TRAINING MANUAL. VIDEO Camera, Probe and Lightsource OTOSCOPES.

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TRAINING MANUAL VIDEO Camera, Probe and Lightsource OTOSCOPES www.medrx-int.com

Contents Video Otoscope Drivers & Software USB CAMERA Getting to Know Your Video Otoscope... 3 Computer Requirements... 4 Driver Installation (USB Camera)... 5 Software Installation (USB Camera)... 8 Software Configuration (USB Camera)... 12 Adjusting Video Quality (USB Camera)... 13 Camera connects to computer via USB CAPTURE DONGLE Driver Installation (USB Capture Dongle)... 15 Software Installation (USB Capture Dongle)... 17 Software Configuration (USB Capture Dongle)... 20 Adjusting Video Quality (USB Capture Dongle)... 22 Using the Video Otoscope Software - Applies to both cameras Taking Pictures... 23 Capture Screen... 24 Main Screen... 25 View Screen... 26 Saving Images... 26 www.medrx-int.com DISTRIBUTOR MAICO Diagnostics GmbH MedRx International Sales Sickingenstr. 70-71, 10553 Berlin, Germany Tel.:+49 30/70 71 46-50, Fax: -99 E-mail: medrx-sales@maico.biz Web: www.medrx-int.com

Getting to Know Your Video Otoscope Intended Use Statement: The MedRx Video Otoscope is used to perform otoscopic examination of the outer ear and tympanic membrane. Also used to assist the hearing aid and probe microphone placement for real ear measurements. These devices are to be operated by professionals with education and/or training in the field of audiometry. The device consists of an Otoscope connected to a video camera that can present the image on a video screen. This function gives you the option to capture images for storage Indication For Use Statement: The MedRx Video Otoscope is for use by professionals with education and/or training in the field of audiometry to provide detailed examinations of the outer ear canal and tympanic membrane. Also used to assist the hearing aid and probe mic placement for Real Ear Measurements. The image provided by the camera can be captured and stored as a visual record of the examination. The MedRx Video Otoscope represents a new era of otoscopic examination in your office. The remarkably clear resolution of the MedRx Video Otoscopes is particularly helpful when comparing a clean ear canal with normal eardrum to a canal that has excessive cerumen, foreign bodies, external otitis, PE Tube status, cholesteatoma, TM perforations or other abnormalities. The following section of this manual will familiarize you with the physical features and accessories of the MedRx Video Otoscope system. OS-I-MOSWT-9 MedRx Video Otoscope Training Manual 3

Computer Requirements MedRx Minimum Computer Specs: Windows -PC compatible computer Intel Dual Core, 1.8 GHz or better 2 GB RAM 5 GB free hard drive space Available 2.0 USB port CD-ROM or DVD-ROM drive Windows 7, 8 or 10 (32 or 64-bit) MedRx Recommended Computer Specs: Windows -PC compatible computer Intel Dual Core, 2.0 GHz or better 3 GB RAM or more 20 GB or more free hard drive space Available 2.0 USB port Graphics Adapter with Dedicated Video Memory DVD-ROM Drive High Speed Internet Connection (DSL, Cable) Windows 7, 8 or 10 (32 or 64-bit) 4 OS-I-MOSWT-9 MedRx Video Otoscope Training Manual

Driver Installation (USB Camera) Go to page 13 for driver installation instructions if you are using Video Otoscope that connects via a USB Capture Dongle. 1. Insert the MedRx USB Flash Drive into USB port: Launch My Computer Locate USB Drive (E:) may vary depending on the USB port selected. Consult your computer s documentation. 2. Double Click on Setup to launch: Note: If requested, Accept Permission to Install Software 3. Connect the USB cable from the USB Camera to your computer. OS-I-MOSWT-9 MedRx Video Otoscope Training Manual 5

4. On the Driver Setup screen, Click Install Drivers for USB Camera. Also, the Electronic Copy of this Manual is located under Instruction Manuals. 5. When this screen appears Click OK. 6. Wait for the InstallShield Wizard to finish preparing. (This window may take a few seconds to appear.) 7. When this screen appears Click Next. 6 OS-I-MOSWT-9 MedRx Video Otoscope Training Manual

8. When this window appears choose which light source you have. Click Next 9. To begin installation Click Install. 10. Wait for the InstallShield Wizard to finish. OS-I-MOSWT-9 MedRx Video Otoscope Training Manual 7

11. When Installation is complete, Click Finish. 12. When the setup screen reappears Click Exit. Installing the Video Otoscope Software (USB Camera) The MedRx Video Otoscope software may be incorporated into any AVANT software package. It is also available as a stand-alone application. When bundled with the AVANT software package, the Video Otoscope software is automatically installed. In this case, make sure you have installed the drivers. Driver installation instructions are on page 5 or 15 depending on the camera you purchased. Stand Alone Video Otoscope Software Installation. 1. On the Setup screen, choose Install Video OtoScope Software. Note: Please follow steps 1-2 from Driver Installation to get to following screen 8 OS-I-MOSWT-9 MedRx Video Otoscope Training Manual

2. Wait for the InstallShield Wizard to finish preparing. (This window may take a few seconds to appear) 3. To Install the Otoscope Software, Click Next. 4. Read the Software License Agreement. Click I accept... Click Next. To make changes, Click Back. OS-I-MOSWT-9 MedRx Video Otoscope Training Manual 9

5. Choose a language. Click Next. 6. This screen summarizes the installation configuration. To continue, Click Next. To make changes, Click Back. 7. To start the installation process Click Install. 10 OS-I-MOSWT-9 MedRx Video Otoscope Training Manual

8. Wait for the installation to complete. 9. This screen will appear when the installation is complete. Click Finish. 10. When the setup screen reappears Click Exit. OS-I-MOSWT-9 MedRx Video Otoscope Training Manual 11

Software Configuration (USB Camera) The MedRx Video Otoscope software can run stand-alone, through the AVANT family software, through NOAH or the TIMS office system. Launching the Software Stand Alone or AVANT Family NOAH and TIMS 1. Double Click the MedRx Otoscope icon or select the Otoscope Icon from any AVANT family device shortcut on your Windows desktop. 1. Launch NOAH and select the AVANT family device Otoscope icon. Configuring the Otoscope Software (USB Camera) Once the drivers are installed, you must configure the software to recognize the USB camera as follows: For Stand Alone software 2. From the main screen of the Otoscope software, Click File. Click Video Setup. For Avant Family software 2. From the main screen of the Otoscope software, Click File. Click Advanced Options Then Click Video tab 12 OS-I-MOSWT-9 MedRx Video Otoscope Training Manual

Applies to Stand Alone or the AVANT Family Software 3. From the Video Tab: Click the Device pull-down. Select StUSBCam 4. Click OK. Adjusting Video Quality (USB Camera) It is sometimes desirable to adjust the video quality of the Otoscope software. To do this, follow the steps below: 1. To open the Video Tab: Click File. Click Video Setup. From the Video Tab Click the Adjust button. 2. On the Properties screen, click on Advanced. OS-I-MOSWT-9 MedRx Video Otoscope Training Manual 13

3. Click on Load/Save. 4. Select your light source, either LED or SLS (LED shown highlighted), then click Load. 5. Uncheck Default load (1) Click either LED or SLS depending on the light source you are using (2) Click Load (3) Recheck Default load (4) Click Apply then click OK. 6. Click Apply in the Properties window, then click OK to complete changes. 14 OS-I-MOSWT-9 MedRx Video Otoscope Training Manual

7. Click OK on the Video Setup window to finish. Driver Installation (using a USB Capture Dongle) Go to page 4 for driver installation instructions if you are using Video Otoscope that connects via a USB cable. 1. Insert the MedRx VO USB Flash Drive into USB port: Launch My Computer Locate USB Drive (E:) may vary depending on the USB port selected. Consult your computer s documentation. 2. Double Click on Setup to launch: NOTE:If requested, Accept Permission to Install Software OS-I-MOSWT-9 MedRx Video Otoscope Training Manual 15

3. Connect USB Capture Dongle.. 4. On the Setup screen, Click Install Drivers for USB Capture Dongle. 5. When this screen appears, Click OK. 6. If this warning screen appears, Click Install this driver software anyway. 7. On the Setup Window Click Exit. (This window may take a few seconds to appear) 16 OS-I-MOSWT-9 MedRx Video Otoscope Training Manual

Installing the Video Otoscope Software (using a USB Capture Dongle) The MedRx Video Otoscope software may be incorporated into any AVANT software package. It is also available as a stand-alone application. When bundled with the AVANT software package, the Video Otoscope software is automatically installed. In this case, make sure you have installed the drivers. Driver installation instructions are on page 5 or 15 depending on the camera you purchased. Stand Alone Video Otoscope Software Installation. 1. On the Setup screen, choose Install Video OtoScope Software. NOTE: Please follow steps 1-3 from Driver Installation to get to following screen 2. Wait for the InstallShield Wizard to finish preparing. 3. To Install the Otoscope Software, Click Next. OS-I-MOSWT-9 MedRx Video Otoscope Training Manual 17

4. Read the Software License Agreement. Click I accept... Click Next. To make changes, Click Back. 5. Choose a language. Click Next. 6. This screen summarizes the installation configuration. To continue, Click Next. To make changes, Click Back. 7. To start the installation process Click Install. 18 OS-I-MOSWT-9 MedRx Video Otoscope Training Manual

8. Wait for the installation to complete. 9. This screen will appear when the installation is complete. Click Finish. 10. On the Setup Window Click Exit. OS-I-MOSWT-9 MedRx Video Otoscope Training Manual 19

Software Configuration (using a USB Capture Dongle) The MedRx Video Otoscope software can run stand-alone, through the AVANT family software, through NOAH or the TIMS office system. Launching the Software Stand Alone or AVANT Family NOAH and TIMS 1. Double click the MedRx Otoscope icon or select the Otoscope Icon from any AVANT family device shortcut on your Windows desktop. 1. Launch NOAH and select the AVANT family device Otoscope icon. Configuring the Otoscope Software (using a USB Capture Dongle) Once the drivers are installed, you must configure the software to recognize the USB Capture Dongle as follows: For Stand Alone software For Avant Family software 2. From the main screen of the Otoscope software, Click File. Click Video Setup. 2. From the main screen of the Otoscope software, Click File. Click Advanced Options Then Click Video tab 20 OS-I-MOSWT-9 MedRx Video Otoscope Training Manual

Applies to Stand Alone or the AVANT Family Software 3. From the Video Tab: Click the Device pull-down. Select the name of your Video Capture Device 4. In the same screen, click the Source button. 5. In the Properties window, use the pull-down menus to verify the following settings: Input = Video Composite In. Output = Video Decoder Out. 6. Click OK to complete changes. Click OK on the Video Setup window to finish. OS-I-MOSWT-9 MedRx Video Otoscope Training Manual 21

Adjusting Video Quality (using a USB Capture Dongle) It is sometimes desirable to adjust the video quality of the Otoscope software. To do this, follow the steps below: 1. To open the Video Tab: Click File. Click Video Setup. From the Video Tab Click the Adjust button. 2. Click on the Video Proc Amp Tab. 3. Adjust the sliders as needed. 4. Click OK. Click OK on the Video Setup window to finish. 5. Repeat as needed to optimize the image on your particular system. 22 OS-I-MOSWT-9 MedRx Video Otoscope Training Manual

Using the Otoscope Software (Applies to all cameras) Taking Pictures Within NOAH or stand-alone Always Use a clean speculum tip for each new patient. Refer to the Set-Up Manual for additional cleaning information. Click on the Scope Icon on the Main Screen. The Capture Screen Appears. OS-I-MOSWT-9 MedRx Video Otoscope Training Manual 23

Using the Otoscope Software (Applies to all cameras) The Capture Screen Within NOAH or stand-alone There are three ways to take pictures: 1. If you do not check either box: When no items are selected, click on the Capture Icon to take one picture, the Main Screen appears. 2. If you check Single Click Capture: When you click the Capture Icon instead of immediately taking a picture, the program switches to the Single Click mode. All the icons will turn gray on the screen, indicating that they are inactive. You can now take a picture by pressing any key on the keyboard, clicking the left mouse button or pressing the foot pedal, the Main Screen appears. 3. Or if you check both boxes. When you click the Capture Icon instead of immediately taking a picture all the icons will turn gray, indicating that they are inactive. You can now take as many pictures as you would like in a row without returning to the Main Screen by pressing any key on the keyboard, clicking the left mouse button or pressing the foot pedal. To end the Single Click/Sequence mode, press the Esc key or the right mouse button. Press the Back button to return to the Main Screen to work with your pictures. Naming your pictures: Use the pull-down menu at the top of your screen. Select from the list provided or highlight box and type in any name. 24 OS-I-MOSWT-9 MedRx Video Otoscope Training Manual

Using the Otoscope Software (Applies to all cameras) The Main Screen Within NOAH or stand-alone The Main Screen shows a list and preview of the captured images. An image in the list can be renamed by selecting it, clicking the right mouse button, and choosing the Rename option from the menu. Open Icon: Opens the selected picture in the View Screen where you can enhance it. Scope Icon: Click to take a new picture. OS-I-MOSWT-9 MedRx Video Otoscope Training Manual 25

Using the Otoscope Software (Applies to all cameras) The View Screen Within NOAH or stand-alone This screen allows you to enhance your pictures. Tool Bar Use this button to enlarge the image. Use this button to restore the image to the original size. Enhancing Use this function to emphasize the details on the image. Use this function to blur the details on the image. Saving Images Use this button to maximize the image so that it occupies all available screen space. Use this button to undo the last operation performed on the image. Use this function to create a shadow effect on the image. Best when used with monochrome pictures. Use this function to reduce motion artifacts. Using NOAH: When you exit the program you will get a box that asks do you want to Save NOAH session? Click Yes. Not using NOAH: from the View Screen go up to the File Menu and choose Save As. Save your images to your desktop in jpg or bmp formats. 26 OS-I-MOSWT-9 MedRx Video Otoscope Training Manual

Symbols that may be used: Read the instruction manuals for safe usage of the device. (operating instructions) or SN Indicates that the device serial number will follow. Manufacturer (MedRx) Authorized Representative in Europe Special Disposal Required. Humidity Limitation Caution, General warning sign Temperature limitation Read the instruction manuals for safe usage of the device (operating instructions). OS-I-MOSWT-9 MedRx Video Otoscope Training Manual 27

Congratulations Your MedRx system is now set up and ready for use. Please consult the Training Manual and the Interactive Help Files within the software for instructions and procedures. The Training Manual is available in PDF format on a USB flash drive and at www.medrx-int.com in our Download Section. Limited Warranty MedRx, Inc warrants this product to be free from defects in material and workmanship for one year from the time of purchase. If this system fails to perform as specified during this period, the purchaser is responsible for calling MedRx at +49 30 70 71 46 43. The company's representative will advise the owner to either return specific components or the entire system to: MAICO Diagnostics GmbH MedRx International TCS Sickingenstr. 70-71 10553 Berlin Germany MedRx will repair or replace any defective devices, fully test the system and/or components and ship the system promptly back to the owner. There is no cost for the repair or return shipping, provided the system is one year old or less and has not been misused, abused or damaged. Such damage includes, but is not limited to, dropping, exposure to excessive heat greater than 37,78º C and water/liquid damage. Repair or replacement of the system as provided under this warranty is the sole and exclusive remedy of the purchaser. MedRx shall not be liable for any consequential or incidental damages or for breach of any express or implied warranty. Except to the extent of applicable law, any implied warranty, merchantability or fitness of this product is limited to the duration of this warranty. MedRx will, at its discretion, service and repair out of warranty products at the purchaser's request, charging for parts and labor as necessary. The limited warranty is deemed void if software or hardware is installed on this product which is not pre-approved by MedRx, Inc. Approved software includes NOAH and HIMSA approved hearing aid manufacturer programming modules for fitting hearing aids. MedRx, Inc is not responsible for problems resulting from installation of unapproved software or hardware. In the event of unapproved software or hardware installed on the system causing a conflict, MedRx will service the product for a fee to be determined at the time of service.