35345-DFU - CooperSurgical

Part # 35345 Revised 11/02

PATIENT REPORT IMAGES STORAGE MANAGEMENT
for
Digital Colposcopy Systems
U S E R ’ S
G U I D E

PATIENT REPORT IMAGES STORAGE MANAGEMENT
for
Digital Colposcopy Systems
U S E R ’ S
G U I D E
LEISEGANG 2000 ©
Part # 35345 Revised 11/02

Contents
Table of Contents
Leisegang User Assistance Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . II
Preface
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . III
Summary of Warnings & Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IV
Regulatory Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . VI
General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . VIII
Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IX
Symbols & Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X
Section 1 ■ How to Use the Prism Digital Colposcopy System
A Quick Overview of a Typical Colposcopy Visit . . . . . . . . . . . . 1.1
Getting Started . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.2
Section II ■ Clinicians
Attending Clinician Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.1
Section III ■ Patients
Selecting Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.1
Patient Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.2
Section IV ■ Imaging
Understanding the Imaging Screen . . . . . . . . . . . . . . . . . . . . . . 4.1
Patient Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.9
Section V
■ System Backup & Restoration
Using Automatic Backup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.1
Using Manual Backup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.3
Section VI ■ System Maintenance
Accessing System Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . 6.1
User’s Guide
Leisegang Prism Digital Colposcopy System
I

Preface
USER ASSISTANCE
Leisegang User Assistance Information
CooperSurgical/Leisegang Technical Support
Phone: (800) 243-2974
Fax: (800) 262-0105
E-mail: techsupport@coopersurgical.com
Please have the following information
available before you call:
Software Version Number: __________________
The software version number can be found on the
Introduction screen.
II
User’s Guide
Leisegang Prism Digital Colposcopy System

INTRODUCTION
Preface
Preface
Thank you for purchasing the Leisegang Prism
Digital Colposcopy System
Purpose of the Leisegang Prism
Digital Colposcopy System
The Leisegang Prism Digital Colposcopy System is indicated for use on
patients who received an abnormal cervical cytology result or who are
suspected to have a lower genital tract infection. The Leisegang Prism Digital
Colposcopy System will provide magnified digital image documentation of
vaginal, cervical, and external genital tissue examinations. The system may
also be used as a visual aid for related gynecological procedures. The system
is intended for visual examination and documentation purposes only.
Purpose of the Manual
The manual will provide you with operating instructions and information on
the Leisegang Prism Digital Colposcopy System with Image Viewer software.
Please read through the manual carefully. All persons using the Leisegang
Prism Digital Colposcopy System should be trained in colposcopy. The
contents of the manual are not intended to be a replacement or
substitute for certified medical training.
Note: The material outlined in this manual should be reviewed and understood
prior to operation of the Leisegang Prism Digital Colposcopy System.
User’s Guide
Leisegang Prism Digital Colposcopy System
III

Preface
WARNINGS & CAUTIONS
Summary of Warnings and Cautions
A Warning or Caution normally includes the following:
■
■
■
■
The signal word, “WARNING” or “CAUTION”.
A hazard statement, which briefly explains the problem.
The consequences if instructions are not followed, to give
the user a clear idea of the risk.
Instructions explaining the do’s and don’ts necessary
to avoid the hazard.
See the Sample Warning, Caution, and Note Below
■
■
■
WARNING A Warning is a statement that alerts the user to the
possibility of injury, death, or other serious adverse reaction
associated with the use or misuse of the device.
CAUTION A Caution is a statement that alerts the user to the
possibility of a problem with the device associated with its use or
misuse. Such problems include device malfunction, device failure,
damage to the device, or damage to other property. The caution
statement includes the precaution that should be taken to avoid
the hazard.
NOTE Important notes are emphasized this way to give
supplemental information.
The following is a summary of all Warnings and Cautions associated with
the Leisegang Prism Digital Colposcopy System. These Warnings and
Cautions also appear elsewhere in this User’s Guide and are
summarized here for reader convenience.
■
■
■
WARNING Mains isolation can only be achieved by disconnecting
power supply cord from wall receptacle.
WARNING DO NOT use a converter adapter that will convert the
three-prong AC plug to a two-prong line plug. The power supply in
the Leisegang Prism Digital Colposcopy System will not be properly
grounded and electric shock may result. Use only a Leisegang
supplied power cord.
WARNING NEVER operate the Leisegang Prism Digital Colposcopy
System in the presence of flammable vapors or explosive gases,
chemicals, or in areas where these materials are commonly used.
IV
User’s Guide
Leisegang Prism Digital Colposcopy System

WARNINGS & CAUTIONS ■ Continued
Preface
Warnings and Cautions continued
■
■
■
■
■
■
■
■
WARNING DO NOT disassemble. Disassembly of the Leisegang Prism
Digital Colposcopy System could expose electrical hazards.
Only Leisegang qualified and trained maintenance personnel are
authorized to service the colposcope. Disassembly or modification of the
hardware is a violation of the warranty.
WARNING Grounding reliability can only be achieved when equipment is
connected to a receptacle marked “Hospital Only” or “Hospital Grade”.
WARNING This equipment shall not be stored in an environment
exceeding the following:
— Ambient temperature range of -40°C to 70°C
— Relative humidity range of 10% to 100%
— Atmospheric pressure range of 50 kilopascals (KPA) to 106 KPA
CAUTION DO NOT touch the optical or illumination lenses except
as described in the maintenance section of this manual.
CAUTION DO NOT spray cleaning solution directly onto
any part of the unit.
CAUTION Keep all liquids away from electrical equipment
to avoid the possibility of shock and device damage.
CAUTION Occasionally inspect the power cord for signs of cuts or dents.
CAUTION Avoid extreme environmental conditions when storing
or operating the Leisegang Prism Digital Colposcopy System.
Avoid areas where it could get wet or be exposed to extreme
temperature or humidity, direct sunlight and dust.
User’s Guide
Leisegang Prism Digital Colposcopy System
V

Preface
REGULATORY INFORMATION
Regulatory Information
Model Name Leisegang Prism Digital Colposcopy System
Model Number Prism
Manufacturer CooperSurgical, Inc., Trumbull, CT 06611
203-601-5200 Fax: 800-262-0105
Product Classification
IPXO (Ordinary equipment with no special protection against ingress of water.)
Electrical Rating 120 VAC, 2A
Degree of Protection against Electrical Shock Type B equipment.
Fuses UL Listed 2A, 250Vac, Sloblo (Qty. 2)
Protective Packing and Storage Constraints
CAUTION The Leisegang Prism Digital Colposcopy System contains
sensitive electronic equipment. Handle with care. Any external damage to
container occurring during transportation should be reported immediately
upon receipt.
Technical Description
The Leisegang Prism Digital Colposcopy System is comprised of
a computer with the Prism System software, a VGA display monitor, printer,
keyboard, mouse, and digital camera which when used in conjunction with a
Leisegang standard optical colposcope serves as a documentation-enhancing
device. Outlets for each of the AC powered devices are located behind the
access panel on the lower rear of the cart. The supplied hospital-grade power
cord connects to the AC power inlet and must be plugged into a hospital-grade
wall outlet.
The Leisegang Prism Digital Colposcopy System has been tested
and found to comply with the limits established for digital medical
equipment regarding electromagnetic compatibility and avoidance of
electromagnetic interference, pursuant to IEC 601-1. If not installed and
operated in accordance with the manufacturer’s instructions, this equipment
may cause harmful interference to radio communications and other medical
equipment. Change or modification to this equipment without the expressed
written approval of Leisegang is strictly prohibited and could void
the user’s authority to operate this equipment.
VI
User’s Guide
Leisegang Prism Digital Colposcopy System

REGULATORY INFORMATION ■ Continued
Preface
Regulatory Information continued
1 The Leisegang Prism Digital Colposcopy System is only authorized for use
with the provided computer assembly, which has all of the neccessary hardware
and software items factory installed and configured. The computer
must be plugged into the system AC outlets and be properly secured to
the lower deck using the included hardware. No other computer installation
is authorized.
2 The Leisegang Prism Digital Colposcopy System is only authorized for
connection of the provided computer display, which must be properly secured
to the upper deck using the included hardware. The display power cord must
be plugged in to the system AC outlets. No other display installation is
authorized.
3 The Leisegang Prism Digital Colposcopy System is only authorized for use
with UL1950 compliant printers. The printer must be physically located on
the lower deck. The printer power cord must be plugged into the system AC
outlets. No other printer installation is authorized.
4 The use of accessory equipment that does not comply with the equivalent
safety requirements of this equipment may lead to a reduced level of safety
of the resulting system. Consideration of the choice shall include:
■
■
Use of the accessory in the patient vicinity
Evidence that the safety certification of the accessory has been
performed in accordance to the appropriate IEC 601 and/or
IEC 601-1-1 harmonized national standard.
Contact the Leisegang Customer Service Department at (800) 243-2974
for a current list of authorized printers.
User’s Guide
Leisegang Prism Digital Colposcopy System
VII

Preface
GENERAL INFORMATION
General Product Information
Technical Support
Technical Support for the Leisegang Prism Digital Colposcopy System is
available by contacting Leisegang at (800) 243-2974. Repairs, upgrades, and/or
modifications to this equipment may only be made by Leisegang
authorized personnel.
User Detachable Parts
AC Power Cord Hospital grade AC power cords come standard with the
Leisegang Prism Digital Colposcopy System. The Leisegang Prism Digital
Colposcopy System should only be used with the Leisegang supplied hospitalgrade
AC power cord. The cord attaches to the AC power inlet located on the
lower rear of the cart. The other end of the power cord attaches to a hospitalgrade
wall outlet supplying the appropriate power for the entire system.
Printer One printer comes standard with the Leisegang Prism Digital
Colposcopy System and is connected at the rear of the computer using
the supplied printer data cable. The ink cartridges may require peridic
replacement. Refer to the printer User Guide for information on replacing
ink cartridges.
Keyboard One keyboard comes standard with the Leisegang Prism Digital
Colposcopy System and is connected at the rear of the computer.
Mouse One mouse comes standard with the Leisegang Prism Digital
Colposcopy System and is connected at the rear of the computer.
No other user detachable parts are included in the Leisegang Prism Digital
Colposcopy System installation. Any other attaching or detaching of parts to
the Leisegang Prism Digital Colposcopy System should only be attempted by
Leisegang authorized service personnel.
User Serviceable Parts
There are no user serviceable parts in the Leisegang Prism Digital Colposcopy
System. Repairs should only be performed by authorized service personnel.
Routine Maintenance
Routine Maintenance for the Leisegang Prism Digital Colposcopy System
consists of periodic cleaning that is accomplished (excluding lenses) by wiping
down the equipment with a cloth, slightly dampened with a mild disinfectant.
The lenses should be cleaned with either 70% isopropyl alcohol, or any
commercially available lens or glass cleaner. The period of cleaning is
at the user’s discretion.
VIII
User’s Guide
Leisegang Prism Digital Colposcopy System

PARTS
Preface
Parts
Floppy Disk
On/Off
Switch
USB Ports
Computer ■ Front View
Monitor
Camera
Network
Keyboard
Mouse
Serial Port
Power
Printer
Computer ■ Rear View
Display
Screen
Power
Button
CRT Monitor ■ Front View
User’s Guide
CooperSurgical CS1600 Digital Colposcopy System
IX

Preface
CAUTIONS
Product Labeling, Warning and
Cautionary Symbols and Definitions
S Y M B O L
D E F I N I T I O N
When found anywhere on the outside of the
Leisegang Prism Digital Colposcopy System
this symbol means “Caution–Refer to User’s
Guide for more information.”
Warning: No userserviceable
parts inside.
Repairs and upgrades
should only be performed
by CooperSurgical
authorized personnel.
No one except CooperSurgical authorized
technical staff should attempt to open any
part of the Leisegang Prism Digital
Colposcopy System. Failure to comply
could be dangerous and may result in
loss of warranty.
Located on the inside of the equipment,
accessible only to authorized service
personnel, this symbol identifies an electrical
connection to earth ground through the AC
power plug.
Type “B” equipment
X
User’s Guide
Leisegang Prism Digital Colposcopy System

THE BASICS
Section I
How to Use the Prism Digital Colposcopy System
A Quick Overview of a Typical Colposcopy Visit
1 Turn on the power on the Prism Digital Colposcopy System,
computer, display and light source.
2 On the Welcome Screen, select the Continue button.
3 Select a Physician.
4 Enter Patient Name, ID, and Birth Date. Select Start Visit button.
5 Focus the scope and select the Imaging button. On the Imaging
screen, select the Capture button to take pictures.
6 If desired, review the images from the current visit, or compare
them to images from previous visits.
7 Select End Visit and indicate whether the Colposcopy Report
should be printed.
8 Continue with a new Patient Visit, or
9 Log off the Graphic User Interface software and turn off power
to the Prism Digital Colposcopy System.
User’s Guide
Leisegang Prism Digital Colposcopy System
1.1

Section I
THE BASICS ■ Continued
Getting Started
■
Turn the system on by pushing the On/Off buttons located
on the computer.
NOTE:
A series of computer diagnostic messages will appear on the screen during
the system boot-up before the Welcome screen appears. Disregard these
messages, and wait for the Welcome screen.
Welcome Screen/PRISM
■
■
Click on the Continue button on the bottom of the Welcome
screen or anywhere in the Welcome screen except the Power
Down button.
Click on the Exit to Windows button to utilize the
Windows Operating System.
1.2
User’s Guide
Leisegang Prism Digital Colposcopy System

THE BASICS
Section I
How to Use the Prism Digital Colposcopy System continued
After you click on the Continue button, a Clinician List screen will appear.
■
Selecting the Logout button on the Clinician List screen will return you
to the Welcome screen.
Attending Clinician Screen
NOTE:
All names used to describe the Prism Software Program , including physicians
and patients, are fictitious. Any similarities found in this manual are coincidental.
User’s Guide
Leisegang Prism Digital Colposcopy System
1.3

Section I
THE BASICS ■ Continued
How to Use the Prism Digital Colposcopy System continued
The Leisegand Prism Digital Colposcopy System comes with a Security
Password feature, which provides a level of protection for your patient’s
records. The Security Password feature can be “enabled” or “disabled”
at any time.
To enable the Security Password feature, do the following:
■
■
■
Enter the System Maintenance screen.
Click on the Computer System tab, then the Security button.
Under Authorization Code, enter the code provided to you in the
Prism inclusion package. The code will change each month.
NOTE:
■
■
The Current Authorization Code can be provided to you when you call
CooperSurgical/Leisegang Customer Service or Technical Support.
Check Password Enabled or leave unchecked if password security
is not desired.
Click OK first, then click Attending Clinician button to return
to Attending Clinician List screen.
NOTE:
NOTE:
As shipped from the factory, the system is set to Password Disabled.
Security Enabled disallows most System Maintenance functions
except security.
Enable Security ■ System Maintenance Screen
1.4
User’s Guide
Leisegang Prism Digital Colposcopy System

CLINICIANS
Section II
Clinicians
Attending Clinician Screen
Adding a Clinician’s Name to the List
To add a clinician’s name to the Attending Clinician list, do the following—
Attending Clinician Screen
Security Password Disabled
■
■
Click on the Add button.
The Add Physician window will appear.
Add Physician Screen
Security Password Enabled
User’s Guide
Leisegang Prism Digital Colposcopy System
2.1

Section II
CLINICIANS ■ Continued
Attending Clinician Screen continued
■
■
■
Input an “ID” which can be a nickname, first name or perhaps a title.
The “ID” field will appear on the Name button in the software
program when that particular MD is logged in. The ID field allows up to
12 characters, which is the field limitation on the software button.
Enter the first, middle and last name of the clinician into the “Name”
field. The name entered here will appear on all colposcopy reports.
Enter a “Password”. The “Password” must be entered for the OK button
to work. Once entered, the “Password” will remain inactive unless the
password security feature is “enabled” in the System Maintenance screen.
NOTE: You may want to
write your password
down and store it
in a safe place for
future reference.
Attending Clinician Screen
Security Password Enabled
■
■
■
■
If the Password Security Feature is “enabled”, then each time a
clinician enters the system, they will have to enter the appropriate
password associated with their name to enter patient files.
When the Password Security Feature is “enabled”, Add, Delete and Edit
functions are not allowed until a valid password is entered for the
selected clinician.
You can tell when the Password Security feature is “enabled” when
the Password prompt is present.
When the Password Security feature is “disabled”, “Password not used”
appears at the top of the screen.
2.2
User’s Guide
Leisegang Prism Digital Colposcopy System

CLINICIANS ■ Continued
Section II
Attending Clinician Screen continued
Attending Clinician’s Name Already on List
■
■
■
■
If the appropriate physician’s name is displayed in the Attending
Clinician List, manipulate the Navigator button until the cursor is
over the name.
Click on the Mouse Select button and the name will be highlighted
in dark blue.
The password will always be “OK” when the “password” is enabled
until changed by the selected physician.
Then proceed to the “Selecting Patients” section in this manual.
Attending Clinician Screen
Security Password Disabled
User’s Guide
Leisegang Prism Digital Colposcopy System
2.3

Section II
CLINICIANS ■ Continued
Attending Clinician Screen continued
Deleting a Clinician’s Name From the Clinician List with
the Security Password Feature Disabled
■
■
Click on the Clinician’s name you would like to delete.
The clinician’s name will be highlighted in blue after you click on it.
Attending Clinician Screen
Security Password Disabled
■
Click on the Delete Clinician button at the bottom middle of the screen.
NOTE: To delete a clinician name while the Security Password feature is “enabled”
you must first enter the correct password.
2.4
User’s Guide
Leisegang Prism Digital Colposcopy System

CLINICIANS ■ Continued
Section II
Attending Clinician Screen continued
■
■
A window will appear asking if you want to delete that Attending
Clinician’s name.
Indicating Yes will delete the clinician’s name from the list.
Delete Clinician Screen
Security Password Enabled
■
The Attending Clinician List will reappear with the
clinician’s name deleted.
NOTE: All patient information is retained in the system after physician is deleted.
Attending Clinician Screen
Security Password Enabled
User’s Guide
Leisegang Prism Digital Colposcopy System
2.5

Section II
CLINICIANS ■ Continued
Attending Clinician Screen continued
Editing a Clinician’s Name on the Attending Clinician List
■
■
■
■
With the appropriate password entered (if password security is
enabled), click on the clinician’s name you would like to edit.
The clinicians name will be highlighted in blue after you click on it.
Click on the Edit button on the bottom of the screen.
Make selected edits then click OK to execute or Cancel to refuse
any changes.
Edit Clinician Name Screen
Security Password Enabled
NOTE: To edit a clinician’s name when the password is “enabled” you
must first enter the correct password.
2.6
User’s Guide
Leisegang Prism Digital Colposcopy System

PATIENTS
Section III
Patients
Selecting Patients
1 Click on the name of the clinician that the patient is seeing
from the Attending Clinician List.
2 If you do not see the clinician’s name you need and the list is extensive,
then scroll down the list using the scrollbar located to the right of the list.
The clinician’s name will be highlighted in blue after you click on it.
3
1
2
Attending Clinician Screen
Security Password Disabled
3 Click on the Patient button at the top middle of the screen.
The Patient screen will appear. The edit fields will be blank.
User’s Guide
Leisegang Prism Digital Colposcopy System
3.1

Section III
PATIENTS ■ Continued
Patients continued
Patient Screen
New Patient
If your patient has not had a previous examination with your Prism Digital
Colposcopy System, add her to the system in the following way:
1 Type the patient’s name in the three edit fields (Last Name, First Name,
Middle Initial) using the regular keyboard.
2 Type the ID number in the edit field.
3 Type the date of birth in the edit fields, or you can use the Calendar tool.
1
2 3
Patient Screen
NOTE: Adding patient ID is optional but is designed to help you distinguish
between women who may have the same name.
3.2
User’s Guide
Leisegang Prism Digital Colposcopy System

PATIENTS ■ Continued
Section III
Patients continued
Using the Calendar
1 Click on the Calendar icon next to the Birth Date field.
2 Click on the selected date on the calendar.
3 Use the arrows on the calendar to scroll to the correct month and year.
1
Patient Screen
3
2
NOTE:
The patient age
is calculated after the
birth date is entered.
The calculated age is
also updated automatically
for all new visits.
Calendar Screen
User’s Guide
Leisegang Prism Digital Colposcopy System
3.3

Section III
PATIENTS ■ Continued
Patients continued
Existing Patient
If your patient has had a previous examination with your Prism Digital
Colposcopy System, you can bring her records onscreen in one of two ways:
1 Click on the Patient List button in the top
middle of the Patient screen.
A Patient List screen will appear with a list of
patients who have already been entered into the system.
■
■
■
Scroll through the list using the scrollbar on the right if the list is
extensive.
Click on the appropriate patient’s name, then click OK to Select.
Alternatively, you could “double click” on the patient’s name to display.
The patient’s name will be highlighted in yellow.
1
NOTE: Double clicking on the
column descriptor will
sort the Patient List
screen.
Patient List Screen
2 Start typing the patient’s name in the edit field. If the Auto search feature is
checked, then the software will perform a search with every letter that is
typed into the patient Last Name box. Typing “S” in the edit field will bring up
the first patient entry whose last name begins with “S.”
3.4
User’s Guide
Leisegang Prism Digital Colposcopy System

PATIENTS ■ Continued
Section III
Patients continued
Type “M” in the edit field to progress to the first patient entry whose name
begins with “SM”. Continue that way until the name of the patient you’re
looking for appears on the screen.
2
NOTE: The Auto Search feature
attempts to guess what
patient in the database is
being selected as you
key in letters of the
patient name.
To disengage the
Auto Search feature,
uncheck the box.
Patient Screen
3
Patient Screen
Start Visit Button
3 Click on the Start Visit
button at the top right of the Patient screen.
After you click on the Start Visit button, the Imaging screen will appear.
User’s Guide
Leisegang Prism Digital Colposcopy System
3.5

Section III
PATIENTS ■ Continued
Notes
3.6
User’s Guide
Leisegang Prism Digital Colposcopy System

IMAGING
Section IV
Imaging
Understanding the Imaging Screen
When you begin an examination, the Today’s Visit filmstrip, representing
the current day’s images, and the Selected Imaging Area will appear empty.
The Previous visit filmstrip may contain visit folders from previous visits.
4
1
3
2
Imaging Screen
The Capture Button
1 The Capture button will initiate the camera to capture an image and place it in
thumbnail size in both the Selected Image area and the Today area.
Imaging Screen Parts
2 The blue bar under the Selected Image area gives the time and image attributes
on the left. The magnification being used is shown on the right. Clicking on
the blue bar will allow the user to add text comments to the image. See Image
Text Entry on page 4.7 for details on how to change the image caption.
3 The blue border in the Today’s Visit filmstrip or the Previous Visit filmstrip
indicates which image is currently in the Image Selected area.
4 The magnification setting should match the step magnification on the
colposcope for accurate documentation.
User’s Guide
Leisegang Prism Digital Colposcopy System
4.1

Section IV
IMAGING ■ Continued
Imaging Screen continued
Delete/Purge Button
■
An image from the
Today’s Visit Filmstrip can be deleted by highlighting it
(so that the blue border is around it) and clicking on the Delete button.
A window will appear asking you if you want to delete that image.
■
Images from Previous visits cannot be deleted, but may be temporarily
purged for the duration of the current visit by clicking on the Purge button
Filter Palette—Digital Green Filter
The Green filter provides for a red-free
green tinted image to better
visualize vascular patterns.
1 Click on the Green filter
button to initiate the
digital green filter.
2 The digital Green
filter allows the user
to view the image
in a green tint, which
highlights vascularity.
3 Click on the Green
filter again to disengage
and return to the
original image.
2
1
Imaging Screen ■ Green Filter
3
4.2
User’s Guide
Leisegang Prism Digital Colposcopy System

IMAGING ■ Continued
Section IV
Imaging Screen continued
Split View Button
Successive clicking on any two thumbnail images will set up the images for
split-view comparison in the Split View screen. The Split View screen is
useful for side-by-side image comparison.
1 Identify the two thumbnail images.
2 Click on the Split View button at the top middle of the screen.
3 The two images you have selected will be the images that appear
in the Split View screen.
4 Click on the Return button to return to the Imaging screen.
2
1
Imaging Screen
3
4
User’s Guide
Leisegang Prism Digital Colposcopy System
Split View Screen
4.3

Section IV
IMAGING ■ Continued
Imaging Screen continued
Contrast Tool
The Contrast tool creates an image with maximum contrast in the red, green,
and blue color planes. The Contrast button can be activated or deactivated
while in the Imaging screen. The Contrast setting can be defaulted to maximum
contrast or no contrast in the System Maintenance Screen User’s Default Tab.
1-2
Imaging Screen ■ Contrast Tool
1 Click on the Contrast button to engage maximum contrast on the image.
2 Click the Contrast button a second time to disengage the contrast
function.
NOTE: The Digital Green Filter is mutually exclusive with Maximum Contrast conditions.
4.4
User’s Guide
Leisegang Prism Digital Colposcopy System

IMAGING ■ Continued
Section IV
Imaging Screen continued
6
4
Focus Button
The Focus button, when activated, engages a unique tool to assist in focusing
and capturing an image. The Focus feature employs a low frame rate video
presentation to provide focusing and color fidelity feedback.
1 Click on the Focus button located at the bottom right of the Imaging screen.
The Focus Mode screen will appear.
NOTE: Today’s and Previous Visit thumbnails are not visible in Focus mode.
Bring the target into focus at higher optical magnification while looking
at the Focus mode screen. When the image is in focus on screen, you should
be in focus through the optics.
2 The camera system
electronics can be
adjusted for Brightness
and Contrast by
engaging the slide
controls at the
bottom of the screen.
3 Click the Freeze
button to save the
camera settings for
Today’s Visit
or
1
4 Click the Default
Imaging Screen
button to return to the
Focus mode settings
and the camera to the
default settings
(established in System
Maintenance page).
5 Click the Cancel
button to negate any
camera settings and
changes and return to
the Imaging screen.
2
3
6 Click the Capture
5
button to capture
Imaging Screen ■ Focus Mode
an image.
User’s Guide
Leisegang Prism Digital Colposcopy System
4.5

Section IV
IMAGING ■ Continued
Imaging Screen continued
Filmstrip Images
1 Patient and Attending Clinician buttons at the top of the Imaging screen
display the names of the physician and the patient, and you may click on these
if you want to return to those screens for information.
2 Previous Visit list shows a folder with the exam date for each of the patient’s
previous visits. The previous list title changes to an exam date after you click
on the appropriate exam folder.
3 Filmstrip—Clicking on a folder will open the file of that visit.
4 Selected Image area—Clicking on any one of those images from a
previous visit will bring its full size version into the Selected Image area.
5 Toggle back to the Previous Visit List (see arrow 2) showing the
Visit Folders by clicking on the filmstrip header.
6 Today filmstrip shows images that have been captured in today’s visit.
The images will be saved and stored in the Visit Folder unless deleted
prior to midnight of the exam date.
7 The Images button on the Imaging Screen prints image reports with blank
comment lines.
1
6
2
4
3
7
Imaging Screen
NOTE:
While engaged in a previous visit image review, any return to the Physician or Patient
sections will reset the images in the Imaging screen back to Today’s images.
4.6
User’s Guide
Leisegang Prism Digital Colposcopy System

IMAGING ■ Continued
Section IV
Imaging Screen continued
Image Text Entry
A text caption appears below the images as they appear in three (3) places:
Image screen and the Image Full screen. Text entry in the caption field can be
changed for images.
1 To initiate image text entry, click on the blue bar under the image in the
Imaging screen, Imaging Full screen or the Analysis screen.
2 An Image Information screen will appear.
3 The System Caption
shows the image and
data that currently
resides on the image.
4 The Preferred Caption
allows for text entry to
customize the image
caption.
5 The Additional
Comments allows
for text entry
of comments, 1
which appear
only on the printed
Colposcopy Report
and Image Reports.
6 Once the OK
button is clicked,
any user-specified
caption would replace
the text shown
below the thumbnail
image. Cancel will
refuse any changes
to the Image
text box.
2
3
4
5
6
Imaging Screen
Image Information Screen
User’s Guide
Leisegang Prism Digital Colposcopy System
4.7

Section IV
IMAGING ■ Continued
Imaging Screen continued
Print Selected Image
■
■
■
Print Selected Image
By Itself prints a large image (selected by the user in the Imaging screen)
with lines for annotation.
Print Selected Image With
Blank Colposcopy Report prints
a blank Colposcopy Report with
the selected image. The report is
then filled out by hand.
You can create an Anonymous patient
report by checking the box
“Anonymous Patient”.
Patient Reports
Print Selected Image Screen
We have provided two printed patient report examples for your review.
The patient reports can be viewed in order on the following two pages.
Report 1 ■ Blank Colposcopy Report
This report with blank annotation lines can be printed by clicking the Print
button and selected image “With Blank Colposcopy Report.” The last image
selected on the Imaging screen will be the image contained in the report.
Report 2 ■ Image-by-Itself Report
This single, full screen image with annotation is printed by clicking on
the print button first, then on the “By Itself” selection. Blank lines are
printed automatically with the Image for physician annotation.
End Visit Button Imaging Screen
■
■
The End Visit button must be
used to end the visit.
A patient Auto Backup gauge will appear if the Auto Backup box
is checked. This will back up the patient file to disk.
4.8
User’s Guide
Leisegang Prism Digital Colposcopy System

IMAGING ■ Continued
Section IV
Imaging Screen continued
Report #1
Blank Colposcopy Report
User’s Guide
Leisegang Prism Digital Colposcopy System
4.9

Section IV
IMAGING ■ Continued
Imaging Screen continued
Report #2
Image-by-Itself Report
4.10
User’s Guide
Leisegang Prism Digital Colposcopy System

IMAGING ■ Continued
Section IV
Imaging Screen continued
Turning the System Off
If you are finished with the Prism Digital Colposcopy System for
the day, turn the system off.
■
■
■
■
■
Turn off the light source located on the lower Arm.
Click on the Power Down button at the bottom of the Welcome screen.
A dialog box will appear asking for confirmation that you wish to
power down.
Click on “OK” and wait for indication that it is now safe to turn off
your computer.
Turn the computer to off using the rocker switch on the computer.
NOTE: The system can be left on all day without harm.
Out of Paper
■
If you have a connection between the Prism Digital Colposcopy System
and a printer, you will see the message below when the printer is out
of paper.
Load more paper into the printer and press the Resume button.
User’s Guide
Leisegang Prism Digital Colposcopy System
4.11

Section IV
IMAGING ■ Continued
Imaging Screen continued
Ink Cartridges
After changing ink cartridges you may need to align them.
Follow the printer manufacturer’s instructions on the screen.
NOTE: Thoroughly read the printer instruction manual before performing
maintenance or operation of the device. Leisegang does not
support peripheral devices such as printers.
4.12
User’s Guide
Leisegang Prism Digital Colposcopy System

SYSTEM BACKUP & RESTORATION
Section V
System Backup & Restoration
Using Automatic Backup
Automatic Backup is used to create a copy of all patients files onto the
Removable media Disk at the same time the data is copied to the hard drive.
It is recommended that periodic storage to removable disks be done to
safeguard files. This feature is not recommended with the Prism Digital
Colposcopy System unless you have an external removable media drive
attached to the Prism Digital Colposcopy System, or the optional Network
Interface Software installed.
Automatic Backup at Default setting is only accessible through the
System Maintenance button on the Physician List screen.
Click on the System Maintenance
button on the Physician List screen.
1 Click on the Disk Storage tab on the System Maintenance screen.
2 Click on Automatic Backup when visit is closed.
NOTE: A removable media drive must be present or an error message will appear.
3 The gauge is a visual clue as to available memory in the Internal Disk
or the Removable Disk.
2
1
3
NOTE: If a visit has been
started, Automatic
Backup may be
accessed by clicking
on Clinician Name
button, followed by
clicking on the
System Maintenance
button.
System Maintenance Screen
Disk Storage Tab
User’s Guide
Leisegang Prism Digital Colposcopy System
5.1

Section V
SYSTEM BACKUP & RESTORATION ■ Continued
System Backup continued
When the box is checked,
automatic backup occurs
after clicking on the
Yes or No button on the
Print Today’s Colposcopy
Report confirmation
window. A Patient
Automatic Backup window will appear.
NOTE: A removable media drive must be present for this feature to work.
Checking the Amount of Disk Space for
Automatic Backup
When a patient visit is started and the
Automatic backup is enabled, a check is made
that the removable disk is in the disk drive.
If a removable disk is not in the drive, a
window will appear indicating that the
disk is not present.
If a removable disk is in the disk drive, a
second check is made to assure that
adequate space for a patient visit is
available on the disk. This check is
an approximation.
When the patient visit is closed, the actual
amount of available space is determined.
If the removable disk does not have
sufficient space, a window will appear
indicating that.
Patient Auto Backup Window
At this point, replace the removable
disk with one that has available memory,
and click on the Retry button. The same
window will appear again if the new disk does not have sufficient space.
If you don’t have a removable disk with a sufficient amount of space,
click on the Cancel button.
A window will appear indicating that you did not backup your patient visit.
Click on the OK button.
5.2
User’s Guide
Leisegang Prism Digital Colposcopy System

SYSTEM BACKUP & RESTORATION ■ Continued
Section V
System Backup continued
Using Manual Backup for a Single Patient
You can manually backup patient information from the Internal Disk
to the Removable Disk only when a patient visit is closed.
Go to the Patient screen and click
on the Patient List button.
1 Select a patient from the Patient List by clicking on her name, which will
then be highlighted in yellow.
2 With a patient’s name highlighted, click on the Backup button. The file
has now been “backed-up.”
1
If there is not sufficient
disk space available,
a window will appear
with a warning. If
sufficient disk space is
available, a Status bar
will appear indicating
that backup has
begun, and will remain
until completed.
2
Patient List Screen
User’s Guide
Leisegang Prism Digital Colposcopy System
5.3

Section V
SYSTEM BACKUP & RESTORATION ■ Continued
System Backup continued
Using Manual Backup for a Group of Patients
You can manually backup patient information from the Internal Disk
to the Removable Disk only when a Patient Visit is closed.
To select a group of patients for backup:
Go to the Patient screen and click
on the Patient List button.
1 Select a group of patients from the patient list by clicking on a start point.
With the mouse select button depressed, drag the Cursor over the group of
patients until they are highlighted in yellow. The OK button will be deactivated.
2 Click on the column headers to create a sort order you want the data to
appear in. The sort order is revealed at the top right of the screen.
3 Click on the Backup button to backup data to the Removable Disk
or
4 Click on Cancel to refuse the backup command.
2
1
3
4
Patient List Screen
5.4
User’s Guide
Leisegang Prism Digital Colposcopy System

SYSTEM BACKUP & RESTORATION ■ Continued
Section V
System Backup continued
Using Manual Backup for All Patients
You can manually backup patient information from the Internal Disk to the
Removable Disk only when a Patient Visit is closed. To select all
patients for backup:
Go to the Patient screen and click
on the Patient List button.
1 Select all patients by clicking on the Select All button.
2 Click on the column headers to create a sort order you want the data to
appear in. The sort order is revealed at the top right of the screen.
3 Click on the Backup button to backup data to the Removable Disk
or
4 Click on Cancel to refuse the backup command.
1
2
3
4
Patient List Screen
User’s Guide
Leisegang Prism Digital Colposcopy System
5.5

Section V
SYSTEM BACKUP & RESTORATION ■ Continued
System Backup continued
Using Manual Restore
You can restore patient information from a Removable disk to the internal disk
only when the patient visit is closed. Close the patient case by selecting the
End Visit button in the Imaging screen.
NOTE: A removable media disk must be present for this feature to work.
Go to the Patient screen and click on
the Patient List button.
1 Select removable disk on the “Patient List From” combo box on the upper
left corner of Patient List screen. You will now be able to see patient files
stored on the removable disk.
2 The Backup button will now say restore.
3 Select a patient from the Patient List by clicking on her name, which
will then be highlighted in yellow.
■
Click on the Restore button to copy a selected patient’s file back onto
the Internal Disk.
NOTE: To restore a group of patients or all patients to the Internal Drive, follow the same
instruction for Patient backup listed on page 8.5.
1
3
2
Patient List Screen
5.6
User’s Guide
Leisegang Prism Digital Colposcopy System

SYSTEM BACKUP & RESTORATION ■ Continued
Section V
System Backup continued
A window will appear indicating the time it will take to copy the patient’s case
to the Internal Disk. After the case has been restored, the patient’s name will
appear in the Internal Disk Patient List.
The Removable Disk Patient List does not update itself. You must reselect the
Removable Disk from the top right combo box to remove the patient from the
Removable Disk Patient List.
If you attempt to restore a patient case
from a disk that has been removed, or if
you have a corrupt patient file, a window
will appear explaining that the patient
folder is missing.
■
■
■
To restore a patient file from a disk that has been removed, click on OK.
Insert the Removable Disk into the disk drive.
Select Removable Disk from the combo box at the top left of the screen
to refresh the patient list, and retry.
Printing from the Patient List
■
■
■
The list of patients on the removable disk can be viewed and printed
at any time by first selecting removable disk from the combo box at
the upper left of the Patient List screen.
Select the Print button to initiate the
print sequence.
After selecting the Print button the
following confirmation message appears.
User’s Guide
Leisegang Prism Digital Colposcopy System
5.7

Section V
SYSTEM BACKUP & RESTORATION ■ Continued
System Backup continued
Deleting a Patient’s File from the Patient List
A patient’s file (all visits) can be deleted from either the
Internal or Removable Disk.
NOTE: A removable media drive must be present to delete a file from a removable disk.
1 Click on the patient’s name in the Patient List.
2 Click on the Delete button at the bottom middle of the screen.
(Remember, this deletes all visits for the patient.)
■
A Delete Patient Folder? window will appear.
3 Click on the OK button if you want to delete the patient’s case, or click on
the Cancel button if you do not.
After the patient file is deleted, the Patient List screen will update itself.
1
2
3
Patient List Screen
5.8
User’s Guide
Leisegang Prism Digital Colposcopy System

SYSTEM BACKUP & RESTORATION ■ Continued
Section V
System Backup continued
Editing a Patient’s Name
A patient’s name can be edited to reflect a name change.
Click on the Edit Name button.
1 The Edit Patient Name window will appear. Make any necessary edits to
the patient name or ID.
2 Click OK to set changes or Cancel to refuse changes and return to the
Patient List screen.
User’s Guide
Leisegang Prism Digital Colposcopy System
5.9

Section V
Notes
5.10
User’s Guide
Leisegang Prism Digital Colposcopy System

SYSTEM MAINTENANCE ■ Continued
Section VI
System Maintenance
Accessing System Maintenance
The System Maintenance screen allows you to add your facility name,
enable or disable security passwords, access details to the System, select
a printer, evaluate disk space, self check the camera, and access the
Windows 95 operating system.
You can access System Maintenance through the Attending Clinician List
screen during a visit by clicking on the Attending Clinician Name button seen
in the Colposcopy Report or the Imaging screen, followed by the System
Maintenance button.
Click on the System Maintenance button
on the Attending Clinician List screen.
Attending Clinician List Screen
User’s Guide
Leisegang Prism Digital Colposcopy System
6.1

Section VI
SYSTEM MAINTENANCE ■ Continued
System Maintenance continued
Setting up User Default Settings
User defaults allow you to customize some of the data fields as they
appear when you initially access them.
■
■
■
■
■
■
Click on the User Default tab.
Select the default setting you want to appear in the Colposcopy Report
sections prior to entering data.
The default options for the Colposcopy Report are specific to the
History and Risks screens.
The Contrast button from the Imaging section can also be user
defaulted to Full Contrast or No Contrast.
The Brightness mode is used for systems where the shutters
need to be disabled.
The Brightness/Contrast User Default are specific to the Focus Mode
feature. Adjusting the settings to Contrast and Brightness will create
a User Default setting. Clicking on the Factory Default will revert the
User setting to the Factory Default standard.
System Maintenance Screen
User Default Tab
6.2
User’s Guide
Leisegang Prism Digital Colposcopy System

SYSTEM MAINTENANCE ■ Continued
Section VI
System Maintenance continued
Entering Facility Information
When you print the Image Reports, the facility information appears
as the header.
■
■
Click on the Facility tab.
Type your facility contact information in the blank spaces.
To get to the next data field, use the Tab button on your keyboard.
System Maintenance Screen
Facility Tab
User’s Guide
Leisegang Prism Digital Colposcopy System
6.3

Section VI
SYSTEM MAINTENANCE ■ Continued
System Maintenance continued
Accessing Various Aspects of the System
The Computer System screen gives you access and selective control over
various functions of the Windows 95 platform, which controls the peripheral
devices and hard drive management function. You may control the
following functions from the Computer System screen:
System Maintenance Screen
Computer System Tab
■
■
■
■
■
■
Changing the
date and time.
Changing mouse
properties.
Scanning a disk
to check for errors
or viruses.
Defragmenting a
disk drive.
Setting up the printer.
Accessing the print
queue.
Changing the Date and Time
■
■
■
■
■
■
Click on the Computer System tab.
Click on the Date/Time button in
the System section.
Click on the appropriate date in
the calendar to change the day.
Click on the arrow to the right of
the month to change the month.
Click on the arrows to the right of
the year to change the year.
Click on the arrows to the right
of the time to set the time.
System Maintenance Screen
Computer System Tab
Date/Time Properties
NOTE: Further access to the Windows 95 environment is not recommended. Inadvertent tampering
with Windows 95 can change the performance of the Prism software.
6.4
User’s Guide
Leisegang Prism Digital Colposcopy System

SYSTEM MAINTENANCE ■ Continued
Section VI
System Maintenance continued
Changing the Time Zone
■
■
■
Click on the arrow to the right of the Time Zone to change
the time zone.
Click on the Apply button to apply all of your changes to the system.
Click on the OK button to return to the Computer System screen.
System Maintenance Screen
Computer System Tab
Time Zone Adjustment
Changing Mouse Properties
■ Click on the Button section to change clicking speed and operations.
■ Click on the Pointer section to change cursors.
■ Click on the Motion button to change the cursor movement.
Mouse Button Screen
User’s Guide
Leisegang Prism Digital Colposcopy System
6.5

Section VI
SYSTEM MAINTENANCE ■ Continued
System Maintenance continued
Scanning a Disk
to Check for Errors or Viruses
■
Click on Scan Disk to check the
hard drive or Removable drive.
Scan Disk
Defragmenting
a Disk Drive
■
Click on Defragment
Disk to defragment
the hard drive or
Removable drive.
System Maintenance Screen ■ Computer Tab
Printer Set-up
Screens
■
For detailed
information on your
printer and how to
operate it, refer to
your printer’s
Operating Manual.
Printer Set-Up Screen
6.6
User’s Guide
Leisegang Prism Digital Colposcopy System

SYSTEM MAINTENANCE ■ Continued
Section VI
System Maintenance continued
NOTE: The screens below may show slightly different data depending on the printer
model you are using.
Printer Maintenance Screens
Checking the Amount of Space on a Disk
The Disk Storage tab shows the current disk utilization of the internal
and removable disks in numerical and graphical form. This information
is updated continuously.
■
Click on the Disk Storage tab.
The top gauge indicates
how much internal disk
space is used and how
much is available. The
bottom gauge indicates
how much removable
disk space is used and
how much is available.
A removable media
drive must be present
for this feature to work.
System Maintenance Screen
Disk Storage Tab
User’s Guide
Leisegang Prism Digital Colposcopy System
6.7

Section VI
Notes
6.8
User’s Guide
Leisegang Prism Digital Colposcopy System