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Philips Medical SystemsCodonics Product Training

Lex PietraskiewiczMike Grabel

                                                                                                                            

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Codonics Key ContactsLex PietraskiewiczVice President, Global SalesEmail: lex@codonics.comPhone: (973) 208-8257

Michael GrabelDirector, Strategic AccountsEmail: mgrabel@codonics.comPhone: (585) 264-9831

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Agenda• Introduction to Codonics• Printer Product Overview• Connecting with current Philips Nuclear

Medicine (Pegasys & JETStream) workstations• Medical Color Matching• Connecting with legacy Philips Nuclear

Medicine (Pegasys & JETStream) workstations• Problem Solving• Questions and Answers

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Who is Codonics?• World’s largest supplier of medical color

imagers• Medical imager manufacturer with

headquarters in Cleveland, OH• Offices located in Latin America,

Europe, Asia and Japan• 20 years in business • 30,000 imagers installed• Leader in nuclear medicine printing• Introduced worlds first DICOM medical

imager

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Reference Sites• Cleveland Clinic• Johns Hopkins• Albert Einstein• Mayo Clinic• Nevada Imaging• St. Barnabus• University of MI at Ann Arbor• DMS Health Group (mobile)

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The Codonics Message• To the sales or service representative …

– Horizon allows you to showcase your imaging system’s capabilities and helps sell your system.

• To the end user …– Horizon gives your customers tools to grow

their referral base by providing their referrers with professional grade multi-media images.

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Codonics Printer Product Line

Sold By Philips Nuclear Medicine

Performanceand

Features Horizon SF

Horizon Ci

PRICEEP/NP 16xx have been discontinued

EP-1000

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What is EP-1000?• The EP-1000 is a compact, low cost color

hardcopy device.• The EP-1000 produces diagnostic quality

medical prints using dye-diffusion technology.

• The EP-1000 includes:– Ethernet to parallel interface converter for use

on a Local Area Network (LAN).– Printer drivers for Windows NT 4.0, 2000 and XP.

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EP-1000 Key Features• Designed for medical use

– FDA 510K– Medical Color Matching (MCM)

• Print Technology– Dye diffusion thermal transfer

• Speed– Less than 1 minute per page

• Media– 50 sheet input / output trays– 50 print color ribbon

• Compatibility– Includes printer drivers for Windows NT 4.0, 2000 and XP– Drivers for proprietary Philips systems available via Philips– Ethernet 10/100 Base-T interface

EP-1000The cost-effective medical imaging

solution.

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What is Horizon?• Horizon is a family of medical imagers.

– Horizon couples the color capability of the Codonics NP-1660 with the 14”x17” film capability of a traditional 14”x17” film imager.

– Horizon also prints 8”x10” film (like the NP-1660).– Horizon also prints on low cost black and white paper in both

A/A4 and 14”x17” sizes.• Horizon is the world’s first and only 14”x17” multi-media

dry imager with auto switching capability. • Horizon is the world’s first and only color imager supporting

DICOM and PostScript printing.• Horizon is Codonics’ first imager that is capable of printing

greater than A and A4 size images.

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Horizon Key Features• Designed for medical use

– FDA 510K– Medical Color Matching (MCM)

• Speed– Fastest time to first print in its class– Up to 100 films per hour

• Compact - Desktop size– Easy to site– Weighs less than 70 pounds

• Flexibility– Up to 3 media types installed simultaneously– Multiple compatibility modes (DICOM, PostScript, etc.)

• Low Cost To Own and Operate!– Lower cost than comparable dry laser imagers – Exclusive low cost grayscale media– Service costs are about half of the competition

HorizonThe world’s most versatile medical

imager.

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Horizon Key Features (#2)• 3 Supply Cassettes & 3 Receive Trays

– Multiple media types - 50 to 100 sheets each– Auto-switching between media types– 300 sheet film capacity – up to 3x the competition!

• Smart Cassette Tracking– Sheets remaining– Calibration via built-in densitometer

• Additional Features:– Patented disposable cassettes– 24 concurrent DICOM connections– Built-in DICOM print server/spooler, PostScript and ImageSense – Built-in Zip drive for fast updates– Programmable, multi-user preferences available

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Intra-Line ComparisonPhilips Nuc Med Configurations

EP-1000 Horzon SF Horizon CiConnectivity DICOM No Optional Yes

PostScript Windows Optional OptionalEP Emulation No Yes Yes

Media Color Yes Yes YesGray Scale Paper No Yes YesFilm No Yes Yes

Size Small Format (A, 8x10) A Only Yes YesLarge Format (14x17) No No Yes

EP-1000 Horizon SF Horizon Ci

A

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Intra-Line ComparisonBy Philips Nuc Med System

Media Sizes Nuclear Application

Philips System

Horizon Ci

Horizon SF

EP-1000

14”x17” Film & PaperLetter Size Grayscale

Paper8”x10” Film

Letter Size Color Paper

Letter Size Grayscale Paper

8”x10” Film Letter Size Color Paper

Letter Size Color Paper

PET/CTSPECT

CT

General Nuclear SPECT

Entry Level SPECT &

Cardiology

Gemini GXLPrecedenceBrilliance

Sky LightForte

PegasysJETStrea

mJETStrea

mCardio

MD

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Connecting To Current Philips Nuclear Medicine

Workstations• 4 Different Scenarios:

– Pegasys 5.0 with Horizon– Pegasys 5.0 with EP-1000– JETStream with Horizon– JETStream with EP-1000

• Why?– Pegasys and JETStream have different operating

systems and applications software– Horizon and EP-1000 have different architectures

and compatibilities

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Pegasys 5.0 to HorizonRecommended Configuration

• Small Format Printing (on all Horizons)– Codonics Printer Driver version 7 installed on host system– EP Emulation on printer – license required

• Large Format Printing– DICOM 4.24 or 4.25 on Host– DICOM on printer – license required

• DICOM Connectivity:– Use custom AE Titles– Limited print layouts (1x1 and 2x2) are supported in the

Pegasys DICOM interface.– Will also support small format printing

• Quick Start Guide available

Note: Codonics Printer Driver does not support 14x17 printing

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Pegasys 5.0 to EP-1000Recommended Configuration

• Codonics Printer Driver version 7 must be installed on host system

• Quick Start Guide available– Most significant / difficult issue is setting IP

address of parallel to network interface

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Connecting to the EP-1000• EP-1000 printer has 2 interfaces (USB and parallel)• Codonics Printer Driver on Pegasys and Codonics Windows

Printer Drivers (on JETStream) only support network printing.• The solution … an external parallel to network interface.

– The only way to print to the EP-1000– Requires a separate power supply– For JETStream --- Must have it’s IP address set via a DOS utility

Note: The JETStream will find the printer if you connect via the USB interface and search for it, but there are no compatible drivers and the application software will not print to it.

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JETStream 2.5.1 to HorizonRecommended Configuration

• DICOM required for all Horizon models– Must be purchased separately for Philips Nuclear Medicine

Horizon SF configuration– Use custom AE Titles– Supports all media types and sizes

• PostScript is required for Add-on programs such as AutoQuant– Must be purchased separately for Philips Nuclear Medicine

Horizon SF and Ci configurations– Must install Codonics printer driver included in Horizon box– Follow Codonics directions for installing printer driver … does not

install like a standard Windows printer• Quick Start Guide available

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JETStream 2.5.1 to EP-1000Recommended Configuration

• Must install Codonics printer driver– Included in EP-1000 box– Follow Codonics directions for installing printer

driver … does not install like a standard Windows printer

• Quick Start Guide available– Most significant / difficult issue is setting IP

address of parallel to network interface

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What is MCM?• MCM stands for Medical Color Matching,

Codonics’ exclusive method of matching color printed output to the monitor.

• This setting is designed only for color images and has no effect on grayscale prints.

• We have designed several MCM profiles for Philips Nuclear Medicine products.Make sure that you have Color selected in the DICOM or Printer Driver setup.

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MCM Values

MCM ID Software Version Description

MCM 101 All Pegasys drivers NP-1600 "classic" look (linear LUT)

MCM 102 All Pegasys drivers EP-1650, EP-1660N and NP-1660 (visual LUT)

MCM 103 Pegasys Codonics Print Driver version 7.0 only Horizon

MCM 104 Pegasys Codonics Print Driver version 7.0 only EP-1000 Windows Print Driver

EP-1000 or Pegasys with Philips LCD display

MCM 105 EP-1000 Windows Print Driver

Simulate NP-1600 MCM 101 “classic” colors on EP-1000

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EP-1000 Advanced Menu

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Connecting to Legacy Systems

• JETStream 1.x• Pegasys 3.4• Pegasys 4.2

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JETStream 1.x• Horizon

– Requires PostScript license on printer. Must be purchased separately for Philips Nuclear Medicine Horizon SF configuration

– Must install Codonics printer driver included in Horizon box– Follow Codonics directions for installing printer driver … does

not install like a standard Windows printer• EP-1000

– Windows Printer Driver must be installed on Host. – Included in EP-1000 box.– Follow Codonics directions for installing printer driver … does

not install like a standard Windows printer

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Pegasys 3.4 (PegX)• Horizon limited functionality available via Codonics Printer

Driver and Horizon EP emulation• EP-1000 not compatible with Pegasys 4.2• Codonics printer driver

– Version 7 is not compatible (requires Solaris 8.0 and more memory)– Version 5.0 driver supports the EP-1650, EP-1660, NP-1600 and NP-

1660– Version 5.0 and earlier support ChromaVista (CV) color media.

Version 5.0 is the first version supporting film.• DICOM

– Version 4.22 only– Validated with NP-1600 and NP-1660– NP-1600 / 1660 must have DICOM license

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Pegasys 4.2• Horizon:

– Connectivity recommended via DICOM. – Limited functionality available via Codonics Printer Driver

5.0 and Horizon EP emulation• EP-1000 not compatible with Pegasys 4.2• Codonics printer driver

– Version 7 is not compatible (requires Solaris 8.0 and more memory)

– Version 5.0 driver supports the EP-1650, EP-1660, NP-1600 and NP-1660

– Version 5.0 and earlier only support ChromaVista (CV) color media

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Pegasys 4.2 (continued)• DICOM

– Version 4.24 and 4.25 only– Validated with NP-1600 and NP-1660– NP-1600 / 1660 must have DICOM license

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Problem Solving• Available reference and support

documents• How to contact Codonics• Getting service on a printer• Frequently Asked Questions

(FAQs)

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Available Reference and Support documents

• Documents:– Quick Start Guides– Printer Driver Installation Guides– Codonics Color Dye Sublimation Printers

version 7.0 Release Document– Frequently Asked Questions

• They are available from the Codonics web site at: www.codonics.com/philips

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Contacting CodonicsTechnical Support

• Phone (24x7):– (800) 444-1198– (440) 243-1198

• Email:– support@codonics.com

• World Wide Web:– www.codonics.com– Technical Briefs and Drivers on–line– Quick Start Guides on-line

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EP-1000 Service and Support

• Support– 800 phone number – (800) 444-1198– 24x7 technical support staff– www.codonics.com

• Standard Warranty– Sunrise Express 1 year SWAP program (parts and labor)

• Swap Protocol – Get the serial number of imager and interface– Call up technical support– Repack original unit and ship back to Codonics

• Options– 2 and 3-year global SWAP program available

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Horizon Service and Support• Support

– 800 phone number – (800) 444-1198– 24x7 technical support staff– www.codonics.com

• Standard Warranty– Sunrise Express 1 year SWAP program (parts and labor)

• Swap Protocol – Get the serial number of imager and interface– Call up technical support– Remove site-specific smart card and re-insert into replacement unit – Repack original unit and ship back to Codonics

• Options– HALF the cost of the competition – 2- to 5-year global SWAP program available

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What is the EP emulation key?

• The EP emulation key allows Horizon to receive images from Pegasys using the Codonics print driver provided on the Pegasys.

• This key is required for non-DICOM printer installations. Most Pegasys printer installations use this driver and therefore require this key.

• If you are replacing an NP series or EP series printer with a Horizon SF, you will very likely need this key.

FAQ

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Horizon prints using the printer driver are consistently dark, regardless of the

settings in the printer’s KDU (front panel).Create a Custom Job Setting in the Horizon called RAW_JS and change the LUT

setting to Visual:1. Press and hold the left arrow button ( ) while pressing the Menu button.

Release both buttons.2. Press the down arrow ( ) to the Custom Job Settings menu and press Enter.3. Select New…4. Select Name5. Press the left ( ) and right arrows simultaneously to blank out the

MYSETTINGS name.6. Using the up and down arrows, ( ) enter the name RAW_JS and press Enter.7. Arrow down to LUT and press Enter.8. Change LUT to Visual and press Enter.9. Press Menu to exit.The rest of the image settings (gamma, contrast, saturation…) may also be

controlled from this menu.

FAQ

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Where are the larger page size formats in the printer driver

setup?• The Codonics Printer Driver

supports small-format (8x10 and A-size) printing only.

• Large format printing must be done using DICOM.

FAQ

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The Horizon is prompting for 8x10 CV Paper. Where can I get

this?• This is not a valid media combination. • Check the Codonics configuration screen

(either through DICOM or the driver, depending on your installation.)

• Make sure that both the media size and the media type are set up correctly.

• Additionally, through DICOM make sure the AE Title is a-cvp or a4-cvp, as appropriate.

FAQ

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The Print Preview screen refuses to activate when using

DICOM.Turn Print Preview off and re-start.1. Go into the DICOM configuration2. Turn off Print Preview. 3. Exit Configuration. 4. Re-enter configuration5. Turn Print Preview back on6. Save & Exit.7. Restart Printer Daemon

FAQ

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Color printing is not working through DICOM.

• Make sure you have DICOM software 4.24 or 4.25.

• Make sure that you have Color selected in the DICOM or Printer Driver setup.

FAQ

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Thank You

Questionsand

Discussion