This operator manual applies to the following

configurations:

MDR® Publisher

NOTE: This manual includes instructions for version software.

This manual presents operating instructions for the NAI Tech Products Medical Digital Recorder™ (MDR®
Publisher). Read it in its entirety prior to operation to ensure that the MDR® Publisher is properly set up, and
keep it available for future reference.

This document is provided as a reference only regarding the MDR Publisher. All questions must
be referred to NAI Tech Products, Inc. Uncontrolled copies are for reference only, and users are
responsible to obtain the latest information.

© 2009 NAI Tech Products

MDR® is a registered trademark, and Medical Digital Recorder™ is a trademark of NAI Tech Products, Inc.

NAI Tech Products MediTech Strategic Consultants B.V.

M 12919 Earhart Ave.

Auburn, Ca. 95602
Maastrichterlaan 127
NL - 6291 EN Vaals
USA

tel: (866) DICOMBX (342-6629) (toll free)

(530) 887-1008 (direct)
fax: (530) 887-1108
web: www.NAITechProducts.com

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Proprietary Information and Software License
The Customer shall keep confidential all proprietary information furnished or disclosed to the Customer by NAI Tech Products, unless such
information has become part of the public domain through no fault of the Customer. The Customer shall not use such proprietary information
for any purpose other than the maintenance, repair, or operation of the goods, without the prior written consent of NAI Tech Products.
NAI Tech Products' systems contain NAI Tech Products' and others proprietary software in machine-readable form. NAI Tech Products and
others retain all their rights, title and interest in the software; except that purchase of this product includes a license to use the machine-
readable software contained in it. The Customer shall not copy, trace, disassemble or modify the software, nor cause or permit the copying,
tracing, disassembly or modification of such software. Transfer of this product by the Customer shall constitute a transfer of this license which
shall not be otherwise transferable. Upon cancellation or termination of this contract, or return of the goods for reasons other than repair or
modification, the Customer shall return to NAI Tech Products all such proprietary information.

General Upkeep
The outside of the MDR Publisher may be cleaned occasionally as required. First, turn off power to the MDR Publisher. Gently wipe the
outside of the unit with a soft lint-free cloth. The cloth may be moistened with a mild soap solution. Be certain to avoid solvent type cleaners as
these chemicals can cause deterioration which may cause a safety hazard.
Clean and vacuum the air intake openings in the front of the module. Remove the fan filter and clean it thoroughly at regular
intervals. See Figure 12 for the location of the fan filter. To remove the fan filter, unsnap the filter retainer. Clean the filter and replace
it. Press the filter retainer back into position over the fan filter.

Important Safety information

REFER SERVICING TO QUALIFIED SERVICE PERSONNEL. THIS INCLUDES FUSE AND BATTERY REPLACEMENT. IMPROPER
FUSE REPLACEMENT CAN CAUSE SHOCK AND FIRE HAZARD.
WARNING: Shock hazards may exist if this system is not properly grounded. Protection against electrical shock is provided by grounding the
chassis with a 3-wire cable and plug. The MDR Publisher must be plugged into a hospital-grade three-contact outlet. The grounding wire must
not be removed or defeated. In North America always use the cord supplied with the unit and connect to 115 V ac only.
Do not touch any MDR Publisher connector and the patient simultaneously.
CAUTION: Do not remove the protective covers on the MDR Publisher; hazardous voltages are present inside. Cabinet covers must be in
place while the unit is in use. All internal adjustments and replacements must be made by a qualified electronic technician.
DANGER: Do not operate the MDR Publisher in the presence of flammable gasses or anesthetics. Explosion can result.
The appropriate IEC cord set must be used to ensure that protective earth (grounding) is secure prior to application of power. “Appropriate”
means that it is designed to mate with the wall outlet in use.
125 V ac, 15 A, 3 wire, 16 AWG, grounding type, 5-15P Hospital Grade plug cap, less than 2.45m (8 ft) long, CSA & UL approved;
250 V ac, 15 A, 3 wire, 16 AWG, grounding type, 6-15P Hospital Grade plug cap, less than 2.45m (8 ft) long, CSA & UL approved.
WARNING: Always disconnect the MDR Publisher from the power source prior to cleaning the unit.
Accessory equipment connected to the MDR Publisher interfaces must be certified according to the respective IEC standards (i.e. IEC 950 for
data processing equipment and IEC 601 for medical equipment). All configurations shall comply with the system standards IEC 601-1-1.
Additional equipment connected to the signal input or output shall meet the system standard IEC 601-1-1. If in doubt, consult the technical
service department or your local representative.

EMC Interference
This equipment may be affected by electromagnetic interference. Should interference occur, determine which equipment is causing the
interference; this can be done by turning the suspected equipment off. Once the source of EMC interference has been found, try correcting
the interference by one or more of the following measures:
• Increase the separation between the equipment and that source of interference.
• Connect the equipment into an outlet on a circuit different from that of the interference source.
• Consult the service department or qualified technician.

Disposal
Disposal of this product shall be in accordance with all applicable laws and regulations in effect at the locality at the time of disposal.

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Table of Contents Page
1.0 MDR Publisher Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
1.1 MDR Publisher System Modules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
1.2 Installation Considerations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
1.3 Environmental Considerations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
1.4 Tools Required. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
2.0 Unpacking Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5
2.1 Server Module Unpacking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
2.2 Disk Write/Print Module Unpacking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
3.0 MDR Publisher Cable Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-7
4.0 Initialization Process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-10
4.1 Disk Write/Print Module Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
4.2 Server Module Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-10
4.3 User Interface Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
5.0 MDR Publisher Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-21
5.1 User Customization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-12
5.1.1 Custom Logo . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
5.1.2 Disk Label . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-12
5.2 Main Setup Screen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-17
5.2.1 Network . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
5.2.2 Configuration (Config) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-17
5.2.3 Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
5.2.4 Drives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
5.3 MDR Publisher Utilities Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18-21
5.3.1 Network . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
5.3.2 Information (Info) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
5.3.3 Disk settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19-20
5.3.4 Disk Mgr (Manager) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20-21
5.3.5 Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
5.3.6 Calibrate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
6.0 Operating Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22-28
6.1 Power On . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
6.1.1 Disk Write/Print Module Power On . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
6.1.2 Server Module Power On . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
6.2 Power Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
6.3 MDR Publisher Mode Selection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22-23
6.3.1 Auto Single Pt (Patient) Mode Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
6.3.2 Auto Mode Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
6.3.3 Manual Mode Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
6.3.4 Single Patient Mode Operation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
6.4 Exam Mgr (Manager) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23-25
6.4.1 Exam Manager Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24-25
6.5 Queued Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25-27
6.6 Custom Logo . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
6.7 Custom CD/DVD Labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
6.8 Adding Media . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
6.9 Main Setup Screen Example . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
7.0 MDR Publisher Web Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29-34
7.1 Login Page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
7.2 Home Web Page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
7.3 Exam Manager Page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30-33
7.4 Media Manager Page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
7.5 Setup Page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Appendix A. Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35-36
A.1 Server Module Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
A.2 Disk Write/Print Module Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36

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Appendix B. Service and Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37-42
B.1 Server Module Fan Filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
B.2 NAI Tech Products Contact Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
B.3 Software Upgrade . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
B.4 Power On Situations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38-39
B.5 Optical Disk Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
B.6 Disk Write/Print Module LEDs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
B.7 Disk Write/Print Module Service and Troubleshooting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39-41
B.7.1 Cleaning the Disk Write/Print Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
B.7.2 Cleaning the Ink Cartridge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
B.7.3 Replacing an Ink Cartridge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40-41
B.7.4 Clearing a Print Area Media Jam . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
B.7.5 Transporting The Disk Write/Print Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
B.8 Troubleshooting Connections to Archive Servers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
B.9 MDR Publisher Frequently Asked Questions (FAQ’s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
Appendix C. Internet Browser Security Settings and Windows Firewall Settings . . . . . . . . . . . . . . . . . . . . . .43-44
Index. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45-46

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1.0 MDR Publisher Description
The MDR (Medical Digital Recorder) Publisher is a DICOM Service Class Provider (SCP). It is intended for use with medical
imaging equipment and workstations conforming to the current DICOM standard.
DICOM Storage Class information, (images, cine loops, structured reports, etc.), may be transferred to the MDR Publisher then
copied to CD, DVD, or USB Storage device. The CD/DVDs can also have labels printed containing patient information, exam
information and customized label images (graphics).
Optional configurations;
- DICOM Send: The MDR Publisher may be configured to function as a DICOM SCU (Service Class User). The DICOM
Send feature enables the MDR Publisher to transfer DICOM store class images, single frame and multi
frame to the network archive (PACS).
- Media Import: The media import function extracts DICOM image files from a USB storage device, and copies them to
the internal hard drive.
NOTE: Only use USB storage devices that do not contain applications that attempt to run on the host computer, or contain
software/hardware data encryption.
Figure 1MDR Publisher, Front View

Touchscreen User Interface (Optional)

1.1 MDR Publisher System Modules

The MDR Publisher is made up of three modules:
1. The User Interface Module (top of stack in Figure 1) - this module is the operators interface and system display for the
MDR Publisher.
2. The Disk Write/Print Module (center module, with plastic access/viewing door, in Figure 1) - this module holds the CD/
DVDs used to burn the patient information and print the labels for the CD/DVDs.
3. The Server Module (bottom module, with the output bin, in Figure 1) - this is the computer server for the MDR
Publisher system.
Optional Touchscreen operator interface
NOTE: See “MDR Publisher Web Interface or MDR Publisher Touchscreen User Interface” on page 29 for more information on
this subject.
The touchscreen interface “Home” screen has four keys to access the following MDR Publisher functions:
• The “Exam Manager” key will display a list of previously recorded exams and allows writing the exams to disk or
sending to an archive (PACS)*.
• The “Media Manager” key will display a list of previously recorded disks which may be duplicated or deleted.

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 • The “Setup” key allows changing the operator interface language or calibrating the touchscreen.
• The “Publish” key completes the disk writing process and sends the disk to the printer.
• The other icons displayed on the Home screen show:
• The type of disk inserted, CD or DVD, in each drive and the amount of space available on the disk.
• Ink Cartridge level (Black and Color).
• USB storage device status and amount of available space.
• DICOM Receive status.
• Archive Server connection status.*
*Requires that the DICOM send option is enabled.
Other than the Server Module fan filter, Disk Write/Print module CD/DVDs, and Ink Cartridges, the MDR Publisher contains
no user serviceable components. Only the manufacturer’s qualified personnel should service the equipment. Refer to
Appendix B for instructions to return the MDR Publisher for service.
1.2 Installation Considerations
Before unpacking and assembling the MDR Publisher, there are a few things to consider:
• The weight of each Module and amount of space used on a work surface, (refer to specifications for the weights and
dimensions in Appendix A), have to be considered.
CAUTION: Be sure the installation location for the MDR Publisher can safely support more than 28.58 kg (63 lb).
• There needs to be at least two power outlets available for the MDR Publisher. Refer to Appendix A and front material
for information regarding power requirements and safety.
• EMC Interference concerns, refer to the EMC statement on page i.
• The installation site must be close to the network or modality connections.
• Rear access to the Server Module and Disk Write/Print module for power On/Off switches, and cabling considerations.
• Front access considerations for the Disk Write/Print module for loading CD/DVDs and changing ink cartridges. The
output bin also extends from the front of the Server Module.
• Storage area for consumable supplies, (CD/DVDs, ink cartridges, etc.).
1.3 Environmental Considerations
• The MDR Publisher is a computer and as such it does require a non-toxic, temperature and humidity controlled
environment. Refer to the Specifications in Appendix A and Important Safety Information on page i.
• There needs to be a minimum of three inches of clearance on all sides of the MDR Publisher, for systems cooling
needs.
1.4 Tools Required
Two screw drivers are required to install the MDR Publisher. One, small, Philips head, and one small flat blade screw driver.
The Philips head screw driver is used for the output bin. The flat blade screw driver is used to secure the connector on the
cable between the User Interface module and the Server Module’s “Remote” connector.

2.0 Unpacking Instructions

This section provides the information to unpack and identify all the MDR Publisher system components and modules. Before
removing the components from the packing boxes, inspect each box for signs of external damage, such as, crushed corners,
gashes or punctures, etc., in the containers. These may be signs of internal equipment damage incurred during shipment and
delivery. If external damage or internal damage is observed, contact the shipper and NAI Tech Products immediately.
The modules are designed to stack on top of each other in a specific order, with the Server Module on the bottom, and the Disk
Write/Print module on top (as shown in Figure 1). DO NOT invert the stack design. There are depressions in the Server Module
case to accommodate the feet of the Disk Write/Print Module. The User Interface Module can sit on top of the Disk Write/Print
Module secured to the top by a magnetic strip on the base of the User Interface Module, or on the work surface for the
operators convenience, (restricted only by the connected cable length).
The Server Module should be unpacked first.
2.1 Server Module Unpacking
The contents of the Server Module package are:
• Server Module (refer to Figure 2). The Server Module does not come with the Output Bin installed.
• User Interface Module and interconnect cable.
• Output Bin (zip-lock bag containing the screws and washers, and output bin installation instructions).
• 25 blank CDs (Optional).

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• USB Flash Memory Stick (Optional)
• Power cord, RJ45 patch cord, and a crossover cable (7 ft).
• USB 2.0 A-B cable, 18 inches (for connection to the Disk Write/Print Module) (Optional).
• Declaration of Conformity, a CD of this manual and this operators manual.
Figure 2 Server Module

Make sure all listed items are in the package, if not contact your support or sales representative immediately.
To unpack the Server Module, perform the following steps:
1. Open the box and remove the top foam shipping pad.
2. Remove the User Interface module, output bin, CDs, cables, plastic bag (with screws and washers), and
documentation from the top of the inner foam shipping pad.
3. Remove the inner foam shipping pad.
4. Lift the Server Module out of the package. Be aware that the Server Module weights 9.1 kg (20 lb), use proper lifting
techniques to avoid injury.
5. Remove the Server Module from the plastic shipping bag.
6. Locate the output bin, screws and washers, and instructions for their installation.
7. The output bin needs to be installed on the module. Perform this procedure before proceeding to the Disk Write/Print
module. The installation requires a Phillips head screw driver. Refer to the output bin installation instructions.
8. Place the Server Module in it’s work space. Be sure there is adequate room at the rear of the modules for power On/Off
switch access and cabling purposes.
9. Remove the bubble wrap, protective packing material from the User Interface Module.
10. Remove the protective vinyl from the User Interface display.
11. Place the User Interface Module aside for the moment.
Once the Server Module and it’s components are unpacked, save all packing material. It can be used if the modules ever
need to be transported to another location, or a module needs to be returned for service.
2.2 Disk Write/Print Module Unpacking
Be aware that the Disk Write/Print module weights 19.5 kg (43 lb). It may require two people to safely unpack and position
the module, use proper lifting techniques to avoid injury. The contents of the Disk Write/Print module are:

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 Figure 3Disk Write/Print Module Contents

• Disk Write/Print module

• Two Gray plastic input bins
• Power cord
• One three color (CMY) ink cartridge
• One monochrome black ink cartridge
• USB 2.0 interface cable
• Set of keys (taped to the Access Door)
Perform the following steps to unpack the Disk Write/Print module:
1. Open the shipping box and remove the material from the top of the package.
2. Remove the Disk Write/Print module from the box. Keep all packing material for any future transport of the module.
3. Remove the packing foam and plastic bag.
4. Place the Disk Write/Print module on top of the Server Module.
5. Locate the small sealed bag taped to the outside of the module. It contains the keys to open the access door to the
module.
NOTE: It is recommended that the keys be separated and one put away, in case one is lost. The access door
cannot be opened without the key.
6. Open the access door and remove the cardboard spacer. Be sure to keep this spacer. It protects the robot arm and
ink carrier in shipment and also contains instructions for repacking the module.
7. To install the ink cartridges, open the ink cartridge carrier tops by pulling the tab towards the front of the module.
The cartridge carrier top springs open. They are located on the inside left of the module (refer to Figure 4).

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Figure 4Ink Cartridge Carrier

8. Remove the ink cartridges from the packaging.

9. Carefully remove the tape covering the ink cartridge print heads.
NOTE: Do not touch the “Copper” area of the ink cartridge.
10. Install the “black monochrome” cartridge into the left cartridge holder, (copper end first), and the “color (CMY)”
cartridge into the right cartridge holder, (copper end first). Refer to Figure 4.
NOTE: The ink cartridges are color coded on top, as are the ink cartridge carriers in the module.
11. Push the cartridge cover down over the ink cartridge until it snaps closed. Refer to Figure 4.
12. Close and lock the Access Door. The Access Door needs to be opened several times during the power on and
initialization process. It is recommended that a key be left in the Access Door.
13. Remove the vinyl, protective cover from the Disk Write/Print Module access door.
NOTE: DO NOT turn the Server Module or Disk Write/Print Module power on at this point.
Figure 5Disk Write/Print Module Components

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3.0 MDR Publisher Cable Connections
Make sure there is sufficient room for accessing the rear of the system. Refer to Figure 6 while performing the following steps:

1. Be sure the modules are stacked in the recommended order, (Server Module on the bottom, Disk Write/Print Module
next, then the User Interface Module).
2. Be sure the power switches in the back of both modules are in the “OFF” position before connecting the power cords.
3. Check the input power select switch at the back of the Disk Write/Print module. Be sure it is in the correct position for
the AC outlet voltage (115 or 230 VAC).
4. Connect both the power cords to the backs of the modules and to the appropriate power outlets.
NOTE: The User Interface receives it’s power from the Server Module.
5. Connect the User Interface Cable (485-00234-00) between the User Interface Module and the Server Module
connector labeled “REMOTE”. Secure the cable connector to the Server Module with a small flat blade screw driver.
6. Insert one end of the USB 2.0 A-B cable (from the Server Module package) into the back of the Disk Write/Print Module
and the other end into one of the four USB connectors on the back of the Server Module.
7. If the MDR Publisher is being connected directly to an Ethernet port on a modality, use the Crossover cable, (485-
00216-00), between the modality connector and the “LAN” connector on the back of the Server Module.
If the MDR Publisher is being connected to the local area network, use the RJ45 Patch Cord, (485-00155-00), between
network port connector and the “LAN” connector on the back of the Server Module.
By connecting to the Ethernet interface, the MDR Publisher functions as a DICOM Storage Class SCP in a network
environment conforming to the TCP/IP Standard.
The MDR Publisher has Ethernet network interface capability that allows connection to the network environment via an
IEEE 802.3 10/100/1000 BASE-T interface.
8. This is all the cabling required for normal operation. Proceed to Section 4 Initialization Process.

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 Figure 6MDR Publisher Cable Connection Diagram

CAUTION: The Disk Write/Print Module does NOT automatically sense the input line voltage. Be certain the power
select switch is set to the appropriate power setting (115 or 230) for the outlet power available before
turning the module on. The Server Module power supply automatically senses the input line voltage.

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4.0 Initialization Process
This section provides instructions for the first time power on and initialization process. Once the first time power on and
initialization is complete, it Does Not have to be repeated at each subsequent power on. For normal power on and use of the
MDR Publisher, refer to Section 6.0 Operating Instructions.
The power on and first time initialization of the modules is unique for each module. Therefore, it is important to perform the
power on, and initialization procedures in the documented sequence. Also, be aware that the first time power on and
initialization of the MDR Publisher takes some time and monitoring.
4.1 Disk Write/Print Module Procedures
1. Turn the Disk Write/Print Module power switch, (at the back of the module), to the “On” position. This starts the
initialization process for the module.
NOTE: For the first power on and initialization of the Disk Write/Print Module, the Server Module should be powered
off. Do not power on the Server Module until the Disk Write/Print initialization is complete. The first power on
and initialization of the MDR Publisher may use from one up to three blank CDs. This is necessary for the print
head calibration.
2. The ink cartridge and power LEDs start a rapid, alternate blinking pattern, and the print tray opens and closes. This is
normal.
3. The ink carrier and robot arm start to move back and forth. This is the Disk Write/Print Module’s sequence for
calibrating and checking it’s internal sensors.
4. When the lights stop blinking and the ink carrier and robot arm are still, unlock and open the access door. The ink
carrier and robot arm move to the center of the module.
5. Place the input bins inside the Disk Write/Print Module, (one on the left, one on the right). They are interchangeable.
6. Place at least four blank CDs into the input bins (two into the left side and two into the right side). The CDs are used in
the initial power on robot arm calibration and print head alignment. Normally, only one disk is used for print head
alignment.

CAUTION: Be aware that there may be a clear plastic, or other type of protective cover on the top or bottom of new
CD/DVD packages. This protective disk must be removed and discarded prior to loading disks into the Disk
Write/Print Module.

7. Close and lock the Disk Write/Print Module access door. The ink carrier and robot arm reposition to the left side of the
module.
8. The Ink Cartridge and Power LEDs should be On solid, to indicate the power on sequence is done and the Disk Write/
Print Module is in Ready mode. Proceed to Section 4.2 the Server Module procedures.
4.2 Server Module Procedures
Be sure the Disk Write/Print Module initialization is complete before starting the Server Module initialization procedures.
The initialization of the Server Module also includes the robot arm calibration and print head alignment process.
1. Switch the power on at the back of the Server Module. The User Interface Module also powers on when the Server
Module powers on. The MDR Logo is displayed on the User Interface at this point.
2. The Server Module takes approximately 40 seconds to start its initialization process and recognize the Disk Write/Print
Module.
NOTE: During this time the User Interface displays a “No Disk” message and only one activity progress bar. This is
normal, until the informational screen in step 3 is displayed.
3. After the Server Module completes boot up, it displays the following informational screen:

NOTE: There is no activity indicator while this informational screen is displayed, please be patient.

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4. When the Server Module recognizes the Disk Write/Print Module, it automatically starts the top/bottom burner
designation process. The User Interface displays the following message:

NOTE: If the robot arm starts to place a disk in the open burner before the top and bottom burners are designated, both
modules MUST BE POWERED OFF. Then power ON the Disk Write/Print Module and wait for the LEDs to be On
solid, then return to Step 1 of these procedures.
5. Configure the MDR Publisher so that the correct drive tray opens when “Burner 1” or “Burner 2” is selected. The
Configure Drive selection is used to identify the top CD/DVD drive and the bottom CD/DVD drive in the Disk Write/
Print Module.
In this example, the Bottom CD/DVD drive tray opens and then closes. If the Top tray opens, press the “Enter” button
to toggle the description for Burner 1 to Top. Press the “Down” arrow to highlight the description for Burner 2, if Burner
1 is the Top CD/DVD drive, then Burner 2 must be the Bottom CD/DVD drive.
6. The Server Module now starts the robot arm calibration and print alignment process on the Disk Write/Print Module.
• The robot arm moves from one input bin to the other, sensing for disks.
• The robot arm then picks a disk and places it in the print tray.
• The print head then prints an alignment pattern on a disk label.
• The robot arm then picks the disk and places it in the output area and the disk drops it into the output bin attached
to the Server Module.
• Check the alignment pattern, (shown below), for print quality, clarity, and position on the label.

NOTE: The calibration and print head alignment processes are run automatically by the Server Module. The print
head alignment is also automatically performed whenever a ink cartridge is replaced. Also, the print quality and
clarity are affected by the type of label on the CD/DVD. The MDR Publisher is preset for the WaterShield disks.

7. The MDR User Interface Module may display one of the following information screens:

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 8. If the Disk Write/Print Module was not previously loaded with CD/DVDs, unlock and open the Access door and load the
Input bins with CD/DVD disks, (up to 50 per input bin). Then, close and lock the Access door.
CAUTION: Be aware that there may be a clear plastic, or other type of protective cover on the top or bottom of new
CD/DVD packages. This protective disk must be removed and discarded prior to loading disks into the Disk
Write/Print Module.
9. When this process is complete, the Disk Writer/Print Module loads both CD/DVD drives and the User Interface Module
displays the following screen:

Proceed to Section 5.0 to configure the options and functions of the MDR Publisher that best suits the workflow of the
facility.

NOTE: If all the MDR Publisher default settings are going to be used, then the MDR Publisher is ready for use, refer to
Section 6 operating Instructions.

4.3 User Interface Module

There are no initialization procedures specifically for the User Interface Module. Figure 7 shows the User Interface Module
with the display and indicator components.
The User Interface Module consists of a LCD display with LED backlighting and seven buttons (located on the right side).
Refer to Figure 7. Button functionality is dependent on the current status of the MDR Publisher, (i.e., data entry, images
writing to disk, etc.)
The User Interface Module display indicates the current status of the MDR Publisher. Refer to Figure 7 for the location of
status messages.

Figure 7User Interface Module Display

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5.0 MDR Publisher Configuration
This section provides information and procedures for customer configuration of the MDR Publisher. This is accomplished
through the Main Setup Screen and the MDR Utilities Menu. These two menus are used to review the default or current
settings of the MDR Publisher options. The menus are also used to reset or select modes of operation if they change on a job
to job basis.
To configure the MDR Publisher for the customers preferences, review the sub-menus associated with both the Main Setup
Screen and the MDR Utilities Menu. There are numerous data inputs that need to be known before the configuration starts
(such as the I.P. address, Netmask, Gateway address, etc.). This type of information can be obtained from the sites IT
department. It is recommended that all the pertinent information be decided and collected before the configuration process
starts.
Refer to the Main Setup Screen diagram (on page 13) and the MDR Utilities Menu (on page 18) for the information and
configuration choices that are available.
5.1 User Customization
The MDR Publisher offers three customization options for the user:
• Custom Logo (Viewer Utility Splash Screen).
• Disk Label (Single Patient).
• Disk Label (Multiple Patient).
These customizable options can be implemented during configuration, or at anytime there is a need for updating or
modifying the custom logo or disk label.
5.1.1 Custom Logo
This option allows the customer to design and load a custom Logo (Viewer utility splash screen) for the Viewer
software. The custom logo image can be a logo or design to represent the specific entity or organization of the MDR
Publisher customer. It would be seen each time the Viewer is launched by the user. If no custom logo is loaded, the
default Viewer logo, shown in Figure 8, is used.
Figure 8Default Logo (Viewer Splash Screen)

The Custom Logo (Viewer utility splash screen) is a JPEG (JPG) image that must be in a 640 x 480 pixels format. The
filename for the JPG image has to be “logo.jpg”. Save the Custom Logo JPG image to a USB storage device. Once the
image is done, refer to the “Load Custom Logo JPG Instructions” located on page 16 for instructions on loading the
logo.jpg image to the MDR Publisher.
5.1.2 Disk Label
There are three disk labels, Single Patient, Single Patient Multiple Exams and Multiple Patient. Each type can be
customized individually, or can use the same custom graphics as long as the areas to keep blank, listed below, are
adhered to.
The customer only needs to create or supply the graphical image, for the single patient, or multiple patient, CD/DVD
labels. The patient information printed on the label is not programmable. The custom label must be 1024 by 1024
pixels and saved in a JPG format with the following naming conventions.
- The file name for a single patient disk label must be “customer_single_patient.jpg”.
- The file name for a multiple patient disk label must be “customer_mult_patient.jpg”.
NOTE: The USB drive must contain both disk label .jpg files, the files cannot be loaded individually.
The MDR Publisher automatically places the patient and exam specific information to the disk label.
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 The positioning of the Patient information on the disk label (refer to Figure 9) is automatically determined by the MDR
Publisher and is not programmable. The customized graphics for the label must be positioned on the upper side of the
label, with the patient information on the lower side.
The custom disk label has to be designed to fit the allotted area of the label, with the following areas left blank for
patient information printing:

Area to Keep Blank (Patient information area)

Disk Hole: Top = 400 pixels Bottom = 620 pixels Left = 400 pixels Right = 620 pixels
Single Patient Disk: Top = 510 pixels Bottom = 800 pixels Left = 0 pixels Right = 1024 pixels
Multiple Patient Disk: Top = 645 pixels Bottom = 1024 pixels Left = 0 pixels Right = 1024 pixels

The custom design can color the entire label (as shown by the Default Disk Label in Figure 9). Be aware that the
patient information and the color of the custom label can over lay on the lower area of the label. The custom design
color and print color (black) should be compatible for ease of reading. For instructions on loading custom disk label
designs, refer to Section 5.3.3 Disk Settings, in the MDR Utilities Menu.
It is possible to record more patients on a disk than can be printed on a disk label. For that reason, on Multiple Patient
labels, only the first six names and the last name are printed on the disk label, with fill periods between the sixth and
the last name, to indicate a range of names.
NOTE: If multiple exams with the same Patient ID are sent to the MDR prior to the “End of Association” or “End of File
Receive” timeout, the exams will be written to a single disk and labeled using the “Single Patient Layout”.
Figure 9Patient Information Layout and Default Disk LabeL

The positions of the exam attributes that are printed on the label, and whether or not they are printed, is configured by
editing an ini file on the server module. The ini file has seperate sections for each label layout, Single Patient, Single
Patient Multiple Exams and Multiple Patient. For instructions on editing this file, contact NAI Tech Products customer
solutions:
email service@NAITechProducts.com
phone 866 342 6629 (toll free in the USA)
phone 530 887 1008 (direct)

5.2 Main Setup Screen

The MDR Publisher is configured for network parameters and operator preferences via the Main Setup Screen. The User
Interface must be displaying the “Robot Ready” screen while the buttons are pressed. The Main Setup Screen is accessed
by pressing the following buttons sequentially: “Right” arrow, “Down” arrow, “Left” arrow, “Enter” button.

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Use the “Left” and “Right” arrows to navigate the Main Setup Screen. Use the “Enter” button to select the highlighted menu
item. Use the “Up” and “Down” arrows to change the selected items value. Use the “OK” soft key to save changes or the
“Cancel” soft key to exit without saving changes.

Figure 10 Main Setup Screen

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 5.2.1 Network
Network configuration is accomplished via the User Interface Module buttons. The network configuration function is
divided into two sections:
• DICOM parameters
• Network parameters (i.e., TCP/IP).
• Server parameters
NOTE: If DHCP Mode is set to “On”, the other network parameters (IP Address, Netmask and Gateway) are not
changeable (they are read only).
In the “DICOM” selection the following attributes can be set:
• AE Title (Application Entity) - is a case sensitive string limited to 16 characters (default is SCP).
• Port No. (number) - specifies the port used by the Server Module process as its contact port (the valid range is 0 to
65535, the default is 104).
• Xfer Syntax (transfer) - the actual representation of data as it is transmitted over a network (default is Mode 1).
The “Xfer Syntax” acceptance modes are as follows:
Mode 0 - Order of transfer syntax preference is Implicit VR Little Endian, Explicit VR Little Endian, JPEG Lossy or
RLE.
Mode 1 - Accept first offered transfer syntax that is supported. (Default).
Mode 2 - Accept a compressed syntax if offered.
Mode 3 - Do not accept a compressed transfer syntax if offered unless it is the only offered syntax.
NOTE: Modes 2 and 3 allow for control of image compression. The MDR Publisher uses JPEG (JPG) lossy or
RLE compression which may not be acceptable for archival purposes.
• Strict - (DICOM) On or Off. If set to “On”, a duplicate image UID results in an association rejection (default is Off).
In the “Network” selection the following attributes can be set:
• DHCP Mode - On or Off. If DHCP Mode is set to “On”, the other network parameters (IP Address, Netmask and
Gateway) are not changeable (default is Off).
• IP Address - internet protocol address (default is 192.168.0.111)
• Netmask - network mask (default is 255.255.254.0)
• Gateway - gateway address (default is 0.0.0.0)
In the “Server” selection the following attributes can be set: (Requires that the DICOM Send option is enabled)
• IP Address - internet protocol address (default is 192.168.0.111)
• AE Title (Application Entity) - is a case sensitive string limited to 16 characters (default is SCP).
• Port No. (number) - specifies the port used by the Server Module process as its contact port (the valid range is 0 to
65535, the default is 104).
• Name - User defined (16 Characters maximum)
To change the settings:
1. Highlight desired settings.
2. Press the “Enter” button.
3. Move the underscore cursor with the “Left” or “Right” arrow buttons to the value to be changed.
4. Change the values of the selection with the “Up” or “Down” arrow buttons.
5. When done, press the “Enter” button.

5.2.2 Configuration (Config)

In the Config selection, the following attributes can be programmed.
Display, the User Interface Module’s display contrast, backlighting, and timeout can be set to the operators
preference.
• The Contrast adjustment can be set in the range of 000 (no contrast) to 999 (the brightest contrast). The default is
128.
• The Backlight can be turned On or Off. The default is “On”.
• The Timeout sets the amount of time (in seconds) that elapse without button presses until the display goes into
screen save (dims) mode. The display comes back on again when any button is pressed. The default is 120
seconds (the range is 0 to 999). Setting the timeout to zero (0), the display never goes into screen save mode.

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MDR Mode, configures how exam data is written to the CD/DVD. The MDR Publisher has four media modes, Auto,
Manual, Single Patient and Auto Single Patient (Default).
• In Auto Single Pt (Patient) mode, the MDR Publisher automatically writes the exam data to the CD/DVD after the
exam has completed transfer from the DICOM modality. Selecting the Auto Single Patient mode allows the
operator to select whether the MDR Publisher stops writing exam data after the association is closed and the
timeout has expired, or after the end of file is received and the timeout has expired. This is the default mode.
- Type: The operator can select to stop recording the data with either the “End File Receive” or “End
Association” (default is End Association).
- Timeout: The operator can select the timeout (default is 1, range is 1 to 60 maximum), in minutes. The timeout
does not start until the “Type” selection is received.
The “Type” in conjunction with the “Timeout” selection stops the exam data recording, prints the CD/DVD label,
and then ejects the disk. If the MDR Publisher receives additional exam data with the same exam ID within the
timeout period, this is also recorded to the current CD/DVD.
• In Auto mode operation the MDR Publisher writes exam data to the CD/DVD as it is received from the DICOM
scanners and workstations on the network. It writes exam data until the CD/DVD is full, then prints the label and
ejects the disk and continues to write exam data to the next CD/DVD.
• In Manual mode, the operator selects the exams to be written to CD/DVD from an exam list which is accessed via
the “Exam Mgr” or “Queued Patients” soft keys.
• In Single Patient mode, The operator selects the exam ID from the exam list. This exam ID then becomes the only
ID that can be written to the CD/DVD.
NOTE: In single patient mode, once an exam ID has been selected and written to disk, the exam list only displays
exams with the chosen exam ID.
The Beeps selection is used to produce a “Beep” tone when any button or soft key, on the User Interface Module, is
pressed. The default is On.

The CPU Alert selection is used to inform the operator to the possibility of an internal temperature problem. This alert
can be caused by restricted ventilation around the MDR Publisher, or a clogged fan filter, which can lead to MDR
Publisher malfunction or failure. The default setting is 50° C (122° F). If the CPU Alert is on, inspect the area around
the MDR Publisher and the fan filter on the back of the Server Module. The MDR Publisher requires a minimum of
three inches of clearance on all sides for air circulation. If the fan filter does not require cleaning, check the room
temperature to be sure it is within the operating temperature range for the Server Module (refer to Server Module
specifications in Appendix A), or increase the CPU Alert threshold by a degree or two. Refer to Appendix B for
instructions on cleaning the filter.

The Viewer selection gives the operator the option to add the viewer software to the CD/DVD, or not add the viewer.
• The Add Viewer puts the viewer software on the CD/DVD and allows for DICOM images to be opened on any PC
with the appropriate CD or DVD drive, (assumes the disk was finalized). The default is “NAI Tech”, which adds the
software. MDR Publisher Viewer Utility provides for instructions on using the Viewer.

MDR Publisher Viewer Utility

The MDR Publisher may be configured to add a Viewer application to the CD or DVD. This application allows
viewing of DICOM images, that have been written to the disk, on a computer that does not have a DICOM Viewer.
NOTE: The Viewer is only written to the CD/DVD if “Add Viewer” is set to a selection other than “None”
The “None” selection does not add a viewer.
The <New> selection allows installing a new viewer application to the “Add viewer” list. Up to three viewers may be
added to the list of selectable viewers. The first viewer “added” will be named “User 1”, additional viewers will be
named “User 2” and “User 3”. Once a viewer is “added” to the list of selectable viewers, it may be set as the
DICOM viewer that is written to the CD/DVD or USB device. After a viewer has been added, a <Delete> viewer
function may be selected to remove a previously “added” viewer. Perform the following steps to add a viewer
selection to the MDR Publisher.

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 NOTE: An activation key is required to complete the installation of the Trillium Technology Showcase Viewer. Contact
NAI Tech Products Customer Solutions at 530 887 1008 for an activation key.
1. Copy the viewer executable file to a USB device. Place the USB device in the MDR Publisher USB port. Select No
at the “New device found...make default drive” prompt.
2. Select <New> from the “Configure / Viewer / Add Viewer” menu item (See the “Main Setup Screen” menu tree).
3. Select the OK key at the “Viewer Redistribution” acknowledgement screen.
4. A “Viewer Copying” status message is followed by a “Viewer Copying Successful” screen, press the OK key.
NOTE: If the Trillium Technology Showcase Viewer have been installed perform the following additional steps to
activate the viewer.
5. Proceed to the “Options / Options List” menu item (See the “Main Setup Screen” menu tree) and select the newly
installed viewer.
6. Press the Install Key, enter the eight digit activation key, then press the Enter key. Press the OK key to
acknowledge the “Key Successfully Installed” message.
To open the MDR Publisher Viewer on a computer, perform the following steps:
1. Place the CD, DVD, or USB device into the computer’s CD or DVD drive, or USB port.
2. Select the “My Computer” icon.
3. Select the drive letter that corresponds to the CD, DVD drive, or USB device.
4. Select the “viewer.exe” icon to launch the MDR Viewer application. (See the MDR DICOM Viewer quick
reference card for viewer application information.)
• The Use JPG feature enables or disables the loading of the custom JPG image. The default is “No”.
• The Load JPG feature allows placing a custom logo (splash screen) in the Viewer boot up sequence. Refer to the
Load JPG Instructions to utilize this feature.

Load Custom Logo JPG Instructions

The custom logo JPG image must be in a 640 x 480 pixels format. Save the custom JPG image to a USB storage
device. The filename for the JPG image has to be “logo.jpg”. (Be sure it is saved in the JPG format). To load the custom
JPG image into the MDR Publisher, perform the following steps:
1. Insert the USB device, with the JPG image (logo.jpg), into the USB port on the Server Module.
2. The User Interface display shows “Drive XXX has been found. Would you like to set this as the default drive?”
Press the “Yes” soft key. (or change the default disk (in the MDR Publisher Utilities menu) to the USB device.)
NOTE: The XXX represents a USB system name. Each device has it’s own system name.
3. Enter the Main Setup Screen by pressing the “Right” arrow, then the “Down” arrow, then the “Left” arrow, then the
“Enter” button, in that sequence.
4. Select the “Config” menu.
5. Select the “Viewer” menu.
6. Select the “Use JPG” item. Change the Use JPG item to “Yes”.
7. Select the “Load JPG” item and verify it is set to “Yes”.
8. Press the “Enter” button. The following confirmation screen is displayed:

This indicates that the custom logo JPG image was down loaded to the MDR Publisher.

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9. Remove the USB device from the Server Module, the display shows “The default drive was removed. Would you
like to change the default drive to be the Disk Publisher XRP?”
10. Press the “Yes” soft key. The Server Module default is automatically set to Disk Publisher XRP (Disk Write/Print
Module).

The Dt/Time (Date and Time) selection provides ability to set the Date and Time for the local time zone, and select a
date format.
To change the date and time settings:
1. Highlight desired settings.
2. Press the “Enter” button.
3. Move the underscore cursor, with the “Left” or “Right” arrow buttons, to the value to be changed.
4. Change the values of the selection with the “Up” or “Down” arrow buttons.
5. When done, press the “Enter” button.
To select the date format:
1. Highlight the current date format.
2. Press the “Enter” button to switch between the two formats (DD/MM/YY or MM/DD/YY).
(Where DD = day, MM = month, and YY = year)
3. When done, press the “OK” soft key.

The Locale selection provides ability to set the User Interface and the Web Interface for the local language. Requires
that the International Package has been installed.
5.2.3 Options
The Options selection shows the current configuration of the MDR Publisher and allows for enabling options in the
field. To enable an option, highlight the option in the “Option List”, then press the “Install” button. Enter the option key
using the Up or Down Arrow keys, then press the “OK” button. Contact NAI Tech Products Customer Solutions for
upgrade information see section B.2. for contact information.
5.2.4 Drives
The Configure Drive selection is used to identify the upper CD/DVD drive and lower CD/DVD drive in the Disk Write/
Print Module. This is completed during the first time power on initialization (refer to Section 4.2). It only needs to be
done once during initial installation, or if there is a service exchange of the Server or Disk Write/Print Modules. This
should not need to be performed at any other time.

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 5.3 MDR Utilities Menu
The MDR Utilities Menu contains four sub-menus that allow the operator to view the current setup of the MDR Publisher
and perform various disk functions. The User Interface display must show the “Robot Ready” screen.
To access the MDR Utilities Menu, press the “Down” arrow (Submenu).
Figure 11MDR Utilities Menu

NOTE: The “USB_Drive_1 and USB_Drive_2” only display if there are USB devices inserted into the Server
Module, otherwise, just the “Disc Publisher XRP” (MDR Publisher) is displayed.

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5.3.1 Network
To access the Network Utilities, follow the instructions in the MDR Utilities Menu section 5.2. Use the “Right” arrow, if
necessary, to highlight the “Network” selection.
NOTE: The Network sub-menu is only displayed if the DICOM Send option is enabled. Contact NAI Tech Products
Customer Solutions for upgrade information.
• Press the “Enter” button to access the Network sub-menu. Press the “Enter” button to access the Servers sub-
menu. Press the “Enter” button to select an Archive destination. If no server is selectable, see section 5.2.1 for
setup information.
5.3.2 Information (Info)
To access the MDR Publisher Information (Info) Screens, follow the instructions in the MDR Utilities Menu section 5.3.
Press the “Left” arrow or “Right” arrow, if necessary, to highlight the “Info” selection.
1. Press the “Enter” button to view the Disk Info (information) screen. The Disk Information screen displays the type
of CD or DVD that is currently in the Disk Write/Print disk trays, total number of disks and ink level. If a USB stor-
age device has been selected as the default drive, this info screen displays “USB Removable”.
• Press the “Next” soft key to view the Archive Status screen. This screen displays the results of an Echo Request
that is sent to the selected server(s).
NOTE: The Archive Status info screen is only displayed if the DICOM Send option is enabled. Contact NAI Tech
Products Customer Solutions for upgrade information.
• Press the “Next” soft key to view the Option List screen. This screen contains a list of MDR Publisher options and
their current status.
• Press the “Next” soft key to view the General Properties Info 1 screen. This screen contains the Unit ID and
Software version.
• Press the “Next” soft key to view the General Properties Info 2 screen. This screen contains the setting for
Finalize (i.e., On or Off), Viewer and Media Mode.
• Press the “Next” soft key to view the CPU Temperature screen. This screen displays the current CPU (internal to
the Server Module) temperature. If the current CPU temperature is greater than the setting in the “MDR Setup/
Config/CPU Alert” configuration, then the following message is also displayed:
“CPU is hot! Please check the fan filter!”
• Press the “Next” soft key to view the Network Properties Info screen. This screen displays the current TCP/IP
network information for the MDR Publisher.
• Press the “Next” soft key to view the DICOM Properties Info screen. This screen displays the current DICOM
identification information for the MDR Publisher.
5.3.3 Disk Settings
To access the Disk Settings Utilities, follow the instructions in the MDR Utilities Menu section 5.2. Use the “Right”
arrow, if necessary, to highlight the “Disk Set” selection.
• The “Finalize” screen prompts the operator to “Finalize Disk?”. Press the “Yes” soft key to finalize the current disk
or the “No” soft key to return to the MDR Disk Utilities menu. Finalizing makes the disk more compatible with other
CD/DVD drives. Not finalizing (the “No” selection) the disk allows for more data to be written at other times.
• The Options screen allows the operator to choose between finalizing and not finalizing the disk automatically. A
disk that has not been finalized can have additional image data written to it. A disk that has been finalized is more
compatible with other CD/DVD drives. The default is “ON”, to automatically finalize.
• The Default selection is used when an external USB device has been connected to the Server Module. Press the
“Enter” button to toggle between the “Disc Publisher XRP” (the Disk Write/Print Module) and any external USB
devices inserted.
NOTE: The User Interface only displays the number of USB devices inserted, one USB port on the front and four in
the back of the Server Module. One port on the back is used by the Disk Write/Print Module (Disc Publisher
XRP).
• The Labels selection allows the loading of custom disk labels that are printed on the CD/DVD along with the exam
description. The custom label must be 1024 by 1024 pixels and saved in a JPG format.
- The file name for a single patient disk label must be “customer_single_patient.jpg”.
- The file name for a multiple patient disk label must be “customer_mult_patient.jpg”.
NOTE: The USB drive must contain both disk label .jpg files, the files cannot be loaded individually.
To download the custom disk labels to the MDR Publisher:

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 1. When the “Load Disk Labels” is displayed, insert the USB device (if not all ready inserted) that contains the custom
labels into the Server Module USB connector (on the front of the Server Module).
NOTE: The inserted USB device does not have to be set as the default device.
2. Then press the “Enter” button (this downloads the custom labels to the Server Module).

NOTE: If the “OK” or “Cancel” soft key is pressed, the MDR Publisher returns to the Robot Ready screen, and does
not load the customer labels.
3. If the MDR Publisher finds the correctly named files, it starts the download process. If the proper file names are not
found, the MDR Publisher, displays the following message:
“No custom label found on the media. Make sure the image is on media and formatted properly and try again.”
4. Press the “OK” soft key to go back to the Robot Ready screen.
5. Check the files on the USB device and be sure the customer JPG files are present and correctly named and start
the procedure again.
• The Print Quality selection allows adjusting the resolution setting that the printer uses when printing a disk label.
The default setting is “Normal”. If the label graphic contains a high resolution image try setting the Print Quality to
High or Best. See Appendix A.2 for more information on printer resolution settings.
5.3.4 Disk Mgr (Manager)
Use the “Right” arrow, if necessary, to highlight the “Disk Mgr” selection.
• The “Current Disk” selection may be used to view the contents of a connected USB storage device that has been
selected as the default drive.
• Select “All Disks” to view a list of previously recorded disks.
- Select “Reburn” to make a copy of the highlighted disk (when “Reburn” is selected, the system automatically
burns the image and prints the disk label), or
- Press the “Enter” button to “View exam” details of the highlighted disk.
To delete a disk from the list, highlight the disk, then press the “Enter” button, then the “Down” arrow.
• Select “Import” to transfer DICOM exam data from a USB storage device to the MDR Publisher database. The
imported exam will be placed at the top of the list of exams in the MDR Publisher Exam Manager. To import an
exam, follow the steps outlined below:
1. Place the USB storage device into the MDR Publisher USB port, select No at the “Hardware has been
found....set this as the default drive?” prompt (Where Hardware is the name of the USB device).
2. Select “Import” from the MDR Publisher Disk Manager Menu (See the MDR Disk Utilities Tree).
3. Select “Yes” at the “Would you like to import the DICOM images from the Hardware to the MDR database?”
prompt.
4. The MDR Publisher will display a counter as the images are imported, followed by a success message along
with the total number of images imported once the process has completed.
5. If the “Cancel” key is pressed after the Import function has been started, the MDR Publisher will finish
importing the current image and then prompt the operator whether to keep the x number of images already
imported out of the x total number of images from the exam.
Note: For more information refer to the following web address:
http://medical.nema.org/dicom/2007/07_10pu.pdf
• Select “Dequeue Media” to remove all exams from the media print queue.
• Select “Dequeue Server” to remove all exams from the archive server queue.

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NOTE: The Dequeue Server menu item is only displayed if the DICOM Send option is enabled. Contact NAI Tech
Products Customer Solutions for upgrade information.
• Select “Delete Exams” to permanently delete the MDR Publisher exam database. This selection is followed by a
confirmation screen, select No to return to the previous screen or select Yes to delete all exams from the MDR
Publisher exam database. The MDR Publisher will reboot after the exam database has been deleted.
Note: Selecting “Delete Exams” will also remove any exams that may be queued to be written to removable media
(CD/DVD/USB storage device).
5.3.5 Log
The “Log” selection from the Utilities Menu copies the log files to a USB storage device.
5.3.6 Calibrate
The “Calibrate” function is used when the touchscreen display, connected to the MDR VGA output, does not respond to
an operator input in the expected manner. Follow the onscreen prompts to complete the touchscreen calibration once
the calibrate function has been selected. See “Options” on page 17 for information on enabling the touchscreen option.
NOTE: The “Calibrate” submenu item is only present when the “Touchscreen” option has been enabled.

15” LCD Touchscreen connection detail

Rear view of LCD Touchscreen 1) Power supply connection - from LCD power supply
2) USB connection - from “USB” connector on rear of
server module
3) VGA connection - from “VGA OUT” connector on rear
of server module

Rear view of server module

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6.0 Operating Instructions
This section provides the information to operate the MDR Publisher once the unpacking, cabling, and initialization process has
been completed.
6.1 Power On
This section describes the process of applying power to the MDR Publisher. The Server and Disk Write/Print Modules have
individual power On/Off switches located in the back of the modules. The Disk Write/Print Module and the Server Module
perform their own, individual, boot up processes in preparation for operation. The modules should be powered on in the
documented sequence, the Disk Write/Print Module first, then the Server Module.
NOTE: If the Disk Write/Print Module and Server Module are plugged into a power strip that is used to turn the modules On
and Off, they can be powered up simultaneously after the initialization process.
6.1.1 Disk Write/Print Module Power On
To power on the Disk Write/Print Module, perform the following steps:
1. Put the power switch, located on the back of the module, in the “On” position.
2. The Disk Write/Print Module lights blink rapidly, the ink carrier and robot arm move slightly to the home position (all
the way to the left side), the print tray opens and closes.
3. This process takes approximately 20 seconds, then both the lights should both be on, steady.
This indicates the Disk Write/Print Module is powered up and ready. If the ink cartridge and power on LEDs are in any
other state, refer to Appendix B, Section B.6, for LED descriptions.
6.1.2 Server Module Power On
The Server Module should only be powered on after the Disk Write/Print Module has completed its power on
sequence.
1. Put the power switch, located at the back of the module, in the “On” position.
NOTE: This also applies power to the User Interface Module.
2. The Server Module power LED turns green and the User Interface displays the MDR logo. The Server Module is
going through its own boot up process which takes approximately 40 to 60 seconds.
3. Once the Server Module has recognized the Disk Write/Print Module and checked the input bins and burners for
disks, it displays the “Robot Ready” screen and is ready for operation.
6.2 Power Off
There is no required power off sequence for the MDR Publisher. If the Disk Write/Print Module is turned off and the Server
Module is left on, the User Interface displays the “Media burning disabled. There is no media available. Please insert
media.” message. If the “OK” soft key is pressed with the Disk Write/Print Module still off, the “Robot Not Present” screen is
displayed.
6.3 MDR Publisher Mode Selection
Data transfer to the MDR Publisher can be initiated by the DICOM modalities on the hospital network, or initiated by the
operator. The MDR Publisher can be configured to automatically write all received exam data to a CD/DVD (in Auto or Auto
Single Patient modes) or hold the exam data on the Server Module internal hard drive (in Manual or Single Patient modes),
so the operator can choose which exams are written to the CD/DVD. Changing modes is done through the Main Setup
Screen. Refer to “Main Setup Screen” on page 12 for instructions.
The MDR Publisher has four operational modes:
1. Auto Single Pt (default mode)
2. Auto (archive)
3. Manual
4. Single Patient
The optimal performance mode for the MDR Publisher is “Auto Single Pt”, the default mode.
6.3.1 Auto Single Pt (Patient) Mode Operation
In Auto Single Patient mode the MDR Publisher holds all exam data on the internal hard drive. Once the exam transfer
is complete (selectable by “End File Received”, or “End Association”), the images are written to the CD/DVD, the label
is printed, and the disk is ejected. Each disk contains the exam data for one patient only. The Auto Single Pt mode is
the default mode for the MDR Publisher.

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 6.3.2 Auto Mode Operation
The Auto mode writes patient exam data to the CD/DVD disk as it is received from the DICOM modality on the host
network. Exam data is written to the disk until the disk is full. The disk label is written and then the disk is moved to the
output bin. The MDR Publisher then re-loads the burner and continues to write exam data as it is received.
Since more patients may be written to a CD/DVD than can be listed on the label, the printed label (Multiple Patient)
contains the first six names and the last name written, with fill periods between the sixth and the last name, to indicate
a range of names. To look at the patient names written to a CD/DVD that are not listed on the label, the operator must
use a Viewer and make a note of all recorded patient names.
6.3.3 Manual Mode Operation
In Manual mode the MDR Publisher holds all exam data on the internal hard drive. Exam selection may be performed
from the Queued Patients or Exam Manager soft keys. The exam is selected from a list. Press the “Send To” soft key to
enter the “Send To Menu”. Select “Disk Publisher” to queue the exam to the CD/DVD writer. Next, select “Finish” to
write the exam to disk and print the label, or select “More” to add additional exams to the disk. To dequeue an exam
from the CD/DVD writer queue see “Exam Mgr (Manager)” on page 23.
Note: Once you have selected the exams to be written to disk, you can also press the “Exit” soft key two times, then
the “Eject” button to start the writing and labeling process. The “Eject” button does not work for exams being
written to a USB device.
6.3.4 Single Patient Mode Operation
In Single Patient Mode (which is a manual mode) the MDR Publisher holds all exam data on the Server Module’s
internal hard drive. Once an exam is selected by the operator, via the Queued Patients function, only exams with the
same patient ID are allowed on the CD/DVD.
When the MDR Publisher is used in single patient mode, be sure the Disk Write/Print Module has disks inserted prior to
selecting the exam ID to be written to the disk. Refer to Section 5.0 MDR Publisher Configuration to enable this
feature.
NOTE: In single patient mode operation, once an exam ID is selected, the queued patients list only displays exams
with that ID.
6.4 Exam Mgr (Manager)
To view a list of previously recorded patients or exams press the “Exam Mgr” soft key. The exams are listed by patient
name and ID with the most recently received exam on the top of the list.

The asterisk symbol indicates the exam is queued to The plus symbol indicates the exam is queued to
send to the CD/DVD or USB storage device. send to an archive.

Press the “Send To” soft key to enter the “Send To Menu” then select the desired destination. Press the Enter button to
write the highlighted exam to the CD/DVD/USB or Archive Server, once the exam is sent to disk, the following screen is
displayed:

If the “Finish” soft key is selected the disk is ejected once the MDR has completed the disk writing process. If the “More”
soft key is selected the MDR returns to the exam list screen to allow further exams to be sent to the CD/DVD/USB.
NOTE: An asterisk between the exam name and ID, in the exam list screen, indicates that the exam is being written to the CD/
DVD/USB.

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 Use the UP or Down Arrow button to view additional patient studies that have been sent to the MDR. To view the study
details of a particular patient, highlight the patient name and ID then press the Enter Button. To write the exam to CD/
DVD/USB press the Send To soft key then press the Enter Button.
NOTE: Exams sent to the MDR must contain a Patient Name and ID number to be viewed properly with the DICOM
viewer.
NOTE: Archive 1, Archive 2 and Arch + Arch are only displayed if the DICOM Send option has been enabled.
To view the exam details press the “Enter” button. The exam’s ID, date, time and exam description are displayed.

6.4.1 Exam Manager Menu

To access the Exam Manager Menu, press the Down Arrow button from the “Exam Details” screen. The Exam
Manager Menu allows performing file operations on the exam that was selected from the “Exam List”.

Delete Exam
To delete an exam, select the “Delete” menu item then press the Enter Button. Deleting the exam must be
confirmed, by pressing the “Yes” soft key.
NOTE: If an exam has been sent to a CD/DVD or USB storage device it cannot be deleted using the Exam Manager
delete function. See “Disk Mgr (Manager)” on page 20 in the MDR Utilities menu to delete exams that have
been sent to CD/DVD or USB storage device.
Dequeue from Media
Removes the exam from the media (CD/DVD/USB) queue. If the exam is currently being recorded to the media
(CD/DVD/USB), the recording will proceed until the disk is ejected.
Dequeue from Server
Removes the exam from the server(s) queue. If the exam is currently being transfered to the Archive, the trans-
fer will stop after the current image is sent.
NOTE: The Dequeue from Server selection is only available if the DICOM Send option has been enabled.
To write the exam to CD/DVD (Disk):
1. Highlight the desired exam using the Up arrow or Down arrow.
2. Press the “Send To” soft key then select “Disk Publi” and press the Enter key.
3. The “Finish” or “More” screen is displayed.

4. Press the “Finish” soft key to write the exam to disk, print the disk label, and return to the “Robot Ready” screen.
5. The “More” soft key is used to write additional exams to the disk.

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6. Once all exams are selected, press the “Finish” soft key to write the exams to disk and return to the “Robot Ready”
screen.
To write the exam to a USB device:
1. Plug the USB device into an available USB port on the front or back of the MDR Server.
2. The User Interface display shows “Drive XYZ has been found. Would you like to set this as the default drive?” Press
the “Yes” soft key. (or change the default disk (in the MDR Utilities menu) to the USB device.)
NOTE: The XYZ represents a system name. Each device has it’s own system name.
3. The display shows the “Disk Inserted USB Removable” screen (instead of the “Robot Ready” screen).
4. Press the “Exam Mgr” soft key.
5. Highlight the desired exam using the “Up” arrow or “Down” arrow.
NOTE: Be aware of the memory capacity of the USB device inserted. Multiple exams can have large files associated
with them. Be sure the capacity of the USB device is not less than the sum of all the file sizes.
6. Press the “Send To” soft key then select the “USB_Device” and press the Enter key.
7. The “Finish” or “More” screen is displayed.

8. Press the “Finish” soft key to write the exam to the USB device and return to the “Disk Inserted” screen.
9. The “More” soft key is used to write additional exams to the USB device.
10. Once all exams are selected, press the “Finish” soft key to write the exams to the USB device and return to the “Disk
Inserted” screen.
11. If the USB device is removed the display shows “The default drive was removed. Would you like to change the default
drive to be the Disk Publisher XRP?”
12. If another USB device is plugged in, press the “No” soft key and continue.
13. If the “Yes” soft key is pressed the Server Module default is automatically set to Disk Write/Print Module, (Disk
Publisher XRP).
6.5 Queued Patients
To view a list of the current (not yet sent to disk) patients press the “Queued Patients” soft key. The patient names are listed
along with their ID number. Once a patients information is written to a disk, the patient name and exam information is
removed from the Queued Patients list. The patients exam data may still be seen with the Exam Mgr (manager) function, or
the Disk Mgr (manager) selection in the MDR Utilities menu.

To view the details of a patient, press the up arrow or down arrow buttons to highlight the name, then press the “Enter”
button.

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 To write a Patients data to CD/DVD:
1. Highlight the desired patient using the Up arrow or Down arrow.
2. Press the “Send To Disk” soft key.
3. The “Finish” or “More” screen is displayed.

4. Press the “Finish” soft key to write the patient data to disk, print the disk label, and return to the “Robot Ready” screen.
5. The “More” soft key is used to write additional patients to the disk.
6. Once all patients are selected, press the “Finish” soft key to write the exams to disk and return to the “Robot Ready”
screen.
NOTE: The patient name written to the disk or USB, is now removed from the Queued Patients list.
To write a Patient to a USB device:
1. Plug the USB device into an available USB port on the front or back of the MDR Server.
2. The User Interface display shows “Drive XYZ has been found. Would you like to set this as the default drive?” Press
the “Yes” soft key. (or change the default disk (in the MDR Utilities menu) to the USB device.)
NOTE: The XYZ represents a system name. Each device has it’s own system name.
3. The display shows the “Disk Inserted USB Removable” screen (instead of the “Robot Ready” screen).
4. Press the “Queued Patients” soft key.
5. Highlight the desired patient using the “Up” arrow or “Down” arrow.
NOTE: Be aware of the memory capacity of the USB device inserted. Multiple patients can have large files associated
with them. Be sure the capacity of the USB device is not less than the sum of all the file sizes.
6. Press the “Send To Disk” soft key.
7. The “Finish” or “More” screen is displayed.

8. Press the “Finish” soft key to write the patient data to the USB device and return to the “Disk Inserted” screen.
9. The “More” soft key is used to write additional patients to the USB device.
10. Once all patients are selected, press the “Finish” soft key to write the exams to the USB device and return to the “Disk
Inserted” screen.

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11. If the USB device is removed the display shows “The default drive was removed. Would you like to change the default
drive to be the Disk Publisher XRP?”
12. If another USB device is plugged in, press the “No” soft key and continue.
13. If the “Yes” soft key is pressed the Server Module default is automatically set to Disk Write/Print Module (the display
shows Disk Publisher XRP).
6.6 Custom Logo
For information regarding custom logo (viewer splash screen), refer to “Custom Logo” on page 11. For instructions on
loading a custom logo (viewer splash screen) JPG file, refer to “Main Setup Screen” on page 12, the “Config” then “Viewer”
selection.
6.7 Custom CD/DVD Labels
For information regarding custom disk labels, refer to “Disk Label” on page 11. For instructions on loading custom disk
label designs JPG files, refer to Section 5.3.3 Disk Settings, in the MDR Utilities Menu.
6.8 Adding Media
When the User Interface displays a message stating that “media needs to be added”, “input bins are empty”, or the input
bins are deemed empty by visual inspection, perform the following procedure:
1. Be sure the User Interface display shows the “Robot Ready” screen and there is no activity on the burner progress
bars. This means there are no processes being run.
2. Unlock and open the Disk Write/Print Module access door. The robot arm and ink carrier move to the center of the
module.
CAUTION: DO NOT reach inside the module when the robot arm and ink carrier are in motion.
3. Place up to 50 disks (CD/DVD) into each input bin. If there is an open burner tray, DO NOT place a disk in the open
tray.
CAUTION: Be aware that there may be a clear plastic, or other type of protective cover on the top or bottom of new CD/DVD
packages. This protective disk must be removed and discarded prior to loading disks into the Disk Write/Print
Module.
4. Close and lock the access door.
5. The robot arm moves to each input bin checking for disks, then loads the empty burners. The robot arm re-checks the
input bins once the burners are loaded. This process takes a few minutes, please be patient.
6. The “Robot Ready” screen should be displayed, indicating the MDR Publisher is ready for operation.

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 6.9 Main Setup Screen Example
This example shows step by step instructions for accessing and changing the IP address of the MDR Publisher. Other
MDR Publisher system setup changes are made in a similar manner. Refer to the Main Setup Screen Diagram, on
page 13, for the remaining selection types.
Step 1 Step 2 Step 3

Press the Right arrow, Down arrow,

Left arrow and Enter buttons. (One Use the Left or Right arrow to high-
The MDR Publisher must be in the at a time, in the stated order, count 1 light “Network”, press the Enter but-
“Robot Ready” screen. through 4 as you press) ton.

Step 4 Step 5 Step 6

Use the Left or Right arrows to The default is “DHCP Mode Off”. To Press the Down arrow to highlight
highlight “Network”, press the Enter turn DHCP On, press the Enter but- the IP address. Press the Enter but-
button. ton. ton to allow editing the IP address.

Step 7 Step 8

Use the Left or Right arrows to place the cursor below

the number to be edited. Use the Up or Down arrows to Use the Up or Down arrows to select other Network Proper-
change the value of the number. Press the Enter button ties to edit. Press the OK soft key to exit and save changes, or
when the changes have been made. the Cancel key to exit without saving changes.

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7.0 MDR Publisher Web Interface or MDR Publisher Touchscreen User Interface
NOTE: The web user interface and the touchscreen user interface provide similar functionality in accessing the MDR Publisher
exam database. The web browser information, below this note, is disregarded if the touchscreen is connected to the
MDR Publisher. The login screen requires that a keyboard, USB or PS2, is connected to the MDR Publisher Server
Module. Connect the keyboard to a USB connector or the PS2 connector labeled “KEYBOARD” on the back of the
Server Module.
The Disk Manager and Exam Manager functions of the MDR Publisher may be accessed via the web browser of a PC that is
connected to the same local area network as the MDR Publisher. This feature allows remote administration of the MDR as well
as remote access to images contained in the MDR database for electronic medical records (EMR) applications. Prior to
opening the MDR Publisher web page, verify that the Windows firewall setting on the PC that will be used for the connection, is
set to Off. To view or change the current Firewall setting, open the Windows Control Panel then open Windows Security Center.
Under the “Manage security settings for:” heading, select “Windows Firewall”. In the “Windows Firewall” window, select the
“Off” button then select the “OK” button.
NOTE: The MDR Publisher web interface was validated with Firefox versions 2 and 3, and Internet Explorer versions 7 and 8
only. See Appendix C for information regarding web browser setup and security settings.
To open a connection to the MDR Publisher web interface, launch the PC’s web browser then enter the IP address for the MDR
into the web browser address bar:
Enter IP address here

NOTE: The above IP address is an example, follow the instructions below to obtain the IP address for the MDR Publisher that
is at your facility.
To obtain the MDR Publisher IP address setting, press the Down Arrow (Submenu) button to view the MDR Utilities Menu.
Select the Info item, then press the Next button until the Network Properties Info screen is displayed (See section 5.3 MDR
Utilities Menu).
7.1 Login Page
To login to the MDR Publisher, enter the user name and password, then left click the “OK” button or press the Enter key on
the keyboard. The default user name and password is “administrator” and “90ad”.

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 7.2 Home Web Page
The home web page contains the buttons for changing to the Disk Manager, Exam Manager or Setup pages and shows
current MDR Publisher status. The type of media in each drive, the Robot status, the total number of published disks, the
number of disks loaded into the input bins and ink cartridge level are displayed on the right side of the page. If the DICOM
send option is enabled and configured, an icon is displayed below the drive status icons indicating the archive status. The
DICOM Receive icon indicates status (idle or busy), AE Title and port number for the Publisher. Rolling the mouse pointer
over a button causes informational messages to be displayed (blue boxes in diagram below).

7.3 Exam Manager Page

Left click the “Exam Manager” button to display the list of exams that are currently in the exam database on
the MDR Publisher. The Exam Manager page will display the exams in the order they were received with the
most recent exam at the top of the list. Left click the numbered tabs at the bottom of the exam list, if they are
present, to view older exams.

Select the “Refresh ” button to reload the exam manager page. If an exam has been sent to the MDR
Publisher, but is not shown on the list, or the list of exams has been filtered to show only a partial list,
selecting the “Refresh” button will restore or reload the page.
Left clicking any of the column header “drop down buttons” causes a drop down list to appear. This allows
selecting a value that will filter the exam list to display only exams with a match for the chosen value.

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To change the destination drive, left click the drop down button to choose the drive from the drop down
list.
NOTE: The drive selection will revert to “Disk Publisher XRP” after an exam is written to the USB
storage device. If multiple exams are to be written to a USB drive, the drive must be selected prior to
each “Queue to Media” operation.
To select an exam to be written to disk, left click in the row that contains the exam name or patient ID.
The “Queue to Media” button queues the selected exam to be written to the CD/DVD or USB device. Left
click the “Refresh” button to update the exam manager page and view the “To Media” message in the
queue status column.
Once all of the exams for a specific disk have been selected, by left clicking the “Queue to Media”
button, left click the “Publish” button to complete the disk writing process and send the disk to the printer.

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 When the DICOM Send option is enabled, the MDR Publisher Web Interface will display additional buttons
that allow exams that have been sent to the MDR to be forwarded to a network archive (PACS). The
archive(s) status is displayed to the right of these buttons. When an exam is transferred to an archive, the
status message will change from “Connection Idle” to “Connection Success”. Additional dequeue functions
are also available when the DICOM Send option is enabled, see sections 6.4 and 5.3.4 for information on
dequeueing exam(s) from an archive. If the archive status is “Connection Network Failure” or “Connection
DICOM Failure” dequeue the exam prior to troubleshooting the issue. See appendix section B.8 for
additional troubleshooting information.
To view detailed exam information, such as the number of images, the number of series or the study
description, left click the “Exam Details” button. The “Exam Details” page also contains thumbnail images
that are displayed based on the exam series number. For exams that contain structured reports, the exam
images and the report are in separate series. In the example below the exam report is in the first series, left
click the “Series 2” button to view the thumbnail exam images. Left click the “Exit” button to return to the
Exam Manager page.

NOTE: The NAI Tech Products DICOM Viewer does not currently support viewing structured reports, see “Configuration
(Config)” on page 14 for instructions on loading a viewer onto the MDR Publisher.

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The thumbnail images displayed in the “Exam Details” window are JPEG copies of the original DICOM image. Right
clicking when the mouse cursor is over an image thumbnail causes a selection list to appear, choose “View Image” to
open the image in a new browser window. Choose “Copy Image” to place a copy of the image on the Windows
clipboard so that it may be pasted into another application, such as an electronic medical records (EMR) application.
Choose “Save Image As...” to open a save image window, then browse to a file folder location or network drive to save
a copy of the image.
NOTE: If the original image is a cine, then only the first frame of the cine is copied.

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 7.4 Media Manager Page
Left click the “Media Manager” button on the “Home Web Page” to display the list of disks that have been created on
the MDR Publisher.

Select a disk, by left clicking in a row, then left click the “Exams” button to view the list of exams that
were written to the selected disk. From the “Current Disk” page, select the “Disk Manager” button to
return to the disk manager page, or select the “Exam Details” button to view the number of images,
series and study description for the exam.
To make a copy of a previously recorded disk, select the disk, by left clicking in the row that contains the
disk label to be copied, then left click the “Reburn” button.

To delete a disk from the previously recorded disk list, select the disk, by left clicking in the row that
contains the disk label to be deleted, then left click the “Delete” button.

NOTE: Deleting a disk from the previously recorded disk list, will also delete the exams that are associated with the disk.
7.5 Setup Page
Left click the “Setup” button on the “Home Web Page” to display the Setup screen. This page contains a Language
button an Administration button and a Calibrate button (if the Touchscreen option has been enabled). Selecting the
“Language” button loads the Language Selection page. If the MDR has the International package installed, the drop
down selection list allows choosing localized text for the web interface and the MDR Publisher user interface. The
Administration page allows changing user name and password. The touchscreen calibration process causes the MDR
to reboot, then the operator performs the calibration by touching the screen in the prompted target areas, then the
MDR will reboot again to complete the touchscreen calibration.

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Appendix A. Specifications
Appendix A provides the specifications for the modules that make up the MDR Publisher.

A.1 Server Module Specifications

DICOM Storage Classes - Secondary Capture, Multi-frame Grayscale Byte Secondary Capture, Multi-frame True
Color Secondary Capture, Ultrasound, Ultrasound Multi-frame, Ultrasound (Retired),
Ultrasound Multi-frame (Retired), Computed Radiography, Nuclear Medicine (Retired),
X-Ray Angiography and X-Ray Radiofluoroscopy, Mammography Processing,
Mammography Presentation, DX for Processing, DX for Presentation, Nuclear
Medicine, Basic Text Structured Reports, Extended Text Structured Reports,
Comprehensive Structured Reports.
Network - Ethernet IEEE 802.3 10/100/1000 BASE-T.
Supported media - CD-R, CD-RW, DVD+R, DVD+RW (DVD + support is hardware dependent).
Storage Capacity - DVD+R 4.7 GB
- CD-R 700 MB
- Hard Drive 80 GB or Greater
Connectors - Network: 8 pin modular jack (RJ45).
- Serial Communication: DB9, Male pins.
- Remote: DB9, Female pins (User Interface connection).
- Keyboard: PS2, Female pins.
- Mouse: PS2, Female pins.
- Monitor: DB15 High Density Female pins.
- Universal Serial Bus (USB) interface (one on front, four on the back).
Power Input - 100 – 240 VAC~, 15A, +/-10%, 47-63 Hz, 126 VAC. (automatic voltage select)
Dimensions - Height: 14.3 cm, (5.63 inches).
Width: 43.18 cm, (17.0 inches).
Depth: 54.61 cm, (21.5 inches).
Weight - 9.1 kg, (20 pounds, see note at end of Server Module specifications).
Environmental - Operating:
Temperature: +10º C to +40º C (+50º F to +104º F).
Barometric pressure: 700 hPa to 1060 hPa
Relative Humidity: 5% to 80% non-condensing.
- Transportation and Storage:
Temperature: -10º C to +50º C (+14º F to +122º F).
Barometric pressure: 500 hPa to 1060 hPa
Relative Humidity: 5% to 85% non-condensing.
Degree of protection against ingress of water (IPXO).
Clearance Requirements - AT least 3 inches on all sides and rear panel cable connection.
- Do not obstruct ventilation air flow at sides and rear of module.
- Do not remove Server Module feet, air flow exits from below the enclosure.
IEC 601 Classification - Class I, continuous operation.
Complies with IEC 60601-1 with Amendments 1 & 2, C22.2 No 601.1-M90 and UL Std.
No 2601-1.

NOTE: The combined weight of the MDR Publisher (the Server Module, Disk Write/Print Module and the User Interface
Module) is 28.58 kg (63 lb).

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 A.2 Disk Write/Print Module Specifications

Printing Method - Ink-Jet

Printing Resolution - 4800 x 1200 dpi, 2400 x 1200 dpi, 1200 x 1200 dpi, 600 x 600 dpi
Ink Types (Dual Cartridges) - One 3-color cartridge (CMY)
One Black Monochrome cartridge (K)
Maximum print width - 120 mm (4.724 in)
Interface - USB 2.0 port
Power Requirement - 100-120 VAC, or (The input voltage is selected by a switch at the back of the
220-240 VAC module.)
50/60Hz, 1.0A
Dimensions: - Height: 27.40 cm (10.8 in)
Width: 43.18 cm (17 in)
Depth: 42.40 cm (16.7 in)
Weight - 19.5 kg (43 lb, see the note that comes before these specifications.)
EMC Certifications - FCC Class B, CE
Safety - UL, UL-C, CE, RoHs

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Appendix B. Service and Troubleshooting
Other than cleaning the Server Module fan filter, adding CD/DVDs, and changing the ink cartridges, the MDR Publisher
contains no user serviceable components.

B.1 Server Module Fan Filter

The fan filter should be checked and or cleaned on a periodic basis. See Figure 12 for the location of the fan filter. To clean
the filter, unsnap the filter retainer from the fan body.
CAUTION: The Server Module should be OFF before accessing the fan filter, or replacing the fan filter. DO NOT power On the
Server Module without the fan filter installed.
Clean the filter element using a vacuum cleaner or air blower and replace it. Secure the filter by snapping the filter retainer
onto the fan body. There are no other accessible components on the Server Module.

Figure 12Server Module Fan Filter

Fan Filter

B.2 NAI Tech Products Contact Information

Telephone: (530) 887 1008 direct
(530) 887 1108 fax
(866) 342 6629 toll free within the USA
email: service@NAITechProducts.com
sales@NAITechProducts.com
For any problem, other than the Server Module fan filter or customer serviceable items for the Disk Write/Print Module, a
module has to be returned to NAI Tech Products to be serviced by NAI trained personnel. The module being returned
should be repacked in the shipping container it was received in (saved during the unpacking process). If the original
packing material is unavailable, the module should be repackaged by experienced electronics movers. This should reduce
the risk of damage during the return process.
To return a module to NAI Tech Products, call Customer Solutions at (530) 887-1008 and request a Return Material
Authorization (RMA) number.

NOTE: Any equipment returned to NAI without an RMA number will not be accepted.
Return the MDR Publisher Module to:
NAI Tech Products
12919 Earhart Ave.
Auburn Ca. 95602.

NOTE: NAI Tech Products is not responsible for any damage or loss of items returned to NAI Tech Products.

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 B.3 Software Upgrade
Software upgrade is accomplished via a USB storage device. To upgrade the MDR software, follow the steps outlined
below.
1. Insert the USB device into the USB port on the Server Module. The display shows the, “Drive XYZ has been found.
Would you like to set this as the default drive?”, message. Do not respond, just wait a few seconds.
2. The following message is automatically displayed:

3. Press the “Yes” soft key to continue the software upgrade. The “Install Progress” status message box displays the
progress of the upgrade.
4. When the upgrade is complete, the “OK” soft key is displayed. When this occurs, press the “OK” soft key.

5. When the display indicates the MDR Publisher is ready to reboot, remove the USB device containing the software
upgrade, then press the “OK” soft key to reboot the MDR Publisher.
6. The display shows the “Please wait Rebooting” message. This process takes approximately 60 seconds, then the
“Robot Ready” screen should be displayed. The MDR Publisher is ready for operation.
B.4 Power On Situations
When the Server Module recognizes the Disk Write/Print Module and performs the input bins and disk checks, it
responds in accordance with disks being absent.
Situation One: - Input bins empty, both burners with disks inserted.
The MDR Publisher powers up normally with no message stating that the input bins are empty. Once a disk is
written and ejected, the display shows the following message:
Disc Publisher XRP
The input bin is empty. Open the
cover, add more disks, and close
the cover to continue.
NOTE: The empty burner tray remains open. DO NOT place a disk in the open burner tray.
Add media disks to the input bins (refer to “Adding Media” on page 27).
CAUTION: Be aware that there may be a clear plastic, or other type of protective cover on the top or bottom of
new CD/DVD packages. This protective disk must be removed and discarded prior to loading disks
into the Disk Write/Print Module.
When the access door (cover) is closed and locked, the robot arm picks a disk and places it in the open
burner tray. The MDR Publisher checks both input bins for disks. The robot arm then moves to its home
position (to the left side of the module). Press the “OK” soft key on the User Interface Module. The “Robot
Ready” screen should display. The MDR Publisher is ready for operation.
Situation Two: - Input bins empty, burners empty.
The MDR Publisher powers up, then displays the message shown in Situation One.
NOTE: An empty burner tray remains open. DO NOT place a disk in any open burner tray.
Add media disks to the input bins (refer to “Adding Media” on page 27).

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 CAUTION: Be aware that there may be a clear plastic, or other type of protective cover on the top or bottom of
new CD/DVD packages. This protective disk must be removed and discarded prior to loading disks
into the Disk Write/Print Module.
When the access door (cover) is closed and locked, the robot arm picks a disk and places it in the open
burner tray. The MDR Publisher checks both input bins for disks and places a disk in the other empty burner.
This process takes a few seconds, so be patient. Also, if one of the input bins is empty, and the other bin
contains disks, there is no indicator for that. The input bins must be check visually.

B.5 Optical Disk Care

Optical disks, CD or DVD, may need cleaning if you experience difficulty opening the images or files that they contain. Disk
cleaners can be obtained from most office or computer supply outlets. When storing a disk, follow the disk manufacturer’s
recommendations for environmental and handling precautions.

MDR Performance: CD vs. DVD

CD-R CD-RW DVD+R DVD+RW

Write Speed Up to 16x or Up to 10x or 2.4x or 2.4x or

2.4 Mbytes/sec 1.5 Mbytes/sec 3.32 Mbytes/sec 3.32 Mbytes/sec
4x or
5.53 Mbytes/sec

Disk Storage 700 Mb 700 Mb 4.7 Gb 4.7 Gb

Capacity

Re-Writable Write-Once Yes Write-Once Yes

B.6 Disk Write/Print Module LEDs

The Disk Write/Print Ink Cartridge and Power LED patterns are defined in Table 1.

Table 1: Disk Write/Print Module LED Definitions

Ink Cartridge
Power LED Description
LED
Off On solid Access door is open
On solid On solid The module is ready to receive data.
Both LEDs are slowly blinking in an Waiting for an ink cartridge to be installed and the access
alternating pattern. door to be closed.
Both LEDs are rapidly blinking in an The Disk Write/Print Module is initializing. This pattern is
alternating pattern. also displayed when the module is first turned on. Wait
until the LEDs stop blinking before starting a job.
Blinking rapidly On solid The printer tray or ink carrier has stalled. Press the ink
button to retry the operation.
Blinking slowly On solid The module requires media or multiple disks have been
picked. Add media or clear the error. Press the ink button
to continue.
Repeating pattern on both LEDs, This is a low ink warning. If the left LED stays on solid
blinking in unison, then one LED after the flash, the color ink is low. If the right LED stays
momentarily on solid. on after the flash, the black ink should be replaced.

B.7 Disk Write/Print Module Service and Troubleshooting

The Disk Write/Print Module is designed to operate for extended periods of time with very little attention. There is no
regular maintenance recommended other than cleaning the outside case.

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 NOTE: DO NOT attempt to lubricate the Disk Write/Print Modules Robot Arm shaft or other components. All moving parts
are designed to operate for the life of the module with no additional lubrication required.
B.7.1 Cleaning the Disk Write/Print Module
Use a clean, lint-free cloth with a small amount of window cleaner to clean the modules outside case and bins. This
type of cleaner is very effective on inks that may accumulate on the printer tray. Stronger cleaning solutions are NOT
recommended because they may damage the print and plastic materials. Always disconnect the Disk Write/Print
Modules power cord before cleaning. Resume operation only after the cleaned surfaces are completely dry.

B.7.2 Cleaning the Ink Cartridge

It may be necessary to clean the ink cartridge nozzles, if there is a noticeable reduction in print quality, or an ink
cartridge nozzle has become slightly dried out or clogged. The suspect ink cartridge nozzles can be cleaned by
performing the following steps:
1. Open the Access door. The robot arm and carrier move to the center of the Disk Write/Print Module.
2. Press the ink cartridge button (refer to Figure 14).
3. The robot arm moves to the right side of the module and the ink carrier moves to the left side of the module.
4. Remove the ink cartridge by pulling down on the blue tab (the cartridge carrier top springs open). Pull the ink
cartridge out, (refer to Figure 4).
NOTE: Do not touch the “Copper” area of the ink cartridge.
5. Moisten a lint-free cloth with water.
6. Hold the cartridge nozzles against the cloth for approximately three seconds. This draws some ink from the
cartridge into the damp cloth.
7. Gently slide the cartridge in the direction shown in Figure 13.
Figure 13Ink Cartridge Cleaning

8. Repeat steps 6 and 7 a few times.

9. Replace the ink cartridge (copper end first). Push the cartridge cover down until it snaps closed.
10. Press the ink cartridge button. The robot arm and ink carrier should re-join.
11. Close and lock the access door.
12. The Disk Write/Print Module should perform a head alignment procedure. Check that the print quality issue is
resolved. If the cleaning process does not resolve the issue, replace the suspect cartridge.
B.7.3 Replacing an Ink Cartridge
Be sure there is no activity on the burner progress bars. To replace an Ink Cartridge, perform the following steps:
1. Open the Access door. The robot arm and carrier move to the center of the Disk Write/Print Module.
2. Press the ink cartridge button (refer to Figure 14).
Figure 14Disk Write/Print Module Buttons

3. The robot arm moves to the right side of the module and the ink carrier moves to the left side of the module.
4. Remove the old ink cartridge by pulling down on the blue tab (the cartridge carrier top springs open). Pull the old
ink cartridge out, (refer to Figure 4).
5. Remove the new ink cartridge from its packaging.
6. Carefully remove the tape covering the ink cartridge print head.
NOTE: Do not touch the “Copper” area of the ink cartridge.
7. Place the new ink cartridge into the ink carrier (copper end first).

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CAUTION: Be sure the color cartridge is on the right and the black cartridge is on the left, or the MDR Publisher will not
print.
8. Push the cartridge cover down, over the ink cartridge, until it snaps closed.
9. Press the Ink Cartridge button. The Robot arm and ink carrier should re-join.
10. Close and lock the Access Door.
The Server Module performs a disk check routine and print head alignment process (refer to “Server Module
Procedures” on page 8, step 6 for information).

B.7.4 Clearing a Print Area Media Jam

Before performing the following procedures, be sure there is no disk being burned. Check the burner progress bars on
the user interface display for activity.

CAUTION: If the modules are powered off during the burning of a disk, the disk is not usable and has to be discarded.
The data (patient exam information) has to be re-burned once the media jam is cleared.

1. Turn both the Server Module and the Disk Write/Print Module “Off” and then back “On”.
2. Check to see that the print area media jam is cleared by the disk being placed in the output bin.
3. If the action taken in Step 1 does not resolve the jam, contact NAI Tech Products Customer Solutions at
(530) 887-1008, for resolution.

B.7.5 Transporting The Disk Write/Print Module

To prevent damage to the modules robot arm and ink cartridge carrier during transport, it is important to properly
secure both the robot arm and ink cartridge carrier inside the module with the original cardboard spacer.

CAUTION: The access door is open for this procedure, DO NOT reach into the Disk Write/Print Module while any internal
parts are in motion.

To prepare for transport, perform the following steps:

1. Open the Access Door.
2. Press the ink cartridge button (refer to Figure 14). The robot arm moves to the right side of the module and the ink
carrier moves to the left side of the module.
3. Remove the ink cartridges, media, and input bins. Also check for media in the burners.
4. Put the power switch in the “Off” position.
5. Press and hold the ink cartridge button.
6. While continuing to hold the ink cartridge button, put the power switch in the “On” position.
7. Continue to hold the ink cartridge button until the robot arm and ink carrier un-dock and park themselves into their
respective transport positions (and the interior lights go off).
8. Once the robot arm and ink carrier are in transport position, put the power switch in the “Off” position and release
the ink cartridge button.
9. Unplug the power cord and USB 2.0 cable from the back of the module.
10. Insert the cardboard spacer (removed during unpacking) between the robot arm and ink cartridge carrier.
NOTE: If you don't have the cardboard spacer, secure the robot arm and ink carrier to the sides of the unit with tape.
11. Close and lock the Access Door.
12. Remove the key(s) from the Access Door.
NOTE: It is recommended that the keys be put in a plastic bag and taped to the outside of the Disk Write/Print Module.
13. Repack the module with the plastic bag, packing foam, and packing box (saved from the unpacking procedures) it
was received in. If the original packing materials are unavailable, the module should be packaged by an
experienced electronics mover to avoid possible damage during transport.
NOTE: NAI Tech Products assumes no responsibility for damage incurred during repacking and transport of the
equipment.

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 B.8 Troubleshooting Connections to Archive Servers
1. Ping the Archive Server, see figure 10 for the location of the ping function in the Network portion of the Main Setup
Screen. If ping is successful, go to step 2. If ping fails verify archive server IP address and MDR Publisher IP address,
subnet mask and gateway address settings.
2. Use the Info selection of the MDR Utilities Menu to send an Echo Request to the server, see section 5.3.2. If the server
returns a Network failure, verify the archive server port number. If the server returns a DICOM failure, verify the archive
AE Title.

B.9 MDR Publisher Frequently Asked Questions (FAQ’s)

Q: What is the difference between CD-R and CD-RW?
A: CD-R = CD-Recordable. This disk is known as a “write-once” type of disk. In other words, once data has been written to
the disk it can not be erased again. Once data is written to the disk it can be read back in a standard CD/DVD drive.
CD-RW = CD-Re-writable. A re-writable disk is one where data, once written to the disk, can be erased and the disk
written to multiple times. There are two types of CD-RW available, 2x-4x CD-RW and High Speed 4x-10x CD-RW.
Q: How many images can be written to a CD-R?
A: The number of images that can be written to a CD-R is dependent on the image size and whether the images are
monochrome (Grayscale) or color (RGB). A typical monochrome ultrasound image of 640 by 476 corresponds to a file
size of approximately 305 kB. If it is a color image, the file size would be approximately 915 kB.
If you use a 700 MB CD-R, the number of color images would be approximately 710. If all the images were Gray scale,
the CD-R would contain over 2000 images. The Viewer that can be added to the CD-R has a file size of approximately
19 MB, or about the same file size as 20 color images or 60 monochrome images.
Q: Why is there a delay, after pressing the eject button, before the tray opens?
A: The length of time for the tray to open is dependent on the MDR Publisher configuration. This time can also be the time
it takes to write the remaining images and to write the Viewer software onto the disk. If you use a PC or workstation that
already has a DICOM image viewing application, set the add Viewer option to off.
CD’s are written in a different manner than DVD’s, therefore the last few images in an exam are written to the CD after
the eject button is pressed.
Q: What are the COM 1, VGA, keyboard, and mouse ports used for?
A: All these ports are for possible future use.
Q: What ports are open?
A: The Remote Desktop port is open.
Q: Is there supplemental documentation for these applications/connections?
A: Everything currently used for proper functionality is in this manual.
Q: How do you transfer the images on media to PACS?
A: This would be a function of the PACS software to import the images. The media produced by the MDR Publisher is in
standard DICOM Part 10 format. The viewer installed on the disk can export as JPG's etc., but if you want to bring it into
the hospital network, then you have to import onto the PACS.
Q: What is the OS? And how are OS patches loaded?
A: The Operating System (OS) is an embedded version of Windows XP (aka XPE). NAI Tech Products does not currently
update the MDR Publisher OS in the field. The MDR Publisher runs a very small subset of the functionality of regular
Windows and most updates that occur for desktop Windows XP are to do with the parts not installed or used (web
browser fixes, media player updates, etc.). If a newer version or patch is ever needed it would be done via disk with auto
load/install or remote desktop. However, after a number of years this has never been needed.

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Appendix C. Internet Browser Security Settings and Windows Firewall Settings
If the MDR Publisher web pages are not displayed correctly, verify the following settings in the internet browser “Tools” menu:
For Windows Internet Explorer, select the “Tools” menu then the “Internet Options” submenu, select the “Security” tab of the
“Internet Options” window. Select the “Trusted sites” icon then change the “Security levels for this zone” slide bar to the
“Medium-low” position. Select the “Sites” button to open the “Trusted sites window. Uncheck the “Require server
verification....” checkbox then enter http:// followed by the MDR Publisher IP address. Select the “Add” button then select the
“Close” button. In the “Internet Options” window select the “Apply” button then select the “OK” button.

• Security
Tab

• Trusted
sites

• Sites
button

• Server
verification
checkbox

• Security
level

For Mozilla Firefox, select the “Tools” menu then the “Options...” submenu, select the “Content” tab of the “Options” window
and verify that the “Enable JavaScript” checkbox is checked.

• Verify that the “Enable JavaScript”

checkbox is checked.

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Windows Firewall Settings
If the PC that is used for accessing the MDR web interface has a firewall turned on, verify the following firewall setting.
For PC’s that use Classic Start Menu and Classic Control Panel View,
Open the Windows Control Panel by selecting “Start” then “Settings” then “Control Panel”.
Select the “Windows Firewall” item.
Select the “Exceptions” tab of the “Windows Firewall” window.
Left click the “File and Printer Sharing” checkbox then left click the OK button.

For PC’s that use the default Start Menu and Category Control Panel View,
Open the Windows Control Panel by selecting “Start” then “Control Panel”.
Select the “Security Center” icon, then select “Windows Firewall” under the “Manage Security Settings for” heading.
Select the “Exceptions” tab of the “Windows Firewall” window.
Left click the “File and Printer Sharing” checkbox then left click the OK button.

“Exceptions” tab

“File and Printer Sharing” checkbox

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 Index
A F
Add Viewer 15 Fan Filter i, 1, 28
AE Title 14 Fan Filter message 18
Alignment pattern 9 Filter retainer i, 28
Auto mode 14, 21 Finalize 18
Auto Single Pt (Patient) mode 14, 20 Finalized, Disk 15
B G
Beeps 15 Gateway Address 14
Buttons 10 General Properties Info 1 18
C General Properties Info 2 18
Clearance Requirements 35 General upkeep i
Compressed transfer Syntax 14 H
Configuration (Config) 14 Hard drive 30
Configuration, drives 16 Hospital grade plug i
Connectors 30 I
Contrast (Display) 14 ID Number 22
CPU Alert 15 IEC 601 Classification 35
CPU temperature 18 Image compression 14
Crossover cable 6 Implicit VR Little Endian 14
Custom Disk Labels 11, 18 Info screens 17
Custom image 15 Ink cartridges 4, 5, 27
Custom Logo 11 Ink cartridges, replacement 35
Customization 11 Input bins 5
D IP Address 14
Default Disk Label 12 IP address (example) 25
Default Logo 11 J
Default Splash Screen 11 JPEG Lossy 14
Delete exam 22 K
DHCP Mode 13, 25 Keys 4
DICOM Properties Info 18
L
DICOM Storage classes 30
LAN connector 6
Dimensions (Disk Write/Print module) 31
LCD display 10
Dimensions (Server module) 30
LED backlighting 10
Disc Publisher XRP 17
Left Arrow button 12, 25
Disk content 21
Load JPG 15
Disk Default 18
Log Files 19
Disk Info 17
Logo JPG 11, 15
Disk Mgr (Manager) 19
Disk storage capacity 34 M
Disk Utilities 18 Magnetic strip 3
Disk Write/Print Module 1, 4 Main Setup Screen 12, 13
Disk Write/Print Module LEDs 34 Main Setup Screen Example 25
Display backlight 14 Manual mode 15, 21
Display configuration 14 Medical Digital Recorder (MDR) 1
Display Timeout 14 Menus 11
Disposal i Mode 0 14
Down arrow 12, 25 Mode 1 (transfer syntax) 14
Mode 2 (compressed syntax) 14
E
Mode 3 (offered syntax) 14
EMC Interference i
Multiple Patient names 12
End Association 14
End File Received 14 N
Enter button 25 NAI Customer Solutions 37
Environmental 30 Netmask Address 14
Environmental, disks 34 Network attributes 14
Ethernet interface 6 Network configuration 13
Exam Manager 21 Network environment 6
Explicit VR Little Endian 14 Network Properties Info 18

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 Index
N Continued Splash screen 11
Network Type 30 Storage Capacity 33, 35
O Strict (DICOM) 14
Operating Instructions 20 Supported disk formats 39
Option List 17 T
Output bin 3 TCP/IP 6, 13
P TCP/IP info 18
Patch cord (RJ45) 6 Timeout (media mode) 14
Patient Name 22 Tools 2
Port number 14 Touchscreen 1, 21, 29
Power Off 20 Transfer Syntax 14
Power On 20 Type (media mode) 14
Power select switch 7 U
Proprietary information i USB 1
Q USB drive 17
Queued Patients 23 User Interface Module 10
Utilities Menu 17
R
Reburn exam 19 V
Return Material Authorization (RMA) 28 Viewer 11, 15
Right Arrow button 12, 25 W
RLE 14 Web browser security settings 38
S Weight (Disk Write/Print Module) 3, 31
Safety Information i, 2 Weight (MDR Publisher) 1, 35
Service Class Provider (SCP) 1 Weight (Server Module) 35
Service Directions 28 Write speed 39
Single Patient mode 15, 21 Write to Disk 22, 23
Software License i Write to USB 22, 24
Software Upgrade 32 X
Software Version 18 Xfer Syntax (Transfer) 14
Specifications 35

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