B-K Medical bk5000 User manual

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Setup Guide For
Brainlab Kick/Curve/Buzz IGS interface
on
bk5000/Flex Focus 800
General description
This document describes how to configure the bk5000 or the Flex Focus 800 for communication with
the Brainlab systems Kick, Curve or Buzz IGS. The BK Medical Ultrasound device can be connected to
the Brainlab system via the Intraoperative Data port using an Ethernet network cable. The
communication is performed via the OEM protocol of the BK Medical Ultrasound device.
IMPORTANT:
The setup procedure must be carried out by B-K service personnel / Brainlab service personnel or their
authorised representatives.
Necessary equipment / tools for the installation:
Network cable
Flex Focus 800: Short standard screwdriver (roughly 8 cm long) for opening back of device to
connect network cable

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Installation preparations
1. The BK Medical Ultrasound device must be equipped with the following items:
1UA2302, UA2316, UA2317, UA2334 are no longer sold. If you have a scanner with SW 5.14.8 and
want to connect with Brainlab equipment, you need to upgrade the scanner by ordering UA2608
Scanner
Flex Focus 800
bk5000
SW Version
(min.)
4.10.x
5.14.8
5.16.2 (distribution build number
must be 6.7.20524.17)
Brainlab
related
License keys
(for all
systems)
UA1518 Neuro Pro
UA23341Brainlab Neuro
Navigation
UA23171Spinal Cord (for
X18L5s), (USA Only) Optional
UA2334 Brainlab Neuro Navigation
UA2605 Neurosurgery High
Frequency (for X18L5s), (USA Only)
Optional
Required End
user System
License keys
One of following keys:
UA23021Surgery Application
Package or
UA23161SUR Super
Application Package
One of following keys:
UA2376 Neurosurgery Application
Package
Licenses seen
on
End user
systems
- Flex Focus 800
- Feature Pack
- Quantum +
- Neuro Pro (incl.
OEM)
- bk5000
- Brainlab Interface (Includes
OEM)
- Spinal Cord (USA Only)
- Neuro
- N13C5 Transducer
- N11C5s Transducer
- X18L5s Transducer Optional
- bk5000
- SW License 5.16.2
- Brainlab Interface (Includes OEM)
- Neuro
- N13C5 Transducer
- N11C5s Transducer
- X18L5s Transducer Optional
Demo keys for
End user
systems
0000 0000 0000
0026 (Neuro Pro)
0000 0000 0000 007B (Neuro)
0000 0000 0000 033C (N13C5)
0000 0000 0000 033D (N11C5s)
0000 0000 0000 0266 (Brainlab
Interface)
0000 0000 0000 009F (Spinal
Cord), (USA Only) Optional
0000 0000 0000 032C (X18L5s),
(USA Only) Optional
0000 0000 0000 007B (Neuro)
0000 0000 0000 033C (N13C5)
0000 0000 0000 033D (N11C5s)
0000 0000 0000 0266 (Brainlab
Interface)
0000 0000 0000 0124 (Neurosurgery
High Frequency), (USA Only) Optional
0000 0000 0000 032C (X18L5s), (USA
Only) Optional
Licenses seen
on
Demo systems
- Flex Focus 800
- Feature Pack
- Quantum +
- Neuro Pro (incl.
OEM)
- bk5000
- Brainlab Interface (Includes
OEM)
- Spinal Cord (USA Only)
- Master demo and/or
- Master demo Year 2
- bk5000
- SW License 5.16.2
- Neuro High Frequency (USA Only)
- Demonstration Mode Year (2
years) (Includes OEM)
Demo keys for
Demo systems
0000 0000 0000
0026 (Neuro Pro)
0000 0000 0000 009F (Spinal
Cord), (USA Only)
0000 0000 0000 0124 (Neurosurgery
High Frequency), (USA Only)
Compatible
Transducers
8862
8863
N13C5 (9062)
N11C5s (9063)
X18L5s (9009) (requires UA2317),
(USA Only) Optional
N13C5 (9062)
N11C5s (9063)
X18L5s (9009) (requires UA2605), (USA
Only) Optional

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1 Network and OEM Configuration
1.1 Verify licenses and firmware
1. Connect the network cable from the Intraoperative port on the Kick / Curve / Buzz IGS to the
LAN port on the bk5000 / Flex Focus 800
2. Start the BK Medical Ultrasound device and Brainlab system
bk5000 (SW 5.14.8) / Flex Focus 800
bk5000 (SW 5.16.2)
3. Click on [Image] tab
3. Click on [Settings] button
4. Click on [Advanced] button
4. Click on [SERVICE] tab
5. Click on [Customize]
5. Click on [ABOUT] tab
bk5000
Flex Focus 800
Brainlab
System

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6. Click on [System] tab
7. Click on [Version] tab
8. Check the “Console Software” of the BK SW version
If the Console SW does not comply with the table in page 2, please contact your BK Medical
authorized service personnel to upgrade the SW on the BK Medical Ultrasound device.
9. Click on [License] tab
10. Check the license menu that the respective licenses listed above are active. If not, enter the
license and restart the system. The Demo key can be used here for 30 days and is not
intended for clinical use.
11. Close the [Customize] window
1.2 Configure OEM Interface
bk5000 (SW 5.14.8) / Flex Focus 800
bk5000 (SW 5.16.2)
1. Click on [OEM SETUP] tab
1. Press [Ctrl] + [Shift] + [O]
NOTE: On a Flex Focus 800 without real
keyboard, open the [Keyboard] tab on
the bottom right to open the on-screen
keyboard. Select [Ctrl], [Shift] and [O]
after each other to open the OEM
interface setup dialog.
2. Click on OEM SETUP button
3. Enter password “oem” and press [Enter]
3. Enter password “BKAdmin01”2and press
[Enter]
4. Read the warning and click on [Yes]
5. The OEM interface setup is shown:
6. Check the TCP/IP Socket Interface checkbox
7. Uncheck (disable) the “Use CRC Check”
8. Uncheck (disable) the “Require Acknowledge”
2BKAdmin01 is the default password and can be changed by Hospital IT
Not visible in
bk5000 SW 5.16.2

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1.3 Configure Network / IP address
Flex Focus 800
bk5000 (SW 5.14.8 or SW 5.16.2)
1. Click on [Network] button
2. Right click on Local Area Connection
and click on [Properties]
2. Right click on Ethernet and click on
[Properties]
3. Select Internet Protocol (TCP/IP) and
click on [Properties]
3. Select Internet Protocol Version 4 (TCP/IP)
and click on [Properties]
4. Specify the IP address and subnet mask (if the required subnet mask is known)
Note: for being able to communicate, the IP address of the Brainlab Navigation systems’
Intraoperative Data port and the IP address of the BK Medical Ultrasound device need to be
in the same subnet and need to have the same subnet mask! You can use e.g. the same IP
address +/- 1 at the end [e.g. 192.168.32.10 & 192.168.32.11].
Be aware that the network configuration in the hospital can be very complex – therefore the
IP address of the Brainlab navigation system should not be adjusted but the IP address on
the BK Medical Ultrasound device.
If the required subnet mask for the integration is not known to you, you can leave the
configuration of the BK Medical Ultrasound device IP address to the Brainlab service
personnel.
5. Click on [OK] to save LAN/IP configuration and return to the Service Menu.

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1.4 How to Set the Brainlab Preset to Default (only on Flex Focus 800 or
bk5000 (SW 5.14.8))
Whenever available, you should set the “Brainlab” preset as the default imaging preset. This helps
to give a better overlay in the ultrasound software. Otherwise choose another “Neuro” preset as
default if available.
1. Click on [Image] tab
2. Click on [Advanced] button
3. Click on [Customize] button
4. Navigate down until you find the “Neuro” presets on the left side of the page. Within these
presets you will find the “Brainlab” preset.
5. Select it with the cursor, then press [Set Preset as Default] on the right side of the page.
1.5 Where is the Brainlab Preset on SW 5.16.2?
Brainlab Preset has expired on SW 5.16.2.
For N13C5 (9062) or N11C5s (9063) you should use the Neurosurgery, Gen preset.
This is default on factory setup.
For X18L5S (9009), you should use Neurosurgery, Spine preset.
This is default on factory setup. (This is for USA only)

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2 Firewall Configuration
You need to open a firewall exception on the BK Medical Ultrasound device for port 7915 to enable
the communication via OEM protocol between navigation system and BK Medical Ultrasound
device.
An instruction to configure a firewall exception on the two devices is described below.
2.1 Configure Firewall Exception on bk5000
1. Press the [Network] button in the OEM Interface Dialog.
2. Press the [Up] arrow in the windows dialog to get
to the Control Panel.
3. Click on [Windows Firewall] or [Windows
Defender Firewall].
4. Click on [Advanced Settings] tab.
5. Open the [Inbound Rules] tab.
6. Check and see if there is an “OEM” or “Console OEM” rule that allows port 7915. If there is not,
you will have to add a new rule.
7. Add a new inbound rule for TCP in the local port 7915 called “OEM”.
8. Make sure to enable the
checkboxes “Domain” and
“Private” in the wizard.
This might also have to be
done on the Brainlab
navigation system.(Brainlab
Service personnel)
2.2 Enable Ping on bk5000
1. Enable pinging between the
systems by enabling echo
request in ICMP.
2. Go to the [Advanced
Settings], as seen above.
Then select the “Inbound Rules” list.
3. Find the rule “File and Printer Sharing (Echo Request – ICMPv4-In)”.
4. Right-click the rule for “Private and Public” profile and press [Enable Rule].
Not visible in
bk5000 SW 5.16.2

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2.3 Configure Firewall Exception on Flex Focus 800
1. Press the [Network] button in the OEM Interface Dialog.
2. Press the [Down] arrow in the windows dialog to get to the Control Panel.
3. Click on [Windows Firewall].
4. Click on [Exceptions] tab.
5. Check and see if there is an “OEM” or “Console OEM” rule that
allows port 7915.
If there is not, you will have to select [Add Port].
6. Add a new port for the local port 7915 called “OEM” with type
“TCP”.

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2.4 Enable Ping on Flex Focus 800
Enable pinging between the systems by enabling echo
request in ICMP.
1. On the Windows Firewall Window, go to the
[Advanced] tab.
2. Select [Settings] in the section “ICMP”.
3. Make sure that “Allow incoming echo requests” is
checked.
4. Click on OK and you can close the dialog window.

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3 Coexistence with Varian or Master Demo
license on Flex Focus 800
If you have a Varian License or a Master Demo license on your BK Medical Ultrasound device, there is
a setting that you need to adjust for every pro package of every transducer:
1. Click on [Image] tab
2. Click on [Advanced] button
3. Click on [Customize]
4. Click on [Split / Size] tab
5. Select e.g. Neuro as Pro Package
6. Mark “Lock Image Size” in the “Image Size” section
4 Checking functionality in Ultrasound
Navigation 1.x
CONTACT YOUR BRAINLAB AUTHORIZED REPRESENTATIVE AND LET HIM / HER
TAKE OVER FROM HERE.
Brainlab Service personnel ONLY:
1. Verify that the IP addresses of the BK Medical Ultrasound device and the
Brainlab system are in the same subnet. Verify that the IP address of the BK
device is entered in the Settings File of Ultrasound Navigation.
2. Open the Ultrasound Navigation 1.x which is available in the Cranial
Navigation Workflow 1.2 or higher.
3. Check on the following page whether the Ultrasound device is
connected correctly (green light).