GlobalMed TotalExam 3 User manual

MAN-600005, Rev. F
8/9/18
TotalExam®3 Camera
User Manual

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Confidential
Legal
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effort to ensure that the information contained on our website and product
literature is accurate, GlobalMed takes no responsibility for incorrect,
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responsible for typographical errors or omissions and shall not be liable for
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No license to any intellectual property rights is granted by this document,
whether express or implied, by estoppel or otherwise.
One or more GlobalMed products are covered under U.S. Patent(s) with
other patents pending. Any testimonials contained within any GlobalMed
website or document are individual cases and do not guarantee that you
will get the same results.
©2002-2018 GlobalMedia Group, LLC. (DBA GlobalMed). All Rights
Reserved. iREZ, LiteExam, TotalExam, ClearProbe, CapSure, CapSure
Cloud, eNcounter, EasyShare, ClearSteth, GlobalMed, TotalECG,
ClinicalAccess, WallDoc, Xpress, and Transforming Healthcare Globally
are registered trademarks. All other trademarks are the property of their
respective holders.

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Warranty and Return Policy
All GlobalMedia Group, LLC (GlobalMed) products are warranted under the
following terms:
Products that become defective during the first year after the order is
shipped will be repaired or replaced by GlobalMed free of charge. This
limited warranty is contingent upon proper use of the product and does not
cover products that have been damaged (scratches, bent metal, broken
components) misused, modified, or subject to unusual physical or electrical
stress. All returns for any other reason must be made within the first 30
days from time of shipment and will be subject to a 25% restocking charge.
Buyer must include all original components, literature, and packaging in the
same salable condition received to avoid any additional charges.
All returned materials must have a GlobalMed return materials
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©2002-2018 GlobalMedia Group, LLC All Rights Reserved.

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About GlobalMed®
GlobalMed powers the largest telehealth programs in the world, facilitating
more than 15 million consults to date. We have helped 4,000+
organizations improve healthcare access in 55 countries and are honored
to be the telehealth provider for the White House. With a focus on security
and simplicity, GlobalMed designs, builds, manufactures and deploys fully
integrated, evidence-based hardware and software telehealth solutions that
enable medical groups, healthcare enterprises and government entities to
improve patient outcomes while lowering cost.
Founded in 2002 by a Marine Corps Reserve Veteran still serving as CEO,
GlobalMed is proud to be a Veteran Owned Small Business (VOSB).
Contact info:
Help Desk: 1.800.886.3692 option 2, or email [email protected]
GlobalMed
15020 North 74th Street
Scottsdale, AZ 85260
+1.480.922.0044 phone
+1.480.922.1090 fax
[email protected]
www.globalmed.com

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Revision History
Revision Changes Date
A Initial release. 03-08-2017
B Updated to include TotalExam 3.1 camera body information 12-08-2017
C Updated "TotalExam 3.1 with alignment dots" on page 15 01-22-2018
D Added "TotalExam 3.1 with locking collar" on page 18
Updated:
•"TotalExam 3 Controls" on page 8
•"TotalExam 3.1 with alignment dots" on page 15
04-09-2018
E Updated "Variable Polarizing Hood" on page 20 06-14-2018
F Added "Total Exam 3 Stand" on page 27 08-08-2018

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Table of Contents
Chapter 1 About TotalExam 3
About TotalExam 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
What’s Included . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Warnings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Features. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Chapter 2 Using the TotalExam 3
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Installing TotalExam 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
TotalExam 3 Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Autofocus (AF) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Freeze-Frame Control (FF Button) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
White Balance Button (WB Button). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
LED Light Control (LED Button) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
TotalExam 3 Heads . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
TotalExam 3.0. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
TotalExam 3.1 with alignment dots . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
TotalExam 3.1 with locking collar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Otoscope Head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
TotalExam 3 Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Variable Polarizing Hood. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Derm Hood and Touch Collar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Tongue Depressor Adapter. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Specula . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Cleaning Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

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CHAPTER
1About TotalExam 3
1.1 About TotalExam 3
The TotalExam 3 camera is a hand-held examination video camera with
multiple functions. The camera has interchangeable heads, including an
autofocus head and otoscope head. The TotalExam 3 allows viewing high
definition freeze frame images and live images. Light settings allow for
varying levels and intensities of natural white lighting. Buttons on the unit
provide the ability to perform freeze frame, light control, and white balance.
USB 3.0 connectivity allows the TotalExam 3 to be easily used with laptops,
tablets, as well as exam stations.
The TotalExam 3 is intended for indoor use only.
Prior to use of the equipment, the operator must possess fundamental
understanding of the operational processes outlined in this manual.
Following the instructions provided in this manual will enable the operator
to safely utilize the camera.
The TotalExam 3 is not intended to be serviced or maintained while in use.
Any repair or replacement of components will be performed by GlobalMed
personnel and are not to be replaced by service personnel.
1.2 What’s Included
Items in the TotalExam 3 camera kit may be ordered separately. However,
a complete kit includes the following:

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• TotalExam 3 camera
• Autofocus head
• Otoscope head
• Variable Polarizing Hood (VPH)
• Derm hood
• Tongue depressor adapter
• Tongue depressors (5)
• Touch collars (5)
• 4.25 mm Specula (x5)
1.3 Precautions
Please thoroughly review these safety instructions before operating the
equipment. Clinical and technical personnel should adhere to warnings and
precautions at all times. Equipment, should be used according to operating
instructions outlined throughout this manual. Only use manufacturer
recommended or approved accessories to ensure compatibility.
Table 1 TotalExam®3 precautions
Precaution Type Description
Liquid and Moisture • Avoid direct contact with liquids on all electrical components and
devices on the telemedicine station
• Do not store or operate equipment in areas with excessive moisture
Electrical •Warning: To avoid the risk of electric shock, this equipment must
only be connected to a supply mains with protective earth
• Do not use if cable is damaged
Certifications The TotalExam 3.0 Camera complies with U.S. FCC and EMI requirements
according to FCC Part 15, ICES-001, and ICES-003

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Reciprocal interface: The TotalExam 3.0 complies with U.S. FCC and EMI
requirements according to FCC Part 15, ICES-001, and ICES-003.
Table 2 TotalExam®3 safety symbols
Symbol Description
Type BF Applied Part
(IEC 60417-5333)
Direct Current
(IEC 60417 - 5031)
ON / OFF
(IEC 60417 - 5010)

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1.4 Warnings
Warning: This camera is an electrical device; do not attempt to
submerge into any kind of liquid. Doing so could result
in electrical shock or other hazardous results.
The TotalExam 3.0 has been tested and found to comply with the limits for
a Class B digital device, pursuant to part 15 of the FCC Rules. These limits
are designed to provide reasonable protection against harmful interference
when the equipment is operated in a commercial environment. This
equipment generates, uses, and can radiate radio frequency energy and, if
not installed and used in accordance with the instruction manual, may
cause harmful interference to radio communications.
Any dismantling of the camera will void the warranty and could damage the
device or cause electrical shock. If it is necessary to clean the camera refer
to the cleaning procedures sections for instructions on how to maintain
cleanliness and thereby prevent contamination. This device alone is not
intended to be used to diagnose, treat, cure or prevent any disease and
should not be used as substitute for a health professional’s advice.
GlobalMed does not accept any liability for injury, loss or damage by use of
or reliance on the information gathered by our product.
1.5 Specifications
Table 3 TotalExam®3 Camera
Component 3.0 Specifications 3.1 Specifications
Dimensions Camera Body: 155mm x 33mm
Autofocus Head: 38mm x 33mm
Otoscope Head: 60mm x 33mm
Camera Body: 214mm x 33mm
Autofocus Head: 38mm x 33mm
Otoscope Head: 60mm x 33mm
Weight of Camera
Body
~12 ozs ~1 lb
Focus Type Autofocus Autofocus
Snapshot Size 1 Megapixel 1 Megapixel
Captured Video
Resolution
1280 x 720p 1280 x 720p
Captured Frame Rate Up to 60 Frames Per Second Up to 60 Frames Per Second

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Output USB 3.0 USB 3.0
Integrated Freeze
Frame
Push-button (selects the clearest
frame of the last 16 frames)
Push-button (selects the clearest
frame of the last 16 frames)
White Balance Push-button Push-button
Lighting Autofocus Head 8 LEDs
Otoscope Head 2 LEDs, 5100K
Autofocus Head: 8 LEDs
Otoscope Head: 2 LEDs
Operating Temperature 0° – 42° C (32°-107°F) 0° – 42° C (32°-107°F)
Operating Humidity Less than 90% Less than 90%
Power Usage Less than 4W Less than 4W
Voltage Usage ~ 0.800 mA @5 VDC using USB 3.0
only
~ 0.800 mA @5 VDC using USB 3.0
only
Aspect Ratio 16:9 16:9
Lens (Aperture) f:3.0 M12 650nM IR filter
f:18.0 FOV: r= 10mm DOF: 12mm –
14mm
f:3.0 M12 650nM IR filter
f:18.0 FOV: r= 10mm DOF: 12mm –
14mm
Table 3 TotalExam®3 Camera (Continued)
Component 3.0 Specifications 3.1 Specifications

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1.6 Features
• HD video stream over USB 3.0 output
• Up to 60 fps on USB 3.0, up to 15 fps on USB 2.0
• 720p image resolution and clarity
• Powered by USB 3.0 ports (No external power supply needed)
• Integrated Freeze-Frame (FF Button)
• White Balance (WB Button)
• LED Control (Multiple levels of intensity, depending on head)
• Pivoting Head (3-Position 0°, 37.5°, 75°)

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CHAPTER
2Using the TotalExam 3
2.1 Overview
This chapter provides information on the use of TotalExam 3.0 and both
versions of TotalExam 3.1 cameras; where differences apply between the
cameras, they are specified.
2.2 Installing TotalExam 3
1. Plug the TotalExam 3 cable into any Windows® based computer that
has an USB 3.0 high-speed connector.
2. There are no drivers or software to install or download.
3. The TotalExam 3 does not require the use of a power supply
external from the device that contains the USB 3.0 connection.
4. The TotalExam 3 camera does require that a video conferencing
application, such as eNcounter®, be open on a computer when
plugging in the camera for the camera to power on.

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2.3 TotalExam 3 Controls
Figure 1TotalExam 3.0 control locations

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Note: Both versions of the TotalExam 3.1 have the same control
locations.
2.3.1 Autofocus (AF)
On both versions of the TotalExam 3.1 an AF button is located on the
autofocus head. Press this button to turn the autofocus capabilities ON/
OFF.
Figure 2 Total Exam 3.1 control locations

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2.3.2 Freeze-Frame Control (FF Button)
Use the FF button to freeze live video and conduct closer examination of an
image. Freeze-Frame image optimization is aided by counting back eight
frames and forward eight frames for analysis that automatically selects the
clearest image among the sixteen buffered-frames.
1. To freeze the live video, press the FF button and release.
2. The image is frozen upon release of the button.
3. The still image remains on the screen until you press the FF button
again to release the frozen image.
Note: Unplugging the camera from the computer while still in Freeze-
Frame mode causes the camera to lose power and the frozen image to
be lost.
2.3.3 White Balance Button (WB Button)
Use the WB button to adjust the way light affects the image and adjusts for
poor contrast and color. There are two distinct white balancing methods to
use. The correct white balancing method depends on if you are capturing
the image from a distance of over 1 meter (Perspective Image) or within 1
meter (Micro Image) when using the autofocus head.
Tip: Select the LED light level prior to selecting the WB option.
2.3.3.1 Perspective Image
For images taken greater than 1 meter from the area of interest:
1. Hold a white sheet of paper in front of the subject and aim the cam-
era at the paper.
2. Press the WB button once the view is filled with as much of the
paper as possible.
Note: If the area of interest is moved from the position where the
initial white balancing took place, you may need to repeat the white
balancing procedure.
2.3.3.2 Micro Image
For images that are taken less than 1 meter form the area of interest:

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1. Hold a white sheet of paper about 100 mm (4 inches) away from the
front of the camera and press the WB button.
2. If using the derm hood and touch collar during the white balance
procedure, hold it close enough so that the entire camera’s field-of-
view is filled with the paper and press the WB button.
Tip: If using the otoscope head, set the light to one of the two settings
and point at a white sheet of paper with the otoscope head about 1 cm
away.
2.3.4 LED Light Control (LED Button)
The camera contains a light carousel for illuminating the viewing area.
There are multiple levels of LED light intensity that can be accessed and
controlled via the LED button.
1. Press the LED button to turn on the TotalExam 3 LED ring. The light
intensity level is at the lowest setting.
2. Press of the button again to increase the light intensity until it
reaches the highest level.
3. Press the button after the highest intensity level is reached to shut
off the LED ring.
2.4 TotalExam 3 Heads
Certain TotalExam 3 camera heads can be changed as needed based on
the type of consultation being conducted. Follow these instructions to
change heads on the TotalExam 3.
Note: Some TotalExam 3 camera’s have fixed heads that cannot be
removed. These camera’s are labeled as such.

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2.4.1 TotalExam 3.0
1. To put a head on, gently place the head on the camera wand, lining
up the ports on each end of the camera wand and head. The align-
ment markers are unaligned (see Figure 3).
Figure 3 Placing the head on the TotalExam®3.0 camera wand

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2. To lock the head on the wand, turn the middle ring clockwise until all
three alignment markers are aligned.
3. To take the head off the TotalExam 3.0 camera wand:
a. Rotate the middle ring counterclockwise until the alignment
markers are unaligned (see Figure 5).
Figure 4 Lock the middle ring
Figure 5 Rotate the middle ring to unalign the markers

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b. Gently pull the head away from the camera wand.
Figure 6 Gently remove the head