idi Ilex 55 User manual

Made in the USA L280-0975 REV A
Operator Manual
For units using MSV2 video signal router
The text of this manual was originally written, approved and published by the manufacturer in English.

Operator Manual ilex55
L280-0975 REV A www.imagediagnostics.com Page i
Overview
This manual pertains to the specified devices only and does not intended to replace or substitute for certified
training in the application of this equipment. The device is intended for qualified medical personnel who
have been trained in the use of medical equipment.
Owner Responsibilities
The owner of this device is responsible to ensure system compatibility, the qualifications of the operator
and maintenance personnel. The operator must be properly trained and have obtained credentials from the
appropriate authorities.
This equipment must be installed in an area provided with the proper electrical power.
The owner of this device is responsible for verifying continued compliance with all applicable regulations
and standards. Consult local, state, federal and/or international agencies regarding specific requirements
and regulations applicable to the use of this equipment.
Image Diagnostics, Inc. certifies only the equipment. After-sale operating practices and safety are the
responsibility of the owner and operator. Image Diagnostics, Inc. assumes no liability or responsibility for
after-sale operating or safety practices; nor can it be responsible for personal injury or damage resulting
from misuse.
Never make modifications or adjustments to the equipment unless directed by a qualified Image Diagnostics
representative. This equipment, when properly assembled, meets US federal regulations and standards.
Unauthorized modifications to the equipment may impact adherence to these standards and make the
equipment unsafe to operate.
Customer Support
Image Diagnostics will make available, on request, circuit diagrams, component part lists, or other
information which will assist the user’s appropriately qualified technical personnel to repair those parts of
equipment which are designated by the manufacturer as repairable.
For technical assistance, call IDI at [phone] or send fax to [phone]. Be prepared to give the
complete model and serial number found on the data plate on the rear of the ilex55 base at the time of
contact.
Image Diagnostics, Inc.
310 Authority Drive
Fitchburg, MA 01420 USA
Made in the USA
This video integration device manufactured by Image Diagnostics, Inc. complies with applicable FDA
performance standards contained in 21CFR at date of manufacture.

Operator Manual ilex55
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Table of Contents
1. Symbol Identification............................................................................................................ 1
2. Intended Use........................................................................................................................... 3
3. Safety....................................................................................................................................... 3
4. Safety Hazards....................................................................................................................... 4
EMC (Electromagnetic Compatibility) Statement...................................................................... 5
5. Basic Setup Instructions........................................................................................................ 6
Electronics Installation................................................................................................................ 6
Moving and Positioning.............................................................................................................. 7
6. Instructions for Operation.................................................................................................... 8
System Components Ilex55 ........................................................................................................ 8
Navigating Video Output Menus on Tablet.............................................................................. 10
7. Batteries................................................................................................................................ 13
8. General Cleaning................................................................................................................. 14
Large Monitor Cleaning FSN monitors only............................................................................ 14
Large Monitor Cleaning Barco Only........................................................................................ 16
Barco Tablet cleaning ............................................................................................................... 16
9. Service & Repair.................................................................................................................. 17
10. Maintenance ..................................................................................................................... 17
11. Disposal of Components.................................................................................................. 19
12. Specifications.................................................................................................................... 20
13. ME Equipment and Systems........................................................................................... 22
14. Warranty .......................................................................................................................... 25

Operator Manual ilex55
L280-0975 REV A www.imagediagnostics.com Page 1
1. Symbol Identification
Attention! Consult accompanying documents.
Failure to follow these instructions could cause serious personal injury or
damage to equipment.
Read the Manual
SGS North America, Inc. Testing Service.
The system was tested and found to be in compliance with the requirements of
all relevant directives and standards in effect within the European Union at the
time of manufacture.
Alternating current.
Data plate with device serial tag.
Warning! Information or instructions shown near this symbol must be adhered
to in order to prevent a potentially hazardous situation which if not avoided,
could result in death, personal injury or damage to the equipment.
Electric Shock hazard. Information or instructions shown near this symbol must
be adhered to in order to prevent a potentially hazardous situation which if not
avoided, could result in death, personal injury or damage to the equipment.
Recyclable material, some material can be recycled rather than discarded
or

Operator Manual ilex55
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Emergency Stop Switch - Stops elevation motion.
Maximum allowable Weight Limits.
Protective Ground.
This is the common tie point between the AC cord ground, frame ground, and
controller ground.
For safety and proper function of equipment, connect power
cord to a properly grounded outlet.
Model of ilex55.
Serial Number of ilex55.
Date of manufacture of the device.
Location where device was manufactured.
EC REPRESENTATIVE:
REF
SN
EC REP Advena Ltd. Pure Offices, Plato Close, Warwick CV34 6WE UK.

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2. Intended Use
Totally mobile solution for video display and image management. Configurable control
of images from C-arm fluoroscopy, endoscopy, patient monitoring, etc
3. Safety
✓All persons using this equipment must fully understand its operation instructions,
emergency procedures, capabilities be aware of all potential safety hazards.
✓This manual should be accessible to all personnel installing, operating, or servicing
this equipment.
✓Only a qualified technician may install or service this equipment.
Failure to follow safety precautions may result in serious injury to patient or
user or damage to equipment.
It is imperative that all personnel operating the ilex55 be familiar with the equipment operation,
transport and all documentation supplied by IDI.
•The ilex55 system is intended to be used in typical clinical or research environments in
accordance with national standards.
•When transporting the ilex55 from room to room, it is imperative that the device be moved
in the storage position which is with the monitor all the way down.
•When in use, the ilex55 should be plugged into a medical grade electrical outlet.
•The ilex55 does not have any essential performance functions that pose a risk due to
failure or degradation of the unit or any of its components.
Comments and questions regarding safety should be addressed to:
Customer Support
Image Diagnostics, Inc.
310 Authority Drive
Fitchburg, MA 01420 USA
Or call IDI at [phone] or Toll Free [phone].
The fax number for IDI is [phone].
Review the SAFETY HAZARDS and OPERATING
INSTRUCTIONS before operating video transmission unit

Operator Manual ilex55
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4. Safety Hazards
WARNING!
Do not modify this equipment without authorization of the
manufacturer.
CAUTION!
Do NOT store liquids above any electrical devices.
CAUTION!
Caution should be used when moving the system over
uneven or sloped surfaces.
WARNING!
Do NOT jump any curbs or steps over 3/8” (10mm) in
height with this equipment. Approach all obstacles slowly.
Operator must use a ramp to allow the casters to roll up
and over the vertical edge for over 3/8” (10mm).
WARNING!
It is the user’s responsibility to make sure the equipment is
safe and operates properly prior to use.
WARNING!
Do NOT mount a display monitor weighing more than 96
LB (44 kg).
WARNING!
Connecting any electrical equipment to the socket outlets
of the ilex55 creates a new ME (Medical Electrical)
Equipment unit possibly resulting in a reduced level of
safety. Once this is done, the responsible organization
must refer and comply to the standard IEC 60601-1.

Operator Manual ilex55
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EMC (Electromagnetic Compatibility) Statement
This equipment may generate and use radio frequency energy. The equipment must be installed
and used according to this manual in order to avoid radio frequency interference.
Portable and Mobile RF Communications Equipment can affect Medical Electrical Equipment
including the ilex55. Use special precautions regarding EMC when these carts are installed with
any external accessories, maintained or operated adjacent or stacked with other equipment.
EMC operating specifications for these tables can be located in the Specifications and
Requirements section of this manual. The equipment or system must be observed to verify
normal operation in the final configuration in which it will be used.
The use of accessories, transducers and/or cables other than those specified, with
the exception of those sold by the manufacturer as replacement parts for internal
components, may result in increased emissions or decreased immunity of the
equipment or system.
If this equipment generates or receives interference:
1. Verify that the equipment is the cause by turning the system off and on.
2. In the event of unintended motor actuation, immediately remove power to the
equipment by engaging the E-stop switch.

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5. Basic Setup Instructions
Electronics Installation
All electronic devices are to be installed according to their perspective manufacturer’s user
manuals.
When installing electronic accessories or placing other items on the top shelf, keep these items at
least 2 inches (50mm) away from the vertical edge below the speakers (as shown above to allow
room for the monitor when it is in the lowest position and to ensure easy access to controls.
Use caution when raising or lowering monitor to prevent
collision with personnel, walls, ceiling and other equipment.
Plugging a cauterization device into the internal power strip
may cause the monitor to shut down temporarily. Plug a
cauterization device into a separate wall outlet. A separate
branch circuit may be needed.
Always position the cart in a way that the electrical outlet its
power cord is plugged into can be easily accessed in the event
that it needs to be disconnected quickly.

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Moving and Positioning
Center Lock Pedal
Caster Modes:
Total Lock: Step down on the right end of the caster brake pedal with the red dot to lock both
the swivel and roll. Put the casters in this mode during use to prevent any horizontal movement
of the unit.
Free Float: Position the pedal so that it is horizontal which will allow the casters to swivel and
roll in any horizontal direction.
Steer Lock: Step down on the left end of the caster brake pedal with the green dot to lock the
direction of the two casters closest to the pedal making steering easier when relocating the unit.
Do NOT move cart over cords or uneven, soft or sloping
surfaces. Failure to comply may result in cart instability
leading to equipment damage or personal injury.
Use handles to move cart with an assistant to avoid collision
with other equipment and walls.
Casters must be in TOTAL LOCK while system is in use.
Move unit only with monitor fully lowered into transport
position.
Pedal Positions
Steer Float Lock

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6. Instructions for Operation
System Components Ilex55
Electrical Components
For specifications of monitors please contact Image Diagnostics, Inc.
19in x 28in
[48cm x 71cm]
20in x 20in
[50cm x 50cm]
12in
31cm
9in
22cm
16in
40cm
92in
72in
233cm
182cm
301
2"
77cm
31"
790mm
55in
140cm
ACROSS
HANDLES
353
4"
910mm
ilex55 Mobile Video Display System
IMAGE DIAGNOSTICS, INC.
Emergency Stop
Master
On/Off
Up/Down
Touch Screen Controller
Blue Tooth Speaker Pairing
Caster Break
Float and
Steer
Video Scaling
(under cover)
External Sources
Scalers
Touch Controller
Monitor

Operator Manual ilex55
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19in x 28in
[48cm x 71cm]
20in x 20in
[50cm x 50cm]
12in
31cm
9in
22cm
16in
40cm
92in
72in
233cm
182cm
301
2"
77cm
31"
790mm
55in
140cm
ACROSS
HANDLES
353
4"
910mm
ilex55 Mobile Video Display System
IMAGE DIAGNOSTICS, INC.
Features
Maximum Number of Clinical Images Displayed
Up to 4
Video Inputs –Total of 5
4 DVI (possible)
1 SDI (possible)
2 SOG (possible)
2 VGA (possible)
1 S Video (possible)
1 Direct PIP DVI (possible)
Video Output to monitor
1 HDMI 2.0
Max Resolution
3840x2160@60hz
4 Fixed Display Modes
Single, Side by Side, Quad, 1 Big 3 Over
4 Variable Custom Display Modes
Programed 1 big 2 over, 1 big 2 over PIP, 1 top 2 bottom
Image Quality Options
Cropping image sizing, aspect lock, over lay, contrast, layout rotation and brightness
adjustment
Power Switches
In the event power switches have been toggled “OFF”, please use the following to turn power on
to the different components. To power up the monitor there is a switch located on the rear of the
monitor where video inputs are. To power up the MSV2 4k reach behind the tray on the top shelf
on the right side of the box and there is a power on/off switch. The touchscreen monitor has a
power button on the bottom of the unit, press and hold to turn on. Under normal use these
buttons can stay in the “ON” position.
MSV2 (Rear of unit)
Monitor (Rear of unit)
Touch Control
(Bottom of unit)
Master
On/Off

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On/off Button, use the green toggle switch/thermal breaker to turn the system on
and off and to reset the breaker.
Up/Down switch, use the monitor elevation toggle switch to
adjust monitor height.
When the red emergency stop button is pushed in, elevation of the monitor is not
allowed. Always push the red emergency stop button when moving the ilex55
to reduce the risk of damage to the unit. Reset by rotating the button a quarter
turn.
To use the speakers with an external audio device with Bluetooth® capability,
perform the following steps:
1. Ensure that the green toggle power switch is on and lit up.
2. On the cart’s audio control panel, ensure that the “INPUT SELECT” switch is set
to “BT.”
3. Turn the power on to the Cart’s audio system by turning the rotary Volume Control
knob clockwise so that the red PWR light lights up.
4. If the system doesn’t automatically sync, press in the white Volume Control knob
button and hold it in for 3 seconds (or until the 'BT' Bluetooth® indicator light
begins to blink. (You may also hear the system prompt say 'Power ON').
5. Turn on a Smart Device and locate a list all available Bluetooth devices. The
Network Name will appear as 'BT-RY' on your Smart Device list. No password is
required to connect, but if you are prompted, enter '0000' (4 zeroes).
6. As the Smart Device and the cart are synchronizing, the LED indicator light on the
cart will blink progressively quicker and you will hear the system prompt 'Paring.'
7. When a successful connection is established, the LED indicator light on the cart will
stay lit without blinking and you will hear the system prompt, 'Your device is
connected', indicating that the unit is ready to transmit audio.
(Note: Audio Devices can also be connected to the Cart using cables that have a 3.5mm Aux
Jack or a ¼in. Microphone Jack. Move the “Input Select” switch to the corresponding format
and adjust the volume as desired.)
Navigating Video Output Menus on Tablet
Verify that all cables are connected, and devices are powered on. Ilex55 power switch will
illuminate green when powered up and will power up all devices.
Maximum duty cycle of the actuator is 10% or 2 minutes of continuous
use followed by 18 min. not in use. Exceeding this limit could damage
the device and require replacement.

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Note: In the event the screen is blank preform a system check to see that all devices are powered
up. The MSV2 4K will show LED lights on the front panel of the box itself. The monitor will
bootup with a visual indicator on screen, as well as the buttons in lower right will light up.
Touchscreen tablet will have a visual on-screen indicator.
Once tablet and MSV2 has powered up a login screen should
appear on the tablet, as shown to the right. Touch the submit
to log into the program. If there is an error or the MSV2 has
not loaded fully, please restart the tablet by pressing and
holding the white power button on the bottom of the tablet.
Upon restarting the login screen should re appear. The
program should look similar to the image at the bottom of the
page.
On the right side of the screen each of the preset layouts is displayed (Quad, 1x3, 1x2 etc).
Touch each of the layouts until the desired layout is reached. To get a full screen of 1 of the
channel inputs select one of the four channel inputs in the lower panel on the right side of the
screen.
Basic Layout navigation is done in the “Guest” mode of the system. Changing or programing of
the layout format is available only in the “Administrator” mode which is defined in the
installation manual. In the upper corner of the screen there is a red, yellow and green set of
arrows. When pressed the screens will rotate, clockwise, or counterclockwise. The green arrow
will reset the screens to the default position.
Note: video screens will be slightly different depending on video inputs.
Screen Layouts
Single Channel
Inputs
Image Rotation
User Mode Indicator
Clockwise Rotation

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Ilex55 Typical Layouts
Layouts can be customized in the Administration section of the Operating Guide. The Most
common layouts have been programed onto your system. The Clinical image can be directed to
a location by illuminating the image and dropping it into the layout location (some optimization
maybe required).
Typical Layout Examples:
1x 3 OVER
SIDE by SIDE
Quad
Single
1x 2 OVER
1x 2 Bottom
Your system has ghosted PIP positions that will
allow for a Cell phone timer clock be ported
into the system
PIP Positions

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7. Batteries
The ilex55 is designed to be used when powered with a hospital grade AC outlet. Battery
backup to elevate the monitor is available for emergency or transportation only. When AC
power is applied, the actuator backup battery will begin charging until the battery reaches full
capacity at which time, the charging will taper off. If the unit loses AC power, the monitor
elevation function will automatically switch to battery back-up mode. An audible tone is
sounded when using an operator control function if the battery charge is low.
Batteries are located inside the control box.
Local procedures may be in place for proper disposal or recycling of batteries.
For more information about batteries, such as battery life, production codes and disposal, see the
Linakwebsite.
Battery (12V/1.2Ah)
Part Number K000-0040 (Replace in pairs)
Note: The battery will not charge if the system is not plugged in or the green toggle
switch/thermal breaker is off.
WARNING
Actuator Batteries are not automatically maintained to
original maximum charge requiring periodic testing
and replacement if necessary.
CAUTION
Batteries are not to be changed by the operator.
Refer to authorized technician.

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8. General Cleaning
Tools: Soft cloth and approved cleaner:
oSodium hypochlorite (generic household bleach) in a solution of 5.25% sodium hypochlorite
diluted between 1:10 and 1:100 with water.
oAlcohol (generic).
oEnvirocide. ™
Notes:
•For the cleaning of monitor or shelf equipment, please consult corresponding literature
for these devices.
•NEVER use alcohol to clean the monitor.
Procedure:
1.1. Unplug the ilex55 system prior to the cleaning process.
1.2. Wipe clean the surfaces of the system with a diluted mixture of mild detergent (listed above)
and water, using a soft cloth.
Use a soft cloth to dry any stainless steel items.
1.3. To clean speaker grilles, simply pull off and wash.
Large Monitor Cleaning FSN monitors only
Products FM-C5501DV, FM-A5502DC, FM-D5801DV, For Barco Tablet and Barco monitor
see next section
Precautions
•Before cleaning, switch the display in stand-by position to prevent the control touch panel
from being activated inadvertently by sweeping over the front filter. In stand-by position
the touch panel cannot be activated by just sweeping over them. To switch the display on
again, you must press the stand-by key again.
•Take care not to damage or scratch the front filter or LCD panel.
•Be careful with rings or other jewelry that can touch the front filter
•Do not apply pressure on the front filter or LCD panel.
•Do not apply or spray liquid directly to the front filter, panel or cabinet as excess liquid
may cause damage to internal electronics. Instead, apply the liquid to the cleaning cloth.
•Follow your hospital protocol for the handling of blood and body fluids.
•The display is not disinfected or packed in sterile environment.
•Follow your hospital protocol in case the display needs to be disinfected prior to
installation.

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•Front Filter
•Proceed as follows:
o1. Remove dust with a dry, lint-free, non-abrasive soft cotton cloth.
o2. Remove fingerprints or grease using a lint-free, non-abrasive soft cotton cloth
that is lightly moistened with plain water or a mild commercial glass cleaning
product suited for coated glass surfaces.
o3. Gently wipe dry with a dry cloth.
•The following products are tested and approved:
•Misty Clear Lemon 10 Disinfectant
•Bohle glass cleaner
•Zep Heavy-duty glass & all surface cleaner
•Klear Screen
•Screen TFT (Kontakt Chemie)
•Incidin Foam (Ecolab)
•Microzid
•Mild detergent
•Isopropyl alcohol with concentration < 5%
•Household bleach (generic sodium hypochlorite, solutions of 5.25% sodium hypochlorite
diluted with water between 1:10 and 1:100)
DO NOT USE:
•Alcohol/solvents at higher concentration > 5%
•Strong alkalis lye
•Strong solvents
•Acid
•Detergents with fluoride
•Detergents with ammonia
•Detergents with abrasives
•Steel wool
•Sponge with abrasives
•Steel blades
•Cloth with steel thread
Cabinet
Proceed as follows:
1. Clean the cabinet using a soft cotton cloth, lightly moistened with a recognized cleaning
product for medical equipment.
2. Repeat with water only.
3. Wipe dry with a dry cloth.
4. Cabinet has been tested for resistance to the following products:
•Virex Ready-to-use Disinfectant Cleaner
•Misty Clear Lemon 10 Disinfectant
•Bohle glass cleaner
•Zep Heavy-duty glass & all surface cleaner
•Klear Screen
•Screen TFT (Kontakt Chemie)

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•Incidin Foam (Ecolab)
•Microzid
•Mild detergent
•Isopropyl alcohol with concentration < 5%
•Household bleach (generic sodium hypochlorite, solutions of 5.25% sodium hypochlorite
diluted with water between 1:10 and 1:100)
•Precise Hospital Foam Cleaner Disinfect
Large Monitor Cleaning Barco Only
Cleaning Instructions
•Be sure to unplug the power cord from the mains when cleaning your LCD monitor.
•Take care not to scratch the front surface with any hard or abrasive material.
•Dust, finger marks, grease etc. can be removed with a soft damp cloth (a small amount of
mild detergent can be used on the damp cloth).
•Wipe off water drop immediately.
Possible cleaning solutions
•250 ppm chlorine solution
•NaCI solution 0.9% –Sodim chloride 00-236
•Bacillol AF
•1.6 percent aqueous ammonia
•Cidex® (2.4 percent glutaraldehyde solution)
•Sodium hypochlorite (bleach) 10 percent
•“Green soap” (USP)
•Like Cleansafe® optical cleaning liquid
•Isopropanol
•Haemosol solution (1% in 1 liter water)
•Chlorehexidine 0,5% in 70% Ethanol
Barco Tablet cleaning
WARNING: Unplug the power cable from the mains power input before cleaning the display.
CAUTION: Take care not to damage or scratch the front glass or LCD. Be careful with rings or
other jewelry and do NOT apply excessive pressure on the front glass or LCD.
CAUTION: Do NOT apply or spray liquid directly to the display as excess liquid may cause
damage to internal electronics. Instead, apply the liquid to a cleaning cloth.
To clean the display
Clean the display using a sponge, cleaning cloth or soft tissue, lightly moistened with a
recognized cleaning product for medical equipment. Read and follow all label instructions on the
cleaning product. In case of doubt about a certain cleaning product, use plain water.
Possible cleaning solutions:
• 70% isopropyl alcohol
• 1.6% aqueous ammonia
• Cidex® (2.4% glutaraldehyde solution)
• Sodium hypochlorite (bleach) 10%
• “Green soap” (USP)
• 0.5% Chlorehexidine in 70% isopropyl alcohol

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• Like Cleansafe® optical cleaning liquid
Do not use following products:
• Alcohol/solvents at higher concentration > 70%
• Strong alkalis lye, strong solvents
• Acid
• Detergents with fluoride
• Detergents with ammonia at higher concentration > 1.6%
• Detergents with abrasives
• Steel wool
• Sponge with abrasives
• Steel blades
• Cloth with steel thread
Please contact Image Diagnostics for Service and Repair at [phone] or Toll Free
[phone].
10. Maintenance
All maintenance procedures should be done by an experienced and qualified technician with
demonstrated knowledge and skills (electrical and mechanical) in the service of medical
equipment.
✓This individual must have access to this manual and the proper tools.
✓Lubrication of this device is not required.
RECOMMENDED PERIODIC PERFORMANCE CHECKS
Daily (Prior to use)
Inspect all external cables, castors and
controls for wear and damage. Replace
damaged cables promptly.
Semi-annually
Check battery operation by disconnecting the
AC power and running the Monitor up and
down.
Annually
Inspect movement of the monitor to ensure
that it is smooth and continuous. Inspect
9. Service & Repair