsertthecardandclickontheAcquireDataicon.

2.VerifythattheDownloadscreenopens.

3.SelectStart.

4.Verifythatthedownloadcompletes.

1.InsertthecardandclickontheAcquireDataicon.

2.VerifythattheDownloadscreenopens.

3.SelectStart.

4.Verifythatthedownloadcompletes.

SEER1000

1.ConnectSEER1000recordertotheMARSworkstationusingtheUSBcable.

2.PresstheAcquireDataicon.

3.VerifythattheDownloadscreenopens.

4.SelectStart.

5.Verifythatthedownloadcompletes.

SEERMC

1.InsertthecardandclickontheAcquireDataicon.

2.VerifythattheDownloadscreenopens.

3.SelectStart.

4.Verifythatthedownloadcompletes.

SystemCheckoutProcedures

Acompletesystemfunctionalcheckoutisrequiredfornon-FRUrepairsandtypically
involveMARSsetupandtasksthatcanbeperformedremotelyoronsite.Ifperformed
remotely,theremotesupportengineercanconrmviaremoteaccess,orverifywith
thecustomercontact.Foradditionalinstructions,refertotheMARSV8Operator's
Manual(2083129–003).

Certaincheckoutproceduresareperformedonlyifthecorrespondingperipheralor
optionispresentandactivated.

2083129-004DMARS™V851

Maintenance

AcquiringDataFromSEERCard

1.InsertthecardandclickontheAcquireDataicon.

2.VerifythattheDownloadscreenopens.

3.SelectStart.

4.Verifythedownloadcompletes.

AcquiringDatafromCIC

1.OpenPatientSelect.

2.ChooseSelectBedsfromtheDataTypes.

3.Selectapatientbedwithfulldisclosureinformationavailable.

4.ClickAcquireData.

5.VerifythatthemonitoringdataisacquiredanddisplayedonthePatientList

whencomplete.

AcquiringDataviaMARSWeb

1.LogontotheMARSWebServerfromaWebClient.

2.Acquiredataattheclient.

3.Verifythatthedataisacquiredontheclient.

4.VerifythatyoucanuploadtheacquireddatafromtheclienttotheWebServer.

5.VerifythatyoucanseetheacquireddatafromaMARSworkstation.

TransmittingtoMUSE

1.Selectthepatient,selectthetools,andthentransmittotheMUSEsystem.

2.VerifydataistransmittedtotheMUSEsystem.

Archiving

1.Selectthepatient,gotoTools,andselectArchive.

2.SelectthepatientandchooseRestore.

3.VerifythepatientisrestoredtothePatientSelectscreen.

Login

1.HavetheuserlogontotheMARSsystem.

2.Verifytheuserissuccessfullyabletologon.

Printing

1.Selectapatient.

2.SelectPageReviewandselectPrint.

3.Verifythestripprints.

52MARS™V82083129-004D

SelectingPatientDatafromaRemoteMARS

1.GotoDataTypeandensurethatanotherMARSsystemislisted.

2.VerifyremoteMARSpatientdataisavailableinPatientSelect.

Editing

1.Selectapatient.

2.Verifyyoucaneditthedata.

ConnectingRemotely

Usethefollowingproceduretoverifythesystemcanbeaccessedforremotesupport.

1.Logontothesystemusingtheremotecongurationconguredforthatsystem

(InSiteExC).

2.Conrmthatyoucanaccessthecustomer’sdesktopviatheremoteconnection.

Maintenance

TimeChanges

MARSworkstationsnotbeingusedtoacquireFDdatafromtheCIChavenospecial
date/timeconstraints.YoucanadjustDaylightSavingsTime(DST)usingtheWindows
AutomaticDSTfunctionoryoucanmanuallyadjustittwiceayear,dependingon
customerpreference.

Ideally,MARSworkstationscommunicatingwiththeCarescapeIXnetwork,forthe
purposeofacquiringFDinformationfromtheCIC,shouldhavetheirtime\datesetting
adjustedatthesametimeastheCIC'stoensurethetimestamponthedatareceived
fromtheCICanddisplayedonMARSisthesame.

Therearethreepossibletimesettings/servicesthatcouldcausetheMARStime\date
settingstochange,independentoftheCICtimesetting:

•WindowsAutomaticDSTsetting

•WindowsTimeservice

•InternetTimeSync

Theusershouldbeawarethatanyoftheaboveautomaticallyadjuststhetimeon
theMARSworkstationduringDSTandcouldcausethetimeontheCICandMARSto
differbyonehouruntilboththeCICandMARSdaylightsavingtimeadjustmentsare
complete.IfbothDSTadjustmentsaremadeduringoffpeakhours,whenyouarenot
usingMARSforFDacquisition,thismaynotpresentanynoticeabletimingissues.

ConsultwithyourITdepartmentornetworkadministratortodetermineifyoushould
disableanyoftheabovesettings\servicesontheMARSworkstationyouareusing
forFDacquisition.

2083129-004DMARS™V8

53

Maintenance

54

MARS™V82083129-004D

6

Troubleshooting

Thischapterprovidesinformationtohelpyouisolate,identify,andresolveproblems
withtheMARSsystem,movingfromthegeneraltothespecic.

NOTE:

Ifyoucannotresolveanissueusingtheinformationinthischapter,contact
technicalsupportforadditionalassistance.

InitialQuestions

IftheMARSapplicationisnotworkingproperly,startbyaskingyourselfthesebasic
questionstohelpnarrowthecauseoftheproblem.

•Aretheunitandallperipheralsturnedonandconnected?
Ifanysystemcomponentisnotturnedonorproperlyconnected,correctthe
conditiontoseeifthatresolvestheproblem.

VisualEquipmentInspection

•Havetherebeenanychangesintheuse,location,orenvironmentoftheequipment
thatcouldcausethefailure?
Forexample,hastheequipmentbeenmovedtoalocationwithaninadequate
powersource?Ifso,returntheequipmenttoitsoriginallocationtoseeifthat
resolvestheproblem.

•Hastheunitbeenmodiedinanyway,eitherinsoftwareorhardware?
Forexample,hasanyunapproved,third-partsoftwarebeeninstalledonthe
system?Ifso,uninstallthesoftwaretoseeifthatresolvestheproblem.

•Isoperatorerrorthecauseoftheproblem?
Trytorepeattheuser’sscenarioexactlyandcomparetheprocessandresultstothe
properoperationoftheequipmentasdescribedinthesystem’soperator’smanual.

Ifrunningthroughtheinitialquestionsdoesnothelpresolveyourproblem,thenext
stepistovisuallyinspecttheequipment.

Athoroughvisualinspectionoftheequipmentcansavetime.Small
things—disconnectedcables,foreigndebrisoncircuitboards,missinghardware,
loosecomponents—canfrequentlycausesymptomsandequipmentfailuresthatmay
appeartobeunrelatedanddifculttotrack.

2083129-004DMARS™V8

55

Troubleshooting

Takethetimetomakealltherecommendedvisualchecksidentiedinthefollowing
visualinspectionchartbeforestartinganydetailedtroubleshootingprocedures.Ifa
failureconditionisidentied,thatconditionshouldbecorrectedbeforetheuserof
theMARSsystemisresumed.

NOTE:

Thefollowinglistofvisualchecksisprovidedasaguideline.Becausecustomers
owntheequipmentonwhichtheyinstalledtheMARSapplication,theyare
responsibleforthemaintenanceandtroubleshootingofallhardware.Before
performinganyvisualinspectionoftheequipment,thecustomershouldbesure
toreview,understand,andfollowanytechnicalinstructionsthataccompaniedthe
equipment.ForlegacysystemsthatincludeGE-suppliedhardware,customers
shouldreviewtheservicemanualthataccompaniedthelegacysystemfor
platformspecicinformation.

VisualInspectionList

Area

I/OConnectors
andCables

InterfaceCables

CircuitBoards

GroundWires/
Wiring

Lookforthefollowingproblems:

•Frayingorotherdamage

•Bentprongsorpins

•Crackedhousing

•Loosescrewsinplugs

•Excessivetensionorwear

•Looseconnection

•Strainreliefsoutofplace

•Moisture,dust,ordebris(topandbottom)

•Looseormissingcomponents

•Burndamageorsmellofover-heatedcomponents

•Socketedcomponentsnotrmlyseated

•PCBnotseatedproperlyinedgeconnectors

•Solderproblems:cracks,splashesonboard,incomplete
feed-through,priormodicationsorrepairs

•Loosewiresorgroundstrapconnections

•Faultywiring

•Wirespinchedorinvulnerableposition

Mounting
Hardware

PowerSource

56MARS™V82083129-004D

Looseormissingscrewsorotherhardware,especiallyfastenersused
asconnectionstogroundpanesonPCBs

•Faultywiring,especiallyACoutlet

•Circuitnotdedicatedtosystem

(Powersourceproblemscancausestaticdischarge,resettingproblems,
andnoise.)

LogFileReview

Ifvisualinspectionoftheequipmentdidnotisolatethecauseoftheproblem,thenext
stepwouldbetoreviewthesystem’sloglestoidentifyboththeexactpointtheerror
occurredandtheconditionsthatledtotheerror.TheMARSsystemprovidesseveral
loglestorecordavarietyoftransactions.Understandingwhateachloglerecords
willhelpyouidentifywhichlogletoreview.Forexample,ifyouencounteranissue
duringinstallation,youwouldwanttoreviewtheinstallationlog.

ThefollowingsectionsdescribetheloglesfoundontheMARSserverandclient,the
MARSWebClient,andtheMARSWebServer.

MARSServerandClient

Thefollowingtabledenesthelesthatarefoundatc:\gemsit\var\MarsNT\log
ontheMARSserverandclient.

MARSServerandClientLogFiles

Troubleshooting

MARSWebClient

LogFile

SlotFileCopier.logRecordsactivitybetweentheslotlescopierserviceandtheWeb

SlotFileUtilErrLog.logRecordsactivityontheuploadedslotlesontheMARSserver.
Scribe.log
BedSync.log
MARS_install_eng
MARS_install_sel

1TheseloglesarelocatedonboththeMARSserverandclient.

1

1

1

1

Purpose

Server.

Logsacquisition,analysis(ekpro)andletransferofCICdata.
Logsmars_cicbedsyncserviceoperation.
MARSinstallationloginEnglish.
MARSinstallationlogintheselectedlanguage.

Thefollowingtabledenestheloglesthatarefoundatc:\gemsit\idt\var\log
ontheMARSWebClient.

MARSWebClientLogFiles

LogFile

Devmgrerrlogger.logRecordscommunicationsbetweentheMARSWebclientand

Webclientui.logRecordsactivityoccurringontheWebClient.

Purpose

theHolterdevice.

2083129-004DMARS™V8

57

Troubleshooting

MARSWebServer

Thefollowingtabledenestheloglethatisfoundatc:\gemsit\idt\var\log
ontheMARSWebServer.

MARSWebServerLogFile

LogFile

MarsHHTPSRemotingService

SpecicErrors

Thefollowingsectionslistspecicerrorconditionsthathavebeenidentiedforsome
optionalMARSfeatures.Foreacherrorcondition,possiblecauseshavebeenidentied.

SpecicMARSWebUploadErrorConditions

Thefollowingtablelistssomespecicerrorconditionsthathavebeenidentiedwith
theMARSWebUploadoption.Formoredetailedinformation,refertotheMARSV8

WebServerInstallationManual(2083129–005)andtheMARSV8WebClientOperator’s
Manual(2083129–006).

MARSWebUploadErrors

ProblemPossibleCauses

Usercannotlogon

Purpose

Recordsdatauploadtransactions.

•Userusingwronglogonaccountorpassword.

•UsernotsetupinUserListonMARSWebServer.

•UsernotspecifyingwebserverportinURL,ifotherthan80.

•UserisusingtheirWindowsdomainaccounttologonunder
FormsAuthentication.

•TheDefaultWebSiteontheWebServerstopped.

•TheMARS.IDT.RemotingServiceontheWebServerstopped.

•TheNetworkServiceaccountdoesnothavepermissiontothe
gemsitfolderontheWebServer.

•ThecorrectversionofASP.NET(v1.1.4322)isnotregisteredon
theMARSWebServer.

Clientsoftwaredoes
notinstall

Datacannotbe
acquiredontheWeb
Client

Datacannotbe
uploadedfromthe
WebClient

58MARS™V82083129-004D

•.NETFrameworkwasnotinstalled.

•Userdoesnothaverightstoinstallnewsoftware.

•AnearlierversionofMARSWebClientwasnotuninstalled
correctly.ContactGETechnicalSupport.

•WrongDriveCardletterisspeciedinClientSettings.

•WrongPrimarydatadriveisspeciedinClientSettings.

TheArchiveFolderPathintheholterstream.inileontheWeb
Serverpointstoafolderthatdoesnotexist.

MARSWebUploadErrors(cont'd.)

ProblemPossibleCauses

Troubleshooting

Datadoesnotcopy
fromWebServerto
MARSServer

WebAlerticononMARS
clientnotworking

MARSWebclient
behavioriserratic

•TheMARSWeboptionisnotactivatedontheMARSServer.

•MARS.IDT.SlotlecopierserviceontheMARSServerisstopped.

•TheGEService

1

useraccountisnotsetasthelogonaccount

forslotlecopierserviceontheMARSServer.

•GEService

1

useraccountdoesnothaveFullControl

permissionstoIISServerDatafolderontheWebServer.

•LogonaccountforSlotFileCopierServiceisnotpartofthe
AdministratorsGroup.

•ThewrongIPaddressfortheWebServerisinSlotlecopier.ini
orquotesaremissing.

•TheTempFolderPathintheSlotFileCopier.inipointstoafolder
thatdoesnotexist,orthereisasyntaxerrorinlineentry
(quotesand\\).

•TheWebSlotPathintheSlotFileCopier.inidoesnotpointtothe
IISServerDatafolder,orquotesaremissinginthelineentry.

•TheslotsfolderontheMARSServerisfull.TheWebAlerticon
displaysactionsthatareneeded.

MarsServerDatafolderonMARSservernotsharedto
MARSWORKGROUP.

InternetExplorerActiveXcontrolsecuritysettingsnotenabled.

1

GEServiceistherecommendedaccount.Ifyouuseadifferentaccount,thataccount
mustmeetbothconditionslistedhere.

2083129-004DMARS™V859

Troubleshooting

SpecicCICInterfaceErrorConditions

Thefollowingtablelistssomespecicerrorconditionsthathavebeenidentied
withtheCICInterfaceoption.Formoredetailedinformation,refertotheMARSV8
InstallationandUpgradeManual(2083129–002)

CICInterfaceErrors

ProblemPossibleCauses

MARSAcquisition
Workstationcannot
acquiredatafromCIC

•CICInterfaceoptionisnotactivatedontheMARSClient.

•CICthatMARSisconnectingtoisnotatv5orhigher.

•CICdoesnothavefulldisclosureenabled.

•CICIPaddressesspeciedintheCICCongurationonMARSare
wrong.PingtheCICfromMARS.

•NoconnectivitybetweenMARSworkstationsandCIC—noping
returned.

•BedwasnotmovedintotheSelectedBedlistinCIC
congurationonMARS.

•Mars_cicbedsyncserviceisnotrunningontheMARS
Workstation.

•Mars_cicbedsyncserviceonMARSWorkstationisnotsetto
automaticanddoesnotrestartduringareboot.

•DefaultgatewaysetontheMARSclientdoesnotpointtothe
correctrouter.PingtherouterfromtheMARSsystem.

•IfoneMARSworkstationisabletoaccesstheCIC,compareits
settingstotheworkstationthatisunabletoconnect.

NOTE:

Port9001mustbeopenacrosstherouterforcommunication
betweentheMARSsystemandtheCIC.

MARSClientontheIX
networkisunableto
connecttotheMARS
Server

•ServernameorIPaddresslistedintheSystemNetwork
CongurationontheMARSclientiswrong.

•UseronMARSclientisnotintheMARSWORKSGROUPusers
grouponboththeMARSclientandServer.

•Shareissetupincorrectly.ThegemsitleshareontheMARS
servercannotbeviewedfromtheMARSworkstation.

•DefaultgatewayontheMARSclientdoesnotpointtotherouter
thatishandlingtrafctotheMARSserverontheEnterprise
network.

•DefaultgatewayontheMARSserverdoesnotpointtothe
routerthatishandlingtrafctotheMARSworkstationonthe
IXnetwork.

NOTE:

Filesharingportsmustbeopenforcommunicationbetween
theMARSClientandMARSServer.

60MARS™V82083129-004D

SystemRebuild

IfaMARSSystembecomescorrupt,itmaybenecessarytorebuildit.Thischapter
describesthatprocessforsystemswithMARSV8runningservicepack4orlater .
ForearlierversionsofMARS,refertotheservicemanualthatoriginallyshippedwith
thatsystem.

IfthesystembeingrebuiltalsohostedotherGEHealthcareapplications(such
asCardioSoft/CS,MARSWebServer,andsoforth)refertothemanualsforthose
applicationsforinstructionsonbackingupdata,re-imagingthesystem,and
reinstallingtheapplication.

ProcessOverview

Followingisanoverviewoftherebuildprocess.

1.BackuptheMARSsystem,ifpossible.

7

ThisincludestheMARScongurationandactivatorcodesandtheMARSslots
andreportsfolders.Fordetails,see“BackingUptheMARSSystem”onpage

62.

2.Removethehardwarekey.
ThekeywillbeneededwhenreinstallingtheMARSapplication.Formore

information,see“RemovingtheHardwareKey(Dongle)”onpage63

3.Re-imagethesystem.
ThisreturnsthesystemtoastatethatmeetstheMARShardwareandsoftware

requirements.Formoreinformation,see“Re-imagingtheMARSPlatform”on

page63.

4.ReinstalltheMARSsystem.
Thisinvolvesinstalling,conguring,andverifyingtheMARSapplication.If

applicable,italsoinvolvesinstallingtheMARSWebUploadsystem.Fordetails,
referto“ReinstallingtheMARSSystem”onpage63.

2083129-004DMARS™V861

SystemRebuild

Requirements

TorebuildaMARSsystem,youneedthefollowingequipment:

RequiredEquipment

Item

MARSApplicationCDTheoriginalMARSV8ApplicationCDisrequiredtoreinstallthe

MARSSystem.

ExternalStorageExternalstoragemediaornetworkshareisrequiredtocopy

informationfromtheoriginalMARSsystem,suchassystem
congurations,activationcodes,andslotsandreport
folders.

DongleTheoriginaldonglesecuritykeyisrequiredsotheMARSsystem

andoptionsoperateafterthesystemisrebuilt.

Description

BackingUptheMARSSystem

Ifaccessible,thesystemdatashouldbebackeduppriortobeginningthere-imaging
process.Thebackupswillbeusedtorestorethedataaftertherebuildiscomplete.

BackingUpMARSCongurationandActivatorCodes

Usethefollowinginstructionstosavethesystemcongurationandactivatorcodes
toanexternalbackupdevice—suchasaoppydiskdrive,CD-ROMdrive,orUSB
ashdrive—beforetherebuildbegins:

1.LaunchtheMARSapplication.

2.Insertthestoragemediaintheappropriatedrive.

3.SelectSystem>SystemSetup>BackupandRestore.

4.SelecttheBackupSystemsSetupcheckbox.

5.CompletetheEnteranameforthebackupeld.
Anameisrequiredandcanbeupto70characterslong.Thenameisused

asthebackuplename,whichusestheformatxxx.mars,wherexxxisthe
nameenteredinthiseld.

6.CompletetheEntercommentsforthebackupeld.
Commentsareoptionalandcanbeupto70characterslong.

7.ClickApply.

8.SelecttheappropriatedrivefromtheBrowseforFolderdialogboxandclickOK.
Thebackupbegins.Whenitiscomplete,theBackupoperationcompleted

successfullymessageopens.

9.ClickOK.
TheBackupoperationcompletedsuccessfullymessagecloses.

10.Removethestoragemedia.

62MARS™V82083129-004D

BackingUpMARSSlotsandReportsFolders

TobackupthepatientdataandreportscurrentlystoredonaMARSserveror
standalonesystem,copythec:\gemsit\slotsandc:\gemsit\reports
folderstoanexternalbackupdevice—suchasaoppydiskdrive,CD-ROMdrive,
orUSBashdrive—ortoanetworksharebeforere-imagingthesystem.When
reinstallingtheMARSapplication,youaregiventheoptionofrestoringthesefolders
ratherthancreatingnewones.

NOTE:

ThisprocedureisnottypicallyrequiredforMARSclients,sincepatientdataisonly
storedonclientswhenconnectivitybetweentheMARSclientandserverfails.In
thatsituation,newlyacquireddatawillbetemporarilystoredlocallyontheclient.
WhenrebuildingaMARSclient,youmaytocheckthec:\gemsit\slotsand
c:\gemsit\reportsfolderstoverifytherearenorecordstobackup.

RemovingtheHardwareKey(Dongle)

AfteryouhavenishedbackinguptheMARSdata,removethehardwarekey(dongle)
fromthesystemyouarere-imagingandstoreitinasafelocation.Thiskeywillbe
requiredduringthereinstallationoftheMARSapplicationafterthesystemhasbeen
re-imaged.

SystemRebuild

Re-imagingtheMARSPlatform

Re-imagingtheMARSplatformissimplytheprocessofrestoringthesystemtoastate
thatmeetsthehardwareandsoftwarerequirementsoftheMARSsystemtypeyouare
rebuilding(thatis,aclient,aserver,orastandalonesystem).Theprocesstypically
involvesreformattingtheharddrive,repairingdamagedpartitions,andreinstallingthe
operatingsystem.MostcommercialPCscomewitheitherinstructionsforre-imaging
thesystemoranimagediskthatrestoresthecomputertoit’soriginalfactorystate.

BecausethecustomerownstheequipmentonwhichtheMARSapplicationisinstalled,
thecustomerisresponsibleforre-imagingthesystem.Refertoyourequipment’s
originaldocumentationfordetails.

IfthecustomerisusinglegacyGE-suppliedequipment,refertotheMARSservice
manualthatoriginallyshippedwiththeequipmentforinstructionstore-imagethe
platform.

ReinstallingtheMARSSystem

TheprocessofreinstallingtheMARSsystemconsistsofthefollowingsteps:

1.Re-partitioningtheharddrive,ifappropriate.

2.Reinstallingtheapplicationsoftware.

3.InstallingSEERLightHookup,ifrequired.

Eachstepisdiscussedinmoredetailinthefollowingsections.

2083129-004DMARS™V863

SystemRebuild

ReinstallingtheApplicationSoftware

Whenreinstallingapplicationsoftware,youmustalwaysreinstalltheMARSsystem
software.IfyouarerebuildingaMARSserver,youmayalsoneedtoreinstalltheMARS
WebServerand/orMorpheusHxsoftware.

MARSSystemSoftware

ToinstalltheMARSsystemsoftware,refertothefollowingproceduresintheMARS
V8InstallationandUpgradeGuide(PN2083129–002):

1.InstallingtheMARSApplication

2.ConguringtheMARSSystem

3.VerifyingtheInstallation

NOTE:

Duringtheinstallationprocess,youhavetheopportunitytoimporttheslotsand
reportsfoldersthatyoubackedupearlier.

MARSWebServerSoftware

NOTE:

YouonlyneedtoreinstalltheMARSWebServersoftwareifyouarerebuilding
aMARSserveronwhichtheMARSWebServerwasalsoinstalled.Ifyouare
rebuildingaMARSclientorstandalonesystem,oriftheMARSWebServerwas
installedonitsownhardware,youdonotneedtoreinstalltheMARSWebServer
software.

ToreinstalltheMARSWebServersoftware,refertothefollowingproceduresinthe
MARSV8WebServerInstallationManual(PN2083129–005):

1.InstallingtheMARSWebServerSoftware

2.ConguringtheMARSWebServer

3.ConguringtheMARSServer

4.CheckoutandTroubleshooting

ReinstallingSEERLightHookupSoftware

IfyouuseSEERLightConnecttoconnectyourSEERLightorSEERLightExtend
AmbulatoryRecorder/ControllerdirectlytoyourMARSsystem,reinstalltheSEERLight
Hookupsoftware.RefertotheSEERLightmanualshippedwithyourdevice.

64MARS™V82083129-004D

PartsList

Peripherals

8

TheMARSAmbulatoryECGSystemisasoftware-onlyapplication.Customersare
responsibleforthemaintenance,repair,andreplacementoftheirequipment.
Contactyourequipment’smanufacturerifyouneedtopurchasereplacementparts.
CustomersusinglegacyGE-suppliedplatformscanrefertotheservicemanual
originallyshippedwiththeequipmentforalistofreplacementparts.Thereisno
guaranteethatpartsforlegacyhardwarewillstillbeavailable.

Thischapteridentiesthepartnumbersforoptionalperipheralsandforthesecurity
keys(dongles)requiredtooperatetheMARSAmbulatoryECGSystem.Toorderthese
parts,contacttheServicePartsdepartmentattheTechnicalSupportCenter.

GEPartNumbersforPeripherals

SecurityKey(Dongle)

GEPartNumber

2008595–009
2027495-004
2067634–165

GEPartNumberforSecurityKey(Dongle)

GEPartNumber

2020044-365DRU-MARSUSBSECURITYDONGLE1

Whenorderingthesecuritykey(2020044-365)asareplacementforeitheranexisting
damaged,defective,orlostUSBdongleorforanexistingparalleldonglethatisno
longersupported,youmusthavetheserialnumberoftheexistingdonglewhen
youcallGECustomerService.GEusesthisinformationtoensurethatallexisting
entitlements(options)aretransferredtothenewdongleandthatalllicensesandGE
systemsareupdatedwiththeserialnumberofthenewdongle.

SEERLightConnectDevice(Optional)
18-in-1MemoryCardReader
SEER1000Connect(Optional)

Description

Description

Qty

Qty

1
1
1

2083129-004DMARS™V865

PartsList

Theserialnumberoftheexistingdonglecanbelocatedfromanyofthefollowing
locations:

1.Thelabeloftheexistingdongle(ifavailable).

2.TheoriginalOptionActivationSheet.

3.TheMARSapplication’sHelp>Aboutmenu.

4.TheWindowsregistryofthesystemonwhichtheMARSapplicationwasinstalled.

5.TheGEHealthcareServiceCRMSystem.

6.TheGEHealthcareOptionActivationSite(http://oac.health.ge.com/oac/).

MARScustomerscanuselocations1–3tondtheserialnumber .GEServicepersonnel
canuselocations1–6.

GECustomerServicewillshipthedonglewithanewOptionActivationSheet.
WhenyoureceivetheOptionActivationSheet,youmustinsertthenewdongle
intoanavailableUSBportandapplythenewactivationcodes.Referto“Software
Activators”intheMARSV8AmbulatoryECGSystemOperator’sManual(2083129-003)
forinstructions.

66MARS™V82083129-004D

SlotFileToolUserGuide

TheSlotFileMaintenanceUtilityallowsyoutoaddanddeleteslotlesinaMARSV8
systemconguredeitherasstandaloneorserver.

Theutilityalsofacilitatesreconguringthesystem’sslotlerepositorylocationand
allowsyoutoremoveslotleownership.Thisdocumentisintendedforaservice
personorMARSadministrator .

NOTE:

YoucannotusetheSlotFileToolwiththeMARSsystemrunning.Shutdownthe
MARSsystembeforeusingtheSlotFileTooltomakechangestotheslotles.

NOTE:

IfyouareusingtheSlotFileTooltodomaintenance,youshouldnotifyotherusers
sotheydonotusetheMARSsystemforacquisitionsatthesametime.

TheSlotFileToolusesMARSPCregistrydatato:

A

•VerifyiftheMARSPCisinstalledonaparticularmachine.

•VerifyiftheappropriatemodeofMARSPCisinstalled,becausethetoolcanrun

onlyonServerorStandalonemodes.

•LocatetheSlotFilesDirectory(default:<systemdrive>:\gemsit\slots)toloadand

displaythem.

YoucanusetheSlotFileTooltoperformthefollowingoperations:

•AddaspeciednumberofslotlestotheSlotFilesDirectory,whichMARSPCuses.

•Deleteaspeciednumberofslotles,aselectedle,orallemptyslotlesfrom

theSlotFilesDirectory.

•Deletetheownerofaspeciedslotle.

•ChangetheSlotFileDirectoryintheregistry,whichMARSPCuses.

TheSlotFileToolislocatedinthec:\gemsit\opt\MarsNt\bin\folder.Tolaunchthe
application,double-clickSlotFileTool.exe.

2083129-004DMARS™V867

SlotFileToolUserGuide

UnderstandingSlotFileSize,DiskCapacity,and Performance

Beforeaddingslots,considertheamountofavailablestoragetheslotlesrequireand
howthenumberofslotlesmayaffectMARSsystemperformance.

WithMARSV8,slotlesarenolongerxedsizes.Eachslotlestartsoutat16KBand
growstotthedataasyouacquireit.Iftheexistingharddrivecapacityislimited,
usethefollowingDiskSizingguidelinestoestimatetheamountofmaximumspace
thedifferentslotlesuse.Planthetotalnumberofslotlesaccordingly,sothateven
ifallslotsareattheirmaximumsize,thereisstill5to10GBoffreedrivespaceleft
onthedrive.

Calculatingtheminimumdisksizeconsistsofthefollowingsteps:

1.Determinewhichletypesyouwillinstall

2.Determinethequantityforeachtype

3.Multiplythequantityforeachtypebythetype'smaximumlesize

4.Sumthetotals

5.Add20GBforOS,ancillaryapplications,andoverhead.

NOTE:

Asthenumberofslotlesincrease,itmaytakelongerforthePatientListtodisplay.
Thisismorenoticeableforworkstationsoperatingatthelowerrangeofthesystem
hardwarerequirements.Ifauser ,orusers,complainofslowperformanceafteradding
slotles,considerreducingthenumberofslots.

NOTE:

SettingSlotFilesLocation

1.ClicktheellipsesbuttonundertheSlotFileLocationsection.

2.LocatetheSlotledirectoryfolderinthedialogbox.

TheAvailableandFreevaluesdisplayedunderDriveCapacityarenotusedinthe
MARSV8system.Thisinformationwasoriginallyintendedtoallowyoutosetalimit
ontheamountofdrivespaceavailablefortheSlotFiles.Withthedynamicnature
oftheslotlesintheMARSV8system,thisbecomesmoredifculttocalculate.

Additionalslotsarenotasubstituteforagoodarchivalprocess.MARSisnot
designed,andshouldnotbeused,forlong-termstorage.

TheBrowseforFolderdialogboxopens.

Formostinstallations,theslotsfolderislocatedinc:\gemsit.

3.ClickOK.
Alltheslotleswithintheselectedfolderaredisplayedshowingthetype,status,

andsizeofeachslot.

4.SelecttheDATA_IS_AT,locatedinHKEY_LOCAL_MACHINE\SOFTWARE\GEMS
IT\MARS\8.0.

TheSlotFileLocationdefaultstothecurrentslotfolderlocation,asdenedin
theregistryentry.ThisistheslotfolderlocationtheMARSsystemiscurrently

68MARS™V82083129-004D

AddingSlots

SlotFileToolUserGuide

usingtosavedata.Thereisnoneedtochangethislocation.Theslotlelocation
isgenerallyc:\gemsit\slots.

NOTE:

TheSetAsDefaultSlotFileLocationcheckboxchangestheentryinthe
registrysetting.ThisisNOTRECOMMENDEDandyoushouldnotperform
thisstep.Usethetoolonlytoaddordeleteslotlesfromthecurrentslot
folderlocation.

See“UnderstandingSlotFileSize,DiskCapacity,andPerformance”onpage68for
moreinformationaboutslotles.

1.Typeanumber(orusetheup/downarrowstoselectanumber)inAdd
Slots>Number.

Thetoollimitsthenumberofslotsto255foreachslottype.

2.SelecttheslottypefromType.

SlotFileTypes

SlotFileType

SEER

TAPE*
MON
ACQ

*TheMARSsystemnolongeracquiresdatafromthistapedrive,butyoucanrestore
archivetaperecordingstotheseslots

Description

StoresdatafromSEERLight,SEERLightExtend,SEERMC,
andSEER12

Storesdatafromthe8500Tapedrive
Storesraw,unanalyzedmonitoringdata
Storesanalyzedmonitoringdata

3.ClickAdd.

4.Emptyslotsareaddedtothebottomoftheslotlist.
ClicktheRefreshbuttontoregrouptheslotlistbytype.

5.Toverifyiftheslotswerecreated,gototheactualslotlelocationspeciedin
thetool,andcheckthattheslotsarenowthere.

Forexample,defaultslotlespath:<MARSinstallationdrive>\gemsit\slots.

6.Restartthesystemifyouarenotperforminganothertask.
See“RestartingtheSystem”onpage73torestartthemachine.

2083129-004DMARS™V869

SlotFileToolUserGuide

DeletingSlots

Youcannotdeleteslotscontainingdata.

DeletingEmptySlots

UseDeleteintheRemoveSlotssectiontodeleteemptyslotsoftheslottypeyou
choose.Slotsaredeletedstartingfromthebottomofthelist.

1.SelecttheslotTypeunderthesectionRemoveSlots.

2.Typeanumber(orusetheup/downarrowstoselectanumber)inRemove

3.ClickDelete.

4.ClickYestodeletethenumberofemptyslotlesyouindicated.

5.Theslotsaredeletedstartingfromthebottomofeachslottype.

6.Toverifythattheslotsweredeleted,gototheactualslotlelocationspecied

7.Ifyouarenotperforminganothertask,restartthesystem.

Slots>Number.

NOTE:

Enteranumberfromone(1)tothetotalnumberofemptyslotsinthele.

Thefollowingmessageisdisplayed:Areyousureyouwanttodelete?

inthetoolandcheckthattheslotsarenowgone.
Forexample,defaultslotlespath:<MARSinstallationdrive>\gemsit\slots.

See“RestartingtheSystem”onpage73torestartthemachine.

70MARS™V82083129-004D

DeletingSelectedSlots

SlotFileToolUserGuide

UseDeleteSelectedintheRemoveSlotssectiontodeletespecicemptyslotsfrom
thelist.

1.Selectthecheckboxesinfrontoftheemptyslot(s)youwanttodelete.

2.ClickDeleteSelected.
Thefollowingmessageisdisplayed:Areyousureyouwanttodeletethese

<numberoflesselected>items?

3.ClickYestodeletetheselectedslots.

4.Theselectedslotsaredeletedfromthelist.

5.Toverifyiftheslotsweredeleted,gototheactualslotlelocationspeciedin
thetoolandcheckthattheslotsarenowgone.

Forexample:defaultslotlespath:<MARSinstallationdrive>\gemsit\slots.

6.Ifyouarenotperforminganymoretasks,restartthesystem.See“Restarting

theSystem”onpage73torestartthesystem.

2083129-004DMARS™V871

SlotFileToolUserGuide

DeletingAllEmptySlots

UseDeleteAllEmptySlotFilesintheRemoveSlotssectiontodeleteallemptyslots
fromthelist.

1.ClickDeleteAllEmptySlotFiles.
Thefollowingmessageisdisplayed:Areyousureyouwanttodelete?

2.ClickYestodeletealloftheemptyslotles.

3.Allemptyslotsaredeletedfromthelist.

4.Toverifyiftheemptyslotsweredeleted,gototheactualslotlelocation
speciedinthetoolandcheckthattheslotsarenowgone.

Forexample,defaultslotlespath:<MARSinstallationdrive>\gemsit\slots.

5.Ifyouarenotperforminganymoretasks,restartthesystem.See“Restarting

theSystem”onpage73torestartthesystem.

DeletingtheSlotFileOwner

Aslotleis“locked”ifsomeoneisusingitorthesystemcrasheswhilesomeonewas
usingthele.Ifalehasanowner ,youcannotmakechangestothatle.UseDelete
OwnerintheOwnersectiontodeletetheownerfromtheselectedslotle.

NOTE:

Makesuretheownerisnotreallyusingthelebeforedeletingthem.

1.Highlighttherow(s)thatdisplayownerinformation.

2.TheDeleteOwnerbuttonisenabled.

3.ClickDeleteOwner.
Thefollowingmessageisdisplayed:Areyousureyouwanttodeleteowner?

4.ClickYestodeletetheownerfromtheslotle(s).
Theownerinformationisdeletedfromthepatientleinthelist.
Thetoolalsodeletesthesmallownerlecreatedintheslotlesdirectory.

72MARS™V82083129-004D

RestartingtheSystem

SlotFileToolUserGuide

AfteryoucompletechangestotheMARSsystem,youneedtorestartthesystem.

1.ClickRestartorselectFile->Restartfromthemenu.
Thefollowingmessageisdisplayed:Doyouwanttorestartthecomputernow?

2.ClickYestorestartorNoifyoudonotwanttorestartthesystematthistime.

NOTE:

YoushouldrestartthesystemonceafterAddingorDeletingslots.

ClosingtheSlotFileTool

Whenyouarenishedmakingchangestotheslotle,closethetool.

1.ClickCloseorselectFile—>Closefromthemenu.
Thetoolcloses.

2083129-004DMARS™V8

73

SlotFileToolUserGuide

Thefollowingmessageisdisplayed:Itisstronglyrecommendedthatyou
restartthesystemforthesuccessfulexecutionofMARSPC.Doyouwant
torestartthesystem?

2.ClickYestorestartthesystemorNotoclosethetoolwithoutrestartingthe
system.

74

MARS™V82083129-004D

DongleDrivers

TheMARSsystemusesaUSBdongletoauthenticatetheMARSV8software.Itis
includedininstallationkitsandinupgradekitsforversionsearlierthan6.5.When
upgradingsystemsrunningMARSversion6.5orlater,reusetheexistingdongle.

InstallingtheDongleDrivers

WheninstallingtheMARSsoftwareonaphysicalcomputer,thedongledriversare
installedautomatically.However,wheninstallingtheMARSsoftwareonavirtual
machine,thedongledriversmustbeinstalledmanuallyonthephysicalmachineto
whichthedonglewillbeattached.

1.Onthereleasemedia,locatethe\SuperProfolder.

2.Double-clickSentinel_Protection_Installer_7.6.1.exe.
Theinstaller’sWelcomewindowopens.

B

2083129-004DMARS™V8

75

DongleDrivers

3.ClickNext.
TheLicenseAgreementwindowopens.

4.ReviewtheagreementandthenselectIacceptthetermsinthelicense
agreementandclickNext.

TheSetupTypewindowopens.

5.SelectCompleteandclickNext.
TheReadytoInstalltheProgramwindowopens.

76MARS™V82083129-004D

6.ClickInstall.
Oneoftwothingshappens.

•IftheWindowsrewallisenabled,theWindowsFirewalldetected!window

opens.

DongleDrivers

Skiptostep7.

•IftheWindowsrewallisnotenabled,thedongledriversareinstalled.

Whentheinstallationiscomplete,theInstallShieldWizardCompleted
windowopens.

Skiptostep8.

2083129-004DMARS™V8

77

DongleDrivers

7.IftheWindowsFirewalldetected!windowopens,clickYestoallowthedongle
attachedtothephysicalmachinetobeaccessibleoverthenetwork.

Thedongledriversareinstalled.Whentheinstallationiscomplete,the
InstallShieldWizardCompletedwindowopens.

Proceedtostep8.

8.OntheInstallShieldWizardCompletewindow,clickFinish.
Theinstallercloses.

9.OpentheWindowsControlPanelandconrmthatSentinelProtectionInstaller

7.6.1wasinstalled.

78MARS™V82083129-004D

OptionalCardReaders

MARSV8systemsrunningservicepack4orlatersupporttwooptionaldatacard
readers:the18-in-1MemoryCardReaderandtheOmniDriveProfessionalCard
Reader(USB).

18-in-1MenoryCardReader

The18-in-1MemoryCardReader(PN2027495-004)isanoptionalperipheralthat
allowsyoutoacquireECGreadingsfromthememorycardsofalltheHolterdevices
supportedbytheMARSAmbulatoryECGSystem.Thischapteridentiesthecard
reader’scomponentsanddetail’sitstechnicalspecications.

Components

C

CardReaderComponents

ItemName

1
2

3

2083129-004DMARS™V879

CardSlotSlotforCompactFlashCards
CardSlotsAdditionalslotsforothertypesofcards.

USBPort

Description

Notused.

ConnecttheUSBconnectortotheportonthebackof
thecardreaderandtheMARSAmbulatoryECGSystem.

OptionalCardReaders

Specications

Thefollowingtableprovidesthetechnicalspecicationsfortheoptional18-in-1
MemoryCardReader.

18-in-1MemoryCardReader

Component

Interface

TransferSpeedUpto480Mbps,dependentoncardandUSBconnection
SupportedCardTypes

Dimensions(HxWxL)

Weight

Description

USB2.0
USB1.1compatible

•CompactFlashTypeI

•CompactFlashTypeII

•MicroDrive

•MagicStor

•SmartMedia

•MemoryStick

•MemoryStickPro

•MemoryStickDuo

•MemoryStickSelect

•MemoryStickPro
Duo

0.68x2.30x3.94inches

17.3x58.6x100millimeters

2.54ounces

72grams

•SecureDigital(SD)

•SecureDigitalHighCapacity
(SDHC)

•TransFlash(microSD)

•MultimediaCard4.0(MMC
Plus)

•MultimediaCard(MMC)

•ReducedSizeMMC4.0
(MMCMobile)

•ReducedSizeMMC

•xD

PowerConsumption

OperatingTemperatures

OperatingRelativeHumidity
StorageTemperatures

StorageRelativeHumidity

DC3.3V/5V
100mA(maximum)

+32°to+158°F
0°to+70°C

50%
–40°to+158°F

-40°to+70°C
5–95%

OmniDriveProfessionalCardReader(USB)

TheOmniDriveProfessionalCardReader(USB)isnolongeravailablefromGE
Healthcare.However,itisstillsupportedfor32-bitoperatingsystems,andthe
necessarydriversareautomaticallyinstalledwhentheMARSsystemisinstalledona
32-bitoperatingsystem.

80MARS™V82083129-004D

OptionalCardReaders

CustomerswhorequiredataacquisitionfromtheLinearFlash(PCMCIA)cardusedby
theSEERMCrecordersshouldconsiderreplacingtheserecorderswiththeSEER12
Holterrecorder.SEER12dataisacquiredusingthe18-in-1MemoryCardReader.

NOTE:

Duetoslowtransferspeeds,theOmniDrivereadercannotbeusedtoacquire
datafromaSEER12Holterrecorder.

Components

OmniDrive(USB)

ItemName

1

CardEjectButtonPushthebuttontoejectthecard.

2

PowerOnIndicatorGreenLEDislitwhenpowerison.(Powerisapplied

throughtheUSBcable.)

3

BusyIndicatorRedLEDislitwhentransferringdata.

4

USBConnection

ConnecttheUSBcabletotheportonbackofthe
OmniDriveandtoaUSBportontheMARSAmbulatory
ECGSystem.

Description

Specications

ThefollowingtabledescribesthespecicationsfortheOmniDrive(USB)cardreader.

OmniDriveCardReader

PCCardSlots1xTypeIIfrontslot
Interface
DataTransferSpeed

USB1.1/2.0
Upto1MB/sec

2083129-004DMARS™V881

OptionalCardReaders

OmniDriveCardReader(cont'd.)

SupportedCardTypes

•SRAM

•ATAFlash

•ATAHardDiskTypeII

•CompactFlash

•SmartMedia

•SecureDigitalCards

•MultimediaCards

Dimensions(HxWxL)

1.37x4.29x5.31inches
35x109x135millimeters

Weight

~10.58ounces
~300grams

OperatingTemperature

32°—158°F
0°—70°C

StorageTemperature

-4°—185°F

-20°—85°C
Humidity90%maximum,non-condensinginambient
PowerSupplyDC5VfromPCviaUSB

220V/110VfromoptionalACpowersupply

SupportedOperating

MicrosoftWindows98,98SE,ME,2000,XP,Vista

Systems

82MARS™V82083129-004D

GEMedicalSystems
InformationTechnologies,Inc.
8200WestTowerAvenue
Milwaukee,WI53223USA
Tel:[phone]

[phone](USOnly)

GEMedicalSystemsInformationTechnologies,Inc.,aGeneralElectricCompany,goingtomarketas
GEHealthcare.

www.gehealthcare.com