ADVIA Centaur® XPT System Maintenance Online Training

syngo.via VB40のCT CoronaryおよびCT Vascular（CT Coronary Analysis、CT Vascular、Vessel PlugIn、Cardiac Planningも含む）では、CPRの回転動作に関して機能が改善されています。 これについて、以降のページで詳しく学習していきます。 Welcome to the ADVIA Centaur® XPT System Maintenance Online Training course.  Performing the maintenance procedures routinely and properly helps to keep your system running efficiently.  In this course we will discuss the required daily, weekly, monthly and as needed maintenance procedures. Select Next to review the course objectives. Describe how to navigate the maintenance screens Describe the as needed maintenance tasks List the steps to perform daily maintenance List the steps to perform monthly maintenance List the steps to perform weekly maintenance Upon successful completion of this course you will be able to: Select Next to continue. syngo.via VB40にはデフォルトのPDFフォームが用意されており、TAVI PlanningのRapid Resultsプロトコルに関して、必要なあらゆる測定を網羅して情報を記入できるようになっています（アイコン名は[フォームに記入]/[測定フォームに記入]）。PDFフォームにあるフィールドはRapid Resultsによって解析され、設定に基づいて所見値が入力されます。 Congratulations.  You have completed the ADVIA Centaur® XPT System Maintenance Online Training course.  Listed below are the key points that have been presented.  Take time to review the material before you proceed to the final quiz. Describe how to navigate the maintenance screens The Maintenance button on the Command Bar: Flashes yellow or red when a maintenance activity fails or is overdue Provides access to the Maintenance Schedule screen Displays the due dates for defined maintenance activities Used to perform automated maintenance activities and to record completed manual maintenance activities Provides access to the Maintenance Log Records all maintenance activities List the steps to perform daily maintenance Daily maintenance consists of running the Daily Cleaning Procedure: Must be performed when the system is not processing samples Perform after peak workload to optimize system performance Cleans the probes, rinse stations, wash stations, and associated tubing Takes approximately 55 minutes to complete depending on system configuration Note: To decontaminate the reservoir, a UV light in the reservoir automatically turns on for 90 seconds at system startup and then every 23 hours. To perform the Daily Cleaning Procedure: Check/Replenish Cleaning Solution - Cleaning Solution has a 7 day onboard stability Check/Replenish Cuvettes Empty the Cuvette Waste Bin Check/Empty the Liquid Waste Check/Replenish the Water Bottle Ensure the Dilutor Drawer is Closed Start the Daily Cleaning Procedure List the steps to perform weekly maintenance Clean the water bottle Remove the water bottle Install the spare water bottle Clean and rinse the removed water bottle Empty the water trap Check the system state Pull out the waste and water drawer Remove water trap Remove liquid from water trap Reinstall water trap Close waste and water drawer List the steps to perform monthly maintenance Clean the exterior of the reagent probes Turn mechanics off Lift the instrument cover and reagent probes cover Push the reagent probe assemblies toward the incubation ring by pushing the motors Wipe each probe with lint-free tissue or gauze saturated with cleaning solution. Thoroughly rinse each probe with lint-free tissue or gauze saturated with reagent water Install the reagent probes cover Close the instrument cover Turn mechanics on Note: Some settling of the Solid Phase reagents can occur if the reagents have not been mixed for 2 hours. Ensure that reagents are resuspended before returning to normal operation. Clean the exterior of the ancillary probe Turn mechanics off Open the top cover Move the inprocess queue to the right Pull the probe toward you by holding the top of the probe assembly Check the probe for damage and to ensure that it is not bent Clean the probe using a gentle downward motion with lint-free tissues or gauze saturated with cleaning solution Rinse the probe using a gentle downward motion with lint-free tissues or gauze saturated with reagent water Close the instrument cover Turn mechanics on Note: Some settling of the Solid Phase reagents can occur if the reagents have not been mixed for 2 hours. Ensure that reagents are resuspended before returning to normal operation.   Clean the exterior of the aspirate probes Turn mechanics off Open the top cover Carefully lift the probe arms up to the highest position Clean the visible portion of each probe using a gentle downward motion with lint-free tissues or gauze saturated with cleaning solution Rinse each probe using a gentle downward motion with lint-free tissues or gauze saturated with reagent water Close the instrument cover Turn mechanics on Note: Some settling of the Solid Phase reagents can occur if the reagents have not been mixed for 2 hours. Ensure that reagents are resuspended before returning to normal operation. Clean or replace the air filter Remove air filter Install spare, dry air filter Rinse removed air filter with water and allow to thoroughly dry Describe the as needed maintenance tasks Clean the reagent area: Reagent probe shutter Probe rinse stations Primary reagent compartment and reagent pack holders Clean the waste areas: Cuvette waste chute Sample tip waste chute Clean the covers / keyboard / mouse / barcode scanner Select Next to continue. Rapid Results Technologyのさらなる改善事項として、Neuro Perfusionに、コア梗塞とペナンブラのボリュームの生成と表示が加わっています。オーバービュー画像がペナンブラマップに追加されているほか、低灌流領域（特定されたペナンブラと梗塞のボリュームの総和として計算）、梗塞領域、不一致率の値も含まれます。不一致率は、低灌流領域を梗塞ボリュームで除算した値として計算されます。 ペナンブラに関する改善事項は、CT Neuro Perfusionワークフローに加え、Rapid Results Technologyにも適用されます。 The Maintenance button on the Command Bar: Flashes yellow or red when a maintenance activity fails or is overdue Provides access to the Maintenance Schedule screen Displays the due dates for defined maintenance activities Used to perform automated maintenance activities and to record completed manual maintenance activities Provides access to the Maintenance Log Records all maintenance activities Maintenance Screens Learn how to navigate the maintenance screens. Instructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90009706/sim_CXPT_InitiatingDailyCleaning_800x600_9/sim_CXPT_InitiatingDailyCleaning_800x600_9.swfHTML5 File:/content/generator/Course_90009706/sim_CXPT_NavigatingMaintenanceScreens_800x600_9/index.htmlPDF File:   次の改善事項が導入されています。 SOMATOMスキャナとsyngo.via間の通信における接続を強化するため、動的なFTPポートの代わりにHTTPS通信が使用可能になっています。静的ポート上でのセキュアな通信により、ローカルでのIT管理が行いやすくなっています。 syngo.viaとの双方向通信が確立される前にRapid Results Technologyを使用できるようになっています。工場出荷時設定で最大14種類のRRT結果が利用可能です。これらのRRTのデータロールは接頭語「AA」で識別され、工場出荷時設定のプロトコルに加えられており、すぐに使用できます。 [リクエストされたデータロール]フィールドの大きさも改善されており、マウスオーバー操作やヒントのテキストを使用しなくても、より多くのRRT関連情報を一目で確認できるようになっています。 スキャン中に、各リコンジョブのデータロールを実行中の検査の[自動タスキング]パラメータカード上で変更できます。 [患者モデルダイアログ]の[追加]オプションを使用して、RRTのデータロールをスキャンプロトコルに割り当てることができます。   Daily maintenance consists of running the Daily Cleaning Procedure: Must be performed when the system is not processing samples Cleans the probes, rinse stations, wash stations, and associated tubing Takes approximately 55 minutes to complete depending on system configuration Can be configured to run automatically at a set time each day Note: To decontaminate the reservoir, a UV light in the reservoir automatically turns on for 90 seconds at system startup and then every 23 hours. Daily Cleaning Procedure Learn how to perform the daily cleaning procedure. Checklist TitleChecklist TypeChecklist ContentCheck/Replenish Cleaning SolutionHTML If necessary, replenish the cleaning solution: Add 1 container of ADVIA Centaur® Cleaning Solution Concentrate to the cleaning solution bottle Fill the cleaning solution bottle to the neck with DI Water Place the bottle onto the system Prepared Cleaning Solution has a 7 day onboard stability The daily cleaning procedure uses 1/4 to 1/3 of the prepared solution Select each checkbox to learn more about performing the daily cleaning procedure.    Check/Replenish CuvettesHTML Ensure that there are cuvettes in the cuvette loading bin.    Empty the Cuvette Waste BinHTML Remove the cuvette waste bin, empty the waste and replace the empty bin.  Check/Empty the Liquid WasteHTML Empty the liquid waste bottle if it is more than half full. Note: This procedure is not required if the system is directly plumbed for waste.    Check/Replenish the Water BottleHTML Ensure that the water bottle is at least one quarter full. Note: This procedure is not required if the system is directly plumbed for water.     Ensure the Dilutor Drawer is ClosedHTML Ensure that the diluter drawer is in the closed, upright position. Note: If the diluter drawer is not closed (up), the system does not prime the wash station diluters correctly.  Start the Daily Cleaning ProcedureSimulationInstructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90009706/sim_CXPT_InitiatingDailyCleaning_800x600_9/sim_CXPT_InitiatingDailyCleaning_800x600_9.swfHTML5 File:/content/generator/Course_90009706/sim_CXPT_InitiatingDailyCleaning_800x600_9/index.htmlPDF File: SPP（Spectral Post-Processing）データは、CTの拡張機能でも使用可能です。 MM Readingでは、血管定義ツールで用意されているフル機能を使用できます。例えば、 血管トレーシング CPRレンジの作成 CPRセグメントにある測定ツールを使用したさらなる解析の実施、などがあります。   CPRセグメントで行うこともできます。 さらに、データをテーブル除去/骨除去、心臓の分離、冠動脈枝ビューで使用することもできます。   Weekly maintenance tasks: Clean the water bottle Empty the water trap Clean the Water Bottle Learn how to clean the water bottle. Checklist TitleChecklist TypeChecklist ContentRemove the water bottleHTML To remove the water bottle: Pull out the waste and water drawer Open the water bottle lid Disconnect the water tubing from the water bottle and set aside on paper towels to absorb drips Lift the water bottle up and out Select each checkbox to learn more about performing the daily cleaning procedure.    Install the spare water bottleHTML To install the spare water bottle: Fill the spare, clean water bottle with fresh reagent water and install the cap Place the spare water bottle in the waste and water drawer Connect the water tubing to the water bottle Lower the water bottle lid Push in the waste and water drawer  Clean and rinse the removed water bottleHTML To clean and rinse the water bottle you removed: Remove the cap and empty any water from the bottle. Pour approximately 1L of cleaning solution into the bottle Replace the cap and swirl the solution around the inside of the bottle a few times Press some gauze over the holes in the top of the bottle, invert the bottle, swirl the solution a few times and then return the bottle to the upright position Soak the bottle in the upright position for 5 minutes Repeat steps 3 and 4, and then swirl the solution again and empty the bottle Rinse the inside of the bottle including the tubing at least 5 times with fresh reagent water. Invert the bottle to dry When complete, select the X in the upper-right corner to close the window and continue.    Empty the Water Trap Learn how to empty the water trap. Checklist TitleChecklist TypeChecklist ContentCheck the system stateHTML Ensure that the system is in one of the following states: Ready Warming Up Diagnostic Mechanics Off Check Status Select each checkbox to learn more about how to empty the water trap.    Pull out the waste and water drawerHTML Pull out the waste and water drawer.  Remove water trapHTML Unscrew and remove the water trap. The liquid in the water trap is waste condensation.  Remove liquid from water trapHTML Remove any liquid from the water trap.     Reinstall water trapHTML Ensure that the float ball moves freely in the water trap. Ensure that the inner seal of the lid is not missing or damaged. Tightly install the water trap.     Close waste and water drawerHTML Close the waste and water drawer. When complete, select the X in the upper-right corner to close the window and continue.       主要な改善事項の1つに、syngo.via MM ReadingワークフローにおけるInteractive Spectral Imaging対応があります。 Dual Energyがルーチンに導入されているため、スペクトル画像データに基づく追加の診断情報を一目で確認して使用できるようになっています。 新たにMM ReadingにInteractive Spectral Imagingを統合することで、Dual Energyデータの視覚化、処理をシンプルな手順で行えるようになっています。 Interactive Spectral Imaging機能では、SPP（Spectral Post- Processing）というファイル形式の単一の後処理シリーズを使用します。このシリーズには、必要な全情報が含まれています。 このデータはsyngo.via上で自動作成され、単一のシリーズとして患者ブラウザなどに表示されます。 新しいソフトウェアバージョンsyngo.via VB40では、VNC、ヨウ素といった特定のDual Energy表示で解析を行ったり、さまざまな単一エネルギーレベルを直接MM Readingでインタラクティブに変更するための機能が備わっています。   さらに、各種測定も可能なため、読影中にさらに情報を得ることができます。 この新機能の詳細については、以降の各章で学習していきます。   Monthly maintenance tasks: Clean the exterior of the reagent probes Clean the exterior of the ancillary probe Clean the exterior of the aspirate probes Clean or replace the air filter Clean the Probes Learn how to clean the primary reagent, ancillary reagent, and aspirate probes. Checklist TitleChecklist TypeChecklist ContentClean the Exterior of the Reagent ProbesHTML Select the play arrow to begin the video. Note: The mechanics must be off while cleaning the reagent probes. Some settling of the Solid Phase reagents can occur if the reagents have not been mixed for 2 hours. Ensure that reagents are resuspended before returning to normal operation. Select each checkbox to learn more about cleaning the probes. Clean the Exterior of the Ancillary ProbeHTML Select the play arrow to begin the video. Note: The mechanics must be off while cleaning the ancillary probe. Some settling of the Solid Phase reagents can occur if the reagents have not been mixed for 2 hours. Ensure that reagents are resuspended before returning to normal operation. Clean the Exterior of the Aspirate ProbesHTML Select the play arrow to begin the video. Note: The mechanics must be off while cleaning the aspirate probes. Some settling of the Solid Phase reagents can occur if the reagents have not been mixed for 2 hours. Ensure that reagents are resuspended before returning to normal operation. When complete, select the X in the upper-right corner to close the window and continue. Clean Air Filter Learn how to clean the air filter. Select the play arrow to begin the video.    When complete, select the X in the upper-right-hand corner to close the window and continue. As Needed Maintenance Procedures: Clean the reagent area: Reagent probe shutter Probe rinse stations Primary reagent compartment and reagent pack holders Clean the waste areas: Cuvette waste chute Sample tip waste chute Clean the covers / keyboard / mouse / barcode scanner Select Next to continue. Durch Interaktive Trendanalyse wird die automatische Anzeige von klinisch relevanten Informationen und Berechnungen aktiviert. Durch Aktivieren von Änderungsrate für verknüpfte Messungen anzeigen im Fenster „Konfiguration“ können die Trendinformationen in den Segmenten der aktuellen Zeitpunkte angezeigt werden.   Interaktive Trendanalyse zeigt die zwischen der Basislinie und der Studie des aktuellen Zeitpunkts verstrichenen Tage an. Die prozentuale Änderung für jede Metrik wird in Bezug auf die Basislinien-Untersuchung und die verknüpften Befunde im Auswertungstextfeld angezeigt. Die Basislinie kann in der Registerkarte „Trendanalyse“ durch Verschieben des roten Basislinien-Schiebers verändert werden.     As Needed Maintenance Tasks in the Reagent Area: Clean the reagent probe shutter Clean the probe rinse stations Clean the primary reagent compartment and reagent pack holders Clean Reagent Probe Shutter Learn how to clean the reagent probe shutter. Select the play arrow to begin the video.    When complete, select the X in the upper-right-hand corner to close the window and continue.   Clean Probe Rinse Stations Learn how to clean the probe rinse stations. Checklist TitleChecklist TypeChecklist ContentRemove coversHTML Turn mechanics off Open the top cover Remove the reagent probes cover Select each checkbox to learn more about cleaning the probe rinse stations.   Position the probe assembliesHTML Push the reagent probe assemblies toward the incubation ring by pushing the motors Gently push the sample probe and ancillary probe assemblies back toward the incubation ring by pushing the motors  Clean rinse stationsHTML Use a disposable transfer pipette to add 0.5 to 1.0 mL of cleaning solution to each rinse station Gently insert the small maintenance brush into the rinse station to a depth of 6.3 cm (2.5 inches), and swirl the brush inside the rinse station Remove the brush and then remove the cleaning solution with a transfer pipette Clean the rinse station with lint-free tissues or gauze saturated with cleaning solution Rinse the rinse station with lint-free tissues or gauze saturated with reagent water Close coversHTML Install the reagent probe cover, and then close and secure the top cover. Turn the mechanics on. Note: Some settling of the Solid Phase reagents can occur if the reagents have not been mixed for 2 hours. Ensure that reagents are resuspended before returning to normal operation. When complete, select the X in the upper-right corner to close the window and continue.   Clean Primary Reagent Compartment Learn how to clean the primary reagent compartment and reagent pack holders. To clean the primary reagent compartment: Turn mechanics off Open the primary reagent door Remove the primary reagent packs from the primary reagent compartment and refrigerate them Wipe excess water from the primary reagent compartment Wipe the surfaces of the primary reagent compartment with lint-free tissues or gauze saturated with water If reagent has spilled onto the reagent pack holders, wipe the reagent pack holders with lint-free tissues or gauze saturated with water Dry the primary reagent compartment Turn mechanics on When the system is in the Ready state, return the reagent packs to the primary reagent compartment Note: Some settling of the Solid Phase reagents can occur if the reagents have not been mixed for 2 hours. Ensure that reagents are resuspended before returning to normal operation.   When complete, select the X in the upper-right corner to close the window and continue. Um die Ergebnisbefundung zu verbessern wurden für MI Neurologie Verbesserungen vorgenommen. Fusionierte oder nicht fusionierte Bildserien (statistisch, anatomisch oder funktional) können als Multiframe Secondary Capture (MFSC) exportiert und gespeichert werden. Anstatt der Momentaufnahme eines einzelnen Bilds kann eine Momentaufnahme des gesamten Bildstapels erstellt werden. Diese Funktion ist für folgende Workflows verfügbar: • Cortical Analysis • Database Comparison • Striatal Analysis • Subtraktion   As Needed Maintenance in the Waste Areas: Clean the cuvette waste chute Clean the sample tip waste tube and chute Clean Cuvette Chute Learn how to clean the cuvette chute. Select the play arrow to begin the video.    When complete, select the X in the upper-right-hand corner to close the window and continue. Clean the Sample Tip Waste Tube and Chute Learn how to clean the sample tip waste tube and chute. Checklist TitleChecklist TypeChecklist ContentClean Sample Tip Waste TubeHTML Select the play arrow to begin the video. Select each checkbox to learn more about cleaning the sample tip waste tube and chute. Clean Sample Tip Waste ChuteHTML Select the play arrow to begin the video. When complete, select the X in the upper-right corner to close the window and continue. Willkommen beim Delta Online Training zu syngo.via VB40. In diesem Training lernen Sie die neuen Funktionen der Softwareversion syngo.via VB40 im Bereich Molekulare Bildgebung (MI) bzw. Nuklearmedizin (PET & SPECT) kennen. As Needed General Cleaning: Covers Keyboard  Mouse  Barcode scanner Clean the Covers, Keyboard, and Mouse Learn how to clean the covers, keyboard, and mouse. Carefully clean he following components with lint-free tissues or gauze saturated with cleaning solution: Sample entry queue Exterior covers Sample exit queue Ancillary entry Stat entry Keyboard Mouse System fluids tray Tray under the system fluids reservoirs Rinse the components with lint-free tissues or gauze saturated with water. Dry the components thoroughly. When complete, select the X in the upper-right corner to close the window and continue. Clean the Sample Barcode Scanner Learn how to clean the sample barcode scanner. To clean the sample barcode scanner: Wait until the system stops processing samples. Turn mechanics off. Access the scanner by reaching your hand over and behind the housing. Carefully wipe the scanner with an alcohol prep pad. Turn mechanics on. Note: Some settling of the Solid Phase reagents can occur if the reagents have not been mixed for 2 hours. Ensure that reagents are resuspended before returning to normal operation.     When complete, select the X in the upper-right corner to close the window and continue.