iCRco VERTX User manual

VERTX
USER MANUAL

iCR VERTX –User Manual
Foreword
Proprietary Notice and Disclaimer
The information herein disclosed is the property of i CRco, Inc. Information in this docu-
ment is subject to change without notice and does not represent a commitment by i CRco
to incorporate changes or improvements in units previously sold or shipped.
No part of this document may be reproduced or transmitted in any form, electronic
or mechanical, including photocopying and recording, for any purpose other than the
purchasers own use without the express written permission of iCRco.
Copyright
Copyright c iCRco, Inc. 2003, 2004, 2005, 2006, 2007, 2008, 2009
All rights reserved.
Trademarks
i CR VERTX
R
 , www.icrcompany.com and QPC XSCAN32 are the trademarks of i CRco.
All other trademarks are the property of their respective owners, and are hereby acknowl-
edged.
Terms
Any one of the following i CR products will be referred to as the “CR unit” throughout
this document: iCR VERTX R .
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Contact Information
iCRco., Inc.
Address: 2580 West 237th Street Torrance, CA, 90503
Telephone: [phone]
FAX: [phone]
Email: [e-mail]
Web: www.icrcompany.com
VERTX Information
Please Enter the details of the VERTX system here:
CR Model:
Serial Number:
Date Purchased:
Interface Type: USB 2.0
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Contents
1 Safety Information 5
1.1 Notes, Notices, and Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . 5
1.2 LaserSafety .................................... 5
1.3 ElectricalHazards................................. 6
2 Introduction 7
2.1 Overview...................................... 7
2.2 FCCNotification ................................. 7
2.3 iCRcoWarranty.................................. 7
2.4 Hardware Limited Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
2.5 Software Limited Warranty/Support . . . . . . . . . . . . . . . . . . . . . . 8
2.6 Warranty Product Technical Requirements . . . . . . . . . . . . . . . . . . 9
2.7 Requesting Warranty Service . . . . . . . . . . . . . . . . . . . . . . . . . . 9
2.8 Additional Warranty Limitations and Extent of Warranty . . . . . . . . . . 10
2.9 Limitation of Remedies and Liability/Exclusion of Damages . . . . . . . . 10
3 Pre-Installation 12
3.1 VoltageRequirements .............................. 12
3.2 Environmental................................... 12
3.3 SystemsSpecifications .............................. 12
3.4 Physicalrequirements .............................. 13
3.5 Connectivity and power supply . . . . . . . . . . . . . . . . . . . . . . . . . 13
4 Packing List 14
5 Unpacking / Setup Instructions 15
6 Driver and Software Installation 16
6.1 InstallingUSBdrivers .............................. 16
6.2 InstallingQPCXSCAN32 ............................ 16
6.3 Initializing the VERTX Driver . . . . . . . . . . . . . . . . . . . . . . . . . . 19
6.4 Installing Ampronix External Monitor Drivers . . . . . . . . . . . . . . . . 20
6.5 MonitorConfiguration.............................. 22
6.6 NetworkConfiguration ............................. 24
7 Hardware Installation 26
7.1 HardwareSetupDiagram ............................ 26
7.2 PCSpecifications ................................. 27
7.3 VERTX USB 2.0 Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
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7.4 PowerSwitchLocations ............................. 27
7.5 Installing AC Power Cord . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
7.6 International Power Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
7.7 PowerandScanLights.............................. 28
7.8 Cart Mounting Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
8 Acquiring an Image 36
9 QPC XSCAN32 Software Functions 43
9.1 Creating/Editing Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
9.2 Default Mouse Functions for Image Manipulation . . . . . . . . . . . . . . 43
9.3 Image Processing Dialog Box . . . . . . . . . . . . . . . . . . . . . . . . . . 44
9.4 Annotations .................................... 50
9.5 PatientCD/DVDCreator ............................ 58
9.6 Associating a Barcode with a Study . . . . . . . . . . . . . . . . . . . . . . . 59
9.7 Finding Barcodes and Scanning Images . . . . . . . . . . . . . . . . . . . . 60
9.8 Archiving QPC XSCAN32 Database . . . . . . . . . . . . . . . . . . . . . . 61
9.9 Restoring Archived Database . . . . . . . . . . . . . . . . . . . . . . . . . . 62
9.10 Searching QPC XSCAN32 Archive . . . . . . . . . . . . . . . . . . . . . . . 62
9.11 QPC XSCAN32 Keyboard Shortcuts . . . . . . . . . . . . . . . . . . . . . . 63
9.12 Modality Worklist Query . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64
9.13ReportWriter ................................... 66
9.14SettingUpDICOMSend............................. 67
9.15DICOMSend ................................... 68
9.16DICOMRetrieve ................................. 69
9.17 Advanced DICOM Printer . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
9.18 Printing to a Windows Printer . . . . . . . . . . . . . . . . . . . . . . . . . . 78
9.19 Troubleshooting Windows to DICOM Print . . . . . . . . . . . . . . . . . . 78
9.20 DICOM Store and Forward Utility . . . . . . . . . . . . . . . . . . . . . . . 80
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1. Safety Information
Be sure to read and understand the installation and operating instructions before apply-
ing power to the VERTX unit.
1.1 Notes, Notices, and Cautions
DANGER: A DANGER indicates that personal injury may occur if the Service person
does not perform the procedure correctly.
WARNING: A WARNING indicates that a user must be constantly aware of something
that may prove hazardous.
CAUTION: A CAUTION indicates that damage to the product may occur if the user
does not perform the procedure correctly.
Notice: A NOTICE indicates either potential damage to hardware or loss of data and
tells you how to avoid the problem.
Note: A NOTE indicates important information that helps you make better use of your
VERTX unit and Software.
1.2 Laser Safety
The VERTX unit incorporates a Class 3B 658 nm Red ≥ 15mw high-power solid-state
laser diode. The VERTX covers protect the service person from direct exposure to laser
light. These covers will protect a user/service person only if they are properly installed.
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Covers must be removed and replaced by properly trained service personnel. Contact
iCRco if there are any issues with the covers being damaged and replace them.
CAUTION: This equipment employs a laser. Laser radiation may be present if the
VERTX unit is operated without covers. Avoid laser beam. Direct eye exposure to laser
light must be avoided.
1.3 Electrical Hazards
The equipment must be serviced by properly trained technicians certified by iCRco Inc.
Do not connect the VERTX unit with a damaged or sub-standard power cable. Do not
use an extension cord with this device. The VERTX unit should be properly grounded
and power connections inspected to ensure safe operation. Use at least a 1500VA (1500W)
uninterruptible power supply (UPS) with this device, as it is sensitive to variations in
power.
Notice: The VERTX unit must be connected to a uninterruptible power supply (UPS).
Failure to use a (UPS) will void the warranty.
WARNING: This equipment is operated with hazardous voltages which can shock,
burn or cause death.
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2. Introduction
2.1 Overview
The VERTX unit is an ultra high resolution Computed Radiography (CR) device. It is
designed to scan cassettes containing phosphor screens (CR plates) using patented tech-
nology. CR plates are transported past a scanning head without bending or using rollers.
This True Flat Scan Path
c
 results in ultra high resolution images with high fidelity
across the entire image. High resolution is achieved from the CR plates by coupling the
True Flat Scan Path c with a high energy laser.
The VERTX unit collects 16 bits (65,536 possible gray levels) data that is converted
to a DICOM 3.0 image and can be stored, viewed, manipulated, and sent to any other
storage device, printer, or viewing station through the medical transfer protocol specified
by DICOM. This document contains a basic technical overview of the VERTX unit and
driving software subsystems. A general description of the systems functionality and user
interfaces will be described. Unpacking of the hardware and software installation. This
document is intended for users who need to understand the basic principles of operation
for the VERTX unit.
2.2 FCC Notification
This equipment generates, uses, and can radiate radio frequency energy, and if not
installed properly, can cause interference with radio communications.
2.3 iCRco Warranty
i CRco Inc. (“ i CRco”) values your business and always endeavors to provide high quality
products and services. All iCRco products are provided with an initial warranty so you
are covered from the date you purchase them. This limited warranty solely applies to
new products manufactured by or for i CRco and originally purchased from i CRco or an
authorized dealer of i CRco products for your own use. In addition, an extended warranty
is available for most new and recently purchased i CRco products for an additional charge.
2.4 Hardware Limited Warranty
i CRco warrants its hardware products to be free of defects in materials and workmanship
for a period of one (1) year from the date of original shipment from i CRco subject to
the limitations set forth herein. i CRco phosphor plates sold with and for use in i CRco
cassettes are warranted to be free of defects in materials and workmanship for a period
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of (3) years from the date of original shipment subject to limitations set forth herein.
If a product proves to be defective in material or workmanship during the warranty
period, i CRco will, at its sole option, repair or replace the product with a similar product.
Repaired and replacement products may be or include refurbished or remanufactured
parts. Any replacement item assumes the remaining warranty period of the original
product. i CRco provides no warranty for any third party hardware or software included
with any product or later acquired.
2.5 Software Limited Warranty/Support
i CRco warrants that its QPC XSCAN32 software originally provided with any product
will substantially conform to i CRco’s specifications and that the media, not including
hard drives, on which the software is furnished will be free from defects in materials and
workmanship under normal use for a period of one (1) year from the date of original
shipment from i CRco. i CRco’s sole obligation under this warranty is limited to making
reasonable efforts to ensure such conformity and to supply the consumer with a corrected
version of the software as soon as it is practical after the consumer has notified i CRco
of any non conformity. i CRco does not warrant that the operation of any software will
be uninterrupted, glitch or error free or that functions contained in the software will
operate in the combinations which may be selected for use by the user or meet the user’s
requirements. This limited software warranty will be void if the software is modified
without the written approval of i CRco or is used outside of the recommended parameters
or equipment. iCRco does not provide any warranty or support for any other software.
i CRco agrees to provide one (1) year of telephonic and/or e-mail based support for
QPC XSCAN32 software originally provided with any new i CRco product from the
date of original shipment from i CRco. All software support shall be limited to making
reasonable efforts to resolve i CRco software issues and shall be limited to i CRco’s regular
business hours. In addition, i CRco will provide revisions and upgrades to its software
upon request (when available) during the first year after the software was originally
shipped from the i CRco factory. The initial support period will include support via
remote login software (GoToMeeting), only if the customer has access to the Internet from
that PC and only if the customer agrees i CRco shall have no liability in connection with
its support efforts. Remote login software allows i CRco technical support to remotely
access the customer’s PC via the Internet for the purposes of rendering technical support.
Please note that this warranty, including software support, does not include computer
hardware, third party software or operating system or network issues, which are outside
the control of iCRco.
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2.6 Warranty Product Technical Requirements
i CRco requires that all CR, Scanner and/or products requiring PCs be fitted and installed
with an uninterruptible power supply (”UPS”). i CRco recommends the 1500VA spec-
ification UPS or equivalent. For warranty evaluation and service, i CRco requires the
customer to provide a network drop (DSL or Dial up) or the minimum of a phone line
accessible by extension cord to the product enabling i CRco technicians to perform remote
diagnostics on installed equipment. In addition, each i CRco product must be installed,
maintained and operated in accordance with the respective product manual. Failure to
comply with these requirements will result in a voided warranty claim.
2.7 Requesting Warranty Service
For information on obtaining warranty service, call i CRco’s customer support at (310)921-
9559. In order to evaluate a warranty service request, i CRco requires the following
information: the i CRco serial number of the product; a detailed description of the prob-
lem; customer name and contact information; product location and operating conditions;
a copy of the purchase documents; and sufficient information and authorization, in-
cluding a liability release as to any loss of data (which should always be backed up),
software or network injury, or downtime, allowing i CRco technicians remote access to
the product. Product may not be returned to i CRco without first obtaining a Return
Material Authorization (“RMA”) number from i CRco. Prior to providing an RMA, i CRco
may require remote access to the product. If i CRco determines that the product may
be defective, is under warranty and necessitates a return to i CRco for service, an RMA
number and instructions for return of the product will be given. i CRco is not responsible
for any unauthorized returned product, i.e. one for which an RMA number has not been
issued by iCRco.
Warranty service requires all authorized returns be shipped to the i CRco factory prepaid
and insured. All such authorized returns are the customer’s responsibility. For products
sold and located within the United States, iCRco will pay for return shipping.
Products being returned are only to be shipped in i CRco approved shipping containers.
The original box and packaging materials are approved and should be kept for moving
and/or shipping the product. Original and approved packaging my also be purchased
from i CRco. i CRco shall have no liability nor responsibility for warranty service to any
product that is not shipped in an i CRco approved shipping container or that is damages
from incorrect packaging or damage during shipping.
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2.8 Additional Warranty Limitations and Extent of Warranty
This warranty does not apply if the product has been damaged by accident, misused or
abused. In addition, warranty service does not include the repair of failures or defects
caused by: unauthorized attachments to any i CRco product; unsuitable physical or
operating environment, maintenance or repair by anyone other than i CRco or the i CRco
authorized dealer that sold the product, operation of a product beyond its duty cycle;
use of the product outside of its specifications; the use of supplies, parts, materials, soft-
ware, or interfaces not furnished, authorized or recommended by i CRco. If the product,
including any software has been opened, tampered with, modified or altered in any way
without written authorization by iCRco, the warranty will also no longer apply.
This warranty applies only to products manufactured by, or for, i CRco, and that can be
identified by “ i CRco” serial number as originally affixed to the product. Any modifica-
tion to the i CRco serial number tag or its attachment to the product shall immediately
void this warranty.
This warranty is non-transferable and subsequent owners must contact i CRco to es-
tablish if the equipment is eligible for an extended warranty.
There are no warranties, express or implied, with respect to any iCRco product other
than as specifically set forth herein, and iCRco specifically disclaims any implied war-
ranties or conditions of merchant ability, fitness for a particular purpose, and satisfac-
tory quality. Any warranties that may not be disclaimed under applicable law are lim-
ited in duration to the initial warranty period and no warranties, express or implied,
will apply after this period. All information, specifications, prices, and services are
subject to change at any time without notice.
2.9 Limitation of Remedies and Liability/Exclusion of Dam-
ages
The exclusive remedy for any defective product is limited to the repair or replacement
of the defective product. i CRco shall have a reasonable time after determining that a
defective product exists to repair or replace a defective product. i CRco’s entire liability
for any product is limited to the actual purchase price for the product. This limitation
applies even if i CRco cannot or does not repair or replace any defective product and your
exclusive remedy fails of its essential purpose.
In no event will i CRco be liable for any general, special, consequential or incidental
damages, including but not limited to, damages related to the loss of use, loss of recorded
product, the installation of replacement product, or any inspection, testing, or redesign
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caused by any defect or by the repair or replacement of any product arising from a defect
in any product. This exclusion of damages applies even if the customer advises i CRco or
an iCRco dealer of the possibility of such damages.
This limitation of remedies also applies to claims against any suppliers or dealers of
i CRco. i CRco’s and its suppliers’ and dealers’ limitations of remedies are not cumulative.
Such suppliers and dealers are intended beneficiaries of this limitation. i CRco is not
liable for any claim by or against the customer arising from a third party claim.
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3. Pre-Installation
3.1 Voltage Requirements
The VERTX unit incorporates an international auto-switching power supply. i CRco
employs CE certified medical grade universal power supplies to allow the unit to work
between 90 to 253V AC 50/60Hz. In order to run the unit with different power types,
apply voltage to the power input module at the end of the VERTX unit. For international
units, a local power cord must be used that can handle the power requirements of the
unit. A 13A/220V power cord is sufficient.
3.2 Environmental
The VERTX unit should not be placed in a room with a film processor present. This will
void the warranty. The humidity and temperature limits are 20 to 95% non-condensing,
and 59
∘
F to 95
∘
F (15
∘
C to 35
∘
C), operating, respectively. The room should have good
ventilation. Another factor to consider prior to installing the VERTX unit is dust and
particulates in the environment. The VERTX unit is designed to be resistant to dust and
particulates that may be present at the installation site. This is accomplished by 3 systems
that work together to ensure that the unit remains clean.
1. The cooling fan circulates air into the device. There is a filter in front of the fan to
ensure that the air in the VERTX unit is clean.
2. The cooling fan ensures that the pressure in the case is slightly higher than the
outside pressure, thus dust and dirt do not enter the device through the scan head.
3. All the optics are sealed in the optic cavity, separate from the electronics. Although
these systems are in place, in a dusty environment, small amounts of dust and/or
dirt may enter the optic cavity. This dust could affect image quality. To prevent this
potential issue, it is recommended that the unit be installed and operated in a clean,
dry environment.
3.3 Systems Specifications
Cassette Sizes
14x17in, 10x12in (the VERTX uses i CRco
digital X-ray cassettes that comply with
all standards for conventional X-ray cas-
settes).
Pixels per Line Resolution
3500 (High Resolution) over 14 inches
(356mm) 2048 (Normal Resolution) over
14 inches (356mm).
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Scan Rate
Scan Rate 60 lines/second
Grey Scale Resolution
16 bits (65,536 shades of gray)
Interface
USB 2.0
Dimensions
iCR VERTX: 34.9H x 20W x 6.7D inches
Power Requirements
Domestic: 100 to 120V, 50/60Hz, 3.5A
International: 220 to 240V, 50/60Hz, 1.75A
Temperature Conditions
59∘F to 95∘F (15∘C to 35∘C) – operating
0
∘
F to 150
∘
F (-18
∘
C to 65
∘
C) – non-
operating
Humidity
20 to 95% non-condensing
Vibration/Acceleration
3-4G Max (in shipping)
Altitude
0 to 9,500 ft. - operating
Weight
59 lbs (without accessories)
Warm Up Time
Five (5) minutes.
3.4 Physical requirements
The VERTX unit requires a stable operating environment. It is important the system is
placed where it will not be susceptible to tipping over or falling. Please ensure that the
base plate is properly installed. Optionally, the VERTX unit can be mounted to the wall
or to a mobile cart.
3.5 Connectivity and power supply
The room needs to have wall power and should not be used with an extension cord.
Please use at least a 1500VA (1500W) UPS between the wall power and the VERTX unit.
It is also required to have a network connection for fast technical support. Alternatively,
the user must have a phone/fax line that can be connected to the PC as a minimum to
comply with iCRco warranty terms.
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4. Packing List
WARNING: The UPS CAN NOT ship with the battery connected. Upon unpacking the
VERTX and its accessories, the UPS will need to have the battery reconnected.
Box 1: Scanning
1. (1) VERTX Scanner with AC cord attached
2. (1) USB 2.0 cable
3. (1) Suspension Mounting Kit
Box 2: Accessories A
1. (4) 14 x 17” Cassette
2. (4) 10 x 12” Cassette
3. (1) 14 x 17” Grid Cap
4. (1) 10 x 12” Grid Cap
5. (2) Panasonic Toughbook CF-52 Laptops and (2) AC adapters
6. (1) EZCR din Test Tool
Box 3: Accessories B
1. (1) APC 1300 UPS
2. (1) 19” FIME 2MP Monitor & (1) USB cable & (1) Power Cord
3. (1) Network Switch & (1) Network Switch Power Supply
4. (1) 100ft CAT-5 Cable
5. (1) 15ft CAT-5 cable
6. (1) External Hard Drive & (1) AC Adapter and (1) USB Cable
7. (4) 100 CD spindles and (4) CD Envelopes
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5. Unpacking / Setup Instructions
1. Remove the Uninteruptable Power Supply (UPS) from the box.
2. Make sure to connect the red wire to the battery terminal (remove the bottom panel
from the UPS and plug the red wire into the battery terminal).
3. Plug the UPS into a stable, standard 120 AC power outlet.
4. Remove the VERTX from the box.
5. Plug the VERTX into the UPS battery backup (the bottom set of outlets on the UPS).
6. Remove the Acquisition Toughbook (the one with two strips of Velcro on the
bottom) and AC adapter from the box.
7. Plug one end of the AC adapter into the Toughbook and the other end into UPS
surge protector outlet (the Toughbook has its own battery backup).
8. Connect one end of the USB cable into the VERTX USB plug and the other end into
the Acquisition Toughbook USB port.
9. Remove the Viewing Toughbook and AC adapter from the box.
10. Plug one end of the AC adapter into the Toughbook and the other end into UPS
surge protector outlet.
11. Remove the external hi-resolution display and AC adapter from the box.
12. Plug the AC adapter into a standard AC power outlet.
13. Plug the USB cable into a USB port on the Viewing Toughbook.
14. Remove the network switch, AC adapter and two Ethernet cables from the box.
15. Plug one end of the AC adapter into a standard AC power outlet and the other end
into the network switch.
16. Plug the 100 foot Ethernet cable into the Ethernet port on the back of the Acquisition
Toughbook, then plug the other end of the Ethernet cable into port 1 of the network
switch.
17. Plug the 15 foot Ethernet cable into the Ethernet port on the back of the Viewing
Toughbook, then plug the other end of the Ethernet cable into port 2 of the network
switch.
18. Turn ON the UPS, both Toughbooks, the external hi-resolution monitor, and the
VERTX unit (there is no switch for network switch).
19. Verify everything is ON and working.
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6. Driver and Software Installation
The computer hardware necessary to interface with the VERTX is shipped to the customer
with all needed drivers and software installed. If the need arises, the following section
describes how to install the software.
The “standard” military deployment consists of the following software components:
Drivers : i CR VERTX (installed when QPC XSCAN is installed), Ampronix external USB
display, external hard drive DiskGo HD. Software: QPC XSCAN.
6.1 Installing USB drivers
USB drivers are automatically installed while installing QPC XSCAN32.
6.2 Installing QPC XSCAN32
QPC XSCAN32 software comes bundled with the VERTX unit. This software package
will allow the user to interface with the VERTX unit.
Note: If you have QPC XSCAN32 already installed on your computer and it is running
while you are trying to install the new version, an error will appear in the install process.
Please close QPC XSCAN32 and reinstall the new version.
1. Insert the media containing the QPC XSCAN32 installer into the computer. Navi-
gate to the QPC XSCAN32 folder.
2. Launch the QPC XSCAN32 installer by double clicking Setup.exe.
3. Click Next at the welcome screen.
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4. Click Yes to agree to the Software License Agreement.
5. Make sure both QPC XSCAN32 Software and Software Key Driver boxes are checked,
then click Next.
6. Select Scanning Station or Reading Station depend on the use, then click Next to
continue.
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7. Select the appropriate modality, then click Next to continue.
8. The Destination Folder should be set to C:\Xscan32 then click Next to continue.
9. The Program Folder name should be set to QPC XSCAN32, then click Next.
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Property of iCRco, Inc.
18 of 81 Document # VTX-01A Rev C
August 3, 2009

iCR VERTX –User Manual
10. QPC XSCAN32 will begin to install. Be patient while XSCAN32 installs.
11. Click Finish to complete the installation of QPC XSCAN32. The installer will exit.
6.3 Initializing the VERTX Driver
Note: This process will need to be repeated for each USB port on the laptop. There are
4 USB ports on each laptop.
1. Make sure the VERTX unit is powered on and has the proper USB cable installed.
2. Plug the USB cable into the laptop.
3. The New Hardware Wizard dialog will pop up. Select the option Install the software
automatically, then click Next.
c
2007-2009
Confidential and Proprietary
Property of iCRco, Inc.
19 of 81 Document # VTX-01A Rev C
August 3, 2009