Cios Spin Hardware Overview Online Training

Welcome to the Cios Spin 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  Please note: The information in this online training relates to the software version VA30B or higher.  Upon successful completion of this course, you will be able to:  Identify the system components  Understand the brake system and position the C-arm for examination Release X-ray using the hand switch and standard footswitch Operate the control units Congratulations. You have completed the Cios Spin Hardware Overview Online Training. Listed below are the key points that have been presented. Take time to review the material before you proceed to the final quiz. Components of the C-arm Flat detector (FD) Ensure that the detector is always covered by disposable cover during the examination to protect from fluid penetration and contamination Anti-scatter grid Located on the underside of the detector housing Can be removed for example for pediatric examinations Keypad Press the color-coded buttons to lock and release the electromagnetic brakes Blue = orbital movement Yellow = angulation Green = horizontal movement Orange = swivel the C-arm Optional: laser light localizer button Handles at the detector housing Use the handles for manual C-arm movements and positioning Single tank X-ray tube Collimator system Exit windows for laser light localizer Dose measuring chamber (DAP meter) Integrated in the single tank DAP meter determines the dose area product and air kerma values Cumulative patient data are displayed on the left monitor Main unit Horizontal support arm can be moved back and forth (maximum range 20 cm) Lifting column Press the arrow buttons at the control unit to lift and lower the C-arm via motorized movements 3 positions are possible Steering lever Operate the brakes of the C-arm wheels and steer the C-arm in the required direction You can lock the steering lever into three positions (depending on the direction you would like to move the system) Footswitch holder Use for secure storage and during transportation of the C-arm system ​Handles Use for moving and transporting the system Equipped with a holder for the hand switch  Components of the monitor trolley Radiation Indicator Located on top of the monitor column Lights up when radiation is released Keep radiation release button pressed until the radiation indicator goes out TFT monitors Left monitor displays the live image Right image displays the reference image Preoperative images Images of the current examination Images from previous examinations Monitors can be rotated by 180° Main shelf with Two USB ports One USB port to connect the mouse Button for system startup Button for system shutdown Control panel Touchscreen control panel is integrated in the monitor trolley Uninterruptible power supply (UPS) Purpose: protect against image data loss in case of a power outage UPS display field shows charge state of the batteries and the operating status When the red LED is lit, the Cios Spin is no longer protected against power outages by the UPS Wheels witch cable deflectors and central locking brake To transport the monitor trolley, release the central brake Push the center brake down with your foot to engage the brake  Control elements Control unit The functions of the C-arm control unit and the optional remote control unit are identical. On the control unit, you can find: Radiation indicator Power supply indicator Buttons for lifting and lowering the C-arm EMERGENCY STOP button Disables motorized C-arm movements Locks the electromagnetic brakes Stops radiation release To unlock the EMERGENCY STOP button, turn it clockwise Color-coded buttons for releasing and locking the electromagnetic brakes Blue = orbital movement Yellow = angulation Green = horizontal movement Orange = swivel the C-arm Motorization control module Attached to the right side of the C-arm control unit Position memory: Save two positions of the C-arm and press the memory button to return to the pre-defined position To save the position, press the lower button Motorized movements Press the yellow buttons for angulation adjustment Press the blue buttons to change the orbital position Touchscreen control panel Used to operate the system, e. g. register the patient Control panels of the C-arm, the monitor trolley and the remote control are synchronized => If you operate the touchscreen on one component, the control panel on the other components will display the same content The functions of the control panels are identical Hand switch Used to control radiation release and image storage remotely Press the yellow radiation release key and keep it pressed during irradiation  Standard footswitch Used to release radiation Foot pedal assignment can be configured Standard settings: Left pedal: radiation release in preselected operating mode Exception: Single image when fluoroscopy operating mode is preselected Right pedal activate Fluoroscopy Image saving function can be allocated to a pedal, if desired Pedal allocation is displayed on the left screen of the monitor C-arm system Monitor trolley The C-arm system consists of:  Main unit with touchscreen control panel C-arm with flat detector (FD) and X-ray tube The monitor trolley consists of:  Two monitor displays Touchscreen control panel and mouse Computer with CD/DVD drive Optional printer You can find the following components on the monitor trolley:  Connection for power and connection to C-arm On/Off switch Connections for USB and mouse Radiation indicator Two monitors Monitor column  Control panel  Handles  Wheels with cable deflector and central locking brake  Connection for WLAN, LAN, Reset key UPS display field   Learn more about the monitor trolley Learn more about the monitor trolley. Slide NumberText BlocksCalloutsAudio ScriptImage File1The radiation indicator is located on top of the monitor column.  When you acquire single images, keep the radiation release button pressed until the radiation indicator goes out.  Radiation release is also indicated by a yellow light on the control unit.   The radiation indicator is located on top of the monitor column. When you acquire single images, keep the radiation release button pressed until the radiation indicator goes out. Radiation release is also indicated by a yellow light on the control unit. 2The monitor trolley has two TFT monitors for image display.  The left monitor displays the live image.  The right monitor displays the reference image. The reference images can be:  Preoperative images Images of the current examination  Images from previous examinations  The two monitors can be rotated by 180°. Hint: If the option has been purchased, the monitors can be folded for transport. 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 reference images can be: Preoperative images, Images of the current examination or Images from previous examinations The two monitors can be rotated by 180°. 3Below the monitors is the main shelf with two USB ports for image export one USB port to connect the mouse ​button for height adjustment of the monitor column (optional)  button for system startup button for system shutdown  control panel 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 and the remote control.   CalloutsUSB port for image exportUSB port for mouseLift/lower monitor column (option)System shutdownSystem startupControl panelBelow the monitors is the main shelf with two USB ports for image export, one USB port to connect the mouse, ​the button for height adjustment of the monitor column (optional), the button for system startup, the button for system shutdown and the control panel 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 and the remote control. 4You use the handles to direct the movements of the monitor trolley and to store the cables of the monitor trolley, for example power connection and cable for C-arm connection. You use the handles to direct the movements of the monitor trolley and to store the cables of the monitor trolley, for example power connection and cable for C-arm connection. 5The Cios Spin 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 display field on the front of the monitor trolley shows the charge state of the batteries and the operating status:  (1) Green LED: input voltage (line power operation)  (2) Yellow LED: battery operation  (3) Red LED: alarm/malfunction  (4) Bar display of utilization ratio (5) Bar display of battery charge status  Important hint: When the red LED is lit, the Cios Spin is no longer protected against power outages by the UPS. Do not disconnect the system from the power supply unit until the system is shutdown.   The Cios Spin 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 display field on the front of the monitor trolley shows the charge state of the batteries and the operating status: (1) The green LED indicates line power operation (2) The yellow LED indicates the battery operation (3) The red LED indicates an alarm or a malfunction In addition, the UPS display field contains the (4) Bar display of utilization ratio and (5) the Bar display of battery charge status Important hint: When the red LED is lit, the Cios Spin is no longer protected against power outages by the UPS. Do not disconnect the system from the power supply unit until the system is shutdown. 6The cable outlets for the power connection and the connection to the C-arm are located at the lower back of the monitor trolley.  Please note: The C-arm does not need to be connected to power supply, but is powered from the monitor trolley.   The cable outlets for the power connection and the connection to the C-arm are located at the lower back of the monitor trolley. Please note: The C-arm does not need to be connected to power supply, but is powered from the monitor trolley. 7The monitor trolley is equipped with four wheels with cable deflectors and central locking brake.  To transport the monitor trolley, release the central brake on the front of the monitor trolley to start moving.  When you have positioned the monitor trolley, push the center brake down with your foot to engage the brake again.   The monitor trolley is equipped with four wheels with cable deflectors and central locking brake. To transport the monitor trolley, release the central brake on the front of the monitor trolley to start moving. When you have positioned the monitor trolley, push the center brake down with your foot to engage the brake again. You can control the C-arm system with the following control elements:  Control unit at the C-arm main unit Control panel at the monitor trolley  Remote control unit (option) In addition, some functions as for example radiation release are controlled with the hand switch and/or the footswitch.    Learn more about the control unit Learn more about the control unit. Slide NumberText BlocksCalloutsAudio ScriptImage File1The functions of the C-arm control unit and the optional remote control unit are identical.  On the upper left side of the control unit, you can find the following indicator lights and buttons:  (1) Radiation  (2) Power supply  (3) Buttons for lifting and lowering the C-arm   The functions of the C-arm control unit and the optional remote control unit are identical. On the upper left side of the control unit, you can find the following indicator lights and buttons: - Radiation indicator - Power supply indicator, - and the buttons for lifting and lowering the C-arm 2The EMERGENCY STOP button can be found on the left side of the control unit.  Press the EMERGENCY STOP button in case of a hazardous situation to  disable motorized C-arm movements lock the electromagnetic brakes  stop radiation release  When the EMERGENCY STOP button is activated, a red lock symbol flashes on the active button. The lock symbol lights constantly on the other emergency stop components as long as the emergency stop button is active in at least one location.  To unlock the EMERGENCY STOP button, turn it clockwise when the hazardous situation has been eliminated.   Please note: When the EMERGENCY STOP button is activated, it is still possible to release radiation if you press the respective pedal of the footswitch. The EMERGENCY STOP button can be found on the left side of the control unit. Press the EMERGENCY STOP button in case of a hazardous situation to - disable motorized C-arm movements, - lock the electromagnetic brakes, - and stop radiation release. When the EMERGENCY STOP button is activated, a red lock symbol flashes on the active button. The lock symbol lights constantly on the other emergency stop components as long as the emergency stop button is active in at least one location. To unlock the EMERGENCY STOP button, turn it clockwise when the hazardous situation has been eliminated. Please note: When the EMERGENCY STOP button is activated, it is still possible to release radiation if you press the respective pedal of the footswitch. 3On the lower left side of the control unit, you can find buttons for releasing and locking the electromagnetic brakes of the C-arm.  Press the button for the brake for the desired direction of movement. The brake released indicator (open lock) lights up orange and the corresponding brake is released.  Engage the brake again by pressing the respective button. The brake released indicator goes out. The corresponding brake is locked and movements in this direction are not possible anymore.  The brakes are color-coded:  blue = orbital movement yellow = angulation of the C-arm green = horizontal movement orange = swivel the C-arm  On the lower left side of the control unit, you can find buttons for releasing and locking the electromagnetic brakes of the C-arm. Press the button for the brake for the desired direction of movement. The brake released indicator lights up orange and the corresponding brake is released. Engage the brake again by pressing the respective button. The brake released indicator goes out. The corresponding brake is locked and movements in this direction are not possible anymore. The brakes are color-coded: (1) blue for orbital movement (2) yellow for angulation of the C-arm (3) green for horizontal movement (4) orange for swivel the C-arm 4The motorization control module is attached to the right side of the C-arm control unit and to the optional remote control unit.  The motorization package allows efficient C-arm movements:  (1) Position memory: It is possible to save two specific positions of the C-arm. During a procedure, press the respective memory button to return to the pre-defined position with just one click.  To save the required position, press the lower button with the C-arm and the lock (2).  (3) You can change the angulation and the orbital position of the C-arm via motorized movements. Press the yellow buttons for angulation adjustment.  Press the blue buttons to change the orbital position.   The motorization control module is attached to the right side of the C-arm control unit and to the optional remote control unit. The motorization package allows efficient C-arm movements: The function Position memory allows to save two specific positions of the C-arm. During a procedure, press the respective memory button to return to the pre-defined position with just one click. To save the required position, press the lower button with the C-arm and the lock. You can change the angulation and the orbital position of the C-arm via motorized movements. -Press the yellow buttons for angulation adjustment. -Press the blue buttons to change the orbital position. 5The touchscreen control panel on the C-arm main unit, the control panel on the monitor trolley and the remote control panel are synchronized with each other. This means that if you operate the touchscreen control panel on one component, the control panel on the other components will display the same content. The functions on the control panels are identical.  You use the control panel to operate the system, for example: Register the patient Select the Operating mode Adjust examination parameters  The touchscreen control panel on the C-arm main unit, the control panel on the monitor trolley and the remote control panel are synchronized with each other. This means that if you operate the touchscreen control panel on one component, the control panel on the other components will display the same content. The functions on the control panels are identical. You use the control panel to operate the system, for example: - Register the patient - Select the Operating mode, - and adjust examination parameters . Learn more about the footswitch Learn more about the footswitch. Tab TitleTextStandard footswitch You can use the footswitch to release radiation. The foot pedal assignment can be configured. In the standard setting, the pedals are assigned as follows:  Left pedal: radiation release in preselected operating mode Exception: Singe image when fluoroscopy operating mode is preselected Right pedal: activate Fluoroscopy In addition, the image saving function can be allocated to a pedal, if desired.  The current pedal allocation is displayed on the left screen of the monitor trolley.    Storage For secure transportation and storage, place the footswitch in the holder on the front of the C-arm main unit. Roll up the footswitch cable, if applicable.  Learn more about the hand switch Learn more about the hand switch. Tab TitleTextHand switch You can use the hand switch to remotely control radiation release and store images.  Press the yellow radiation release button on the hand switch and keep it pressed during irradiation. The generated image is displayed on the left monitor.  Image storage Press the save key after radiation  for less than 2 seconds to save the last recorded image (LIH) for more than 2 seconds to save the last recorded scene (LSH) The images are stored in the local database. They are transferred from the left monitor to the right monitor unless the Hold reference button is active.    The C-arm system consists of C-arm with the flat detector (FD) and the single tank  Main unit with the control panel  The C-arm does not need to be connected to power supply, but is powered from the monitor trolley.  The detector housing consists of the following parts:  Flat detector  Removable anti-scatter grid  Keypad with buttons for releasing and activating brakes as well as the optional button for switching the laser light localizers on and off  Handles for manual movement/positioning of the C-arm  Learn more about the detector housing Learn more about the detector housing. Tab TitleTextFlat detector The flat detector has a high dynamic range. This enables an expansion of the application range, for example to soft tissue imaging.  Ensure that the detector is always covered by a disposable cover during the examination to protect it from fluid penetration and contamination. Anti-scatter grid The anti-scatter grid is located on the underside of the detector housing and can be removed for example for pediatric examinations.    Keypad The Cios Spin is equipped with electromagnetic brakes that you can lock and release with the buttons on the keypad (1-4). The buttons are marked with different colors according to the graduated scales on the system.  Release the brake by pressing the respective button:  blue: to allow orbital movement  yellow: to change angulation  green: to allow horizontal movement  orange: to swivel the C-arm For easy system positioning, you can use the laser light localizer (optional). Press the button (5) to turn the laser light localizers on and off.  Handles The handles for manual C-arm movement and positioning are located on the front (1) and on both sides of the detector housing (1).   Integrated in the single tank are:  X-ray tube unit  Collimator system  Dose measuring chamber (DAP meter)  Exit windows for laser light localizer Learn more about the dose measuring chamber Learn more about the dose measuring chamber The dose measuring chamber (DAP meter) is integrated in the single tank of the Cios Spin. The DAP meter determines the dose area product (DAP) and air kerma values. The cumulative patient data are displayed on the left monitor at the monitor trolley during the examination.  You can find the following parts/components at the main unit:   Control unit/control panel  Horizontal support arm  Lifting column Steering lever  Footswitch holder  Handles  Learn more about the main unit Learn more about the main unit. Tab TitleTextHorizontal support arm You can move the horizontal support arm back and forth with a maximum range of 20 cm.    Lifting column You can lift and lower the C-arm via motorized movements to three positions: Position 1 = highest level Position 2 = intermediate position  Position 3 = lowest position  To lift and lower the lifting column by motor control, press the arrow buttons on the C-arm system control unit. Ensure there is nothing in the hazard zone when lowering the C-arm.  Steering lever With the steering lever, you operate the brakes of the C-arm wheels and steer the C-arm in the required direction.  You can lock the steering lever into three positions depending on the direction you would like to move the system.    Footswitch holder You can store the footswitch in the footswitch holder on the front of the main unit during transportation.  Place the footswitch into the holder and roll up the cable onto the cleat provided.  Handles Use the handles of the main unit to move and transport the system.  The handles on both sides of the main unit are equipped with a holder for the hand switch.  Please note that the learning material is for training purposes only! For the proper use of the software or hardware, please always use the Operator Manual or Instructions for Use (hereinafter collectively “Operator Manual”) issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training. The Operator Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Note: Some functions shown in this material are optional and might not be part of your system. The information in this material contains general technical descriptions of specifications and options as well as standard and optional features that do not always have to be present in individual cases. Certain products, product related claims or functionalities described in the material (hereinafter collectively “Functionality”) may not (yet) be commercially available in your country. Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. Copyright © Siemens Healthcare GmbH, 2019