Hybrid OR Imaging Equipment Instruction Workbook

SIEMENS Viewing Filming AXOME Arts 2010-05-10 12 26:30 Type Orient Table | 20 WW 2009 Brightness 100 Artis Atis 200g w 2000 C 1500 Prototype under clinical tial Opacity InSpace zeego Clip Tools Measure | X-Ray WP Inm LAOSAD 116 CRANICALO 20 A 0 979198 Contours en/of STRO.V Prototype under clinica Hial B 100 W 792 0 0 C 833 pll line request for CIENDOMAPEXCHANGE successful 7/13/2010 5.25 51 PM along 199 6 NO -0 Hybrid OR Imaging Equipment Instruction Turnover Workbook www.usa.siemens.com/education Answers for life. SHE Contact Information Summary Welcome to Siemens Healthcare Discover. Try. Buy. on webShop Siemens Healthcare is dedicated to helping you Do you want to “Discover. Try. Buy.” options, accessories, get the most out of your investment throughout and clinical education to make the most of your the entire product life cycle and beyond. Our goal imaging equipment? Discover images, case studies, is to enable you to take technology further, and video demonstrations with the latest clinical profitability higher, and patient care to the next applications. Try advanced applications utilizing level. Find the information, resources, and tools free software trials. Buy applications, coils, clinical you need to get the most out of your recent education, and accessories, conveniently at any time. investment and stay up-to-date. Visit Visit www.usa.siemens.com/webShop today! www.usa.siemens.com/Welcome2Healthcare. Clinical Training and Siemens Training Centers Continuing Education Siemens Clinical Education Training Center – TDC2 UPTIME Clinical Application Support: 110 Mac Alyson Court Call 1-800-888-7436 Cary, NC 27511 • Troubleshooting assistance • Immediate assistance for software applications and workflow issues Please provide the Functional Location Number when calling for assistance. Clinical Education Offerings: Call 1-888-221-8010 (follow the prompts) • Classroom Training (Offerings, Registration & Scheduling) • Educational Symposia • On-site Training • Printed Self-studies • Virtual Education (Offerings & Registration) • Workshops & Fellowships Visit www.usa.siemens.com/clinicaleducation for more information regarding the current Siemens Clinical Training and Continuing Education portfolio. 2 SNaWaIS Overview Purpose Siemens Healthcare training is designed to educate operating room (OR) staff about the hybrid OR envi- ronment. This training is directed to OR staff to maintain the highest level of safety, proficiency, and ownership of the hybrid environment. A full commitment by staff to follow the Siemens hybrid OR training program is necessary. This training increases the staff’s knowledge of equipment, systems, and skills to work safely and efficiently in the hy- brid OR environment. This training is essential to the daily operation of the hybrid OR and will aid in reducing equipment prob- lems that lead to hybrid OR down time and repair costs. Learning Objectives After completing this training session, you will be able to: • Understand the potential for damage to equipment. • Understand the correct operation of imaging equipment mechanical movements. • Understand collision avoidance. • Protect the stand/C-arm source and foot pedal from fluid contamination. • Correctly clean and disinfect imaging equipment. • Be aware of general imaging equipment precaution guidelines. 3 Hybrid OR Imaging Equipment General Caution for Unit Movements: Risk of colli- Notes Notes sion It is the responsibility of the operator to ensure that unit move- ments are released only if he or she is certain that neither the op- erator, the patient, third parties, or other pieces of equipment can be endangered by these movements. • Make sure you are standing outside the dangerous area. • Remove any objects or accessories, e.g., injector or infusion stand, bovie stand, kick buckets, surgical stands and tables from collision area. • Properly place anesthesia cables, IV tubing, respiratory circuit tubing, and accessories to respect clearances for /C-arm and table movements. Emergency Stop Buttons Where are the emergency STOP buttons? You will find emergency STOP buttons in the following locations: on the front side of any table control module STOP STOP STOP Control modules Operation of Imaging Equipment Movement Con- trols Table Operation Rule: Ensure that there is nothing underneath the table that will cause damage to the table or equipment when tilt- ing or lowering table. 4 Hybrid OR Imaging Equipment Operation of Imaging Equipment Movement Con- Notes Notes trols (continued) Table Control Module (TCM) and Manual Control for Table— table movements = Keys on the table control module • Perform table lift. • Perform table tilt. • Select lateral table tilt. * LED lights while function active. • Unlock brakes for table rotation. * LED lights while function active. • Set isocenter. * LED lights while function active. +9 • Lock lateral tabletop movement. * LED lights while function active • Select orientation. 5 Hybrid OR Imaging Equipment Operation of Imaging Equipment Movement Con- Notes Notes trols (continued) Manual control for table with lateral tilt You can adjust the height and tilt of the table and return the table to the zero po- sition by manual control. (1) (1) Tabletop longitudinal movement (2) (2) Table height (3) Table tilt Trendelenburg (3) (4) Table tilt lateral (4) (5) Without function (5) (6) Table tilt zero position (7) LEDs for displaying the zero position HOME HOME (6) (7) Manual control also works during a power failure. • Raising and lowering the table can be performed by select- ing the table lift buttons. (Indicated by the blue circles) OO - • Trendelenburg and reverse trendelenburg table movements can be activated by selecting the table tilt button. (Indicat- ed by the blue circles) OO = 6 Hybrid OR Imaging Equipment Operation of Imaging Equipment Movement Con- Notes Notes trols (continued) • Table can be tilted to the left or right by selecting the later- al table tilt button (LED green light needs to be active) then using the table tilt buttons. On the Manual Control for Ta- ble, use the right or left lateral tilt buttons. (Indicated by the blue circles) OO .. • To bring table back to 0 degree position, select both table tilt buttons at the same time. (Indicated by the blue cir- cles.) OO + • Longitudinal and transverse table movement can be select- ed by either the large table control knob or the joystick on either TCM module. (Indicated by the blue circles) 7 Hybrid OR Imaging Equipment Operation of Imaging Equipment Movement Con- Notes Notes trols (continued) • Longitudinal table movements can OO be selected on the Manual Control for Table. (Indicated by the blue cir- cles.) Stand/C-arm Operation Rule: Remove all equipment within the path of the stand/C-arm movements. Controls for stand/C-arm movements. • FD membrane keys. FD Membrane keys for C-arm and FD movements 30x40 Version 1 Version 2 C-arm rotation (cran/caud angula- tions) C-arm orbital movement (RAO) LAO angulations) Longitudinal C-arm movement Laser positioner light on/off FD rotation (setting portrait/land- scape) Of FD lifting and lowering - setting the SID to -) 8 Hybrid OR Imaging Equipment Operation of Imaging Equipment Movement Con- Notes Notes trols (continued) • Stand/C-arm control module and joystick. (2) Stand/C-arm multifunction joystick (2) (3) (View from the rear) (1) Dead man's switch for releasing movements (2) Buttons on each side with the same function: switching over from C-arm angulation to stand swivel (floor stand), stand lon- gitudinal movement (top stand), (3) Rocker switch on the back: for lifting and lowering the FD (setting the SID) Keys on the stand/C-arm control module +0+ Stand/C-arm control module (single plane system) Keys on the stand/C-arm control module Select programmed position LED is lit while function active. Select system position - LED is lit while function active. Store position LED is lit while function active. Set zero stop - LED is lit while function active. Select orientation Orientation key >124 Select direct positions I, II, III - LED is lit while function active. • Guards on the stand/C-Arm. 9 Hybrid OR Imaging Equipment Collision Avoidance Notes 1. Movement of OR equipment around imaging equipment. * When moving portable OR equipment, avoid collisions with stand/c-arm, monitor boom and table to reduce impact damage, i.e. perfusion pumps, cell savers, bovie stands, and IV poles. 2. Placement of OR equipment in proximity to C-arm, monitor boom, and table. * Keep movable OR equipment a respectable distance from stand/C-arm, monitor boom, and table. 10 Hybrid OR Imaging Equipment Collision Avoidance (continued) Notes * Proper placement of anesthesia cables, IV tubing and accessories to respect clearances for stand/C-arm movements and spins. 3. C-arm movements vs. moveable ceiling-mounted sys- tems. • Operators and hybrid OR staff should be alert to stand/C-arm movements and collisions with ceiling-mount- ed systems, i.e., OR light, monitors, and accessory booms. 11 Hybrid OR Imaging Equipment Protecting Stand/C-arm Source and Foot Pedal from Notes Fluid Contamination Use covers Cleaning and Disinfection Caution: Risk of electrical hazard or damage to the system! Use of harsh cleaning agents, liquids, or sprays. • Use only substances for cleaning and disinfection, which are recommended. • Do not let cleaning liquids seep into the openings of the sys- tem. (e.g., air openings, gaps between covers). • Only use water or a lukewarm diluted household cleaning agent solution. • To clean monitors with anti-glare monitor screens (recogniz- able by the non-reflective surface) or LC displays, use only a cloth moistened with pure water without any cleaning agents. • Note: Sprays can penetrate the interior of equipment. This can cause damage to electronic components and the formation of flammable mixtures of air/solution vapor. 12 Hybrid OR Imaging Equipment Radiation Safety Notes This imaging equipment produces ionizing radiation. All Hybrid OR team members are required to wear appropriate radiation protective equipment, utilize lead shielding and wear dose monitoring devices as directed by their facilities radia- tion safety officer. Appropriate radiation protection equipment, when combined with: • Reduced exposure time. • Increased distance from the radiation source. This will help to reduce radiation dose to the Hybrid OR team members. Simple Imaging Equipment Precaution guidelines 1. Never try to move or push C-arm or table by hand. 2. Be alert for collision potentials. 3. When in doubt, ask someone who knows. 4. Commit dedicated staff to room to monitor equipment and staff. 13 Notes 14 Notes 15 On account of certain regional limitations of sales rights and service availability, we cannot guarantee that all products included in this brochure are available through the Siemens sales organization worldwide. Availability and packaging may vary by country and is subject to change without prior notice. Some/All of the features and products described herein may not be available in the United States. The information in this document contains general technical descriptions of specifications Local Contact Information and options as well as standard and optional Siemens Medical Solutions USA, Inc. features which do not always have to be 51 Valley Stream Parkway present in individual cases. Malvern, PA 19355-1406 Siemens reserves the right to modify the USA design, packaging, specifications and options Telephone: +1-888-826-9702 described herein without prior notice. Please www.usa.siemens.com/healthcare contact your local Siemens sales representative for the most current information. Global Business Unit Note: Any technical data contained in this Siemens AG document may vary within defined tolerances. Medical Solutions Original images always lose a certain amount Imaging & Therapy Systems of detail when reproduced. Angiography & Interventional X-ray Systems Siemensstr. 1 DE-91301 Forchheim Order No. Germany Printed in USA 01-2013 | All rights reserved Telephone: +49 9191 18-0 © 2012 Siemens Medical Solutions USA, Inc. www.siemens.com/healthcare Global Siemens Headquarters Global Siemens Healthcare Siemens AG Headquarters Wittelsbacherplatz 2 Siemens AG 80333 Muenchen Healthcare Sector Germany Henkestrasse 127 91052 Erlangen Germany Telephone: +49 9131 84-0 www.siemens.com/healthcare 16 www.siemens.com/healthcare