ARTIS icono VE20 ClearStent and ClearStent Live Job Aid

SIEMENS Healthineers ARTIS icono VE20 ClearStent and ClearStent Live Template Effective Date: 05/27/2019 | HOOD05162003010284 Job Aid Effective Date: 06/17/2020 | HOOD05162003101384 Unrestricted © Siemens Healthineers, 2020 ClearStent and ClearStent Live SIEMENS Healthineers Table of Contents Introduction 3 ClearStent Live workflow steps 4 ClearStent workflow steps 7 ClearStent reference image workflow steps 9 ClearStent image 2 Effective Date: 06.17.2020| HOOD05162003101384 Unrestricted © Siemens Healthcare GmbH, 2020 ClearStent and ClearStent Live SIEMENS Healthineers Introduction With the ClearStent and ClearStent Live imaging functions, you can emphasize fine structures, for example inflated stents. • ClearStent Live is a protocol which provides a stabilized view of the stent. • You can use a ClearStent acquisition protocol to create a ClearStent image: • Without contrast medium injection, a ClearStent reference image is automatically created. • With contrast medium injection, a ClearStent Dynamic scene is created. A sequence of images is created fading between the inverted ClearStent image and the max fill image. • The ClearStent reference image function allows you to generate a ClearStent reference image from any suitable native fluoroscopy or ClearStent Live image acquisition scene. Introduction 3 Effective Date: 06.17.2020| HOOD05162003101384 Unrestricted © Siemens Healthcare GmbH, 2020 ClearStent Live SIEMENS Healthineers Workflow steps Prepare for the ClearStent Live acquisition: • Prepare the patient, stand, C-arm and table. • Perform a brief fluoroscopy: Press the fluoro pedal of the footswitch. • Check/set the SID, zoom stage, collimation, filters and the measuring fields. Acq. Protocol Select the ClearStent Live acquisition protocol: Coro1 CARE • Coro1 xCARE On the touchscreen select the ClearStent Live acquisition protocol. • It may also be possible to have the ClearStent Live acquisition protocol configured as an alternative acquisition D CLEARstent on your footswitch. Please check with your Siemens Healthineers Service representative whether this configuration is possible. CLEARstent Live • Select an image format/zoom stage: 10 cm to 25 cm. LV KO G Sys. Pos. Roadmap Case Flows Exam Favorites ClearStent 4 Live workflow Effective Date: 06.17.2020| HOOD05162003101384 steps Unrestricted © Siemens Healthcare GmbH, 2020 ClearStent Live SIEMENS Healthineers Workflow steps Start ClearStent Live: • Press the exposure release pedal on your footswitch or the exposure release button on your hand switch to start ClearStent Live. The system prepares ClearStent Live: 1. You will see a message in the info area on the exam room display: ‘Preparing ClearStent Live’. • The detection algorithm has not finished detection. Keep the exposure release pedal pressed. 2. When the detection algorithm has finished detection, the message ‘ClearStent Live Calculation running’ is displayed. • The ClearStent Live image is displayed on the Ref segment on the exam room display. ClearStent 5 Live workflow Effective Date: 06.17.2020| HOOD05162003101384 steps Unrestricted © Siemens Healthcare GmbH, 2020 ClearStent Live SIEMENS Healthineers Workflow steps Display of ClearStent Live images: Images processed by the ClearStent Live algorithm are displayed in The Live segment on the exam room display, displays the live the Ref segment on the exam room display, providing a stabilized acquired scene. view of the stent. End ClearStent Live: • When the acquisition is complete, release the exposure release button. • Two scenes are stored; the live acquired scene and the stabilized scene. ClearStent 6 Live workflow Effective Date: 06.17.2020| HOOD05162003101384 steps Unrestricted © Siemens Healthcare GmbH, 2020 ClearStent SIEMENS Healthineers Workflow steps Prepare for the ClearStent acquisition: • Prepare the patient, stand, C-arm and table. • If required, check the injector. • Perform a brief fluoroscopy: Press the fluoro pedal of the footswitch. • Check/set the SID, zoom stage, collimation, filters and the measuring fields. Coro1 xCARE Select the ClearStent acquisition protocol: CLEARstent • On the touchscreen select the ClearStent acquisition protocol CLEARstent Live Start the ClearStent acquisition: • Press the exposure release pedal on your footswitch or the exposure release button on your hand switch to start the ClearStent acquisition. Acquisition phases: • Acquisition phase 1 takes place. Keep the exposure release button pressed. • At the beginning of acquisition phase 2 an injection symbol is displayed on the exam room display. • For a ClearStent Dynamic scene, inject the contrast medium. ClearStent 7 Workflow Effective Date: 06.17.2020| HOOD05162003101384 steps Unrestricted © Siemens Healthcare GmbH, 2020 ClearStent SIEMENS Healthineers Workflow steps End the ClearStent acquisition: • When the acquisition is complete, release the button on the hand switch or footswitch. Display of ClearStent images: When the processing of ClearStent is concluded: If contrast medium is present in the images, a ClearStent • A ClearStent reference image is created, stored and displayed Dynamic scene is also created and stored. on the reference segment. If no contrast medium is detected in the image, the The scene is displayed on the Live image segment. • ClearStent reference image is also displayed on the Live image segment. • If the Review mode is set to Loop, the ClearStent Dynamic scene will be displayed in Toggle review mode. • If the review mode is set to MFH (max fill hold), the ClearStent Dynamic scene will be displayed with max fill hold. ClearStent 8 Workflow Effective Date: 06.17.2020| HOOD05162003101384 steps Unrestricted © Siemens Healthcare GmbH, 2020 ClearStent reference image SIEMENS Healthineers Workflow steps ClearStent Reference image: • You can generate a ClearStent reference image from a previously acquired scene or fluoroscopy scene. • If an ECG signal is available, the heart phase will also be considered. • To use a scene for ClearStent, balloon makers must be included in the scene and positioned inside the stent. Generate a ClearStent reference image: • Select the Menu icon in the Segment header. • Select on the Image tab. • Select the ClearStent icon. Image display: • The ClearStent image will be created and stored as the new reference image. • The newly created image is displayed on the Ref 1 segment. • The image is displayed zoomed and panned so that stent and the balloon markers are visible. • The image is not cropped to this region, you can still zoom the image out if required. ClearStent ref 9 image Effective Date: 06.17.2020| HOOD05162003101384 workflow Unrestricted © Siemens Healthcare GmbH, 2020 SIEMENS Healthineers 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, 2020 10 Effective Date: 06.17.2020| HOOD05162003101384 Unrestricted © Siemens Healthcare GmbH, 2020