Arc System Configuration

100870-623 Rev. 04

April 9, 2019
 Arc System Configuration 100870-623 Rev. 04
April 9, 2019

Arc System Configuration

Table of Contents

Arc System Configuration .............................................................................................................. 2

Arc - Client Computer Hardware Minimum Specifications ........................................................... 3

Arc Sentinel .................................................................................................................................... 3

CadLink Server ............................................................................................................................... 4

Arc Data File Sizes ......................................................................................................................... 4

Outside Hospital Connections......................................................................................................... 6

Firewall Configuration .................................................................................................................... 7

Antivirus Software and Disk Encryption Software Applications ................................................... 7

Security Permission Requirements ................................................................................................. 8

Cadwell Arc Equipment Summary Sheet ..................................................................................... 10

Example of an ideal Arc networked solution ................................................................................ 11

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Arc - Client Computer Hardware Minimum Specifications

Operating System Windows 7 Pro 64 bit. Windows 10-64 bit.
Windows Server 2008 R2
Windows Server 2012 R2
Windows Server 2016
Processor Dual Core i7, 3.0 GHz or faster
Recommend i7 Quad Core, 2.4 GHz or faster
Hard Disk Drive 160 GB SSD, NTFS file system, Recommend 1TB if the system is used for long term
epilepsy monitoring or if several weeks of data storage is required.
Memory (RAM) 8 GB+
Archive Device Recordable DVD+R/+RW and CD-RW Drive.
(optional)
USB USB 2.0 (4 port minimum)
Graphics 1280 x 720 resolution
Network Card For Alterna, a 10 Base-T Ethernet card required for connection to amplifier. A
second network card is required for connection to a LAN.
For Essentia and Apollo, a network card is necessary for connection to the network,
but unlike the Alterna, not for the amplifier itself. However, if a Sony IP camera is
directly connected, a second network card will be required.
Microsoft Office Microsoft Office 2010 Pro or higher required for report generation.

Client Computer Platforms used by Cadwell1

 Dell Optiplex 5060 SFF – Intel i7, 2.7GHz, 16 GB RAM, 512 GB SSD Hard Drive, 2 GB AMD Radeon R5
340 X, Win 10 Pro 64-bit.
 Monitors– Dell (U2412M) 24” Monitor with LED 1920 x 1200/Dell (U2717D) 27” Widescreen Flat Panel
LCD 2560 x 1440
 Dell Latitude E5591 Laptop – Intel i7, 2.7GHz, 16 GB RAM, 500 GB SSD Hard Drive, 15.6" display at
1920 x 1080, Win 10 Pro 64-bit.
 Dell All-In-One Optiplex 7760 – Intel i7, 2.7GHz, 16 GB RAM, 512 GB SSD Hard Drive, 27” display at full
HD LED, Win 10 Pro 64-bit.
 Mini PC – Intel NUC – Intel i7, 8 GB RAM, 500 GB SSD Hard Drive, Win 10

Arc Sentinel
Sentinel allows users to monitor several active recordings on a single computer. Sentinel displays video, events,
Synopsis trends, and EEG data. Notifications can be configured for patient events, Synopsis events, and Persyst
events. Video cameras can also be controlled within Sentinel software. Using a computer that meets the
recommended specifications for Arc software, Video and EEG data for up to 4 active recordings can be monitored
via Sentinel. When only video data is displayed, 10 or more active recordings can be monitored via Sentinel.

1
Computer specifications and requirements are subject to change. Always contact Cadwell prior to purchasing computer hardware for your facility. The
computers listed in this section are presently sold with Cadwell systems.

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CadLink Server
CadLink server is a centralized patient and data management system that provides support for synchronization
and data transferring between client systems for Cadwell applications. It uses a proprietary encrypted database
system running a SQLite engine internally to the client and server services. Due to the file-based nature of the
SQLite database system, there is no “database server” maintenance required. The same CadLink server can
support multiple Cadwell application suites, including Arc, Cascade Surgical Studio and Sierra Summit.

Refer to the CadLink System Configuration Document (PN: 369044-624) for additional information.

Arc Data File Sizes

All the file sizes specified are approximations. Compression algorithms can vary the size of EEG and video data
based on the data being stored.

Importance of good network speed:

An Arc system using the CadLink Server can be successfully configured in a multi-hospital setting. It is
important that your configuration suits your networking infrastructure. The important connection is the
network from the system reading the data and the CadLink Server. The connection between the CadLink Server
and the data storage location is also very important. Below is a bandwidth profile which provides an overview
of the network speed required to accomplish tasks efficiently within the Arc application. Cadwell recommends
a gigabit connection where available. A gigabit connection provides an available bandwidth of 125 MB/s.

Arc Network Bandwidth Profile

Average Downstream Average Upstream
Data Transfer Data Transfer

Record EEG data 233 kbps 433 kbps

Record EEG data with video 316 kbps 1.67 mbps

Downloading Ambulatory EEG 318 kbps 9 mbps

Downloading Ambulatory EEG with Video 435 kbps 53 mbps

Review EEG data with video paging at 28 pages/sec 57 mbps 325 kbps

Review EEG data with no video paging at 28 pages/sec 25 mbps 180 kbps

When bandwidth limits have been met, paging speed will be limited based on traffic. At paging speeds lower
than 28 pages/sec, the downstream and upstream data transfer will be lower.

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Data File Size:

In order to calculate file size, multiply the MB/hr number that correlates to your study type by the number of
hours of total recording.

Arc Alterna Data File Size Table (waveform data & video data)
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Video Quality Setting File Size (MB/hour) File Size Waveform only
Video @ 30 fps (MB/hour)

Arc Alterna Amplifier QVM 1 and QVM 2 (QVM2 60 MB/hr 51 MB/hr

at space saver quality)
Arc Alterna Amplifier QVM2 (good quality) 250 MB/hr 51 MB/hr

Essentia EEG File Size Apollo EEG File Size

Storage Rate EEG Data (MB/hr) Storage Rate EEG Data (MB/hr)

250Hz 65 250Hz 45
500Hz 118 500Hz 77
1000Hz 190 1000Hz 145
2000Hz 300 2000Hz 265

Essentia Study Size (Video + EEG)

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Storage Rate Video Quality (MB/hr)
Econo Space Saver Good High High Def

250Hz 98 135 205 765 4565

500Hz 151 188 258 818 4618
1000Hz 223 260 330 890 4690
2000Hz 333 370 440 1000 4800

Apollo Study Size (QVM3 Video + EEG)

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Storage Rate Video Quality (MB/hr)
Econo Space Saver Good High High Def

250Hz 105 113 274 1034 3877

500Hz 137 145 306 1066 3909
1000Hz 205 213 374 1134 3977
2000Hz 325 333 494 1254 4097

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Files sizes may be smaller or larger depending on specific video settings and environmental conditions (lighting, frequency of movement in video picture)
3
The video numbers were computed using the Logitech HD USB camera. File sizes may be smaller or larger depending on specific video settings and environmental
conditions (lighting, frequency of movement, etc)
4
The video numbers were computed using the Cadwell QVM3 camera. File sizes may be smaller or larger depending on specific video settings and environmental
conditions (lighting, frequency of movement, etc)

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Arc Synopsis Data File Size Table KB/day

Synopsis Analyzer Synopsis File Size
(KB/day)

aEEG 850
Envelope Asymmetry 650
Envelope 650
Band Power 650
Spectral Entropy 650
Power Ratio 650
Spectrogram 22000
Synopsis Events 400

Note: Persyst data generates approximately 2 GB/24 hours. This data is stored in the External Data folder.

Outside Hospital Connections

There are a few ways to remote in and view recorded data from outside the hospital network. The preferred
method is via a Citrix portal. Arc can be published on Citrix and works well in that environment. The outside
computer can read the data as if it were on the network inside the hospital.

Using a Citrix Server

Cadwell has many customers using Citrix XenApp and Microsoft Remote Desktop Session Host (RDSH).
Though our software can be configured with Citrix, you may need to contact your Citrix provider if
direct Citrix support and assistance is required.

Arc can run in a virtual environment, the following are the minimum and recommended specs to run
Arc in a virtual environment:
Arc – Citrix Hardware Minimum Specifications
Operating System Windows Server 2008 R2, Server 2012 R2, or Server 2016
Processor 4 cores at a speed of at least 2.8GHz
Hard Disk Drive 250GB*
Memory (RAM) 8GB
This spec will support a single review session at ~7 pages per second

Arc – Citrix Hardware Recommended Specifications

Operating System Windows Server 2008 R2, Server 2012 R2, or Server 2016
Processor 8 cores at a speed of at least 2.8GHz
Hard Disk Drive 250GB*
Memory (RAM) 8GB
Graphics Discrete graphics processor with at least 256MB of RAM per session
This spec will support up to three active review sessions at 12-15 pages per second each.

*Note: It is reasonable to assign 80 GB to the C drive. As long as this partition is dynamic and can be added to at
a later time to accommodate for growth.

Please note our comments below regarding Citrix:

 Cadwell Reading software can be published on the Citrix Server.
 The patient data is stored on the CadLink Server. In most cases the patient data is not stored
on the Citrix server. The Citrix server should have a good network connection to the CadLink
Server.
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 Anyone with the proper Citrix and Cadwell access rights can access the Citrix server and
operate the Arc Review software from the remote PC.
 It is recommended to use the Citrix Long Term Service Release (LTSR) versions for both
XenApp/VirtualApps (e.g. 7.15) and Receiver (e.g. 4.9).
 Without a discrete GPU the review speed through a remote session such as Citrix will typically
be 7-10 pages per second.

Firewall Configuration
Firewalls must be configured or turned off so as not to interrupt data collection. Arc and CadLink client utilize the
following ports:
 Arc workstation outbound to Sony IP Camera: TCP 554
 Arc workstation inbound from Sony IP Camera: UDP 13152 – 13155
 CadLink client outbound to CadLink server: TCP 62002 (configurable)
 CadLink client bi-directional between clients for Direct Connect: TCP 62003 (configurable)
Additionally, the Arc.exe application should be allowed through firewall.

Antivirus Software and Disk Encryption Software Applications

Cadwell encourages all customers to take necessary precautions to protect computer systems from malicious
programs. We also want you to protect the privacy of your patient data. Though Cadwell has configured Arc
software with multiple AV and disk encryption applications, we cannot verify compatibility with all applications
available in the marketplace.

Important note: Any additional software installed on an Arc platform could result in performance problems if it
is using an excessive amount of system resources, including memory, CPU and disk access.

1. Scheduled antivirus scans should not happen during a recording/data collection.

2. Exclude Arc files from scans
a. .ezdataindex (Arc data file)
b. .ezdata
c. .ezevents
d. .ezvideo (video file)
e. .ezvideoindex (video file)
f. .aeeg (Synopsis aEEG file)
g. .ampasymeeg (Synopsis Asymmetry file)
h. .ampleeg (Synopsis Envelope file)
i. .bandpower (Synopsis Band Power file)
j. .entropy (Synopsis Spectral Entropy file)
k. .powerratio (Synopsis Power Ratio file)
l. .seizures (Synopsis Detected events and setup info file)
m. .spectrogram (Synopsis Spectrogram file)
n. All extensions mentioned in section f-m above also need to have a –shm and –
wal version of the extension excluded. The –shm and –wal file extensions only
appear temporarily when the associated recording is open or the data is actively
streaming to the CadLink server. For instance, if a record ha an associated aEEG
file and is open, a file type .aeeg-shm and .aeeg-wal will appear.
Note: Files mentioned in sections f-m above are only required if Synopsis
feature will be used.
3. Exclude the following folders from scans, including their subfolders
a. C:\Program Files\Cadwell\Arc
b. C:\ProgramData\Cadwell

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c. CadLink’s StreamingData folder if changed from default

d. CadLink’s Databases folder if changed from default
e. CadLink’s data folder, if changed from default
4. After loading any AV application or disk encryption, do the following:
a. Attempt to open a data file, verify the file opens correctly
b. Archive a file through the Record Management panel under the Administration
tab, verify it will archive correctly
c. If the system is a data collection system, start a recording, verify no conflicts
appear
d. Generate a report and confirm that the length of time to generate is unchanged.
5. Verify that encryption software does not adversely delay file access and overall Arc
performance. Verify that Arc records can be opened promptly and paging speed is
adequate after installing encryption or AV software.
6. Microsoft Word is utilized during report generation. Word creates a .tmp file while
generating the reports, if this file is scanned during report generation, that can increase
report generation times.

Security Permission Requirements

Domain Users
By default, “Domain Users” are added to a machine’s “Users” group when that machine is added to a domain.
Because of this, any “Domain User” should be able to run the Arc software without additional permission
changes.

CadLink Client
The permissions on a local CadLink client system are by default set up upon install. We configure the paths
provided in the installer to contain the local “Users” group with rights to read, write, and modify. Under normal
situations this should cover the service and logged in user’s rights to access these locations.
Security settings required on the specified path (defaults shown) for the CadLink Client service:
If the CadLink Client Service is running under the “LocalSystem” account, no permission changes are required.

If the CadLink Client Service is running under any other user account, that user needs read/write access to the
following folders:
C:\ProgramData\Cadwell\
C:\ProgramData\Cadwell\CadLinkClientService\Data
C:\ProgramData\Cadwell\CadLinkClientService\Databases
C:\ProgramData\Cadwell\CadLinkClientService\StreamingData
C:\ProgramData\Cadwell\CadLinkClientService\UpdateUtils
C:\ProgramData\Cadwell\CadLinkClientService\ExternalData

Arc Application
Users that run the Arc application need read access to the following folders:
C:\ProgramData\Cadwell\
C:\ProgramData\Cadwell\CadLinkClientService\StreamingData
C:\ProgramData\Cadwell\CadLinkClientService\UpdateUtils

Users that run the Arc application need read/write access to the following folders:
C:\ProgramData\Cadwell\CadLinkClientService\ExternalData
C:\ProgramData\Cadwell\Arc\SampleMontage
C:\ProgramData\Cadwell\Arc\IpCameraConfig

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If Persyst data is being collected, the external data share must be specified. Arc application users and the account
under which the CadLink Server Service is running need read/write/modify access to that share. On the client
systems, the external data folder must be shared out as: CadLinkExternalData

CadLink Server
Refer to CadLink System Configuration Document (PN: 369044-624) for additional Server information.

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Cadwell Arc Equipment Summary Sheet

Patient Room Equipment
Equipment Location Connection Power
Arc Essentia Amplifier Near host PC. USB connection to acquisition PC Host PC
Arc Alterna Amplifier Near host PC for initialization. EasyNet cable connection from N/A
Portable after recording start. amplifier to recorder
Arc Alterna Recorder Close proximity to Amplifier Ethernet connection to host PC via 9 D cell alkaline batteries, connected
pin connection to the recorder via battery cable to recorder and
contained in common pouch.
Apollo Recorder Near host PC for initialization and USB connection to acquisition PC USB and/or Li-Ion batteries
live data review.
Portable after recording start.
Apollo Amplifier Near host PC/patient for Apollo Instrumentation cable N/A
initialization and live data review. connection from amplifier to recorder
Portable after recording start.
Video Camera, QVM 1, QVM 2, or Near host PC for initialization. Connects to host PC via USB cable for Included power supply. Plugs in to
QVM 3 Portable after recording start. start/download of study. No standard outlet. Should be
connection required while recording. connected for charging at when
recording in the dark.
Video, USB camera Near host PC USB connection to host PC N/A
Video Camera, IP Direct Connect to Ethernet port on Host PC or network plugin Power over Ethernet power supply
acquisition PC or connected or standard 110 power supply.
directly to network.
Photic Mounted on arm on cart. USB connection to host PC N/A
Near patient bed/chair.
PC/Monitor (in this scenario, the PC PC placed on lower shelf of cart, Cat5/6 connection to recorder and Plug into isolation transformer.
is on a cart) monitor mounts to bracket on Cat5/6 to hospital network.
cart.

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Example of an ideal Arc networked solution

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