ARTIS pheno System Overview

Welcome to the ARTIS pheno System Overview online training. This module will introduce you to the system components when working in the exam room and the control room. Additionally, important safety and maintenance information will be explained. In this training you will learn about the following system components: Equipment in the control room C-arm and table in the exam room System control modules Exam room display   Upon completion of this course you will be able to: Identify the main components of the control and exam room Recognize the components of the control modules Understand important safety considerations Perform routine system maintenance Apply collimation and filters using the control module Perform C-arm and table movements using the control modules Congratulations. You have completed the ARTIS pheno 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. General Safety Information: Important safety information can be found in the Operator Manual. User guidance is available on the system in the form of Pictogram labels and System messages.  System messages are located in the Info area of the Large Display in the exam room or on the System console in the control room. System messages can be in the form of information messages, guidance messages or error messages.  Radiation and system movements can be blocked: In the exam room on the Pilot control module and in the control room in the examination task card on the system console. To move the system to a stable position for CPR, press the CPR Assist key on the Pilot control module. Emergency stop buttons: Emergency stop buttons are located on the Table and Pilot control modules in the exam room. ​When pressing the emergency stop button, radiation and system movements are interrupted.  If injections are controlled by the system, injections are also interrupted. Radiation can be released again without releasing the emergency stop button. ​System movements are only possible after releasing the emergency stop button. The emergency shutdown button will cause complete system shut down and should only be used in extreme situations as the process is uncontrolled and may result in data loss. System movement considerations: The ARTIS pheno has the following integrated safety mechanisms to help prevent collisions: Dead man's grip (DMG): System movement only occurs when the operating element is activated correctly. Collision computation: calculates possible collisions between the stand/C-arm and patient table. Speed reduction of system movements when the system calculates a possible collision. Collision sensors: stop movements when a collision is detected by the sensors. ​Acoustic signals are activated when the system moves into a collision zone. Not all components are included in the collision avoidance computation. The computation includes the table, stand, floor, walls and ceiling. Care should always be taken when moving the system to avoid collisions. Components in the control room: A 24" TFT color display. An optional 24” TFT color display for reference images or a 30" Artis cockpit. A system keyboard and mouse Central power control (CPC). System start-up is done by pressing the power on button on the CPC. System shutdown is done with the syngo user interface by selecting either: Shutdown on the home screen Options > Shutdown from the main menu. Emergency Shutdown by pressing the power button on the CPC until system shuts down. Components in the exam room: ARTIS pheno stand with C-arm X-ray tube and detector Siemens multi-tilt table or a third party table, such as the Trumpf or Maquet table Exam room display Control modules for system movements A footswitch for x-ray release An optional control console trolley An optional multi-functional hand switch. The control modules control system movements and imaging functions: The Pilot control module (PCM) controls stand movements and imaging functions. The Table control module (TCM) controls table movements. The Collimator control module (CCM) controls collimation and filter positioning. The components of the Pilot control module include: Two joysticks: The left joystick is for C-arm rotational movements, the right joystick is for C-arm longitudinal movements.  Jog wheel: The jog wheel combines several functions. When using the jog wheel, pay attention to the Info area on the Large Display, information about the current jog wheel function is indicated in this area. Keys on the Pilot control module:  Swivel C-arm clockwise/counterclockwise Lift C-arm up/Lower C-arm down Drive to Home position Drive to CPR position Synchronize C-arm movement with table movement Block all C-arm/stand and table movements Block radiation Collision override Store image Open Onscreen menu Open layout selection Exit function Open scene directory Open reference image directory Store reference image Increase/Decrease image quality (dose) Increase/decrease zoom stage (zoom in/zoom out) ​The components of the Table control module: Panning knob or joystick for table movement. Keys: Lift table up/Lower table down Block table movements key Unlock table rotation key Orientation of the control modules key The components of the Collimator control module: Two joysticks for filter placement One joystick for collimation placement Key to toggle between finger filter and wedge filters Home key to reset collimator leaves and filter diaphragms Siemens Multi-tilt table: There are four possible tabletops: narrow, wide, neuro and long. The weight limit of the table depends on the table top. The narrow, wide and neuro tabletop have a patient weight limit of 280 kg and the long tabletop has a patient weight limit of 200 kg. Labels indicating the weight limit are located at the table foot end and on the base of the table. The weight limit is also described in the Operator Manual. Touchscreen: The touchscreen is your access point to various imaging system functions, system positioning functions and settings. Menus of the touchscreen: Examination: Provides access to imaging parameters. Display: Provides access to change the Large Display layout and to change the input source on the Large Display. C-arm Position: Provides access to programmed system positions. Table: Provides access to functions related to the table. Detector: Provides access to functions related to the detector. Roadmap and overlay: Provides access to the imaging functions: Roadmap and overlay. Favorites: Provides access to most regularly used functions. Programmed Positions: You can move the system to pre-programmed system positions by accessing the C-arm position menu from the touchscreen. Types of programmed positions: System positions:  Basic positions, for example, right side, head side and transfer position. Anatomical Positions: customized positions to demonstrate a particular image view, for example, LAO/RAO, cranial/caudal views. Direct Positions: Your most frequently used positions. Current positions: Move the system to the position of a selected 3D or reference image Exam room display: Images, acquisition data, system messages and menus are consolidated onto one 55" monitor display, the Large Display. The Large Display is mounted on the Display ceiling suspension (DCS) Important system messages, examination data and system position information is arranged in the Info area. Many system and imaging functions can be accessed from the Onscreen menu ​ The Onscreen menu: The Onscreen menu provides access to many functions of the imaging system from the exam room. You use the jog wheel on the Pilot control module to select items on the Onscreen menu.​ ​Some of the functions available through the Onscreen menu include:  Image review Image post processing Store monitor and store reference images Select workflows 3D Wizard ​ Selected Sensis functions in the integrated Sensis/Artis environment. Large Display Layout Each input on the Large Display is arranged within a layout. The system is delivered with default layouts; you can modify these or create your own layouts. ​ Possibilities to change the Large Display layout: From the Display menu on the touchscreen By opening the layout gallery, with the key on the PCM and using the jog wheel to select the layout. By opening the layout gallery from the Onscreen menu and using the jog wheel to select the layout. Radiation protection: CARE features to reduce radiation Multiple low dose fluoro, roadmap, acquisition programs and if your system is optioned, low dose syngo DynaCT. Upper and lower body radiation protection devices can be fitted around the system. Sterile covers Commercially available sterile covers can be used on the ARTIS pheno. Covers can be used on the following system components:  C-arm Flat detector X-ray tube with collimator Radiation protection Control modules Cleaning and disinfection: Information on cleaning substances and cleaning protocol can be found in the Operator Manual or in the ARTIS pheno CleanGuide, available on the ARTIS pheno internet page. ​ Power Failure: Your system may have Uninterrupted power supply (UPS) installed which may supply power to the imaging system for a short period of time to prevent image loss or may supply power to the entire system, allowing fluoroscopy to continue for a short period of time. Confirm with your Siemens Healthineers service representative whether you have UPS installed and refer to the Operator Manual for further information regarding the functions maintained. When power to the system is completely lost, there is a standby battery for the stand to allow swivel of the base and C-arm for moving the C-arm away from the patient. This procedure, if necessary, must be conducted within a 5 minute timeframe. Brake test: Brake tests must be performed regularly as part of the system maintenance. Message appears on the Large Display info area: "Stand test necessary within # days” Perform the brake test as soon as possible. If not performed within the specified time range, the speed of system movements will be reduced. To perform the brake test, move the system to the Parking Position. When complete, if the brake test is successful, a message appears on the Large Display: “Stand Test: Successfully completed” If the test is not successful, the following message appears: “No system movement: Stand test failed, SC”, Call service if this message appears.   ​     The following equipment is located in the control room: A 24" TFT color display  As an option: An additional display for reference image display or the 30" Artis cockpit A system keyboard and mouse Central power control (CPC) The control room is where system start-up and shut down occurs, along with many other important tasks related to image and patient documentation. Some examples of tasks performed in the control room include: Patient registration, pre-procedure planning, parallel processing, image review and post processing and procedure documentation   Learn about the CPC Learn about the CPC Base ImageHotspotsText BlocksImage FileUSB ports: A: DVD archive B: DVD scene recording C: USB port for keyboard D: USB port for mousePower on button: One button to start the system. Please note:  System shut down is normally done with the syngo software. In the case that software shutdown is not possible, the start button on the CPC can be pressed for a few seconds to initiate a forced system shutdown.Light band: Indicates system status. The color of the light band depends on whether a second footswitch or control console is installed in the control room. When no extra footswitch or control console is installed, the light band will always appear gray and the system status is indicated by the light band on the start button. When an extra footswitch and/or control console is installed in the control room the light band indicates the following system status. Gray (not lit): The system is either not ready for x-ray or the system is switched off. Green: The system is ready for x-ray Yellow: x-ray is active. USB port for image export. Only USB memory sticks can be used. The use of hard drives is not permitted. Learn about the control room displays Learn about the control room displays Tab TitleTextStandard display As standard, the ARTIS pheno is installed with a 24" (61 cm) TFT color display for medical viewing of DICOM gray scale images.  The display will start automatically during system start-up. When operational a green LED indicator appears on the right above the operating elements. In the case that the monitor is not switched on, a power on switch is located on the underside of the display.   Artis Cockpit An option is Artis Cockpit. The Artis Cockpit consolidates a number of systems to one console. You can operate multiple computers and applications from one monitor with a single mouse and keyboard. Up to nine system inputs can be displayed on the Artis cockpit, such as: ARTIS, PACS or Sensis.     Learn about system start-up and shut down Learn about system start-up and shut down Tab TitleTextSystem start-up     To start the system press and hold the power-on button on the CPC for approximately 0.5 seconds.   System Shutdown: System console System Shutdown is done with the system console. Select: Options > End Session The End session window will appear Select: Shutdown System Please note: In cases where system shutdown cannot be performed with the software a forced shutdown may be done by pressing and holding the CPC power-on button until the light band turns gray. System Shutdown: Home screen It is also possible to shut down the system from the Home screen. Select: Shut down > Shut down The ARTIS pheno multi-axis system is comprised of the following components: Stand C-arm Detector Collimator The stand and C-arm can be moved manually or via pre-programmed system positions using the touchscreen of the Pilot control module.  The Flat panel detector (FD) is rectangular in shape and can be rotated to landscape or portrait orientation depending on the area of interest. During rotation of the detector and swiveling of the C-arm, the Multispace feature ensures alignment of the FD and collimation to the tabletop. This straight view feature ensures upright imaging of the anatomy.   Learn about the detector housing membrane keys Learn about the detector housing membrane keys Base ImageHotspotsText BlocksImage FileRaise/lower the detectorC-arm rotation: Cranial/caudal angulationsC-arm orbital movement: RAO/LAO angulationsLongitudinal table movementLaser positioner on/offFD RotationAnti-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 TitleTextSID and patient coverage   Focal spot to detector distance (SID) Patient coverage (without repositioning) minimum 100cm   168 cm (66.14“) or 200cm (78.74“)* maximum 130cm *(dependent on table rotation) The C-arm has a usable clearance of up to 95.5 cm between the Detector and the Collimator. zen 40 HDR detector    The zen 40HDR detector has crystalline silicon CsI detector with a 16-bit digitalization depth and an input field of approximately 30 cm x 40 cm (15.7" x 11.7"). The active matrix is 2496 x 1856 pixels. The scintillator, converting X-ray quanta into visible light, has a thickness of 1000 micrometer. Input fields   Zoom Stage Input field (cm) Input field (inches) Nominal format/zoom 0 50cm 19.7in Zoom 1 42cm 16.54in Zoom 2 32cm 12.6in Zoom 3 22cm 8.66in Zoom 4 16cm 6.3in Zoom 5 11cm 4.33in 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 reduce patient entrance dose, while maintaining image quality, the 'Air Gap Method' can be used for pediatric patients less than 20 kg. The 'Airgap method' involves the following workflow: Remove the grid Increase the SID Increase the field of view (reduce zoom stage) In ARTIS systems, all default pediatric programs are designed for this workflow. Please note: To ensure optimal image quality, the grid should remain inserted for all other cases. Ensure the C-arm is not rotatedHTML     To minimize the risk of the grid falling, the c-arm should be either in the 'zero', anterior-posterior (AP) position or close to the 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, it is possible for internal damage to occur that can impair image quality.   Press the button on the front of the FDHTML The grid slides out of its holder Pull the grid out to the rearHTML    Once the grid is removed, place the grid in a safe place Insert the grid from the backHTML 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 Insert the grid till the mechanical stopHTML Pay attention to correct locking: an audible engagement sound should be heard   Your ARTIS pheno may be installed with either the Siemens Multi-tilt table or with a third party delivered surgical table such as Trumpf or Maquet. For the Siemens Multi-tilt table, there are four possible tabletops: narrow, wide, neuro or long. Before positioning the patient on the table, pay attention to the table weight limit. It is important that you consider not only the patient weight, but also the weight of the accessories on the rails and the weight needed in the event that cardio-pulmonary resuscitation (CPR) is required.  At the base of the table and on the tabletop you will find a sticker indicating the weight limit for your table top.      Learn how to rotate the Multi-tilt table Learn how to rotate the Multi-tilt table Tab TitleTextRotate the table with the handgrip   On both sides of the patient table there is a grip for manual table rotation. Under the grip, there is a button to unlock the table Push on the button under the grip to release the table Rotate the table The table will lock at 3 degree increments. If you keep the button pressed during rotation, the table will not lock. To lock the table release the button and rotate. The table will lock at the next increment. Rotate the table with the TCM On the Table Control Module: Press the Unlock table rotation 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, release the TCM knob and rotate until the table locks in the next increment (every three degrees) When the LED is white, the table is locked ​Please note: If the tabletop was moved towards the head end whilst rotated out of the zero position, you need to take care when rotating the table back to the zero position as collisions may occur with the C-arm. Rotate the table with the foot pedal A pedal for table rotation is located at the base of the table. Press on 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 (every three degrees) 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 about the Multi-tilt table Learn about the Multi-tilt table Tab TitleTextTable movements      Tilt angle head down/head up – 20 °, + 15 ° Tilt angle lateral (side to side)           ± 15 ° Table height 75.0 cm to 110 cm  (29.5" to 43.3") Table rotation ± 120 ° with 3 ° increments Manual longitudinal travel 125 cm (49.2") Manual transverse travel ± 17.5 cm (6.9")   Table Mattress For each tabletop, it is possible to have one of the following mattresses: Thin mattress Thick mattress For safety reasons, ensure that the mattress is securely attached to the tabletop, for example, with Velcro tape. Although the mattress is water-resistant, blood, or colored disinfectants may leave stains that cannot be removed. For infection control purposes, it is recommended to cover the mattress with plastic. Power outlets If ordered, optional power outlets are located at the base of the ARTIS Multi-tilt table: One power outlet for power injector connection Two country specific power outlets Positioning the accessory rail The control modules, radiation protection and injector are attached to the table on the accessory rails. It is possible to move the rails along the table. To move the accessory rails: 1 Lift the lever (1) and then slide the accessory rail (2) 2 To lock the accessory rail into position, release the lever Learn about the weight limits Learn about the weight limits Tab TitleTextWeight limit        Patient weight limit 280 kg (617 lbs.) Patient weight limit (long tabletop) 200 kg (441 lbs.) Accessory weight limit 100 kg (220 (lbs.) CPR 60 kg (132 lbs.) The weight limit of the table depends on the tabletop. The narrow, wide and neuro tabletops can withstand a greater load than the long tabletop. To avoid table deformation, it is important that weight is evenly distributed across the tabletop. That is, the maximum weight should not be located on one point of the table. You could not for example have a patient with the maximum weight load sit on the head end of the table. Weight limit labels Labels indicating the weight limit for the table are located: On the tabletop (foot end) At the base of the table There are two possible labels indicating: The weight limit of the patient The weight limit including accessories Weight limit accessory rails                                      The maximum weight load for the accessories ( e.g. injector, radiation protection devices) attached to the accessory rails of the table are as follows: Maximum 100 kg in total Maximum 60 kg at the side rails (each) Maximum 40 kg at the foot rail   Operation of system movements and imaging functions are handled through the control modules. There are three parts to the control modules: The Table control module (TCM) for table movements The Pilot control module (PCM) for system movements and image review The Collimator control module (CCM) for collimator and filter placement and adjustment ​The control modules can be mounted on the accessory rails at the tableside or on a trolley. On the table there are accessory rails either side of the table or at the table foot end. The control modules are designed so that they fit directly on the lower-body x-ray protection shield. This makes it easier to operate the system while maintaining the optimal x-ray protection.   Learn about the control modules Learn about the control modules Base ImageHotspotsText BlocksImage FileThe Pilot control module (PCM) is the main control module for system movements and imaging functions.  Table control module (TCM) provides the controls for table movements.  There are two variations of the table control module: TCM-S: Table control module with panning knob TCM-J: Table control module with joystick Please note: The TCM-S cannot be used on the control trolley or in the control room.Collimator control module (CCM) provides the controls for collimator and filter positioning.The touchscreen provides access to many system functions, for example: Change x-ray parameters Drive C-arm to automated System Positions or Anatomical Positions Select Roadmap parameters Large Display layout selection Operate table tilt and table cradle Open Favorites menu The touchscreen is your access point to various imaging system functions, system positioning functions and settings. The touchscreen is arranged by the main menu and sub-menus. Interaction with the screen is operated similarly to a mobile phone display. Some examples of the tasks that can be accessed from the touchscreen include: Change the selected exam or program Adjust the fluoroscopy pulse rate or the acquisition frame rate Change the Large Display layout Move the system to automated positions Couple the C-arm and table movements Rotate the detector Roadmap and overlay functions Please note: When the touchscreen is idle for a longer period of time it goes into power save mode and the display will not be lit. You simply need to touch the touchscreen again with your finger to reactivate it.   Learn about the touchscreen menus Learn about the touchscreen menus Base ImageHotspotsText BlocksImage FileSelect Examination to change the protocol or to adjust the parameters including, fluoroscopy pulse rate, acquisition rate, measuring field and scene length and more.Select C-arm Position for pre-programmed and user-defined system positions. Select the arrow next to the first entry in blue to access other possible C-Arm Positions.  Select Display to change layout of the Large Display or the input source within a layout.Select Table to change the table tilt and cradle, to see position of tabletop, to couple table and C-arm movements, block table movements and more.Select Detector to rotate the detector, display the current zoom and SID and to activate the laser light.  Select Roadmap and Overlay to activate Roadmap and 2D and 3D overlay functions.The Favorites menu can be customized to include your most frequently used functions.   Learn about the touchscreen Learn about the touchscreen     The Onscreen menu provides access to many functions of the imaging system in the exam room. You use the jog wheel on the Pilot control module to change the selection or to perform a selection on the Onscreen menu. The structure of the Onscreen menu consists of main menus and sub-menus depending on the selected menu item. The availability of certain functions is dependent on the installed licenses, the configuration of your system and the selected data or active workflow. Some of the functions available through the Onscreen menu include: Image review Image post processing Store monitor and store reference images Select workflows 3D Wizard Selected Sensis functions in the integrated Sensis/ARTIS environment   Learn how to operate the onscreen menu Learn how to operate the onscreen menu Checklist TitleChecklist TypeChecklist ContentOpen the Onscreen menuHTML   Press the Onscreen menu key on the Pilot control module (PCM) Deflect the jog wheelHTML Left to right navigates between pages Towards and away navigates between items Select item on the MenuHTML Press OK on the jog wheel to select an item Close the onscreen menuHTML To close the Onscreen menu either: Press the Onscreen menu key again or Press the x key on the PCM or ​Press any other key on the PCM Hint: The Onscreen menu will also close in the following situations: Once an item has been selected with OK If you deflect the joystick left to right when there are no menu options in a sub-menu If x-ray is released After a configured period of time The ARTIS multi-tilt table is designed to allow for CPR with a compression pressure of up to 600 N (60 kg).  In the case that CPR is required, the tabletop must not be tilted and the tabletop must be positioned so that the patient's thorax is positioned over the table column. This will ensure the greatest possible stability. A pre-programmed CPR Assist position is part of the system positions and is available by pressing the CPR Assist key on the Pilot control module. To move the system to the CPR position, press and hold the CPR Assist key on the Pilot control module.   The safety information in this module introduces you to the locations on the system where there is a possible danger of collision during system movements and how you can stop system movements in case of an emergency. You will also learn about the integrated system safety mechanisms and radiation protection.  Please note that this module should not be seen as a replacement to the safety information outlined in the Operator Manual.  Guidance is available in the form of pictogram labels and system messages shown on the displays in the control and exam room. You will find a comprehensive list of the pictograms in your Operator Manual.     Important pictograms Important pictograms Base ImageHotspotsText BlocksImage FileNo steppingDanger of crushing  Danger of crushingThis pictogram indicates that special instructions can be found in the accompanying documents. Please read the Operator Manual and other accompanying documents.  Footswitch  Accessory load (example)  CPR positionEmergency stopMaximum weight load  Class 1M laser Take care that no persons look directly into the light beam.Patient salvage device Learn about system messages Learn about system messages Tab TitleTextTypes of messages   Feedback message: A feedback message is displayed in the exam room on the Large Display and provides you with information about the system status, for example: Automatic run: Position reached.   Instruction message: An instruction message is displayed in the exam room on the Large Display and advises you about an action that you need to perform, for example: Automatic run: Move the table lift up.   Error message: An error message is displayed in both the exam and control room and provides you with information about problems with system components and system functions. Many error messages provide you with guidance to fix the problem, for example: Footswitch at table out of order. Messages in the exam room   In the exam room messages appear on the message bar on the large display. There are two lines of messages: The stand/table message line The system status message line Messages in the control room In the control room, messages appear in the status area at the bottom right corner of the system console and at the bottom of the image. In the status area the messages appear as text lines and icons: Two lines of text appear and a line of icons Radiation dose to the patient and personnel should be reduced as much as possible in alignment with the ALARA principle (As Low As Reasonably Achievable). To help achieve this, ARTIS systems are equipped with Combined Applications to Reduce Exposure (CARE) which comprise various features to reduce radiation dose for the patient and the operator. In addition to CARE, there are multiple low dose fluoro, roadmap, acquisition programs and if your system is licensed, low dose syngo DynaCT. A Fluoro timer is integrated in the system and is configured to the local legal requirements. Either an audible alarm will be heard when the configured time has elapsed or fluoroscopy will be blocked. For further protection to operating personnel from scatter radiation, Radiation protection devices can be fitted around the ARTIS pheno in the form of upper and lower body radiation protection.   Attaching the lower body radiation protection Attaching the lower body radiation protection Checklist TitleChecklist TypeChecklist ContentPrepare the tableHTML  Reposition or remove the control modules if necessary Position the accessory rail Slide the protection on the accessory railHTML Slide the rail of the lower body radiation protection on the accessory rail Align the radiation protectionHTML Align the arrow on the rail of the radiation protection to the end of the accessory rail. Insert the swivel partHTML Insert the swiveling part of the lower body radiation protection so that the bolt slides into the hole and fix it with the knob. Attach the upper shieldingHTML Attach the upper shielding Control modules can now be attached to the accessory rail if necessary Learn about CARE Learn about CARE        Please refer to your Operator Manual for a full description                     CAREmatic Automatic exposure control CAREfilter Automated Copper filtration CAREvision Pulsed fluoroscopy CAREprofile Collimator and filter positioning without radiation CAREposition Position the patient without radiation CAREwatch Real time dose area product (DAP) and the reference air kerma shown onscreen. CAREmonitor Real time accumulated skin entrance dose of the patient's currently radiated skin area. CAREguard Dose alert with 3 reference air kerma thresholds. The threshold values can be configured by service. CAREreport Detailed dose information captured in the exam protocol. Learn about the Upper body radiation protection Learn about the Upper body radiation protection    In order to reduce scattered radiation to the examiner, the upper body radiation protection can be positioned at the examiner's upper body. The upper body radiation protection is suspended from the ceiling and can be moved in any direction after releasing the brake. After being correctly positioned, the upper body radiation protection can be secured by releasing the brake handle. Please note: The upper body radiation protection is not included in the collision computer calculation. Please take care when moving the system to avoid collisions. As part regular system maintenance brake tests must be performed on the ARTIS pheno. Your Siemens Healthineers service representative will perform a brake test during regular system service. Additional brake tests must also be completed by the user. You should perform the brake test regularly. You can discuss the frequency of performing the brake test with your Siemens Healthineers representative. If a brake test has not been performed after a specific period of time, a reminder message will appear on the display:  "Stand test necessary within # days” When this message appears, it is important that you perform the brake test as soon as possible. If the brake test is not performed within the specified time range, the speed of system movements will be reduced. If this occurs a message will appear on the user interface: “Reduced stand/table speed, Stand Test necessary”.   Guide to perform the brake test Guide to perform the brake test Checklist TitleChecklist TypeChecklist ContentMove the system to the Parking PositionHTML     When a brake test is required, a message appears on the Large Display: "Stand test necessary within # days" To perform the brake test move the system to the Parking position Select: C-Arm Positions > System Positions > Parking Position on the touchscreen Deflect the joystick to drive to the Parking Position ​Keep the joystick deflected when the Parking position is reached to execute the brake test Message: Activate stand movementHTML     A message appears in the Info area on the Large Display: Stand test: Activate stand movement Keep the joystick deflected Brake test is initiatedHTML         A message appears on the Large Display: “Stand Test: Running” The system performs the brake test for each axle (6 times) Keep the method of activation active until the test is complete To interrupt the brake test at any time, release the joystick Please note: It is normal for the system to make some noise during the brake test Brake test resultsHTML              If the brake test is successful, you will see the message: “Stand Test: Successfully completed” ​You can return to normal operation If the brake test is not successful, you will see the message: “No system movement: Stand test failed, SC” ​All movements of the stand are blocked. (Table movements are still possible.) In this case, call service   Images, acquisition data, system messages and menus are consolidated onto one 55" monitor display, the Large Display.  The Large Display can be mounted on the Display Ceiling Suspension (DCS); the Pivot mounted DCS or the Rail mounted DCS. The layout of the screen area of the Large Display can be adapted to the needs of the procedure to allow optimal viewing of all needed image sources. The Live segment displays the Current live image or last image hold (LIH) The Ref1 and Ref2 segments display the reference images The Application segment displays integrated image applications, for example, the Quant or 4D task card External video sources can be displayed, for example, Sensis and PACS Important system messages, examination data and system position information are arranged in the Info area on the Large Display. In addition, many system and imaging functions can be accessed from the Onscreen menu.   Learn more about the Large Display and DCS Learn more about the Large Display and DCS Slide NumberText BlocksCalloutsAudio ScriptImage File1The Info area can be configured to appear: At the bottom of the Large Display On the right side of the Large Display On the bottom left or on the bottom right of the Large Display 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 The Info area can be configured to appear, at the bottom of the large display, on the right side of the large display, on the bottom left or on the bottom right of the large display. The following information is displayed in the Info area: the patient name, the selected examination and fluoroscopy protocol, dose monitoring information, system and table position information, jog wheel functions, message bar containing error, status and information messages. 2The stand/C-arm and table position are indicated on the display with symbols demonstrating the current position. The angle displays the C-arm angle in relation to the patient, based on the patient position entered. That means if the position of the patient is changed, the display also changes. Data for the table position refers to the edge of the tabletop. The mattress must be considered additionally.  Please note: The symbols depicted in this slide do not represent every available position. A full description of the positions can be found in the Operator Manual.CalloutsLAO/RAO angulation angleCranial/Caudal angulation angleLongitudinal C-arm positionAngle of table rotation about vertical axisLongitudinal position of the tabletopTransverse position of the tabletopIsocenter-tabletop distanceAngle of lateral table tiltAngle of (reverse) Trendelenburg table tiltThe stand, C-arm and table position are indicated on the display with symbols demonstrating the current position. The angle displays the C-arm angle in relation to the patient, based on the patient position entered. That means if the position of the patient is changed, the display also changes. Data for the table position, refers to the edge of the tabletop. The mattress must be considered additionally. Please note: A full description of all the positions can be found in the Operator manual.3The Large Display is suspended from the ceiling by the Display ceiling suspension (DCS). There are two types of DCS; the Pivot mounted DCS, which is fixed and without a brake system and the Rail mounted DCS with longitudinal rails and brakes.  The Pivot mounted DCS can be positioned manually by gripping the handle bars. You will learn how to position the Rail mounted DCS in the next slides.  The Large Display is suspended from the ceiling by the Display ceiling suspension (DCS). There are two types of DCS; the Pivot mounted DCS, which is fixed and without a brake system and the Rail mounted DCS with longitudinal rails and brakes. The pivot mounted DCS can be positioned manually by gripping the handle bars. You will learn how to position the rail mounted DCS in the next slides. 4To move the Rail mounted DCS, each axis can be moved individually.  The buttons for movement on the Rail mounted DCS are located:   • At the front of the DCS in the middle of the       lower handle    • On the back of the DCS in the middle of each     side handleTo move the Rail mounted DCS, each axis can be moved individually. The buttons for movement on the Rail mounted DCS are located: at the front of the DCS in the middle of the lower handle and on the back of the DCS in the middle of each side handle.5To position the DCS, select the key for movement: axis 1, axis 2 or longitudinal movement. When you press the button to move axis 1: axis 2 and the longitudinal axis are braked When you press the button to move axis 2: axis 1 and the longitudinal axis are braked When you press the button to move the longitudinal axis: axis 1 and axis 2 are braked Grip the DCS handle and move the DCS as required.To position the DCS, select the key for movement; axis 1, axis 2 or longitudinal movement. When you press the button to move axis 1, axis 2 and the longitudinal axis are braked. When you press the button to move axis 2, axis 1 and the longitudinal axis are braked. When you press the button to move the longitudinal axis, axis 1 and axis 2 are braked. Grip the DCS handle and move the DCS as required. The following equipment is in the exam room: Multi-axis stand, C-arm, x-ray tube and detector Siemens Multi-tilt table Exam room display Control modules Footswitch for radiation release Optional Multi-functional hand switch Optional Control console trolley You use the Table control module (TCM) to perform table movements. You may have one of two variations of the table control module: TCM-S with panning knob for servo-assisted movements. TCM-J with joystick for motorized table movements. The keys on the table control module control the following important functions: Block table movements Unlock table rotation Raise/lower table Set the orientation of the control modules Please note: When using the TCM-S, if the table is not tilted, the movements are servo-assisted. If the table is tilted, the tabletop is moved with a constant speed.   Learn about the table control module Learn about the table control module Base ImageHotspotsText BlocksImage FileOrientation of the control module. The blue LED indicates the selected orientation. You change the orientation of the module by pressing the key on the front panel of the Table control module, next to the emergency stop button. Press the key for a couple of seconds to change the orientation.Panning knob for servo assisted movementsLift table up/Lower table downBlock table movements When the LED = white, table movements are not blocked. When the LED = blue, the table movements are blocked.Unlock table rotation When the LED = white, table rotation is blocked When the LED = blue, table rotation is possible Emergency stop button Learn about the functions of the TCM Learn about the functions of the TCM   Learn more about the TCM-J Learn more about the TCM-J The TCM-J uses a joystick with motorized movements and can be deflected in the X, Y and diagonal directions to move the table. The speed of the table movement depends upon the degree of joystick deflection.  You can mount the TCM-J on the accessory rails at the table, or if available on the control console trolley.   The Pilot control module (PCM) consists of the following components: Stand/C-arm joystick for rotational movements Stand/C-arm joystick for linear movements Jog Wheel Touchscreen Function keys You use the Pilot control module to perform C-arm and stand movements and to operate the image system.   Learn about the Pilot Control Module components Learn about the Pilot Control Module components Base ImageHotspotsText BlocksImage FileDrive to CPR Assist positionJoystick for C-arm rotation: LAO/RAO and Cranial/Caudal For safety, the joystick contains an integrated dead man switch, ensuring that movements only occur with correct activation. The joystick can be deflected in the X, Y and diagonal directions to control C-arm movements. A rocker switch is located on the posterior side of the joystick to control detector up and down movements.Joystick to move C-arm longitudinally and transversally For example: towards and away from the table or along the table (head end to foot end)Jog wheel: The jog wheel combines several functions. When using the jog wheel, pay attention to the Info area on the Large display, information about the current jog wheel function is indicated in this area. Some examples of jog wheel functions include: Image selection during image review Cursor positioning on the Onscreen menu Adjustment of anatomical background during DSA Block system movements (C-arm and table)Block radiationCollision override keyStart/stop timerStore reference imageStore imageIncrease/decrease fluoro tripletIncrease/decrease zoom stage (zoom in/out)Open the scene directoryExit functionOpen the Onscreen menuOpen layout selection of the Large DisplayOpen the reference image directoryDrive to Home positionCouple the C-arm and table movementLower C-arm down Please note: The key to raise the C-arm is behind the joystick.Swivel the C-arm at the base counter clockwiseSwivel the C-arm at the base clockwiseTouchscreen Learn about the system movements using the PCM Learn about the system movements using the PCM     To reduce scatter radiation and improve image quality, use the Collimator control module (CCM) to adjust the collimator and filter positions. The components of the CCM include: Two joysticks for filter placements One joystick for collimator placement Keys to select collimator and filter functions You can perform collimation on the live fluoroscopy image or with CAREprofile on the last image hold (LIH). CAREprofile allows for collimation without radiation by placing graphical collimation lines on the LIH image. To activate CAREprofile, activate the filter or collimation joystick when fluoroscopy is not active. The graphics appear on the last image hold and you can collimate and place filters on the image using the joysticks. When you press the fluoroscopy pedal again the image is collimated and the filters are in place.   Learn about the collimator control components Learn about the collimator control components Base ImageHotspotsText BlocksImage FileReset collimator and filter diaphragmsJoystick for filter: The joystick can be deflected in X,Y and diagonal directions. Press the joystick down to remove filters.  Joystick for filter: The joystick can be deflected in X,Y and diagonal directions. Press the joystick down to remove filters.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 Learn about the collimator control functions Learn about the collimator control functions     To preserve the integrity of system surfaces, only use cleaning substances recommended in the Operator Manual and in the ARTIS pheno CleanGuide. The ARTIS pheno CleanGuide is a non-binding recommendation developed jointly by Siemens Healthineers and ECOLAB to clean and disinfect your ARTIS pheno.  When cleaning and disinfecting your system it is important to consider the following: Position the system in a way that allows for easy access to all components Remove any drapes from the C-arm, table and control modules Block radiation and system movements Always wear gloves Do not use large amounts of liquids which can seep into openings of the system To avoid the risk of recontamination: work from top to bottom, clean area to dirty area   Learn about cleaning the ARTIS pheno Learn about cleaning the ARTIS pheno Checklist TitleChecklist TypeChecklist Content1. C-armHTML The first system component you should clean is the C-arm To clean the C-arm: wipe from the detector to the tube 2. Patient mattressHTML   Next clean the Patient mattress Wipe the mattress from head-end to foot-end 3. The Control modulesHTML   Ensure the entire control module is cleaned: the joysticks, buttons and all surfaces Pay attention to the gaps between the modules 4. Upper and lower body radiation protectionHTML   For each part, wipe from the top down 5. Positioning aids and accessoriesHTML   Clean all accessories used during the case 6. The DCS handles and displayHTML Wipe the handles from the top down ​Please note: The LCD display is sensitive to any mechanical damage, avoid longer contact with liquid droplets. Clean any droplets of liquid immediately if possible. 7. Clean the operating lightHTML   Clean the operating light from clean to dirty area in the following order: Illuminated area Outer surface up to the first joint Handles 8. Clean the footswitchHTML     9. Table baseHTML   If necessary, clean the base of the table ​Wipe from the top down   ARTIS systems are equipped with the following safety mechanisms to help prevent unintentional movements and collisions: Emergency stop buttons, when activated, immediately stop system movements and interrupt x-ray release Dead man's grip (DMG) ensures that system movement occurs only when the operating element is activated correctly The collision avoidance computation calculates possible collisions between the stand/C-arm and patient table Acoustic signals are activated when the system is driven into a zone of possible collisions Speed reduction of system movements when the system is in a range of an upcoming collision The Collision sensors stop movements when a collision is detected Collision sensors are integrated in the flat panel detector (FD), collimator, in the covers of the C-arm and stand, and a sensor is detecting the lift up of the tabletop plate (Siemens Multi-tilt table only).   Learn about the collision avoidance computation Learn about the collision avoidance computation Slide NumberText BlocksCalloutsAudio ScriptImage File1ARTIS systems know the system geometry to avoid possible collisions during system movements, this is called collision avoidance computation. The shape of the patient table is virtually extended by a patient and the user defined head holder or head clamp. This sphere helps to avoid collisions, especially when the patient is draped and most parts of the system under the table are invisible. During movement, if the C-arm comes too close to system components or the 'virtual patient' the speed of movements is reduced and an audible sound will be heard. Please note: The system movements will not be stopped; you still need to take care that no collision will occur. Other extensions to the table, for example IV stands and so on, are not part of the collision avoidance computation.  ARTIS systems know the system geometry to avoid possible collisions during system movements, this is called collision avoidance computation. The shape of the patient table is virtually extended by a patient and the user defined head holder or head clamp. This sphere helps to avoid collisions, especially when the patient is draped and most parts of the system under the table are invisible. During movement, if the C-arm comes to close to system components or the virtual patient the speed of movements is reduced and an audible sound will be heard. Please note that the system movements will not be stopped; you still need to take care that no collision will occur. Other extensions to the table, for example IV stands and so on, are not part of the collision avoidance computation. 2The following room and system components are included in the calculation of the collision computer: Patient table Stands Floor Walls Ceiling Please note: In the case of an unknown tabletop, the system movements are slow.  The following system components are included in the collision computer calculation: the patient table, Stands, the floor, all walls, the ceiling. Please note that you should confirm with your Siemens Healthineers representative if the table is included in the collision computer calculation. For certain table types and configurations it is possible that the table is not included.3IMPORTANT: Not all components of the exam room are considered in the collision avoidance calculation. Smaller, moveable components and any external components are not included: Arm boards, armrests and the patient's extremities Mobile equipment such as anesthesia carts, trolley, Ultra Sound machines, procedure tables, rolling IV stands, chairs or other such furniture Control console trolley Accessory rails and attached items for example, IV bottle holder, instrument tray, control modules, injector head, lower body radiation protection, patient monitoring devices and the Sensis Vibe signal input box Ceiling suspensions with displays or other equipment Ceiling mounted devices such as lamps and radiation protection shields It is important to note that not all components of the exam room are considered in the collision avoidance calculation. Smaller, moveable components and any external components are not included. Some examples are; Arm boards, armrests and the patient's extremities. Mobile equipment such as anesthesia carts, trolley, Ultra Sound machines, procedure tables, rolling IV stands, chairs or other such furniture. The control console trolley. Accessory rails and attached items for example, the IV bottle holder, instrument tray, control modules, injector head, lower body radiation protection, patient monitoring devices and the Sensis Vibe signal input box. Ceiling suspensions with displays or other equipment. Ceiling mounted devices such as lamps and radiation protection shields. 4For some tabletops it is possible to attach individual head holders. Each head holder has a different shape and will need to be calculated by the collision avoidance. To ensure that the head holder is calculated by the collision computer correctly, the correct head holder must be selected in the configuration. CAUTION: There is a high risk of collision and damage if the incorrect head holder is selected.   CalloutsExample of a Head Holder collision zone (view from top)Example of a Head Holder collision zone (lateral view)For some tabletops it is possible to attach individual head holders. Each head holder has a different shape and will need to be calculated by the collision avoidance. To ensure that the head holder is calculated by the collision computer correctly, the correct head holder must be selected in the configuration. Caution. There is an high risk of collision and damage if the incorrect head holder is selected 5You must activate the correct Head Holder before each examination. If the correct Head Holder is not selected, a default Head Holder will be assigned, with a large safety zone. This will cause a reduction in the speed of system movements in the area of the Head Holder. To select the Head Holder: On the system console, Examination task card select: Acquisition > Head Holder Click on the head holder that is used and select OK You must activate the correct Head Holder before each examination. If the correct Head Holder is not selected, a default Head Holder will be assigned, with a large safety zone. This will cause a reduction in the speed of system movements in the area of the Head Holder. To select the Head Holder: On the system console, Examination task card select: Acquisition > Head Holder Click on the head holder that is being used and select OK.   The Large Display can be configured by the user to match the individual situation of the workflow. Depending on the examination requirements, you may need to see a certain source input larger or require an additional or different source to perform a task. Several layouts are available; each layout demonstrates the sources in varying sizes and positions. With the possibility of up to 18 layouts, you could have different layouts based on the examination types or layouts for different performing physicians. During the examination, you may need to see a certain input larger to perform a task. The layout can be easily changed to a layout that better demonstrates an input, or the input for a window can be changed. The system is delivered with default layouts; you can however modify these or create your own layouts.     Learn how to change the Large Display Layout Learn how to change the Large Display Layout Slide NumberText BlocksCalloutsAudio ScriptImage File1If your required input already exists in a layout, you can change the layout from the touchscreen or the Layout Gallery on the Large Display. From the touchscreen it is also possible to change the input source of a segment. This allows you to keep the same layout but tailor the inputs to the current situation. To change the layout, select the menu option Display on the touchscreen. The layouts appear as a list of names. Hint: It is not possible to graphically view what the layout looks like from this menu.If your required input already exists in a layout, you can change the layout from the touchscreen or the Layout Gallery on the Large Display. From the touchscreen it is also possible to change the input source of a segment. This allows you to keep the same layout but tailor the inputs to the current situation. To change the layout, select the menu option Display on the touchscreen. The layouts appear as a list of names 2If you prefer to see a visual representation of the layouts, the Layout Gallery presents the layouts in a graphical view. From the gallery you can select the layout that you want. You have two methods to open the layout gallery: Press the Display layout key on the Pilot control module Open the Layout Gallery from the Onscreen menu If you prefer to see a visual representation of the layout, the Layout gallery presents the layouts in a graphical view. From the gallery you can select the layout that you want. You have two methods to open the layout gallery: Press the display layout key on the Pilot control module or open the layout gallery from the Onscreen menu. 3The most direct method to open the Layout Gallery is to press the key on the Pilot control module. The Layout Gallery appears directly on the Large Display.  The most direct method to open the Layout gallery is to press the key on the Pilot control module. The Layout gallery appears directly on the large display.4If the Onscreen menu is open, you can select the Layout Gallery from the menu. Select the General Menu and then select Layout Gallery.  Hint: To open the Onscreen menu, press the key on the Pilot Control module.If the Onscreen menu is open, you can select the layout gallery from the menu. Select the General Menu and then select Layout gallery.5Once the layout gallery is open, deflect the jog wheel left to right to select the desired layout. To confirm your selection, press OK on the jog wheel. The layout will change immediately.Once the layout gallery is open, deflect the jog wheel left to right to select the desired layout. To confirm your selection, press OK on the jog wheel. The layout will change immediately.6You can also change the Large Display layout from the control room. On the system console, Examination task card, select the icon to open the Large Display layout selector.  You can also change the Large Display layout from the control room. On the system console, examination task card, select the icon to open the Large Display layout selector. 7Select the layout that you would like and click Apply.Hint: Depending on how many layouts have been configured, there could be up to two pages of layouts. Select Next page if possible to see more layouts.Select the layout that you would like and click Apply. Learn how to configure the Large Display Layout Learn how to configure the Large Display Layout Instructions:Flash File:/content/generator/Course_90018822/Sim_ARTIS_pheno_SimScript_Configure_large_display_layout/Sim_ARTIS_pheno_SimScript_Configure_large_display_layout.htmHTML5 File:/content/generator/Course_90018822/Sim_ARTIS_pheno_SimScript_Configure_large_display_layout/index.htmlPDF File:   To avoid system contamination, commercially available sterile covers can be used on the ARTIS pheno. Covers can be used on the following system components: C-arm Flat detector X-ray tube with collimator Radiation protection Control modules Refer to the operating instructions of the manufacturer for information regarding sterile cover application. There are sterile drapes available that have been specifically designed for the ARTIS pheno, please speak with your Siemens Healthineers sales representative for more information.     Your system may have Uninterrupted Power Supply (UPS) installed to help maintain certain system functions and prevent data loss.  There are different variations of UPS. UPS may supply power to the imaging system for a short period of time to prevent image loss or UPS may supply power to the entire system, allowing fluoroscopy to continue for a short period of time. Confirm with your Siemens Healthineers service representative whether you have UPS installed and refer to the Operator Manual for further information regarding the functions maintained. If power supply to the system is completely interrupted, it is possible to manually move the system after the brakes have been released.   Please note: Further information about power failure can be found in your Operator Manual.    Recovery procedure in case of power failure Recovery procedure in case of power failure Checklist TitleChecklist TypeChecklist ContentOpen the cover of the stand baseHTML When power to the system is completely lost, there is a standby battery for the stand to allow swivel of the base and C-arm for moving the C-arm away from the patient. This procedure, if necessary, must be conducted within a 5 minute timeframe To manually move the system, open the cover of the stand base Open the flapHTML The stand will leave its normal operation mode. No more motorized movements will be possible Take out the handheldHTML   Pull the button on the handheldHTML Pull the button on the handheld to release the brakes Now the C-arm can be moved manually Only the brakes for stand swivel and C-arm rotation are released. Movements of the other axis remain blocked The C-arm may rotate by its own when the brakes are released due to the in-balance mass of the tube weight Move the C-arm manuallyHTML Rotate the C-arm so that there is room to release the patient Swivel the stand to clear space. Pull/push vigorously to overcome the weight of the C-arm Press the button (2) on the handheld to fasten the brakes again ARTIS systems are equipped with emergency stop buttons and emergency shutdown buttons. In order to interrupt movements and x-ray release in emergency situations, you should press one of the emergency stop buttons. The emergency shutdown button should only be used in extreme situations as it will result in full system interruption and is an uncontrolled process which could result in data loss. Emergency stop buttons are on the front sides of the Table and Pilot control modules. When the emergency stop button is pressed the following system functions are interrupted: System movements are stopped immediately Fluoroscopy and acquisition are stopped If the injector is controlled by the system, injections are also stopped ​Fluoroscopy and acquisition can be released again without cancelling the emergency stop, but system movements will only be possible after cancelling the emergency stop. To cancel the emergency stop, pull on the button.     You can move the system to pre-programmed system positions by accessing the C-Arm Position menu from the touchscreen. There are different types of programmed positions: System Positions are the basic positions, for example, right side, head side and Patient Transfer position Anatomical Positions are customized positions to demonstrate a particular image view, for example, LAO/RAO, cranial/caudal views You can store your most frequently used positions as Direct Positions Current Positions move the system to the position of a selected 3D or reference image Depending on the type of the position, 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 (configurable by Siemens Healthineers Service) 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 FileDirect Positions are your temporary positions. You can access the Direct positions anytime by swiping from right to left on the touchscreen. To store a new Direct Position, press Save as Direct Position. System Positions are the basic positions of the stand and table. The system comes with default System Positions and the list can be extended by user-defined positions. The collimation, zoom and filters are not stored. Anatomical Positions are intended to move the system into a position, to create the same view for images. Therefore, all imaging relevant components (including collimator and filters) will be positioned in the same relation to the patient.With Current Positions you can move to the positions of reference and 3D images. All system geometry from the image will be restored including SID, zoom, collimator and filter positions.After selecting C-arm Position the menu will open to the last used menu option. To access the main menu (as seen here) you may need to press on the blue menu item at the top. Although the ARTIS pheno has many integrated safety mechanisms, there is always a possibility of collision with objects. You must pay attention when activating system movements to ensure that no collision will occur, which may cause system damage or worse, patient and personal injury. Take special care at points on the stand/C-arm and table where movement occurs. In some cases, it is better to block all system movements, for example: During patient transfer When cleaning the system Anytime the system is not in use   Take care at these points on the C-arm and table Take care at these points on the C-arm and table Tab TitleTextStand C-arm There is a risk of collision and crushing at the following points on the stand and C-arm: At all joints during rotations and movements On the rails of the FD slide for FD lift Table There is a risk of crushing at these points on the table: Between the tabletop and the table frame Between the tabletop and the table column There is a risk of collision at these points on the table: On the outer edges of the table On the accessory rails Learn how to block movements Learn how to block movements Tab TitleTextBlock movements from the exam room To block the system movements from the exam room: Select: the Block movement key on the Pilot control module (PCM) When the indicator is blue the movements are blocked When the indicator is white the movements are not blocked Block movements from the control room To block system movements from the control room:               Select the icon in the Examination task card on the System console To avoid accidental radiation release it is recommended to activate Block radiation whenever radiation is not required. This is particularly important during patient transfer and when cleaning the system. Block radiation can be activated from the control or the exam room. When enabled, radiation release from the footswitch or hand switch is blocked and a message will appear on the Large Display and on the system console. Please note: Block radiation will not interrupt radiation. You cannot use Block radiation in an emergency situation to stop x-ray during release. In this case, you will need to press the emergency stop button.   Learn how to block radiation Learn how to block radiation Tab TitleTextBlock radiation from the exam room   Select the Block radiation key on the Pilot control module                                                                                 When the indicator is blue, radiation is blocked When the indicator is white radiation, can be released ​Please note: Block radiation and Block movement are automatically activated when driving into the Patient Transfer or Parking Position.   Block radiation from the control room From the control room, system console: Select the icon on the Examination task card       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 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's 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. Functionalities described in the material or parts of this functionality may not yet be released for customers and not yet be commercially available in every country. Due to regulatory requirements, the future availability of said functionalities or parts thereof in any specific country is not guaranteed. Please contact your local Siemens 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 rights, including rights created by patent grant or registration of a utility model or design, are reserved. Copyright © Siemens Healthcare GmbH 2017