Cios Select (with FD) VA20 Hardware Overview Online Training

Welcome to the Cios Select Hardware Overview Online Training. This training module  will introduce you to the following components: C-arm system Monitor trolley Control panel Hand switch and footswitch Additionally you will learn about the brake system, how to move the system, how to connect the components of the system and how to perform system start-up and shutdown.     Upon successful completion of this course, you will be able to: Recognize the system components Move the system in and out of the operating room Understand the brake system and position the system for examination Connect the system components Release X-ray using the hand switch and footswitch Congratulations. You have completed the Cios Select Hardware 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 Hardware Components: There are two parts to the Cios Select hardware, the C-arm system and the monitor trolley. The C-arm system is where imaging occurs. The C-arm system consists of the main unit and the C-arm with flat detector and X-ray tube. The monitor trolley is where you register the patient, review images, post process images and document the examination. The monitor trolley consists of two monitor displays, the touchscreen Control panel, an optional printer and a computer with CD/DVD drive. C-arm system There are two parts of the C-arm system: The C-arm with flat detector (FD) and X-ray tube The main unit You move the C-arm system manually. The large wheels at the base of the main unit direct the system movements. Brakes are located over the side wheels to secure the system when in position. The steering lever in the center of the main unit controls the direction of system movement; straight ahead, side to side or diagonally.  On each side of the main unit there are handles to help you guide the system during movement. Main unit The main unit of the C-arm consists of the following components: Control unit Hand switch and footswitch Central plug connection Steering lever and side handles In addition, at the back end of the main unit there are buttons to turn the system on and off, the emergency stop button and a storage area for the footswitch. Control unit The control unit on the C-arm main unit consists of the control panel and the keys for motorized vertical C-arm movements. The keys for vertical C-arm movements are located on either side of the control panel and are identical in function. You can perform the following functions on the control panel: Register the patient Select the Operating mode and the dose setting Adjust the parameters for the examination Apply collimation Adjust image zoom Review images Post process images Hand switch There are two buttons on the hand switch, a button for radiation release and a button to store images. The hand switch is permanently connected to the C-arm main unit by a cable. When not in use, you can store the hand switch in the holders located on either side handle. Footswitch There are two variations of the footswitch: wired and wireless. As standard, the system is installed with a wired footswitch, the wireless footswitch is optional. The functions of the footswitch pedals depend on your configuration and the selected operating mode. The left pedal activates the currently selected operating mode. The right pedal activates fluoroscopy. The wireless footswitch is battery powered. The connectivity and battery status are indicated by LED lights on the top left of the footswitch. When required, you can easily change the batteries yourself. Monitor trolley The monitor trolley consists of the following components: Two TFT monitor displays Control panel USB ports Mouse Optional SONY thermal printer Computer with memory for up to 300,000 images DVD drive for image export Please note that there is no separate keyboard with the monitor trolley, the touch keyboard on the control panel is the keyboard for the system. At the base of the monitor trolley there are four wheels to move the trolley. When you move the trolley, you use the handles on the sides of the trolley to direct movement. On each wheel there is an individual brake for securing the trolley when in position. Brakes Handling C-arm unit: Release the brakes on the side wheels. Move the system manually using the side handles and the steering lever to direct movements. Monitor trolley: Release the brakes over the wheels at the base of the monitor trolley. Move the monitor trolley manually, using the side handles to direct the movement. C-arm positioning: Release the brake for each C-arm movement individually: orbital angular, swivel and horizontal movement. Move the C-arm to the desired position. Connecting the system You connect the system in the following order: Connect the central plug from the monitor trolley to the C-arm main unit. If you are using the wired footswitch, connect the footswitch at the front of the C-arm main unit. Connect the power cable of the C-arm main unit to the power supply When all components are connected, you can perform system start-up. System Start-up System start-up is done at the C-arm main unit. At the back end of the unit there are two buttons. One button to start the system and one button to shut down the system. Press on the left button (circle inside the circle) to start the system. System Shutdown Ensure that the current patient is closed before shutting down the system. If you have stored images to a CD or DVD, ensure that the write process for the data being written to the CD/DVD is completed. Lower the C-arm to the lowest position in preparation of transport before shutting down the system. To shut down the system, press on the power OFF button on the back of the C-arm main unit. The power OFF button can be recognized by the circle outside of the circle. Please ensure the system is shut down before disconnecting the central plug.   Flat detector X-ray tube Hand switch Central plug C-arm Horizontal axis Steering lever Prior to transport, the C-arm system must be set to the transport position. Release all brakes of the C-arm Set the C-arm to the transport position: Angulation 0°/Orbital position 0° Move the lifting column to its lowest position Move the horizontal support arm all the way back   After you have transported the system to the operating room (OR), you connect the C-arm and the monitor trolley and connect the system to the power supply. You connect the system in the following order: Connect the central plug from the monitor trolley to the C-arm main unit If you are using the wired footswitch, connect the footswitch at the front of the C-arm main unit Connect the power cable of the C-arm main unit to the power supply When all components are connected, you can perform system start-up.   Learn how to connect the system components Learn how to connect the system components   C-arm unit: Release the brakes on the side wheels. Move the system manually using the side handles and the steering lever to direct movements Monitor trolley: Release the brakes over the wheels at the base of the monitor trolley. Move the monitor trolley manually, using the side handles to direct the movement C-arm: Release the brake for each C-arm movement individually: orbital  angular, swivel and horizontal movement. Move the C-arm to the desired position Please note: Vertical movements of the C-arm are motorized and are selected from the control unit on the C-arm main unit.   Learn about the brakes of the Cios Select Learn about the brakes of the Cios Select Sample IntroTitleTextC-arm unitTab TitleTextBrakes To move the C-arm unit, release one of the brakes on either side wheel. The brakes are connected; releasing the brake on one wheel releases the brake on the other wheel. When the brakes are horizontal: the brakes are released When the brakes are tilted: the brakes are locked Move the C-arm unit When the brakes are released you can move the C-arm unit. You use the handles on the sides of the unit to apply force to move the system. The system will move in the direction set by the steering lever. When the steering lever is straight: the system will move in the forwards direction When the steering lever is turned to the right or the left: the system will move side to side When moving the system take care that there are no obstructions on the floor and avoid inclined surfaces greater than 5 degrees. Monitor trolleyTab TitleTextBrakes At the base of the monitor trolley are the wheels to move the trolley. Above each wheel is a brake to lock the wheel. To move the trolley release the brake on each wheel that is locked Move the monitor trolley When the brakes are released, hold onto the handles of the monitor trolley and apply force in the direction that you would like to move the trolley. Take care when moving the monitor trolley to ensure that no collision will occur The wheels on the trolley have cable deflectors to push aside cables on the floor, however care should still be taken to ensure that no cables are on the path of movement When on an inclined surface greater than 5 degrees make sure that the brakes are locked and the front of the monitor trolley faces the direction of the incline C-armTab TitleTextBrakes Each movement of the C-arm has a separate brake release: A: Horizontal movements B: Angular movements C: Swivel movements D: Orbital movements Turn the handle of the brake lever to release the movement. Move the C-arm When the brake is released, you can manually move the C-arm into position When you reach the desired position, make sure that you lock the brake so that the C-arm does not move The control unit on the C-arm main unit consists of the control panel and the keys for motorized vertical C-arm movements. The keys for vertical C-arm movements are located on either side of the control panel and are identical in function. You can perform the following functions on the control panel: Register the patient Select the Operating mode and the dose setting Adjust the parameters for the examination Apply collimation Adjust image zoom Review images Post process images Please note: You will learn more about the functions and menus of the control panel in the training module: Software Overview.   Learn about the control panel Learn about the control panel Base ImageHotspotsText BlocksImage FileControl panel In this area of the control panel you can register the patient and select the predefined application selection.  Control panel The Preview image is displayed in the center of the control panel.Control panel Here you select the operating mode, turn on the laser light localizer (if configured) and reset the fluoro timer. The fluoro timer will make an audible alarm after five minutes of uninterrupted fluoroscopy time.Control panel Post processing and documentation functionsControl panel Current parameters set including kV, mA, dose and zoom, which are interactive.Control panel Regulation stop and manual adjustment of kV/mAControl panel Display of fluoroscopy time (total) and the current image rotation angleControl panel Block X-ray and settingsChange from Basic Mode on the control panel to Advanced Mode. Further imaging and post processing functions are available in Advanced Mode.   Learn about the control unit Learn about the control unit Base ImageHotspotsText BlocksImage FileControl panel  Motorized vertical movement up/down The monitor trolley consists of the following components: Two TFT monitor displays Control panel USB ports Mouse Optional thermal printer Computer with memory for up to 300,000 images CD/DVD drive for image import and export Please note that there is no separate keyboard with the monitor trolley, the touch keyboard on the control panel is the keyboard for the system. At the base of the monitor trolley there are four wheels to move the trolley. When you move the trolley, you use the handles on the sides of the trolley to direct movement. On each wheel there is an individual brake for securing the trolley when in position.     Identify the monitor trolley components Identify the monitor trolley components Base ImageHotspotsText BlocksImage FileComputer unit With CD/DVD drive, reset button and the UPS windowLeft monitor display The left monitor displays the live imageRight monitor display The right monitor displays reference imagesControl panel and USB ports Touchscreen control panel for patient registration, parameter adjustment and image post processing and review. USB ports for  image export and the mouseHandle You use the handle to direct the movements of the monitor trolley and to store the cables of the monitor trolleyPrinter (Optional) Shelf for the optional SONY thermal printer for printing images on film or thermal paper.Handle You use the handle to direct the movements of the monitor trolley and to store the cables of the monitor trolleyRadiation Display During radiation release the light in the radiation display is illuminated Learn about the monitor trolley components Learn about the monitor trolley components Slide NumberText BlocksCalloutsAudio ScriptImage File1The monitor trolley has two TFT monitors for image display: The left monitor displays the live image The right monitor displays the reference image The left monitor can also display preoperative and postoperative images. The reference images on the right monitor can be: Preoperative images Images of the current examination Images from previous examinations The radiation display above the monitors illuminates during radiation release.   Hint: The column of the monitor trolley is fixed. It is not possible to rotate the monitors or to change the height of the monitors.audf_Cios_Select_Hardware_Overview_monitor_trolley_slide_1.mp3 The monitor trolley has two TFT monitors for image display: •The left monitor displays the live image •The right monitor displays the reference image The left monitor can also display preoperative and postoperative images. The reference images on the right monitor can be: preoperative images, images of the current examination or images from previous examinations. The radiation display above the monitors illuminates during radiation release. 2On the left side of the left monitor is the control area. Here you will find the following information: Patient information Examination data Dose monitoring information Current functions of the footswitch foot pedals Icons for image documentation (selectable with the mouse) Hint: You will learn more about the software functions in the training module: Software Overview.audf_Cios_Select_Hardware_Overview_monitor_trolley_slide_2.mp3 On the left side of the left monitor is the control area. Here you will find the following information: •Patient information •Examination data •Dose monitoring information •Current functions of the footswitch foot pedals •and Icons for image documentation that are selectable with the mouse. 3Below the monitors and the monitor column is the main shelf with USB ports and the touchscreen control panel. There are two USB ports: The left USB port: Connects the USB device for image export The right USB port: Connects the mouse The touchscreen control panel is integrated in the monitor trolley. The functions of the control panel at the monitor trolley are the same as on the C-arm main unit, however, on the monitor trolley there are no keys to raise or lower the C-arm.  audf_Cios_Select_Hardware_Overview_monitor_trolley_slide_3.mp3 Below the monitors and the monitor column is the main shelf with USB ports and the touchscreen control panel. There are two USB ports: •The left USB port connects the USB device for image export. •The right USB port connects the mouse. The touchscreen Control panel is integrated in the monitor trolley. The functions of the control panel at the monitor trolley are the same as on the C-arm main unit, however, on the monitor trolley there are no keys to raise or lower the C-arm.4In the center of the monitor trolley is a shelf for the optional thermal printer. Although there is a power on button on the front side of the printer, it is not necessary to press it to start the printer. The printer starts automatically with system start-up. For information regarding loading paper and film to the printer, please refer to the printer Operating Manual that is delivered with your system.  audf_Cios_Select_Hardware_Overview_monitor_trolley_slide_4.mp3 In the center of the monitor trolley is a shelf for the optional thermal printer. Although there is a power on button on the front side of the printer, it is not necessary to press it to start the printer. The printer starts automatically with system start-up. For information regarding loading paper and film to the printer, please refer to the printer Operating Manual that is delivered with your system. 5The computer unit contains: CD/DVD drive for image import or export The reset button UPS window The reset button can be pressed in cases where it is not possible to shut down the system by pressing the OFF button or if the system is frozen. In this case: Press the RESET button on the front of the monitor trolley Switch on the Cios again and let it boot up completely Now you can either continue using the Cios Select or select the shutdown button on the back of the C-arm main unit, to shut the system down.  Hint: You will learn about exporting images to CD/DVD in the training module: Software Overview.CalloutsCD/DVD driveReset buttonUPS windowaudf_Cios_Select_Hardware_Overview_monitor_trolley_slide_5.mp3 The computer unit contains: •A CD/DVD drive for image import or export •The reset button and •The UPS window The reset button can be pressed in cases where it is not possible to shut down the system by pressing the OFF button or if the system software is frozen. In this case: •Press the RESET button on the front of the monitor trolley. •Switch on the Cios again and let it boot up completely. Now you can either continue using the Cios Select or select the shutdown button on the back of the C-arm main unit, to shut the system down.6The Cios Select is installed with uninterruptible power supply (UPS) to protect against image data loss in the case of a power outage or if the power cable is disconnected. The UPS window on the front of the monitor trolley shows the charge state of the batteries and the operating status. LED = Green: Input voltage (power supply from the power cable) LED = Yellow: Battery Operation LED = Red: Alarm, malfunction If the red LED is lit, the system is not protected by the UPS against power outages. You should not disconnect the system from the power supply until the system is shutdown. audf_Cios_Select_Hardware_Overview_monitor_trolley_slide_6.mp3 The Cios Select is installed with uninterruptible power supply (UPS) to protect against image data loss in the case of a power outage or if the power cable is disconnected. The UPS window on the front of the monitor trolley shows the charge state of the batteries and the operating status. When the LED marked (1) is green the input voltage is from the power cable. When the LED marked (2) is yellow, battery Operation is in use. When the LED marked 3 is Red this indicates a malfunction. If the red LED is lit, the system is not protected by the UPS against power outages. You should not disconnect the system from the power supply until the system is shutdown. The main unit of the C-arm consists of the following components: Control unit Hand switch and footswitch Central plug connection Steering lever and side handles In addition, at the back end of the main unit there are buttons to turn the system on and off, the emergency stop button and a storage area for the footswitch.     Learn about the main unit components (back) Learn about the main unit components (back) Base ImageHotspotsText BlocksImage FileSystem ON/OFF buttons and the emergency stop button One button to turn on all system components. The left button (circle inside the circle) turns the system on. The right button (circle outside the circle) turns the system off. The emergency stop button can be activated in dangerous situations to stop motorized movements and to interrupt X-ray release.  Hand switch for X-ray release One hand switch with a holder on each side handle of the main unit. The hand switch is permanently connected to the main unit by a 3.5 meter cable.Footswitch for radiation release The standard footswitch is wired and connects to the C-arm via a cable. The cable of the footswitch connects at the front of the main unit. An option is the wireless footswitch.  Control unit with touchscreen control panel and keys for motorized vertical C-arm movement.  Please note: An additional control panel is located on the monitor trolley. The keys for motorized vertical lift are not available on the monitor trolley. Steering lever to control the direction of the wheels to move the C-arm system. Learn about the main unit components (side) Learn about the main unit components (side) Base ImageHotspotsText BlocksImage FileCentral plug Cable to connect the C-arm system to the monitor trolley. During connection, you hold the central plug upright, so that the cable is at the bottom. Place the connector in the plug and turn the switch to the right.Wheel with cable deflector On each side of the main unit there is a large wheel with cable deflector, to push aside cables that could obstruct movement. Please note: you should still take care when moving the system to ensure that no cables are in the movement path. The wheel brake is located above the wheel, when pressed system movement is blocked for both side wheels.Side handles On each side of the main unit there is a side handle to help you direct system movements. Additionally there is a holder on each handle for the hand switch for radiation release. When transporting and storing the C-arm, the C-arm power cable can be stored on the side handle.   C-arm System Monitor trolley The C-arm system: The main unit with touchscreen control panel The C-arm with flat detector (FD) and X-ray tube The monitor trolley: Two monitor displays The touchscreen control panel and mouse An optional printer Computer with CD/DVD drive There are two parts of the C-arm system: C-arm with flat detector (FD) and X-ray tube Main unit You move the C-arm system manually. The large wheels at the base of the main unit direct the system movements. Brakes are located over the side wheels to secure the system when in position. The steering lever in the center of the main unit controls the direction of system movement; straight ahead, side to side or diagonally. On each side of the main unit there are handles to help you guide the system during movement.   Learn more about the flat detector and X-ray tube Learn more about the flat detector and X-ray tube Slide NumberText BlocksCalloutsAudio ScriptImage File1The Cios Select imaging receptor is a flat detector (FD) for dynamic digital imaging. The flat detector is rectangular in shape, resulting in a rectangular field of view. The rectangular shape allows for an increased field of view in comparison to most II systems. The flat detector (FD) is installed inside the detector housing. The detector housing dimensions are approximately 35 cm x 34 cm (14in. x 13.5in.) The field of view of the FD is 21 cm x 21 cm (7.9in. x 7.9in.) in full format The source to image distance (SID) for the C-arm is 103 cm (40.6in.)     audf_Cios_Select_Hardware_Overview_C_arm_system_slide_1.mp3 The Cios Select imaging receptor is a flat detector (FD) for dynamic digital imaging. The flat detector is rectangular in shape, resulting in a rectangular field of view. The rectangular shape allows for an increased field of view in comparison to most II systems. The flat detector (FD) is installed inside the detector housing. The detector housing dimensions are approximately 35 by 34 centimeters (14 by 13.5 inches). The field of view of the FD is 21 centimeters by 21 centimeters (7.9 by 7.9 inches)in full format. The source to image distance (SID) for the C-arm is 103 centimeters (40.6 inches) 2The detector housing consists of the following components: Handle for manual positioning of the C-arm Flat detector (FD) (inside the detector housing) Removable scatter radiation grid Optional laser light localizer CalloutsHandle for C-arm positioningFlat detector(FD)Removable scatter radiation gridWindow for laser light localizer (option)Window for laser light localizer (option)audf_Cios_Select_Hardware_Overview_C_arm_system_slide_2.mp3 The detector housing consists of the following components: •A Handle for manual positioning of the C-arm. •The flat detector (FD) •A removable scatter radiation grid and an optional laser light localizer. 3If ordered, the optional laser light localizer is integrated in the detector housing. There are two windows for the laser light, 90 degrees from each other. You activate the laser light on the control panel. If there is no laser light installed, the icon on the control panel has no function. To turn the laser light localizer off, press on the icon again. Please note: The laser light will automatically switch off after five minutes. Hint: You will learn more about the control panel in the upcoming slides and in the Software Overview training module.audf_Cios_Select_Hardware_Overview_C_arm_system_slide_3.mp3 If ordered, the optional laser light localizer is integrated in the detector housing. There are two windows for the laser light, 90 degrees from each other. You activate the laser light on the control panel. If there is no laser light installed, the icon on the control panel has no function. To turn the laser light localizer off, press on the icon again. Please note that the laser light will automatically switch off after five minutes.4Three zoom stages are possible, zoom level zero, zoom level one and zoom level two. At the start of the examination zoom level zero is selected as default. You can adjust the image zoom on the control panel. Select Mag 0, Mag 1 or Mag 2 Adjusting the image zoom sets the input field for the acquisition. The input field is the size of the detector area that is exposed and then fills the screen when displayed on the monitor. At Mag 0 (or full format) the input field is 21x21 centimeters (7.9 x 7.9 inches) At Mag 1 the input field is 15x15 centimeters (5.9 x 5.9 inches) At Mag 2 the input field is 10x10 centimeters (3.9 x 3.9 inches)     audf_Cios_Select_Hardware_Overview_C_arm_system_slide_4.mp3 Three zoom stages are possible; zoom level zero, zoom level one and zoom level two. At the start of the examination zoom level zero is selected as default. You can adjust the image zoom on the control panel. •Select Mag zero, Mag one or Mag two. Adjusting the image zoom sets the input field for the acquisition. The input field is the size of the detector area that is exposed and then fills the screen when displayed on the monitor. At Mag 0 (or full format) the input field is 21 by 21 centimeters (7.9 by 7.9 inches). At Mag one the input field is 15 by 15 centimeters (5.9 by 5.9 inches). At Mag 2 the input field is 10 by 10 centimeters (3.9 by 3.9 inches). 5The DAP meter is integrated in the X-ray tube housing and determines the imaging dose and calculates the dose area product (DAP). During the examination, the DAP is displayed on the left monitor display in μGym2.  Alternatively, the monitor can be configured to display the air kerma value and cumulative air kerma value.  audf_Cios_Select_Hardware_Overview_C_arm_system_slide_5.mp3 The DAP meter is integrated in the X-ray tube housing and determines the imaging dose and calculates the dose area product DAP). During the examination, the DAP is displayed on the left monitor display in micro grays per meter squared. Alternatively, the monitor can be configured to display the air kerma value and cumulative air kerma value. Learn how to remove and insert the grid Learn how to remove and insert the grid Checklist TitleChecklist TypeChecklist ContentWhen to remove the gridHTML The scatter radiation 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. It is recommended to remove the grid for patients up to seven years of age. To maintain adequate image quality, please keep the grid inserted for all other cases. Loosen the screwHTML To remove the grid, first loosen the screw until you can pull the grid out. Pull the grid outHTML Carefully pull the grid out from the holder. After the grid is removed, place the grid in a safe place taking care to not drop the grid.  Please note: Damage to the grid can reduce image quality. Check the indicator light on the monitorHTML When the grid is removed, the grid indicator on the monitor will appear with a line through it. Insert the gridHTML When the pediatric examination is complete, you should re-insert the scatter radiation grid, to ensure optimum image quality. Slide the grid into the detector housing, paying attention to the orientation of the grid. The labels on the grid should be facing outwards. Tighten the screwHTML When the grid is in position, tighten the screw. Take care that the grid is secure before moving the C-arm. Check the indicator icon on the monitorHTML When the grid is inserted, the grid indicator on the monitor will appear with no line. If your hands need to remain free during the examination, you can use the footswitch to release radiation. There are two variations of the footswitch: wired and wireless. As standard the system is installed with a wired footswitch, the wireless footswitch is optional. The functions of the footswitch pedals depend on your configuration and the selected operating mode.    Overview of the footswitch functions Overview of the footswitch functions Slide NumberText BlocksCalloutsAudio ScriptImage File1To use the wired footswitch in an examination, connect the cable to the C-arm main unit. The connection socket is located at the front of the main unit. Plug the footswitch cable into the socket. The cable for the footswitch is seven meters long, to allow for easy positioning. At the end of the examination, disconnect the footswitch and store the footswitch and the cable on the holder at the back end of the main unit.   Hint: It is recommended to disconnect the footswitch before storage and transport of the C-arm system.CalloutsConnection for the wired footswitchStorage of the footswitch and cableaudf_Cios_Select_footswitch_slide_1.mp3 To use the wired footswitch in an examination, connect the cable to the C-arm main unit. The connection socket is located at the front of the main unit. Plug the footswitch cable into the socket and screw the cable into place. The cable for the footswitch is seven meters long, to allow for easy positioning. At the end of the examination, disconnect the footswitch and store the footswitch and the cable on the holder at the back end of the main unit.2The allocation of the foot pedal functions depend on the selected operating mode: Left pedal: Activates selected operating mode: Single image, Roadmap or Subtraction. Right pedal: Activates pulsed or continuous fluoroscopy. When fluoroscopy is selected as the operating mode, the left pedal activates single image mode.     Hint: The functionality of the left/right foot pedals can be reversed by Siemens Healthineers service, upon request.CalloutsActivate selected operating modeActivate fluoroscopyaudf_Cios_Select_footswitch_slide_2.mp3 The allocation of the foot pedal functions depend on the selected operating mode: The left pedal activates the selected operating mode: single image, roadmap or subtraction. The right pedal activates pulsed or continuous fluoroscopy. When fluoroscopy is selected as the operating mode, the left pedal activates single image mode. 3The current allocation of the foot pedal functions are displayed on the left monitor display. If the footswitch is not connected or if the footswitch is defective, a symbol for the hand switch will appear on the monitor display. CalloutsFootswitch connectedFootswitch not connected or defectiveaudf_Cios_Select_footswitch_slide_3.mp3 The current allocation of the foot pedal functions are displayed on the left monitor display. If the footswitch is not connected or if the footswitch is defective, a symbol for the hand switch will appear on the monitor display. Learn about the wireless footswitch Learn about the wireless footswitch Slide NumberText BlocksCalloutsAudio ScriptImage File1The wireless footswitch functions similarly to the wired footswitch, via a wireless connection to the C-arm system, rather than via a cable connection. The pedals on the wireless footswitch have the same functions as the wired footswitch: Left pedal: Activates the current selected operating mode Right pedal: Activates pulsed or continuous fluoroscopy The wireless footswitch is battery operated with a battery that can be changed easily by the operator. The wireless footswitch has a high level of water resistance, making it easier to clean and disinfect. CalloutsConnection indicatorBattery status indicatorLeft pedal: Activates the selected operating modeRight pedal: Activates pulsed or continuous fluoroscopyBattery holder with lidPedal button to save imagesPedal button to change the operating modeaudf_Cios_Select_wireless_footswitch_slide_1.mp3 The wireless footswitch functions similarly to the wired footswitch, via a wireless connection to the C-arm system, rather than via a cable connection. The pedals on the wireless footswitch have the same functions as the wired footswitch: •Left pedal: Activates the current selected operating mode •Right pedal: Activates pulsed or continuous fluoroscopy The wireless footswitch is battery operated with a battery that can be changed easily by the operator. The wireless footswitch has a high level of water resistance, making it easier to clean and disinfect. 2You turn on the wireless footswitch easily, by pressing on one of the foot pedals on the footswitch. When switched on, the LED indicators on the footswitch light up. The top LED indicates the connectivity of the footswitch to the C-arm main unit: Green LED: The connection is good Orange LED: The connection has failed The connectivity of the footswitch to the main unit is good within 10 meters of the main unit. If the LED appears orange, move the wireless footswitch closer to the main unit until the LED appears green.   audf_Cios_Select_wireless_footswitch_slide_2.mp3 You turn on the wireless footswitch easily, by pressing on one of the foot pedals on the footswitch. When switched on, the LED indicators on the footswitch light up. The top LED indicates the connectivity of the footswitch to the C-arm main unit: •Green LED: The connection is good •Orange LED: The connection has failed The connectivity of the footswitch to the main unit should be good within 10 meters of the main unit. If the LED appears orange, move the wireless footswitch closer to the main unit until the LED appears green. 3The lower LED indicates the battery status. Green LED: The battery status is good Orange LED: Change the battery If the wireless footswitch is not used for a configured period of time, the footswitch automatically goes into hibernate mode. There is no need to turn the footswitch off. To reactivate the footswitch, simply press on one of the pedals of the footswitch. audf_Cios_Select_wireless_footswitch_slide_3.mp3 The lower LED indicates the battery status.•Green LED: The battery status is good •Orange LED: Change the battery If the wireless footswitch is not used for a configured period of time, the footswitch automatically goes into hibernate mode. There is no need to turn the footswitch off. To reactivate the footswitch, simply press on one of the pedals of the footswitch. 4When the battery status indicator on the footswitch appears orange, you must change the batteries. The batteries required for the footswitch are standard batteries and you can change them yourself easily. At the top of the footswitch is the battery container and lid. To open the lid, turn the lid counterclockwise Pull out the batteries and replace with fresh ones  Push the lid back on, align the terminal on the lid with slot in the battery holder To close the lid, turn the lid clockwise audf_Cios_Select_wireless_footswitch_slide_4.mp3 When the battery status indicator on the footswitch appears orange, you must change the batteries. The batteries required for the footswitch are standard batteries and you can change them yourself easily. At the top of the footswitch is the battery container and lid. •To open the lid, turn the lid counterclockwise. •Pull out the batteries and replace with fresh ones. •Push the lid back on, align the terminal on the lid (3) with slot in the battery holder (2) •To close the lid, turn the lid clockwise 5At the top of the wireless footswitch there are two pedal buttons: The top left button is to store images The top right button is to change the operating mode To store the currently displayed image during radiation release, press on the top left pedal. After radiation release, you can store an image or a scene. Press on the top left button for less than two seconds, to store the last image hold (LIH) Press on the button for greater than two seconds, to store the last scene hold (LSH) To change the current operating mode of the left foot pedal press on the button on the top right.   audf_Cios_Select_wireless_footswitch_slide_5.mp3 At the top of the wireless footswitch there are two pedal buttons: •The top left button is to store images. •The top right button is to change the operating mode. To store the currently displayed image during radiation release, press on the top left pedal. After radiation release, you can store an image or a scene. •Press on the top left button for less than two seconds, to store the last image hold (LIH) •Press on the button for greater than two seconds, to store the last scene hold (LSH) To change the currently operating mode of the left foot pedal press on the button on the top right. 6When not in use, the wireless footswitch can be stored in the holder on the side of the trolley.  audf_Cios_Select_wireless_footswitch_slide_6.mp3 When not in use, the wireless footswitch can be stored in the holder in the side of the trolley. The Cios Select is installed with a hand switch and a footswitch for radiation release. There are two buttons on the hand switch, a button for radiation release and a button to store images. The hand switch is permanently connected to the C-arm main unit by a cable. When not in use, you can store the hand switch in the holders located on either side handle.     After the system components are connected, you can perform system start-up. System start-up is done at the C-arm main unit. At the back end of the unit there are two buttons. One button to start the system and one button to shut down the system. Press on the left button (circle inside the circle) to start the system   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, 2018