Edition 1, August 2008
Software Revision
A.01.00 and higher
Edition 2, September 2010
Software Revision
A.04.01 and higher
Warranty
Philips Medical Systems
reserves the right to make
changes to both this
Network Configuration
Guide and to the product
that it describes. Product
specifications are subject
to change without notice.
Nothing contained within
this Network Configura-tion Guide is intended as
any offer, warranty,
promise, or contractual
condition, and must not be
taken as such.
Philips Electronics N.V.
All rights are reserved. All
other product names are
the property of their
respective owners.
Reproduction in whole or
in part in any form, or by
any means, electrical,
mechanical or otherwise,
is prohibited without the
written consent of the
copyright holder.
Philips Medical Systems
3000 Minuteman Road
Andover, MA 01810 USA
(978) 687-1501
Unauthorized copying of
this publication may not
only infringe copyright
laws, but may also reduce
the ability of Philips
Medical Systems to
provide accurate and
current information to
users.
Compliance
The Philips Medical
Systems PageWriter
TC70, TC50, and TC30
cardiographs comply with
all relevant international
and national standards and
laws. Information on
compliance will be
supplied on request by a
local Philips Medical
Systems representative, or
by the manufacturer.
Intended Use of this
Network Configuration Guide
This Philips product is
intended to be operated
only in accordance with
the safety procedures and
operating instructions
provided in this Network Configuration Guide, and
in accordance with the
purposes for which it was
designed. Installation, use,
and operation of this
product is subject to the
laws in effect in the jurisdiction(s) in which the
product is being used.
Users must only install,
use, and operate this
product in such a manner
that does not conflict with
applicable laws or regulations that have the force of
law. Use of this product
for purposes other than the
express intended purpose
provided by the manufacturer, or incorrect use and
operation, may relieve the
manufacturer (or agent)
from all or some responsibility for resultant noncompliance, damage, or
injury.
United States federal law
restricts this device to use
by or on the order of a
physician. THIS
PRODUCT IS NOT
INTENDED FOR HOME
USE.
Training
Users of this product must
receive adequate clinical
training on its safe and
effective use before
attempting to operate the
product as described in
this Network Configura-tion Guide.
Training requirements
vary by country. Users
must ensure that they
receive adequate clinical
training in accordance
with local laws or regulations.
For further information on
available training on the
use of this product, please
contact a Philips Medical
Systems representative, or
the manufacturer.
Medical Device
Directive
The PageWriter TC70,
TC50 and TC30 cardiographs comply with the
requirements of the
Medical Device Directive
93/42/EEC and carries the
This PageWriter TC Cardiograph Network Configuration Guide is intended to assist with
configuring network or modem connectivity between Philips PageWriter TC cardiographs and
external order and ECG management systems.
Before attempting to operate the products described in this document, read this Network Configuration Guide, and the applicable PageWriter TC Cardiograph Instructions for Use.
Note and strictly observe all Warning and Cautions as described in this document, and in the
PageWriter TC Cardiograph Instructions for Use.
Pay special attention to all warning and caution statements included in this document.
WARNINGWarning statements describe conditions or actions that may result in a potentially
serious outcome, adverse event, or a safety hazard. Failure to follow a Warning may
result in death or serious injury to the user or to the patient.
CAUTIONCaution statements describe when special care is necessary for the safe and effective use of the
product. Failure to follow a caution may result in minor to moderate personal injury or damage to the
product or other property, a remote risk of more serious injury, or may cause environmental
pollution.
NOTENotes contain additional important information about a topic.
TIPA Tip contains suggested information on using a particular feature.
Menu items and button names appear in bold no-serif font. Example: Touch the Setup button.
The PageWriter TC cardiographs can communicate over a wireless LAN, Ethernet LAN, or
modem with a Philips TraceMaster ECG Management System for an integrated order and
ECG management workflow solution. Enabling cardiograph connectivity with a TraceMaster
server allows for the direct downloading of pending patient orders to the cardiograph, and for
the subsequent uploading back to TraceMaster of the completed orders and associated ECGs
for reconciliation, review, and processing. With TraceMaster, you can also enable the Last
ECG and interactive query features on the cardiograph so that you can download ECGs
directly from a TraceMaster server, allowing for the on-screen review, printing, and
comparison of the most recent patient ECG directly at the cardiograph. The cardiograph can
also be configured to transmit completed ECGs to any third party (non-Philips) ECG
management system using a LAN, wireless LAN, or modem connection, and can be
configured to transmit completed ECGs as a fax transmission using the modem. The
cardiograph also supports the transmission of completed ECGs as a PDF file directly to any
remote networked PC or server.
For more information on purchasing any of the optional cardiograph features described in this
document (LAN, wireless LAN, modem/fax, orders), consult your Philips sales
representative, or your local dealer or distributor.
The following sections provide an overview of the supported ECG, order, fax, and PDF
workflow solutions available on the cardiograph, with references to the applicable
configuration instructions.
TraceMaster with OrderVue Workflow
The cardiograph can be configured to communicate with a TraceMaster ECG Management
System over a LAN, wireless LAN, or modem connection for a comprehensive bidirectional
orders, and ECG workflow management solution. In this workflow option, the TraceMaster
ECG Management System server receives orders and, as an option, ADT patient demographic
updates to existing orders, directly from a HIS in HL7 format. The system then converts the
order into an XML-based order format compatible with the PageWriter TC cardiograph.
Orders are then selected from the cardiograph Worklist at the beginning of each patient
session. Completed ECGs are then transferred back to the TraceMaster server for review and
reconciliation, with billing information transferred directly back to the HIS. For information
on configuring connectivity with a TraceMaster ECG Management System with the OrderVue
order handling option, see “Configuring TraceMaster ECG Management System Settings” on
page 3-1.
NOTEThe ADT option available with OrderVue only provides for ADT updates to an existing HL7 patient
order received from the HIS.
1-1
Overview of Workflow OptionsECG PDF Export and Remote PC Workflow
Figure 1-1TraceMaster with OrderVue Workflow
ECG PDF Export and Remote PC Workflow
The cardiograph can be configured to export ECGs as PDF files to any networked remote PC
or server using a LAN, or wireless LAN connection. The ECG PDF files may then be viewed
in PDF viewer software directly at the remote receiving PC or server. The remote PC or server
can also be configured to support the receipt of custom configuration files, or System Log files
from the cardiograph, and the remote server can transmit custom configuration files or
software update files directly to a cardiographs, accelerating the configuration and software
update processes. For more information on configuring PDF Export or Remote PC settings,
see “Configuring PDF Export and Remote PC Settings,” on page 5-1.
NOTEThe ECG PDF Export and Remote PC workflow does not support the use of modem transmission.
The cardiograph can be configured to fax completed ECGs to any remote receiving fax
machine using the optional modem. For more information on configuring the cardiograph
modem to fax ECGs, see “Configuring FAX Settings” on page 7-1.
Special Notes About Fax Transmission
CAUTIONNo guarantee is made as to the suitability of a faxed ECG for any particular purpose, due to the
variability inherent in fax technology.
CAUTIONFaxed ECGs should only be sent to secure recipient fax machines.
Overview of Workflow OptionsThird Party ECG Management System Workflow
Figure 1-3ECG Fax Transmission Workflow
Third Party ECG Management System Workflow
The cardiograph can be configured to transmit completed ECGs in a specified Philips XML
format to any remote receiving server using a modem, LAN, or wireless LAN connection. For
information on the Philips ECG XML Schema, see “Philips ECG XML Information” on
page 1-7. For information on configuring cardiograph connectivity with a third party (nonPhilips) ECG management system, see “Configuring Third Party ECG Management System
Settings” on page 6-1.
Overview of Workflow OptionsUsing the Cardiograph Setup Screens
Figure 1-4PageWriter TC Cardiograph to Third Party (non-Philips) ECG
Management System Transmission Workflow
Using the Cardiograph Setup Screens
All cardiograph networking and remote server settings, including TraceMaster or third party
ECG management system settings, are accessed through the Configuration Setup and Service
Utilities Menu. This menu is organized as described in Table 1-1. Touch
(bottom of screen) to open the menu, and then touch a button to make a selection from the
menu. Each menu selection is then organized into a series of buttons and tabs that appear at the
top of the screen. Touch a button or tab to select it. A selected button or tab appears
highlighted in blue.
Table 1-1Configuration Setup and Service Utilites Main Menu Options
Use the Help system on the
Setup screens for assistance in
specifying these clinical default
settings. For information on
using the Help system, see
“Using Setup Help” on
page 1-9.
Overview of Workflow OptionsUsing the Cardiograph Setup Screens
Table 1-1Configuration Setup and Service Utilites Main Menu Options (continued)
Menu SelectionFeaturesFor details, see ...
Configure ECG
Network Settings,
LAN/WLAN
Configure ECG
Network Settings, ECG
Mgmt Systems
Wire Network
Use this tab to define Ethernet
connection and modem (available as an
option) settings for the cardiograph.
Wireless Network (available as an option)
Use this tab to define wireless connection
settings for the cardiograph, including
specifying settings in the Summit WLAN
Adapter utility.
Create TraceMaster Connection
Use this tab to configure a new
TraceMaster, or third party (non-Philips)
server connection, including
compression and encryption options.
Use this tab to configure remote PC or
server settings for the purposes of
transmitting PDF files, Log files, and
custom configuration files from the
cardiograph to a remote receiving PC or
server, and for transmitting custom
configuration files and software updates
from the networked PC or server to the
cardiograph.
“Configuring Wired LAN
(Ethernet) Settings” on page 2-
6.
“Configuring Wireless LAN
Settings” on page 2-12.
“Configuring a
TraceMaster Connection”
on page 3-9.
“Configuring Third Party
ECG Management System
Settings” on page 6-1.
“Configuring PDF Export
and Remote PC Settings”
on page 5-1.
Edit/Delete TraceMaster Connection
Use this tab to change or to delete
existing TraceMaster , third party, or PDF
export server settings, specify a default
server connection, enable Time Sync
feature, or to manually change the date
and time.
OrderVue Settings
Create OrderVue Inbox
Use this tab to create new OrderVue
Worklists for direct order download to
the cardiograph.
Overview of Workflow OptionsPhilips ECG XML Information
Table 1-1Configuration Setup and Service Utilites Main Menu Options (continued)
Menu SelectionFeaturesFor details, see ...
Configure ECG
Network Settings, ECG
Mgmt Systems
Configure ECG
Network Settings, FAX
Service Utilities
ADT Settings
Create ADT Inbox
Notes: this feature is not supported on
PageWriter TC cardiographs with installed
software version A.04.04 and lower.
This ADT option is not used with OrderVue with
the ADT option installed. If using OrderVue with
the ADT option, you configure an OrderVue
(not ADT) Worklist.
Note: The Fax feature is only available with the
optional modem.
Create a Fax Recipient
Use this tab to create a new fax recipient,
including recipient name, number, and a
fax cover sheet.
Edit/Delete Fax Recipient
Use this tab to change or to delete an
existing fax entry.
Provides an overview of all cardiograph
operating information, and includes a set of
diagnostic tests and utilities that can be used
for troubleshooting purposes. Displays
system error and event log in real time for
immediate review.
“Configuring OrderVue
Settings” on page 4-1.
“Configuring FAX Settings” on
page 7-1.
PageWriter TC Cardiograph
Service Manual, available for
download from the Philips
InCenter site. For information,
see “Using the Philips InCenter
Site” on page 1-8.
Philips ECG XML Information
The PageWriter TC cardiographs export ECG data in XML (Extensible Markup Language)
format. There are three available XML schema versions on the cardiograph: version 1.03,
version 1.04, and version 1.04.01. Version 1.03 exports ECG data in 12-lead format only,
version 1.04 exports ECG data for up to 16 leads, and version 1.04.01 exports ECG data for up
to 16 leads and includes full interpretation from the Philips DXL Algorithm.
Information regarding the Philips ECG XML schema can be obtained directly from Philips
Medical Systems by sending an email request to:
name, facility, and the serial number of your PageWriter TC cardiograph in the email request.
Overview of Workflow OptionsUsing the Philips InCenter Site
Using the Philips InCenter Site
The Philips InCenter site provides frequent updates to all Philips Cardiac Systems product
documentation and product software, including the PageWriter TC cardiographs.
The Philips InCenter site requires an active registration and password. To register, go to the
InCenter site at:
(located under the user login and password fields). On the following page, under
Updates
(lower right corner of page), click the Click here for account registration link. The
Cardiac Systems InCenter Registration page appears. Complete all of the information fields on
the page to receive a login and password for the InCenter site.
Registration for the InCenter site requires the serial number of at least one PageWriter TC
cardiograph in active use at your facility. The serial number is found on the product
identification label, located next to the text
the rear panel of the cardiograph, see Figure 1-5 on page 1-8.
incenter.medical.philips.comand click on the Need help? link on the main page
Software
SN. The product identification label is located on
About Adobe Acrobat Versions
Adobe Acrobat Reader version 9.0 must be installed on the PC that is used to access the
Philips InCenter site. Previous versions of Acrobat Reader are not compatible with the Philips
InCenter site, and attempting to access InCenter with a previous version of Acrobat Reader
will result in error messages when opening documents. Uninstall all previous versions of
Acrobat Reader, and then proceed for a free install of Acrobat Reader 9.0 at:
Any version of Adobe Acrobat Professional or Acrobat Elements are also not compatible with
the Philips InCenter site, and error messages will appear when opening documents with these
applications. Acrobat Reader 9.0 must be installed in addition to Acrobat Professional or
Acrobat Elements.
Follow this procedure when accessing documents on the Philips InCenter site.
To access documents on the Philips InCenter site:
Exit Acrobat Professional or Acrobat Elements (if open).
3Open Internet Explorer , and go to the Philips InCenter site. Keep Acrobat Reader 9.0 open
the entire time while accessing the InCenter site.
Using Setup Help
Each Setup screen within the cardiograph software application provides Help that describes
the currently selected option or field. Use the Help when configuring cardiograph settings, or
to learn more about a specific feature or item.
When a Setup screen is opened, Help displays in a blue Information box that appears on the
bottom of the screen. Touch a tab, or touch the name of any field or option displayed on the
screen to display Help for that specific item.
To view help for a tab or field:
Touch a tab or touch the name of the field or option so that it is highlighted in blue. Help
for the selected item displays in the blue Information box at the bottom of the screen (see
Figure 1-6 and Figure 1-7 on page 1-10).
Figure 1-6PageWriter TC70 or TC50 Cardiograph Information Box on a Setup
Overview of Workflow OptionsContacting a Philips Response Center
A
Figure 1-7PageWriter TC30 Cardiograph Information Box on a Setup screen
AInformation Box
Contacting a Philips Response Center
The Philips Response Center can assist with product troubleshooting and provide technical
expertise to help with any issue with the PageWriter TC cardiographs or any of its accessories.
For more information on the Philips Response Center go to:
The PageWriter TC cardiographs communicate with various external servers using a wired or
wireless network connection, or a modem connection. In the network configuration settings
available on the cardiograph, all TCP/IP settings can be specified based on the needs of your
specific clinical environment.
Both automatic IP addressing via DHCP (Dynamic Host Configuration Protocol) and fixed IP
address settings are available. The network settings on the cardiograph support TCP/IP
protocol using a dynamic IP address or a static IP address, and support a DNS or WINS server.
Ethernet data transmission settings can be set to Auto Negotiation, where the system
automatically configures the correct settings for Ethernet speed and mode (half or full duplex),
or can be configured with fixed settings, if required.
2
Network Connection Status Window
Tap the LAN icon or the wireless LAN icon on the Status Bar (top of screen) to view more
detailed information about a connection. The Network Connection Status window appears.
The Refresh button available on the Network Connection Status window (Figure 2-1 on
page 2-2) or on the Wire Network (LAN) or Wireless Network Setup screens, will (when
touched) obtain and display the most recently acquired IP address for the cardiograph. Please
note that this button does not provide a release and renew feature that is intended to acquire a
new IP address for the cardiograph. To obtain a new IP address for the cardiograph, you must
shut down and restart the cardiograph as described in the following procedure.
Obtaining a New IP Address for the Cardiograph
To obtain a new IP address for the cardiograph:
Ensure that any active patient data or ECG data has been saved.
1
NOTEWhen the cardiograph is shut down, any unsaved patient or ECG data is deleted.
2
Press and hold the On/Standby button on the cardiograph for two seconds. The
cardiograph shuts down.
3Press the On/Standby button again to restart the cardiograph.
4From the Main screen, touch the Setup button on the toolbar. The Setup main menu
appears.
5On the menu, touch the Configure ECG Network Settings button.
6The Wire Network tab is displayed, or to view the IP address set for a wireless
connection, touch the
Device Address field. The new IP address is displayed in the Device Address field.
Wireless Network tab. Touch the Refresh button next to the
Obtaining the IP Address Automatically (Using DHCP)
Touch the Obtain IP Address Automatically button (on the Wire Network or the Wireless
Network
unique MAC (Media Access Control) address of the cardiograph and provides a temporary
DHCP IP address. The IP address is obtained each time that the cardiograph is restarted, or is
returned to active use after being shut down.
tab) to retrieve an IP address dynamically from the network. The LAN records the
About Auto Negotiation
When obtaining the IP address from the local area network (LAN) dynamically using DHCP,
you can specify the Ethernet Adapter settings. The settings are set to Auto Negotiation, where
the system automatically configures the correct settings for Ethernet speed and mode (half or
full duplex).
NOTEIf Auto-Negotiation fails, you may need to lock a specific switch or router port to a fixed setting (for
example, 100BaseT Full Duplex) to obtain a connection. For details, see “Configuring Manual Ethernet
Settings” on page 2-8.
Specifying IP Address (Fixed IP)
Touch the Specify IP Address button to define a fixed IP address for the cardiograph. Using a
fixed IP address allows the cardiograph to be recognized from multiple locations while
connected to the LAN, and does not require that the IP be reset in order to be recognized.
Using fixed IP addresses also avoids the problem of having multiple IP addresses assigned to a
single cardiograph.
Checking the Cardiograph IP Address
The Device Address field on the Wire Network and Wireless Network tabs displays the
current IP address for the cardiograph for each connection type.
If using a dynamic IP address using DHCP (by selecting the
Automatically
cardiograph is fully restarted, or is returned to active use after being shut down.
option), the IP address is automatically refreshed each time that the
On the Main screen, touch Setup on the toolbar. The Setup ma in menu appears.
2On the menu, touch the Configure ECG Network Settings button. The Wire Network
tab is displayed.
The IP address for the Ethernet (wired) connection is displayed in the
field. Touch the
3To view the IP address set for a wireless connection, touch the Wireless Network tab.
The IP address for the wireless connection is displayed in the
Touch the
Refresh button to view the most current IP address for the connection.
Device Address field.
Refresh button to view the most current IP address for the connection.
Device Address
For information on manually resetting the IP address, see “Obtaining a New IP Address for the
Cardiograph” on page 2-2.
Configuring Multiple Cardiographs
When configuring multiple cardiographs with the same networking, TraceMaster, or
OrderVue settings, you can save all settings to a USB memory stick as a Network Settings file,
and then upload the settings to additional PageWriter TC cardiographs.
NOTESWireless LAN card settings specified in the Summit WLAN Adapter are saved with the Network
Settings file.
You can load the same Network Settings file on all models of the PageWriter TC cardiograph.
Configuring Cardiograph Network Settings
If assistance is required with any of the settings described in this section, please consult your
network administrator.
The Network settings are contained on two tabs:
specify connection settings using the appropriate tab. The selected tab is highlighted in blue.
TIPThe blue information box at the bottom of each screen provides help information for all settings.
Touch the name of a setting to display help for that item. The selected item is highlighted in blue.
On the network configuration screen, you can define how the IP address is set (dynamic or
fixed), specify the subnet mask, default gateway, and primary DNS, and/or primary WINS.
To configure Wired LAN (Ethernet) settings:
1
On the toolbar, touch Setup. The Configuration Setup and Service Utilities menu appears.
2On the menu, touch Configure ECG Network Settings. The Wire Network tab appe ars.
3Touch the appropriate IP Address button:
–To use a dynamic IP address that is retrieved automatically each time the cardiograph
is reset, touch
Proceed to step
–If using a static IP Address, please proceed to step
Depending on which selection you make, different options are enabled on the tab.
4If using a dynamic IP address, specify the following settings:
SettingDescription
Obtain IP Address Automatically. This settings is enabled by default.
4.
5.
Computer Name
IP Address
Touch the text-entry field and type a unique name to
identify the specific cardiograph on the network (up to
sixteen letters or numbers).
NOTES
The Computer Name field cannot be left blank and cannot
contain any special characters or spaces. This field can only
contain the letters A-Z or the numerical digits 0-9.
If this field is left blank, PageWriter TC will appear in
this field by default.
The LAN automatically provides a dynamic IP address
to the cardiograph. The LAN records the unique MAC
(Media Access Control) address of the cardiograph and
provides a temporary DHCP IP address.
T o manually retrieve a new IP address from the network,
shut down the cardiograph (press and hold the On/
Standby button) () and then press the On/Standby
button () again to restart the cardiograph. This resets
the temporary DHCP IP address.
The Ethernet Adapter settings are always set to
Proceed to step
5If specifying a fixed IP address, specify the following settings:
SettingDescription
Computer Name
Touch the text-entry field and type a unique name to
identify the specific cardiograph on the network (up to
sixteen letters or numbers). This field is required, and
cannot be left blank.
NOTES
The Computer Name field cannot be left blank and cannot
contain any special characters or spaces. This field can only
contain the letters A-Z or the numerical digits 0-9.
If this field is left blank, PageWriter TC will appear in
Touch the first text entry field and, using the Tab key to
move between fields, type the IP address for this
cardiograph. No separating period (.) is required.
Subnet Mask
Touch the first text entry field and, using the Tab key to
move between fields, type the (optional) subnet mask
address. No separating period (.) is required.
Default Gateway
Touch the first text entry field and, using the Tab key to
move between fields, type the (optional) default
gateway. No separating period (.) is required.
Primary DNS
Touch the first text entry field and, using the Tab key to
move between fields, type the (optional) primary DNS
address. No separating period (.) is required.
Primary WINS
Touch the first text entry field and, using the Tab key to
move between fields, type the (optional) primary WINS
address. No separating period (.) is required.
6Touch Exit, then touch Yes when prompted to save your settings.
After saving your changes, the IP address is saved in the registry. Other configuration settings
are saved in the configuration file.
Configuring Manual Ethernet Settings
By default, the cardiograph is configured for auto-negotiation. If auto-negotiation fails, you
may need to lock a specific switch or router port to a fixed setting (for example, 100BaseT Full
Duplex) to obtain a connection.
You specify the settings in the Ethernet Adapter Settings section of the
Wireless Network tabs (depending on your connection type).
To configure manual Ethernet settings:
On the Wire Network or Wireless Network tab, touch Manual Settings.
1
The buttons for each of the settings are enabled.
2Touch the button(s) to select the appropriate settings. Options are 10 or 100 Mbps, Half or
Full Duplex.
NOTESHalf Duplex means that data can be transmitted in both directions on a signal carrier, but not at
the same time. Full Duplex means that data can be transmitted in both directions on a signal
carrier, at the same time.