Mobile Telemedicine Cart Manual

Telemedicine Cart Quick Start Guide

1. Plug in the mobile cart.
   
2. Power on the computer using power button which can be accessed through the hole located on the right front underside of the work surface.
   
3. Power on monitor(s) using the power button(s) on the monitor(s). 
   
   
   
4. Open and sign into Zoom and any other needed software.
   
5. Camera Choice: The default camera will be the AVer CAM520 mounted above the screen.  Use the “up arrow” next to the Camera Icon in the lower left corner of Zoom to change between different cameras.
   

1. To control the AVer CAM520 on the local(patient) side use the remote control(see the remote control guide for further instructions).  The distant viewer can also control the camera through Zoom if given permission(see AVer CAM520 guide).
   
2. The Dino-Lite camera for ear, nose, throat, and skin examinations can be used by plugging the USB connector into the USB extension located inside the top drawer.  To stop using the Dino-Lite camera, unplug the USB from the extension located inside the top drawer.  Once unplugged, Zoom will default to using no camera.  Click the camera button icon located on the bottom left-hand corner of the screen to enable the other camera.
   

6. Audio:  Use the “up arrow” next to the Microphone Icon in the lower left corner of Zoom to change between the available microphone and speaker options.
   

1. The Jabra Speakerphone 710 located on top of the work surface is the primary audio input and output.
   
2. ThinkLabs Stethoscope audio input - To change to the stethoscope, ensure the audio 3.5mm jack located in the top drawer is plugged into the stethoscope.
   
3. Click the small up arrow in the Zoom window next to the microphone icon to change between the Jabra Speakerphone and the stethoscope(see stethoscope guide for more detailed stethoscope information).
   

7. Leave Zoom meeting and log out of other software when done.
   

The Telemedicine DataCart™

The telemedicine cart is a high quality, durable solution for connecting patients and others to the services they need without the need to travel to obtain those services.  This DataCart™ has been procured from Lund Industries and is tested to comply with UL Standard for Safety Medical Equipment, Part 1: General Requirements for Safety.  This cart comes with a warranty.  Removing or damaging the serial number will void all cart warranties.  

Cart Features

Work Surface with CPU and electrical equipment storage

The adjustable height work surface is made of medical grade laminate with raised edges to help contain items on the surface.  Designed for durability.  The surface is removable in order to install computers and other equipment.

1. Work Surface Lid Removal
   

1. Turn knob on the back of the Work Surface storage unit counter-clockwise
   
2. Slide the Work Surface towards the back of the cart before attempting to remove
   
3. Gently lift surface up to remove
   

2. CPU and electrical compartment
   

1. Once Work Surface is removed, CPU and other devices may be installed
   
2. Position the CPU on the flat surface inside the CPU storage unit
   
3. Connect all necessary peripherals 
   
4. A multi-port electrical strip is included to power your devices
   
5. Holes in the bottom of the CPU storage unit are provided to route all cables to the peripherals
   

3. Re-install the Work Surface lid
   

1. Align the Work Surface rails with the 4 pins on the sides of the CPU storage unit
   
2. Slide the Work Surface forward to engage the pins
   
3. Lock the Work Surface Lid with by turning the knob on the back of the Work Surface storage unity clockwise. (Note: The default code for the lock is “000”)
   

4. Raising and lowering the Work Surface
   

1. Raise the handle on the right side of the mobile care
   
2. Adjust height
   
3. Release handle
   

Adjustable Dual Monitor Mounts

The dual arm monitor mount allows for side-by-side, front-to-back, and vertical orientation of the monitors.  The monitors are attached via the industry standard VESA mounting system.

1. Use swivel feature of mount to adjust the angle of the monitors.
   
2. To adjust the monitor height:
   

1. Support monitor mount arm with one hand.
   
2. Loosen the knob on the side of the mount.
   
3. Slide arm up or down to desired position.
   
4. Tighten the knob on the side of the mount.
   

Keyboard Tray with Slide-Out Mouse Tray

The keyboard tray slides in and out and is adjustable to angle up and down.  The keyboard tray adjustment handle is located on the left side for adjusting the tension up and down.  Under the keyboard tray is the slide-out mouse tray.

Locking Wheels

The front wheels have locks to prevent the cart from moving.  

1. Push each lever down with your foot to engage the locks.
   
2. Pull each lever up with your foot to release the locks.
   

Storage Draws

This cart is outfitted with two lockable storage drawers:

1. Top Drawer - Accessory device drawer
   
2. Bottom Drawer - Storage drawer
   

Changing the Combination Lock Codes

The combination lock(s) are factory set to “000”.

To change the combination:

1. The lock must be set on the opening combination prior to resetting.
   
2. On the underside outer edge of the lock there is a hole for the code reset button.
   
3. Rotate the face of the lock until the code reset button comes into view.
   

1. Push this pin in with a paper clip and keep it pushed in.
   
2. Set the combination code by turning the dials to the desired code.
   
3. Release the reset button and your combination is set.
   
4. SAVE YOUR NEW COMBINATION CODE
   

Technical Specifications

• Work Surface: 19.75”W x 18”L - CL 22.25”W x 19.5”L
  

• Height Adjustment: 32.25” Low to 46” High
  

• Wheelbase: 18”W x 17”L
  
• Weight(cart only without mount, drawers, devices): 67 lbs.
  

WARNINGS

• Service and Replacement
  

• Do not attempt to service or replace any part of the cart unless directed to do so through approved documentation(i.e., this Manual or other instructions from the manufacturer of the cart).  Only DataCart™ or a DataCart™-certified entity may service or replace the cart components.  If any component on the cart is missing or damaged, the cart must not be used.  Contact your Reseller or DataCart™ immediately to request service.
  

• Safe Working Loads
  

• Safe working loads labels must be abided by for all parts
  

• Maximum Weights
  

• Standard Monitor: 16 lbs.
  
• Dual Monitors: 8 lbs on each VESA mount.
  
• Laptop Tray: 10 lbs.
  
• Keyboard Tray: 5 lbs.
  

ThinkLabs™ Stethoscope Guide

1. Stethoscope Features
   

1. Power On - Push any button.
   
2. Change Frequency - Push upper left button(f or Filter Key).
   
3. Volume Down - Push lower left button(Minus Key).
   
4. Volume Up - Push lower right button(Plus Key).
   
5. Power Off - Hold upper right and lower left buttons at the same time(A or Alt Key + Minus Key)
   
6. Charging - Plug white power cord into the port on the stethoscope.  Cart must be plugged in to charge.
   

2. Using the stethoscope
   

1. Plug the source and monitor dongle into the port on the side of the stethoscope
   
2. Dongle input descriptions(see image below):
   

1. Rectangle symbol - line to computer or mobile device
   
2. Stethoscope symbol - line to stethoscope
   
3. Headphone symbol - line to headphones
   
4. Small arrow symbol - PC mic jack(optional use for PCs, not needed for mobile devices)
   

3. Dongle switch positions:
   

1. Source switch - center
   
2. Monitor switch - towards stethoscope symbol
   

4. Make sure all lines are securely connected to stethoscope and dongle
   
5. Power On the stethoscope
   
6. Adjust frequency and volume as needed
   

1. Low frequency best for heart sounds
   
2. High frequency best for lung sounds
   

7. Click up arrow next to microphone symbol in Zoom window to switch to the stethoscope(listed as a USB Audio Device).
   

8. Conduct exam.  Individual conducting exam can listen through headphone port on dongle to hear the sounds they are transmitting.
   
9. Use visual, verbal, and text-based cues from distant viewer to assure all the necessary exam components have been obtained.
   
10. When complete power off the stethoscope
    
11. Click up arrow next to microphone symbol in Zoom window to switch back to speaker microphone.
    

3. Auto Power-Off
   

1. The stethoscope is set to auto-power off
   
2. The time-frame to power-off can be adjusted(see ThinkLabs online support or manual to adjust these settings)
   

4. Frequency Adjustment
   

1. The stethoscope has been set for a high and low frequency designed for optimal heart and lung sound listening
   
2. The frequency can be adjusted(see ThinkLabs online support or manual to adjust these settings)
   

Online User Manual: https://www.thinklabs.com/user-manuals

Dino-Lite™ ENT and Skin Camera

1. Activation  
   

1. Plug camera into USB receiver in the Accessory Device(Top) drawer
   
2. Select the “up arrow” next to the Video Camera Icon in Zoom to select the Dino-Lite Premier camera
   

2. Orientation
   

1. the Dino-Lite logo facing upwards towards the ceiling orients the camera appropriately
   

3. Focusing 
   

1. Use the focus wheel(for right-handed users this is easiest with the thumb)
   

4. Mirroring
   

1. Click up arrow next to “Video Camera” symbol in Zoom
   
2. Click “Video Settings”
   
3. Under “My Video”, check or uncheck “Enable mirror effect” for preferred camera movement effect
   
4. Close video settings
   

5. Otoscope attachment
   

1. Slide otoscope accessory on the end of the camera
   
2. Insert a Welch Allyn otoscope speculum
   

6. Other attachments
   

1. Tongue blade attachment
   
2. Iris viewing attachment
   

7. Deactivation
   

1. When finished, unplug camera from USB receiver in Accessory Device(Top) drawer.
   
2. Click “Video Camera” symbol to return to other camera
   

AVer CAM520 PTZ Camera

The AVer CAM520 is a 1080p webcam with Pan-Tilt-Zoom(12X) capabilities.

1. Enabling far-end camera control
   

1. Allows the distant viewer to control your local/patient-side camera
   
2. Sign into Zoom
   
3. Click gear icon
   
4. Click “View Advanced Features” which opens an internet browser window - see top image below.
   
5. Click “In Meeting(Advanced)” - see bottom image below
   
6. Find “Far End Camera Control” and Toggle ON
   
7. May close browser
   

2. Local camera control
   

1. May use remote(see remote guide)
   

3. Requesting far-end camera control
   

1. Distant viewer asks to control the patient-side camera
   
2. In Zoom window, right click on video image of the participant whose camera you want to control
   
3. Click “Request Camera Control”
   
4. Notification is sent for approval to take control of camera
   
5. Once approval received, use on-screen control panel for far end camera Pan-Tilt-Zoom functions
   

4. Giving up camera control
   

1. In Zoom window, right click on the video image of the participant whose camera you want to give up control.
   
2. Click “Give Up Camera Control”
   

Online User Manual: https://www.averusa.com/business/downloads/CAM520_Manual_EN_20160408.pdf