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Fusion Max VF Ortho Acquisition Job Aid

This job aid will guide the end user through the steps of setting up the fusion  max system for ortho acquisitions

Fusion Max: Ortho Image Acquisition (VF Software) XPRF 1. Select the desired patient, and then select the corresponding OGP based on projection of the body part (Ap or Lat, single leg or both legs). Next, select the patient size (small, medium/normal, robust/large). 2. If you are using a wireless detector (Wi-D), insert the detector (crosswise or portrait). o Insert the 300cm (118 inch) grid o Place the “Ortho Stand” centered in front of the wallstand. DO NOT engage the “Tracking” button at this point. 75º 009 OSt 11:00 3. Detent the tube transversely and longitudinally towards the wallstand at the 300cm (118”) SID. 4. Measure the Table Object Distance (TOD) for the area of interest (this is the distance from the “Ortho Stand” to the body part being examined). o Enter the TOD on the TUI (Touch User Interface) located on the overhead tube in the Ortho Menu. Note: The TOD unit of measurement will be in inches on the TUI. Use the conversion chart located at the bottom of this document to convert the TOD taken in cm’s into inches prior to inputting the measurement on the TUI. SIEMENS Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Job Aid Effective Date: 04/20/2020 | HOOD05162003086429 Healthineers Job Aid | Fusion VF Software Ortho Image Acquisition Effective Date: 04/20/2020 | HOOD05162003086429 9.0 cm 0/0 5. Insert the TOD measurement. ? 6. Set “First Ortho Position” by raising the tube (keep the tube perpendicular to the wallstand). o Utilize the red laser light (not the light field) to position the beam. The top of the laser light represents the top of the first image in the ortho series. o Select the “Top Position” icon to store the first position. o To set the last position of the ortho series, lower the tube and align the red la- ser light to indicate where the bottom of the last image should be. o Select the “Lower Position” icon to store the last position. 9.0 cm 0/0 ? o The number of acquisitions needed to cover the designated anatomy will dis- play on the TUI (maximum of 4 images). 9:0 cm 1/2 SIEMENS Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Job Aid Effective Date: 04/20/2020 | HOOD05162003086429 Healthineers Page 2 of 8 Job Aid | Fusion VF Software Ortho Image Acquisition Effective Date: 04/20/2020 | HOOD05162003086429 o Collimation height is calculated by the system, DO NOT adjust collimation height. o Collimation width can be adjusted manually. 7. Engage “Tracking” at the Remote-Control Console (RCC). o The tube will move into the “First” Ortho Position. This X-ray patient and of factors, o maintenanc 8. Press the exposure button. Release the exposure switch, the image will appear, and the tube will automatically move to the next ortho position. o Repeat until all acquisitions are completed. I H STOP. WARNING This X-ray unk mary be dangerous lo patent and operator urdess sa actors, operating instructions and are soserv SIEMENS SIEMENS Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Job Aid Effective Date: 04/20/2020 | HOOD05162003086429 Healthineers Page 3 of 8 Job Aid | Fusion VF Software Ortho Image Acquisition Effective Date: 04/20/2020 | HOOD05162003086429 9. If performing both an AP and Lateral view (i.e. the spine), it is recommended to finalize the stitching of the first projection and save the image before continuing to the next view. o Stitch the first view (AP or Lateral) o Choose the OGP for the next projection from the " Examination" tab o Repeat the positioning and image acquisition for the next projection 10. Once the images are acquired, they will automatically stitch together. At this stage, review the accuracy of the aligned images and make any necessary adjustments to complete the study. Adjusting the image: Note: Blending is automatically applied to the image once it is stitched. o Blending compensates for techniques required for multiple AEC exposures and has a smoothing effect. o It is recommended that the image be “unblended” to ensure proper alignment. Al- ways make sure “blending” is turned on before you save your final image. Blend mode (default setting): The 1 single images are blended at the transitions between each pair of images. 2 (1) (1) Interpolated areas m Cut mode: The single images are 1 placed side by side without blen- ded transitions. 2 W SIEMENS Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Job Aid Effective Date: 04/20/2020 | HOOD05162003086429 Healthineers Page 4 of 8 Job Aid | Fusion VF Software Ortho Image Acquisition Effective Date: 04/20/2020 | HOOD05162003086429 11. First “unblend” the image using the “Blend/Cut” icon. Move the preview box (this is the white box on the stitched image on the right side of the screen) over the stitch lines to activate the adjustment functions. Note: In the image below the active (1) stitch line is indicated by the addition of two small vertical lines through the horizontal line and the inactive (2) stitch line has only a horizontal line. 4. Emergency Patient 3 4.45 Ortho Examination Process. Compose Postprocessing Blend/Cut Icon Position Step size 0.0 Documentation feet to head 0 MA 0.0 MAS min 0:00 ms Image Tools H 1 Postprocessing Mode 2364 x 6341 0% hu ( 2 ) ( 1 ) SIEMENS Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Job Aid Effective Date: 04/20/2020 | HOOD05162003086429 Healthineers Page 5 of 8 Job Aid | Fusion VF Software Ortho Image Acquisition Effective Date: 04/20/2020 | HOOD05162003086429 Process. Compose 12. Once the stitch line is active, use a combination of the left/right and up/down arrows to any necessary adjustments. o The step size option allows for small or large adjustments to the anatomy. o The smaller the step size, the smaller the movement. Position 2 Note: A “step size” of 1 equals one pixel of movement, which equals 1mm of movement of the image. Step size 1 TOD(cm) 0.0 feet to head 13. Once the image is adjusted/verified for accuracy blend the image and then save. A fi- nal stitched film from the "Documentation" tab. . Click this icon. The image currently displayed is saved as a new image. It will appear in the series/images catalog of a study directly after the original series. SIEMENS Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Job Aid Effective Date: 04/20/2020 | HOOD05162003086429 Healthineers Page 6 of 8 Job Aid | Fusion VF Software Ortho Image Acquisition Effective Date: 04/20/2020 | HOOD05162003086429 Things to remember: o Ortho studies should not be performed as a part of a “multi study” exam. o Tracking must only be engaged once start/stop positions are entered on the TUI. o It IS NECESSARY to measure the TOD for each projection AP and Lateral for scoliosis studies and enter the value on the TUI for each exam. o If the tube is set up to read in inches, the TOD will also display in inches. Below is a conversion chart. Conversion Chart cm Inch cm Inch cm Inch cm Inch cm Inch 0 20 7.9 40 15.7 60 23.6 80 31.5 O 0.5 0.2 20.5 8.1 40.5 15.9 50.5 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. 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 77 39.5 15.6 59.5 23.4 79.5 31.3 99.5 39.2 SIEMENS Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Job Aid Effective Date: 04/20/2020 | HOOD05162003086429 Healthineers Page 7 of 8 Job Aid | Fusion VF Software Ortho Image Acquisition Effective Date: 04/20/2020 | HOOD05162003086429 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 co llectively “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 c autions. 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 comme rcially available in your country. Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. Copyright © Siemens Healthcare GmbH 2020 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Phone: +49 9131 84-0 siemens-healthineers.com SIEMENS Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Job Aid Effective Date: 04/20/2020 | HOOD05162003086429 Healthineers Page 8 of 8