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Fusion Max: Ortho Image Acquisition Sequence

This sbs will guide User on how to set up and acquire images on the Fusion MAX system.

Ortho Image Acquisition Sequence Fusion Max Image Acquisition: 1. Select the desired Patient, and then select “Step 1” of the corresponding OGP based on Patient size (Small, Medium/Normal, Robust/Large) o H2F: Head to Foot acquisition (Leg Length Studies) o F2H: Foot to Head acquisition (Scoliosis Studies) 2. Insert the detector (crosswise or portrait), the 300cm grid, and then position the “Ortho Stand” in front of the wallstand. o DO NOT engage the “Tracking” button at this point. 75º 60 11: 00 45º 3. Detent the Tube transversely and longitudinally towards the wallstand at the 300cm (118”) SID. 4. Take TOD measurements of the patient (distance from the “Ortho Stand” to the body part being examined). 5. Press and hold the icon that looks like a wallstand on the bottom left of the TUI (Touch User Interface) located on the overhead tube to open the Ortho Menu. 100 87.5 O. 2.50 KV ANGy + 300cm SIEMENS siemens.com/healthineers Healthineers . Job Aid | Fusion MAX Ortho Image Acquisition Effective Date: 03/24/2018 | Quality HOOD0516200855237 6. Insert the TOD measurement in the TUI. 9.0 cm 0/0 ? 7. Raise the tube, keeping it perpendicular to the wallstand for the “First Ortho Position”. Utilize the red laser light position the beam for the top of the first image should be. Select the “Top Position” icon to store the top position. To set the lower position, lower the tube and line the red laser light up to indicate the bottom of the last image. Select the “Lower Position” icon to store the lower position. 9.0 cm 0/0 ? o Select the direction for acquisition with the “Arrow” icon (arrow down for Leg Lengths, arrow up for Scoliosis). 9.0 cm 1/2 o The number of acquisitions needed to cover the designated anatomy will display on the TUI. 9.0 cm 1/2 4 Siemens Healthineers Services Page 2 of 5 © Siemens Healthcare GmbH, 2017 Job Aid | Fusion MAX Ortho Image Acquisition Effective Date: 03/24/2018 | Quality HOOD0516200855237 o Collimation height is calculated by the system, DO NOT adjust collimation height. o Collimation width can be adjusted manually. 8. Engage “Tracking” at the wallstand, or at the Remote Control Console (RCC). The tube will then move into the “First” Ortho Position. O This X-ray patient and of factors, o maintenanc 9. Press the exposure button. Release the exposure switch, the image will appear and the tube will automatically move to the next ortho position. Repeat until all acquisitions are taken. H STOP. WARNING This X-ray unit may be dangerous to patient and operator unless safe exposure factors, operating instructions and maintenance schedules are observed. SIEMENS 10. When performing both an AP and Lateral view (the spine for example), once the first view is complete, clear the ortho data on the TUI before starting the next view. To clear the ortho data, exit the ortho screen by pressing the “Exit” icon on the lower left corner of the TUI. To re-open the ortho screen, hold down the “Ortho” icon on the bottom left corner of the TUI. 9.0 cm 1/2 LIIII I DO 300cm Siemens Healthineers Services Page 3 of 5 © Siemens Healthcare GmbH, 2017 Job Aid | Fusion MAX Ortho Image Acquisition Effective Date: 03/24/2018 | Quality HOOD0516200855237 Things to remember:  Ortho studies should not be done as a part of a “multiple” exam.  Scoliosis Studies are acquired Foot to Head.  Leg Lengths are acquired Head to Foot.  Tracking must only be engaged once start/stop positions are entered on the TUI.  It IS NECESSARY to enter the TOD at both the TUI and FLC.  If the tube is set up to read in inches, the TOD will also display in inches. Below is a conversion chart. cm Inch cm Inch cm Inch cm Inch cm Inch 0 0 20 7.9 40 15.7 60 23.6 80 31.5 0.5 0.2 20.5 8.1 40.5 15.9 60.5 23.8 80.5 31.7 1 0.4 21 8.3 41 16.1 61 24 81 31.9 1.5 0.6 21.5 8.5 41.5 16.3 61.5 24.2 81.5 32.1 2 0.8 22 8.7 42 16.5 62 24.4 82 32.3 2.5 1 22.5 8.9 42.5 16.7 62.5 24.6 82.5 32.5 3 1.2 23 9.1 43 16.9 63 24.8 83 32.7 3.5 1.4 23.5 9.3 43.5 17.1 63.5 25 83.5 32.9 4 1.6 24 9.4 44 17.3 64 25.2 84 33.1 4.5 1.8 24.5 9.6 44.5 17.5 64.5 25.4 84.5 33.3 5 2 25 9.8 45 17.7 65 25.6 85 33.5 5.5 2.2 25.5 10 45.5 17.9 65.5 25.8 85.5 33.7 6 2.4 26 10.2 46 18.1 66 26 86 33.9 6.5 2.6 26.5 10.4 46.5 18.3 66.5 26.2 86.5 34.1 7 2.8 27 10.6 47 18.5 67 26.4 87 34.3 7.5 3 27.5 10.8 47.5 18.7 67.5 26.6 87.5 34.4 8 3.1 28 11 48 18.9 68 26.8 88 34.6 8.5 3.3 28.5 11.2 48.5 19.1 68.5 27 88.5 34.8 9 3.5 29 11.4 49 19.3 69 27.2 89 35 9.5 3.7 29.5 11.6 49.5 19.5 69.5 27.4 89.5 35.2 10 3.9 30 11.8 50 19.7 70 27.6 90 35.4 10.5 4.1 30.5 12 50.5 19.9 70.5 27.8 90.5 35.6 11 4.3 31 12.2 51 20.1 71 28 91 35.8 11.5 4.5 31.5 12.4 51.5 20.3 71.5 28.1 91.5 36 12 4.7 32 12.6 52 20.5 72 28.3 92 36.2 12.5 4.9 32.5 12.8 52.5 20.7 72.5 28.5 92.5 36.4 13 5.1 33 13 53 20.9 73 28.7 93 36.6 13.5 5.3 33.5 13.2 53.5 21.1 73.5 28.9 93.5 36.8 14 5.5 34 13.4 54 21.3 74 29.1 94 37 14.5 5.7 34.5 13.6 54.5 21.5 74.5 29.3 94.5 37.2 15 5.9 35 13.8 55 21.7 75 29.5 95 37.4 15.5 6.1 35.5 14 55.5 21.9 75.5 29.7 95.5 37.6 16 6.3 36 14.2 56 22 76 29.9 96 37.8 16.5 6.5 36.5 14.4 56.5 22.2 76.5 30.1 96.5 38 17 6.7 37 14.6 57 22.4 77 30.3 97 38.2 17.5 6.9 37.5 14.8 57.5 22.6 77.5 30.5 97.5 38.4 18 7.1 38 15 58 22.8 78 30.7 98 38.6 18.5 7.3 38.5 15.2 58.5 23 78.5 30.9 98.5 38.8 19 7.5 39 15.4 59 23.2 79 31.1 99 39 19.5 7.7 39.5 15.6 59.5 23.4 79.5 31.3 99.5 39.2 Siemens Healthineers Services Page 4 of 5 © Siemens Healthcare GmbH, 2017 Disclaimers*: 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'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. Certain products, product related claims or functionalities (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 ………………………………………………………… Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens.com/healthineers Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2017