NDS ExpandOR User manual

ExpandOR™
Medical-Grade Video Streaming System
INSTALLATION GUIDE
ENGLISH


© 2017NDS Surgical Imaging. All rights reserved.
Information in this document has been carefully checked for accuracy; however, no guarantee is given to the
correctness of the contents. This document is subject to change without notice. NDS provides this information
as reference only. Reference to products from other vendors does not imply any recommendation or
endorsement.
This document contains proprietary information protected by copyright. No part of this manual may be
reproduced by any mechanical, electronic, or other means, in any form, without prior written permission of
NDS.
All trademarks are the property of their respective owners.


i
Section 1
Warnings and Cautions -----------------------------------------------ii
Recycling ------------------------------------------------------------------ii
Declaration of Conformity ------------------------------------------- iii
Legal Statement -------------------------------------------------------- iii
Section 2
About This Manual ----------------------------------------------------- 1
Overview------------------------------------------------------------------ 1
Intended Use and Contraindications------------------------------ 2
General Information --------------------------------------------------- 2
Section 3
What’s in the Box ------------------------------------------------------- 3
Installation Step 1 ------------------------------------------------------ 3
Power Supply and Wall Adapters ---------------------------------- 3
Installation Step 2 ------------------------------------------------------ 4
Connector Panel -------------------------------------------------------- 4
Electrical Symbols ------------------------------------------------------ 4
Installation Step 3 ------------------------------------------------------ 5
System Connections Example -------------------------------------- 5
Section 4
Installing the CruzOR Utility ----------------------------------------- 6
Section 5
Power Up Sequence --------------------------------------------------- 7
Section 6
System Conguration ------------------------------------------------- 8
Web Interface--------------------------------------------------------- 9
System Tab---------------------------------------------------------- 10
System Tab: Device Management---------------------------- 12
Restore Factory Defaults----------------------------------------- 13
Transmit Tab-------------------------------------------------------- 13
Receive Tab --------------------------------------------------------- 14
Record / Capture Tab -------------------------------------------- 15
Section 7
System Conguration Options------------------------------------ 16
ExpandOR to ExpandOR Streaming ------------------------- 16
Conguring ExpandOR to ExpandOR Streaming --------- 17
Simultaneous Transmit/Receive Operation ---------------- 17
ExpandOR Streaming to ViewOR------------------------------ 18
ExpandOR Multi Node Streaming----------------------------- 20
Conguring ExpandOR Multi Node Streaming------------ 21
ExpandOR Multicast Streaming ------------------------------- 22
Section 8
Front Panel Control -------------------------------------------------- 23
GPI Interface Control ------------------------------------------------ 23
Web Interface Control----------------------------------------------- 24
Transmit Operation ---------------------------------------------- 25
Receive Operation ------------------------------------------------ 26
Simultaneous Transmit and Receive Operation----------- 27
Privacy Feature----------------------------------------------------- 28
Capture Still Feature---------------------------------------------- 29
Record Stream Feature ------------------------------------------ 30
View Captured Image and Recorded Video Lists --------- 31
Section 9
Frequently Asked Questions -------------------------------------- 32
Section 10
Drawing and Dimensions------------------------------------------- 34
Section 11
Video Connectors and Pinouts ------------------------------------ 35
Control Connectors and Pinouts---------------------------------- 36
Section 12
Specications, Supported Video Resolutions and
Connector Types --------------------------------------------------- 37
Cleaning Instructions ------------------------------------------------ 38
Electromagnetic Compatibility Tables -------------------------- 39
Contact --------------------------------------------------------------- Back
Table of Contents

ii
1 Warnings and Cautions
This symbol alerts the user that important information regarding the installation and / or operation of this
equipment follows. Information preceded by this symbol should be read carefully in order to avoid damaging
the equipment.
This symbol warns user that un-insulated voltage within the unit may have sucient magnitude to cause
electrical shock. Therefore, it is dangerous to make contact with any part inside the unit. To reduce the risk of
electric shock, DO NOT remove cover (or back). There are no user serviceable parts inside. Refer servicing to
qualied service personnel.
This symbol cautions the user that important information regarding the operation and / or maintenance of this
equipment has been included. Information preceded by this symbol should be read carefully to avoid damage
to the equipment.
This symbol denotes the manufacturer.
This symbol denotes the manufacturer’s European Community representative.
To prevent re or shock hazards, do not expose this unit to rain or moisture. Also, do not use this unit's polarized plug
with an extension cord receptacle or other outlets unless the prongs can be fully inserted. The product is designed to
meet the medical safety requirements for a patient vicinity device.
This product is a Class I medical device. No modications are allowed.
This equipment/system is intended for use by healthcare professionals only.
Safety Compliance:
This product is T.U.V. approved with respect to electric shock, re and mechanical hazards only in
accordance with CAN/CSA C22.2 NO. 60601-1 and ANSI/AAMI ES60601-1.
Safety Compliance:
This product meets the requirements of EN60601-1 so as to conform to the Medical Device Directive
93/42/EEC and 2007/47/EC (general safety information).
Recycling:
Follow local governing ordinances and recycling plans regarding the recycling or disposal of this equipment.
This product complies to the above standards only when used with the supplied medical grade power supply.
Power Cord: Use a hospital grade power cord with the correct plug for your power source.
Disconnect the power cord from the AC mains. The power cord is the only recognized disconnect device.
The MEDICAL EQUIPMENT should be positioned so that its disconnect device is readily accessible.
The product should be powered from a center tapped circuit when used in the US at voltages over 120 volts. Product is
intended for continuous operation.
This product is energized from an external electrical power source for class 1 equipment. It is the responsibility of the
installer to test the product’s earth ground to verify that it complies with the hospital, local and national impedance
requirements.
Model ExpandOR
Power Supply SL Power Electronic Corp MENB1030A1200C02
AC Input 100 to 240 Volts at 50 to 60 Hz, 1.0A
DC Output 12 volts at 2.5 amps

iii
Declarations of Conformity
Legal Statement
NDS may sell its products through other medical device manufacturers, distributors and resellers and therefore, purchasers of this NDS product should
consult with the entity through which this product was originally purchased regarding the terms of any applicable product warranties provided by such
entity, if any.
NDS neither assumes nor authorizes any person to assume for it any other liabilities in conjunction with and/or related to the sale and/or use of its
products. To ensure proper use, handling and care of NDS products, customers should consult the product specic literature, instruction manual, and/or
labeling included with the product or otherwise available.
Customers are cautioned that system conguration, software, the application, customer data and operator control of the system, among other factors,
aect the product’s performance. While NDS products are considered to be compatible with many systems, specic functional implementation by
customers may vary. Therefore, suitability of a product for a specic purpose or application must be determined by the consumer and is not warranted
by NDS.
NDS SPECIFICALLY DISCLAIMS ALL WARRANTIES OF ANY KIND, WHETHER EXPRESS, IMPLIED AND/OR STATUTORY, INCLUDING, BUT NOT LIMITED TO
WARRANTIES OF MERCHANTABILITY, FITNESS AND/OR OF SUITABILITY FOR A PARTICULAR PURPOSE, AND NON-INFRINGEMENT WITH RESPECT TO ALL
NDS PRODUCTS OR SERVICES. ANY AND ALL OTHER WARRANTIES, REPRESENTATIONS AND/OR GUARANTEES, OF ANY TYPE, NATURE OR EXTENT, BE IT
IMPLIED, EXPRESS AND/OR WHETHER ARISING UNDER OR AS A RESULT OF ANY STATUTE, LAW, COMMERCIAL USAGE, CUSTOM, TRADE OR OTHERWISE,
ARE HEREBY EXPRESSLY EXCLUDED AND DISCLAIMED.
NDS, its suppliers and/or distributors are not liable, directly or by way of indemnity for any special, incidental, consequential, punitive, exemplary or
indirect damages, including but not limited to alleged damages for delayed shipment, non-delivery, product failure, product design or production,
inability to use such products or services, loss of future business (lost prots), or from any other cause, whatsoever, in connection with or arising from
the purchase, sale, lease, rental, installation or use of such NDS products, these terms and conditions, or with respect to any the terms of any agreement
which incorporates these terms and conditions.
SOME JURISDICTIONS DO NOT ALLOW EXCLUSIONS AND DISCLAIMERS OF CERTAIN WARRANTIES OR LIMITATIONS OF LIABILITY, SO THE LIMITATIONS
AND/OR EXCLUSIONS, SET FORTH HEREIN, MAY NOT APPLY. IN THAT EVENT LIABILITY WILL BE LIMITED TO THE GREATEST EXTENT PERMITTED BY LAW
IN THE SUBJECT JURISDICTION.
The information provided in this document, including all designs and related materials, is the valuable property of NDS and / or its licensors and, as
appropriate, they reserve all patent, copyright, and other proprietary rights to this document, including all design, manufacturing reproduction, use,
and sales rights thereto, except to the extent said rights are expressly granted to others.
FCC and Council Directives of European Standards:
This device complies with Part 15 of FCC rules and 93/42/EEC of the Council Directives of European Standards Directive as amended by 2007/47/EC.
Operation is subject to the following two conditions: (1) This device may not cause harmful interference, and (2) this device must accept any
interference received, including interference that may cause undesirable results.
1. Use the specied cables with this device so as not to interfere with radio and television reception. Use of other cables and / or adapters may cause
interference with other electronic equipment.
2. This equipment has been tested and found to comply with the limits pursuant to FCC part 15 and CISPR 11. This equipment generates, uses and
can radiate radio frequency energy and, if not installed and used in accordance with the instructions, may cause harmful interference to radio
communications.
IEC:
This equipment has been tested and found to comply with the limits for medical devices to the IEC 60601-1-2. These limits are designed to provide
reasonable protection against harmful interference in a typical medical installation. This equipment generates, uses and can radiate radio frequency
energy and, if not installed and used in accordance with the instructions, may cause harmful interference to other devices in the vicinity.
FCC, Council Directives of European Standards and IEC:
There is no guarantee that interference will not occur in a particular installation. If this equipment does cause harmful interference to radio or television
reception, which can be determined by turning the equipment o and on, the user is encouraged to try to correct the interference by one or more of
the following measures:
Reorient or relocate the receiving antenna.
Increase the separation between the equipment and receiver.
Connect the equipment into an outlet on a circuit dierent from that to which the receiver is connected.
Consult your dealer or an experienced radio/TV technician for help.
Accessory equipment connected to this product must be certied according to the respective IEC Standards (i.e., IEC 60950-1) for data processing
equipment and IEC 60601-1 for medical equipment). Furthermore, all congurations shall comply with the system standard, IEC 60601-1-1. Anyone who
connects additional equipment to the signal input part or signal output part congures a medical system, and is therefore responsible that the system
complies with the requirements of system standard IEC 60601-1-1. Whoever is responsible for securing the unit to a system needs to insure that the
mounting equipment used with this product complies to IEC standard 60601-1. If in doubt, consult the technical services department or your local
representative.


1
2 This manual is intended to be used by the hospital’s IT department to install and congure the ExpandOR.
A numbered tab on the side of the page denotes the beginning of a section.
The functional descriptions in this manual are representative of:
Part Number:
90T0022
Firmware:
58R0001 Rev A or later
About This Manual
ExpandOR™ is a standalone medical-grade video streaming system that enables video streaming across
existing networks and provides bi-directional or one-way HD video and audio streaming with low latency. The
ExpandOR can transmit a video stream to a single destination, broadcast to selected or all destinations. The
product provides a solution that enables surgeons to conduct bi-directional consultations during surgery,
transmit a video stream to an auditorium for educational purposes, or send sample images to a Pathology lab.
NDS recommends that the initial setup is done in a hospital IT department by a technician with a basic
understanding of networking including an understanding of TCP/IP protocol, IP address, gateway, subnet
mask, network port, pinging a device on the same network, and conguring a laptop to work in a
corporate/hospital network. After initial setup, the IT Department is required to explain the ExpandOR
conguration to the operating room (OR) sta including the following items:
One-way point-to-point
Two-way point-to-point
Multi-Node
Multicast (Broadcast)
Conguration to record incoming or outgoing video
Prior to hando of the ExpandOR to the OR sta, the IT Department must demonstrate functions of the
ExpandOR Front Panel buttons. The OR Sta will use the Front Panel buttons to operate the unit
during procedures.
Overview
The IP and Port addresses referenced in this manual are for illustration only, and should not be used for
any other purpose.

2
Intended Use and Contraindications
Intended Use:
This device is intended for use in a medical environment to deliver high quality video and graphic images.
Contraindications:
This device may not be used in the presence of ammable anesthetics mixture with air, oxygen or nitrous
oxide. Also, it is not intended for life support applications.
No part of this product may come in contact with a patient. Never touch the product and a patient at the
same time.
Initial set up must be done by the hospital's IT Department by a technician with a basic understanding of
networking including an understanding of TCP/IP Protocol, IP Address, Gateway, Subnet Mask, Network
Port, Pinging a device on the same network, conguring a laptop to work in a corporate/hospital network.
For mission critical applications, we strongly recommend that a replacement unit be immediately available.
General Information
Installation:
ExpandOR units may be stacked on an equipment carrier, a surgical cart, or mounted in a standard 19” rack.
Do not block the air vents.
Power Supply:
The provided power supply, Ault and SL Power Electronic Corp Model: MENB1030A1200C02 12VDC, includes
4 interchangeable wall plug adapters. Drawings of the power supply, its adapters, and adapter installation
information are on page 3.
Compatible Displays:
HD displays with a DVI input.
SD displays with an S-Video input.
Control Options:
The ExpandOR may be controlled from:
ExpandOR Front Panel shown on page 7
Web Interface
GPI port

3
3 What’s in the Box?
The following items are in the ExpandOR shipping box:
ExpandOR
Power Supply and Adapters
User Manual
Installation Guide
Informatics Product Documentation CD
Installation Step 1
Power Supply and Wall Adapters
The power supply is shown with the US wall adapter installed. To exchange the adapter, proceed as
follows:
Place the power supply on your work surface as shown.
Press and hold the PUSH button.
Twist the adapter 1/8 turn toward the OPEN arrow, and lift it from the power supply.
Select one of the provided wall adapters.
Align the tabs on the bottom of the adapter with the notches on the power supply, and place the adapter
on the power supply. Press the adapter down and twist it toward the LOCK arrow until it clicks into place.
Open the shipping box, remove the items listed above, and place them on the work surface. If the ExpandOR
is being installed outside of the United States and Canada, congure the power supply as described in the
Power Supply and Wall Adapters section below. Installation Step 2 is on the next page.

4
Electrical Symbols
Power Switch:
The power switch is push on / push o. When the switch is o the ring around the center
portion is black. When the switch is on, the center portion is depressed and the ring is
illuminated blue. The illustration shows the switch in its ON state.
The power symbol, left, is on the Front Panel under the power switch.
Connector Panel
DC IN = Power input, use the provided power supply .
AUDIO = Audio connectors:
MIC IN = Audio input from a microphone
LINE IN = Audio input from a line level source (e. g. Audio preamplier)
LINE OUT = Line level output suitable for directly driving headphones. It may also be connected to
an audio amplier.
DVI IN, DVI OUT, and Y/C OUT video connectors. Note: Y/C = S-Video
RS-232 = Serial communication port. The RS-232 port is for NDS use only.
USB = Used to install rmware upgrades, capture still images, and to record the video stream.
GPI = General Purpose Interface allows specic ExpandOR functions to be controlled remotely.
IP = Ethernet connector. The video stream is transmitted to, and received from the network via the IP
connector.
Installation Step 2
Using the drawing below, locate the DC IN connector, and insert the power supply’s DC output jack into the
DC IN connector until it seats. When the power supply’s output jack is seated, thread its locking ring
onto the DC IN connector until it is nger tight. Do not plug in the power supply or mains connector of the
ExpandOR. Installation Step 3 is on the next page.

5
Installation Step 3
The System Connections Example below shows the devices that may be connected to the ExpandOR.
Place the ExpandOR in the location where it will be used. Connect all required devices for this application
per the illustrations on page 4 and as shown below.
System Connections Example
DVI In
DVI Video
Source
▲
◄►
▲
Video and
still image
storage
▲
* *
Y/C Out
DVI Out
Audio Network
Privacy
Record
Video
Capture
Still
GPI Control
RS-232
connector
for NDS use
only
▲

6
4
Installing the CruzOR Utility:
CruzOR is a software tool that is used to nd ExpandORs connected your network. In order to access the
Web Interface, CruzOR must be installed on the same subnet as the ExpandOR.
1. Place the included CruzOR utility CD in the PC CD or DVD drive.
2. Double click the Setup le to open the CruzOR Setup Wizard.
3. Follow the onscreen instructions.

7
Power Up Sequence
1. Plug in the ExpandOR’s power supply, but do not turn the unit on.
2. Connect the ExpandOR to the local area network using an RJ-45 cable connection.
3. The ExpandOR firmware defaults to DHCP mode. Verify that a DHCP server is available in the network prior
to booting up the unit so you can access the ExpandOR and configure it.
4. Press the power button until its ring illuminates.
Note: If the ExpandOR is being re-installed, or relocated from another network. It is recommended that the
factory defaults are restored before proceeding. See Restore Factory Defaults: Using the Front Panel on page
13 for more information.
5
6. All LEDs are off for about 10 seconds.
7. The CAPTURE STILL LED illuminates for about 5 seconds, then turns off.
5. The RECEIVE LED illuminates on for about 10 seconds, then turns off.
8. About 30 seconds after the CAPTURE STILL LED turns off, all ExpandOR LEDs will flash for about one
second.
9. When all LEDs turn off, the ExpandOR is ready to be configured.

8
System Conguration
1. All active ExpandORs on the subnet will be displayed in the CruzOR window as shown below. If CruzOR
does not list the connected ExpandOR, verify that your network allows broadcast packets. If broadcast
packets are disallowed, use a simple router with DHCP to congure the ExpandOR before connecting it
to the nal network.
2. CruzOR may detect ExpandORs on other subnets. ExpandORs found on other subnets are highlighted
in red as shown below, and will not be congurable from the current subnet. Only ExpandORs on the
same subnet as CruzOR can access the Web Interface from CruzOR.
6
The MAC Addresses, and IP Addresses used in this manual are for example only.
Double click the icon shown below to launch the CruzOR utility .
3. Select the ExpandOR to be congured. The selected ExpandOR is highlighted in blue, and the Open Device
button at the bottom of the CruzOR window is enabled.
4. Click the Open Device button to open the Web Interface.
System Conguration continues on the following pages.

9
The ExpandOR is congured using the Web Interface which can be accessed from CruzOR or a browser using
the ExpandOR IP address. The Web Interface default login credentials are automatically lled in. Click the
Login button to open the Web Interface. Conguration must be completed before placing the ExpandOR in
service. See Login under Device Management on page 12.
After logging in, the ExpandOR Web Interface opens displaying the Operations Front Panel section. The Web
Interface is divided into 4 main sections:
1. Operations
2. Conguration
3. Storage
4. Logout
The sections are accessible from the links in the upper right corner of the Web Interface.
Web Interface
Operations:
The ve Operations Front Panel functions match those of the ExpandOR Front Panel button controls.
1. Transmit
2. Receive
3. Privacy
4. Capture Still
5. Record Stream

10
System Tab
System Tab, Setup Subsection:
Local IP Address:
This is the IP address assigned to the ExpandOR. In the factory default DHCP mode the IP address is
automatically assigned by the DHCP server.
Note: To ensure the IP addresses are not changed by the network, it is recommended that every ExpandOR
be congured with a static IP address, and following that conguration, we recommend that a label with
the assigned IP address be applied to the unit.
Local Netmask:
Subnet mask used by the networking layer to determine what addresses are within the subnet and which
are in a separate subnet.
Default Gateway:
Default gateway of the network which is used for routing IP packets outside of the current subnet.
Use DHCP:
Uncheck this option to allow the network elds to be edited for a static IP address.
Note: After changing the local network settings, the ExpandOR must be restarted to implement the new
network settings.
Continued on the following page.
Conguration:
The Conguration section consists of four subsections. Click on a subsection tab to access its associated
content.
1. System Conguration
2. Transmit Parameter Conguration
3. Receive Parameter Conguration
4. Record / Capture Conguration

11
System Conguration: Web Interface Conguration - System Tab
System Tab, Local Display Panel:
S-Video Format:
When the ExpandOR is transmitting a video stream to a remote destination
(another ExpandOR or a computer), local S-Video output always displays what
is being transmitted. The user can specify the S-Video format as either NTSC
or PAL.
DVI Out Format:
When ExpandOR is receiving a video stream, its local DVI–OUT port outputs
what is being received. When the ExpandOR is in transmitting only mode, local
DVI-OUT outputs what is being transmitted. Select the local DVI-out format
from the dropdown menu to suit your display’s capabilities.
DVI Out Display Reset:
The DVI-out Display Reset option can be used to prevent issues encountered with displays that are unable
to detect seamless mode switching.
The default DVI Output Display Reset setting (unchecked) provides the fastest DVI output switching with
the least amount of ickering. With this setting, the DVI output timings change seamlessly to
accommodate dierent video streams but may cause incorrect signal detection with some monitors.
When the DVI Output Display Reset setting is checked, the ExpandOR will stop the DVI output and start it
again every time the user stops or starts the stream on the local ExpandOR.
Click the Save button to apply the settings.
Note: Changes to the video output will not take aect while a video stream is being transmitted or
received. For any changes to take eect the video stream must be stopped and restarted.
System Tab, Device Management Subsection:
Device Management parameters are detailed on the following page.

12
System Tab, Device Management Subsection:
Click Device Management to open the Device Management subsection.
Login: Change the current password using this section. Enter the new password in the New Password eld,
again in the Retype Password eld, and click the Save button.
When a new password is entered the automatic password ll-in feature is disabled.
Conguration: Restore the system conguration to factory defaults by clicking the Factory Default
button. The system must be rebooted after restoring factory defaults.
Other:
Device Name: Change the device name as required and click the Save button. The updated device name
will be displayed in the right top corner of the web interface.
MIC Gain: Microphone gain may be adjusted by entering a higher or lower percentage from 1 to
100%.
NTP Server IP: An NTP (Network Time Protocol) server may be specified for the ExpandOR to synchronize
its clock. Time synchronization occurs at each boot up.
Upload System Image: An ExpandOR System Image in the expandor.img format can be updated by
clicking the Upload System Image button. This link opens a new page where the user can browse the local
le system to select the image and upload.
Front Panel Access:
Some or all of Front Panel buttons may be enabled or disabled by checking or unchecking the associated
checkboxes. Click the Save button to save the conguration.
System Tab: Device Management
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