ARTIS icono Floor VE20 System Overview - USA

Welcome to the ARTIS icono floor system: System Overview Online Training. This module will introduce you to the components in the exam room. In this training you will learn about: The hardware components in the exam room Operation of the control modules Touchscreen operation The exam room display and Onscreen menu Please note: This online training module should not be seen as a replacement to onsite application training. The information in this module supplements the training provided by your Siemens Healthineers Applications Specialist.   The ARTIS icono floor system stand is comprised of the following components: C-arm Detector X-ray tube and Collimator The stand and C-arm can be moved manually with the joysticks on the Pilot control module (PCM) or via pre-programmed system positions using the touchscreen.    Learn about the detector housing membrane keys Learn about the detector housing membrane keys Base ImageHotspotsText BlocksImage FileFD lifting and lowering - setting the SIDC-arm rotation: Cranial/caudal angulationsC-arm orbital movement: RAO/LAO angulationsC-arm longitudinal movementLaser positioning light on/off Please note: This membrane key is only available on the large FD.  FD Rotation (setting portrait/landscape) Please note: This membrane key is only available on the large FD.  Anti-scatter grid opening The release button is located on the other side of the detector. Learn about the C-arm and detector Learn about the C-arm and detector Tab TitleTextInput fields   Zoom stage Input field (diagonal) as21HDR as40HDR zen40HDR Nominal format/zoom 0 29 cm  49 cm 50 cm Zoom 1 25 cm 40 cm 40 cm Zoom 2 20 cm 32 cm 32 cm Zoom 3 16 cm 25 cm 25 cm Zoom 4 13 cm 20 cm 20 cm Zoom 5 10 cm 16 cm 16 cm Zoom 6 - 13 cm 13 cm Zoom 7 - 10 cm 10 cm The input field is the diagonal measurement of the field.  Learn how to remove and insert the grid Learn how to remove and insert the grid Checklist TitleChecklist TypeChecklist ContentWhen to remove the grid?HTML   The scatter grid is intended to filter scatter that is created by the patient and other objects, out of the image to improve image quality. As in pediatrics the dose awareness is high and the scatter, created by small patients is low, the grid can be removed. To ensure optimal image quality, the grid should remain inserted for all other cases. C-arm in AP positionHTML     To minimize the risk of the grid falling, the C-arm should be in the anterior-posterior (AP) position when removing or inserting the grid​. Please note: Handle the grid with special care. If the grid is dropped or not handled properly, the grid could be damaged. Grid damage cannot always be seen externally. Press the buttonHTML Press the button on the front of the FD, the grid slides out of its holder. Pull the grid outHTML    Pull the grid out to the rear. Once the grid is removed, place the grid in a safe place. Insert the gridHTML Insert the grid from the back When inserting the grid, pay attention to correct orientation.The arrows on the grid must point toward the detector and the label on the grid must point toward the patient. Mechanical lockHTML Pay attention to correct locking: An audible engagement sound should be heard.   Your ARTIS icono floor system is installed with a patient table and a tabletop tailored for your examination needs.  Before positioning the patient on the table, pay attention to the table weight limit.  You will find a sticker indicating the weight limit on your table.   Learn how to rotate the table Learn how to rotate the table Tab TitleTextRotate with the handgrip Push the button under the grip to release the table Rotate the table ARTIS Multi-tilt table only.  Rotate with the TCM On the Table Control Module: Press the table unlocking key. When the function is active the LED will appear blue. Rotate the table while pressing on the knob on the TCM. To lock the tabletop, press on the table unlocking key again. ARTIS Multi-tilt table only. ​ Rotate with the foot pedal Press the pedal to release the table. Rotate the table. With the pedal pressed the table will not lock into position. Release the pedal and the table will lock when in an increment. When the table is engaged in a lock an audible 'click' will be heard. Please note: In the case of a power outage, the pedal is the only method to rotate the table. Learn how to block table movements Learn how to block table movements Block table movements. When the LED is blue the table movements are blocked.   Your system may be installed with either the universal collimator control module or the cardiac collimator control module.  The components of the CCM include: One or two joysticks for filter placement One joystick for collimator placement A key to reset the collimation and filters  A key to toggle between the wedge and finger filter (universal collimator) You can perform collimation on the live fluoroscopy image or with CAREprofile on the last image hold (LIH). To activate CAREprofile, activate the filter or collimation joystick when fluoroscopy is not active.    Universal collimator control module Universal collimator control module Base ImageHotspotsText BlocksImage FileReset collimator leaves and filter diaphragmsJoystick for wedge filter or finger:  To remove the filters press down on the joystick.  Joystick for wedge filter or finger:  To remove the filters press down on the joystick.Collimator joystick: The joystick can be deflected in X,Y and diagonal directions. Press the joystick down to fully open the collimation.Toggle wedge filters/finger filter Cardiac collimator control module Cardiac collimator control module Base ImageHotspotsText BlocksImage FileCollimator joystick: The joystick can be deflected in X, Y and diagonal directions. Press the joystick down to fully open the collimation.Joystick for wedge filterReset collimator leaves and filter diaphragms There are different types of programmed positions: System Positions  Anatomical Positions  Direct Positions It is possible to have some, or all of the following system geometry stored in the position: Stand and C-arm position, Table height and tilt, SID, zoom stage, collimation and filter positions.   Learn about C-arm positions on the touchscreen Learn about C-arm positions on the touchscreen Base ImageHotspotsText BlocksImage FileYour most frequently used positions can be stored as Direct Positions. Swipe from right to left on the touchscreen or press the keys on the Pilot control module.System positions move the system into a predefined position for a clinical procedure.The position of the stand/C-arm and table will be restored in absolute room coordinates. Anatomical Positions move the system to create the same image view, for example, LAO/RAO cranial/caudal views. Please note that the learning material is for training purposes only! For the proper use of the software or hardware, please always use the Operator Manual or Instructions for Use (hereinafter collectively “Operator Manual”) issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training. The Operator Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Note: Some functions shown in this material are optional and might not be part of your system. The information in this material contains general technical descriptions of specifications and options as well as standard and optional features that do not always have to be present in individual cases. Certain products, product related claims or functionalities described in the material (hereinafter collectively “Functionality”) may not (yet) be commercially available in your country. Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. Copyright © Siemens Healthcare GmbH, 2019 Fluoroscopy and acquisition are released with the footswitch. Acquisition can also be released with the hand switch. Two footswitch versions are available, wired or wireless. Fluoroscopy is released with the bottom left footswitch pedal Acquisition is released with the top left footswitch pedal ​The functions of the footswitch pedals can be configured by Siemens Healthineers Service to your preference. It is possible to have one of the pedals of the footswitch assigned as an Alternative acquisition pedal.    Learn about the hand switch Learn about the hand switch The hand switch has two buttons: The yellow Acquisition button for releasing acquisition series and single acquisitions The Multifunctional button The Multifunctional button has different functions depending on the selected protocol: Protocol with variable frame rate: to switch from one phase to the next phase DR-DYNAVISION, DYNAVISION or 3D protocol: to start the next phase Please note: It is not possible to release fluoroscopy with the hand switch. Images and information are divided into segments, for example:  ​Live image Ref1 and Ref2  3D sharing External video sources  Important system messages, examination data and system position information are arranged in the Info area.   Learn how to change the exam room display layout Learn how to change the exam room display layout Tab TitleTextOpen the layout gallery To open the Layout Gallery, press on the key on the Pilot control module. The Layout Gallery appears directly on the exam room display.  Please note: It is also possible to open the Layout Gallery from the Onscreen menu.  Select the layout The layout gallery displays the available layouts in a graphical view on the exam room display. Deflect the jog wheel to select the desired layout. Press OK on the jog wheel to confirm your selection. The layout will update immediately. Change the layout from the touchscreenIt is also possible to change the layout from the touchscreen. Select Display and then Layout on the touchscreen   The layouts appear as a list of names Select the desired layout To change the input source, select Source from the touchscreen Learn more about the exam room display Learn more about the exam room display Tab TitleTextInfo area The Info area can be configured to appear at the bottom and additionally on the large display: On the right side or left side On the bottom left  or on the bottom right The following information is displayed in the Info area: Patient name The selected examination and fluoroscopy protocol Dose monitoring information System and table position information Jog wheel functions Error, status and information messages are prompted in the message area Segment types Segment Type Segment Header Displayed Live Current live image or LIH (last image hold) (examination patient)   Reference Reference image (examination patient)   3D Sharing 3D/4D rendered images (examination patient or review patient/registered volume)   External Other video sources, for example Sensis Vibe or ultrasound, that may be connected to the display and configured as segments   Congratulations. You have completed the ARTIS icono floor System Overview 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. Download and print a copy of the Course Review.  System components:  The ARTIS icono floor system stand is comprised of the following components: Stand C-arm Detector X-ray tube and Collimator Table:  Your ARTIS icono floor system is installed with a patient table and a tabletop tailored for your examination needs.  Before positioning the patient on the table, pay attention to the table weight limit.  You will find a sticker indicating the weight limit on your table. Pilot control module: With the Pilot control module (PCM), you perform stand/C-arm movements and operate the imaging system.  The Pilot control module is equipped with multi-functional joysticks. You use these joysticks to position the stand and the C-arm. Jog wheel: The jog wheel combines several functions. The current allocation of the jog wheel functions are displayed on the exam room display. The keys on the pilot control module control various imaging and system positioning functions.  ​Table control module:  With the Table control module (TCM), you control table movements.  With the table joystick/panning knob, you can adjust the table position.  Collimator control module:  Use the Collimator control module (CCM) to adjust the collimator and filter positions. Your system is installed with either the universal collimator control module or with the cardiac collimator control module. The universal collimator control module has two filters: the wedge and finger filter. The cardiac collimator control module contains the wedge filter only. The components of the CCM include: One or two joysticks for filter placements One joystick for collimator placement A key to reset the collimation and filters and A key to toggle between the wedge and finger filter (universal collimator) You can perform collimation on the live fluoroscopy image or with care profile on the last image hold (LIH). Programmed Positions:  There are different types of programmed positions: System Positions are the basic positions Anatomical Positions are customized positions to demonstrate a particular image view You can store your most frequently used positions as Direct Positions Store Direct Positions: There are three keys surrounding the left joystick on the Pilot control module for storing direct positions: direct position 1, 2 and 3. To store a direct position, move the C-arm system to the desired position.  Press the store key at the front of the left joystick. The LEDs on the direct position keys flash. Select the key on which you would like to store the direct position: position 1, 2 or 3.  To move the system to the direct position, press the direct position key 1, 2 or 3. Press down on the joystick and deflect the joystick away from you. It is also possible to move the system to the direct position by pressing down and holding the direct position key.  Touchscreen: Selected functions can be operated by using the touchscreen of the Pilot control module.  It can be operated similarly to a mobile phone display.  The touchscreen is arranged in the main menu and sub menu pages.  Exam room display: Images and information are divided into segments, for example:  ​Live image Ref1 and Ref2  3D sharing External video sources  Important system messages, examination data and system position information are arranged in the Info area. Onscreen menu: The Onscreen menu allows you to access many functions of the imaging system from the exam room.  To open the Onscreen menu, press on the key on the Pilot Control Module (PCM).  The Onscreen menu opens on the exam room display. The menu items available depend on the licenses available on your system and your system configuration.  ​You use the jog wheel to scroll through menu items on the Onscreen menu. ​X-ray release: Fluoroscopy and acquisition are released with the footswitch. Acquisition can also be released with the hand switch. ​Two footswitch versions are available, wired or wireless.  Fluoroscopy is released with the bottom left footswitch pedal. Acquisition is released with the top left footswitch pedal​. ​The functions of the footswitch pedals can be configured by Siemens Healthineers Service to your preference.  ​It is possible to have one of the pedals of the footswitch assigned as an Alternative acquisition pedal.    Table movements using the touchscreen Table movements using the touchscreen Table control module (TCM) up and down buttons Table control module (TCM) up and down buttons Upon successful completion of this course, you will be able to: Recognize the components of the ARTIS icono floor system   Move the system using the control modules   Release radiation using the hand switch and the footswitch   Operate the touchscreen   Navigate the menus on the Onscreen menu With the Pilot control module, you perform stand/C-arm movements and operate the imaging system. Learn about the Pilot control module keys Learn about the Pilot control module keys Base ImageHotspotsText BlocksImage FileDirect position key 2Direct position key 1Direct position key 3Store Direct position keyMove the system to an optimal position to perform CPRLED indicator for the orientation of the Pilot control module in relation to the system  Define as region of interestSynchronize table and C-arm movements  Stop in the Basic positionDrive the system to the Home C-arm positionStore the reference image Store key This key may be configured to store: A store monitor (single) image A fluoroscopy loop Or to store a store monitor image with a short press and a fluoro loop with a long press Open the reference directoryOpen the layout selection for the exam room display  Jog wheel. The jog wheel combines several functions. The current allocation of the jog wheel functions are displayed on the exam room display.  Exit the current functionOpen the scene directoryOpen the Onscreen menuIncrease and decrease fluoroscopy image qualityIncrease and decrease image zoom Block all stand/C-arm and table movements keyBlock radiation keyPress and hold this button when in a collision zone to manually override the collision sensorActivate and deactivate the stop watch Learn about the joysticks Learn about the joysticks Tab TitleTextMovements left joystick Movements right joystick