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Luminos Agile VC10 and Higher Turnover Workbook

Luminos Agile VC10 and Higher Turnover Workbook

A914CX-CS-121836-P1-4A00_v3-CS4.indd Sheet: 1 / 18 Date: 2012-8-9 page(s): 36, 1 Cyan Magenta Yellow Black SIEMENS 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 SIEMENS Luminos Agile 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 Luminos Agile VC10 and Higher Order No. A914CX-CS-121836-P1-4A00 Germany Printed in USA 08-2012 | All rights reserved Telephone: +49 9191 18-0 © 2012 Siemens Medical Solutions USA, Inc. www.siemens.com/healthcare Workbook www.usa.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 www.siemens.com/healthcare Answers for life. www.croptima.com A914CX-CS-121836-P1-4A00_v3-CS4.indd Sheet: 2 / 18 Date: 2012-8-9 page(s): 2, 35 Cyan Magenta Yellow Black Notes OK SIEMENS 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 Siemens Healthcare Training Center applications and workflow issues at the University of Utah 421 Wakara Way Please provide the Functional Location Number when Suite 140 calling for assistance. Salt Lake City, UT 84108 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 35 www.croptima.com A914CX-CS-121836-P1-4A00_v3-CS4.indd Sheet: 3 / 18 Date: 2012-8-9 page(s): 34, 3 Cyan Magenta Yellow Black Day Five Day Five: Review of System and Sign-off 5- Topic Objectives Today is a full work schedule and review: • Patient imaging – continued • Checklist sign-offs • Questions Table of Contents Notes Day One ............................... 4 Day Two .............................. 18 Day Three ............................. 32 Day Four ............................. 33 Day Five .............................. 34 Overview Learning Objectives After completing this training session, you will be able to: 1. Correctly perform start-up and shutdown procedures. 2. Identify the key hardware features of the Luminos Agile system. 3. Describe the key features of the Fluorospot Compact imaging system. 4. Correctly perform a patient registration. 5. Utilize the Examination task card to perform a patient procedure. 6. Utilize the Postprocessing task card to adjust an image. 7. List the steps needed to archive a patient study. 34 3 www.croptima.com A914CX-CS-121836-P1-4A00_v3-CS4.indd Sheet: 4 / 18 Date: 2012-8-9 page(s): 4, 33 Cyan Magenta Yellow Black Day One Day Four Day Four System Overview Notes Day Four: Review of System Objectives • After this session, you will be able to: Correctly perform start-up and shutdown procedures. Topic Objectives – Correctly perform a warm-up exposure for the table detector. – Identify the key hardware features on the Luminos Agile system. Today is a full work schedule and review: – Describe the four steps of the workflow. • Patient imaging – continued – • PEX Editor–modify exam protocols – continued • Switching On/Start-Up Questions • The Luminos Agile is started from the switched off mode. • The X-ray room and Fluorospot Compact are switched on and off by the same switch. Starting the System from Notes the Powered-down State Change this text to read “If the Luminos Agile has been switched off for an extended period of time at the main circuit breaker, the detector requires a warm-up time between 60 and 120 minutes to achieve optimal image quality. Image \acquisition is possible but reduced image quality may occur. Caution • Switch the main circuit breaker in the room ON. • Press the ON button on the generator ON/OFF console. The system performs a self-test of the Fluorospot Compact – and Luminos Agile systems. • System Reboot. Press the OFF button on the console. – When the Fluorospot Compact has shut down – (dark monitor), press the ON button. A daily reboot of the system is recommended. Key Hardware Features Overview This section will discuss key hardware features of the Luminos Agile system. Emergency Stop • All system movements and release of radiation are disabled. Emergency Stop Reset • Turn Emergency Stop button clockwise and release. System movements and release of radiation are now enabled. All of these functions are allowed only when the button is depressed. Releasing the button stops the function. LA 88 P 4 33 www.croptima.com A914CX-CS-121836-P1-4A00_v3-CS4.indd Sheet: 5 / 18 Date: 2012-8-9 page(s): 32, 5 Cyan Magenta Yellow Black Day Three Day One Day Three: Review of System Objectives System Settings Notes Topic Objectives • Activate Parking of Digital Imaging Tower (DIT) Today is a full work schedule and review: Performing patient exams • Activate Unparking of the DIT • • Review patient images with Radiologists P • PEX Editor–modify exam protocols – continued Review of all task cards and subtask cards • Patient Transfer Vertical • • Questions • Patient Transfer Horizontal Notes • Table tilt – table will stop at 0º 53. • Overhead tube Park override • Tube/detector centering • Table height adjustment – table will move lowest when the DIT is parked • Table top movement – table will stop when it gets centered either transverse or longitudinal Parking the DIT Parking the DIT using the motorized function is a 4-step process: 1. Press P, either tableside or on the DIT. 32 5 www.croptima.com A914CX-CS-121836-P1-4A00_v3-CS4.indd Sheet: 6 / 18 Date: 2012-8-9 page(s): 6, 31 Cyan Magenta Yellow Black Day One Day Two Notes Day Two: Technical Data Sheet Notes Patient Table • 2. Move the DIT transversely until the Max. patient weight – 230 kg • light displays. Table tilt – +90º to -20, -50 or -90º P • Table height – 25.6'' to 44.1'' from the floor; minimum fluoro height is 32.3'' • 3. Move the DIT vertically until Table grid – stationary, 15:1, 80 lines/cm, compression lock light displays. 115 cm focus, removable DIT Detector • 4. Press and Hold P at tableside Active detector size – 43 x 43 cm • until DIT is parked. Pixel size – 148 microns • Semiconductor material – amorphous silicon • Scintillating layer – cesium iodide • Acquisition depth – 16 bit • Data transmission – 5 sec. preview, 10 sec. full image Unparking the DIT P Wall stand (Optional) Unparking the DIT is a motorized function as well. To unpark: • Tiltable from -20º to +90º with 0º detent • Grids – 115 cm focused, 180 cm focused 1. Press and Hold unpark from tableside or the DIT until the Wi-D (Optional) DIT unparks. • Active detector size – 35 cm x 43 cm • Pixel size – 144 microns Note: • Semiconductor material – amorphous silicon All system motorized movements are • Scintillating layer – cesium iodide dead man’s functions. This means that P • Acquisition depth – 16 bit the movement will only occur as long • Max. load capacity – 100 kg in one area, 135 kg distributed as the operator depresses the button for that function. • Weight – 4.8 kg • Battery – lithium ion, rechargeable P • Charging time – 90 minutes for 80% battery capacity • Battery operating time – 2 hours without recharging, The Opti-Grip typical at 90 images/hour • Charging site – wall charging station, wall stand Note: • Grid – detachable, 15:1, 80 lines/cm, 115 cm focused The Opti-Grip has a dead man’s • Backup cable – for connection with wall charging station, grip. While the dead man’s grip 7 meters long is activated 2 LEDs will light up and the DIT can be moved. Imaging System • Image storage capacity – 50,000 images in 1k x 1k matrix and 2,000 images in 2840 x 2880 matrix • CAREVision – pulsed fluoro at 3, 7.5, 10, 15, or 30 pulses/sec • Acquisition – single image or series (0.5, 1, 2, 4, or 8 frames/sec) • LIH – storage capability for Last Image Hold 6 31 www.croptima.com A914CX-CS-121836-P1-4A00_v3-CS4.indd Sheet: 7 / 18 Date: 2012-8-9 page(s): 30, 7 Cyan Magenta Yellow Black Day Two Day One Day Two: Exercises Notes Notes Opti-Grip Functions Complete the following exercises. Exposure Release – can be configured OOOOO Ooooo • OOOo 1. Open the PEX Editor and create/modify Examination Views. for fluoro or acquisition 2. Create/modify OGP Views and insert OGP into OOOo Examination View. • Motorized collimator adjustment OC OOO 3. Rearrange the order of the OGPs in the Examination View. (press center button to open collimator backup) O 4. Back up the PEX Editor. # O OO Ooo 5. Manually register a patient. Make sure to add the accession • number and Study description. Fluoro release button – on back of Opti-Grip 6. Set the room up for the exam. O 7. Change the technical factors. • Motorized table tilt do 8. Make exposure and continue with the rest of the views. 9. Re-crop the image. • 10. Add a laterality label to the image. Motorized tabletop movement 80 00 OOO o 11. Enter text and place in image. O O 12. Select the text and erase it. O O 13. Unmark all images and change the order. 14. Send all images to PACS. DIT Control Panel 15. End current patient study. The two touch panels on the DIT are duplicates of each other. € • Activates/deactivates DIT transverse and longitudinal brakes. • Activates/deactivates centering of the DIT. • Table tilt override. When active, table will not stop at 0º when tilting up or down. • Overhead tube park override. Allows for table movement when overhead tube is not in park position. 30 7 www.croptima.com A914CX-CS-121836-P1-4A00_v3-CS4.indd Sheet: 8 / 18 Date: 2012-8-9 page(s): 8, 29 Cyan Magenta Yellow Black Day One Day Two Switches on/off room lights and Notes Status Messages and Display Notes • DVD recorder (if configured). Ready Fluoro timer reset – will activate 5 5 + 2% hu • after 5 minutes of active fluoro time. (1) Message line for system messages Activates/deactivates DIT vertical brake. (2) Status symbols • General status Compression cone in/out (option). Symbol Short description • Ready for fluoroscopy and acquisition Not ready Free hard disk space • Park/Unpark motorized control for DIT. P Free DVD space • Toggle between series and single shot. Detector temperature is not v required rang Detector calibration has expired Software update is available • Increase/decrease frame rate Remote service is selected/active. on multi-frame acquisition. 2 % hu Tube heat units • Store Image. Will save last Wireless detector status image hold (LIH) images. Symbol Short description green Detector battery is well charged. • Start/Stop loop. For replay of yellow multi-frame acquisition or stored Detector battery is low. loops of fluoro (optional). red Detector battery is empty. Detector battery is being charged. Increase/decrease pulsed fluoro green Detector signal is good. • rates (option). yellow Detector signal is weak Detector signal has been lost. • Store fluoro loop (optional). Can store dynamic loops of fluoro. Length of loop dependent on pulsed fluoro used. • Fluoro zoom formats (Zoom 1, 2, 3) Zoom 1 – 11.8 x 11.8, Zoom 2 – 8.7 x 8.7, Zoom 3 – 5.9 x 5.9 inches • Full field format – 16.5 x 16.8 inches Collision Protection Electronic safety switches (1) are located on both sides of the DIT. They stop the movement of the DIT when they are touched. To deactivate the switches, move the DIT slowly in the opposite direction. 8 29 www.croptima.com A914CX-CS-121836-P1-4A00_v3-CS4.indd Sheet: 9 / 18 Date: 2012-8-9 page(s): 28, 9 Cyan Magenta Yellow Black Day Two Day One Documentation Mode Notes DIT Lead Shielding Notes Lead shield is one piece. Press in to unlatch and remove. Documentation Slide into place until you feel it latch to attach. Store the lead shield on wall-mounted unit when not in use. The Documentation task card is where you archive patient studies. It is divided into three subtask cards: DIT Counter-Weights 1. Select To be used if lead shielding is removed. Place in the top-right 2. Film side of the DIT behind the control panel. Store the counter- 3. Send weights in the wall-mounted unit when not in use. Select Subtask Card *Manual Release of DIT Parking Brake • All images need to be marked with a white circle to be For immediate movement of the DIT in emergency situations. • Located on the back of the DIT. sent to the hardcopy camera or PACS. • Squeeze levers together (as shown) to release the DIT parking brake. • DIT can then be manually moved in or out. D RAD • Mark all images • Unmark all images • Mark/Unmark single images • Delete images Film Subtask Card The Film subtask card can be set up with a default hardcopy camera and film size and layout per exam. • Film marked images • Preview marked images • Show film status Send Subtask Card The Send subtask card can be set up with three default network/PACS nodes. • Send marked images • Show send status • Send Exam Protocol as secondary capture image • Send Exam Protocol as a Structured Report • Override the configured Target Settings *Default target is last one sent Select Film Send (VC software) Target 1 store Target 2 Target 2 Target 3 [ Target 3 Send Exam Protocol as. Send Exam Protocol as: DICOM Dose SR Setings Configured 1 Querida configured 28 9 www.croptima.com A914CX-CS-121836-P1-4A00_v3-CS4.indd Sheet: 10 / 18 Date: 2012-8-9 page(s): 10, 27 Cyan Magenta Yellow Black Day One Day Two Touch Screen User Interface (TUI) Notes Rad Subtask Card Notes LUT (look up table selection) The TUI is separated into three sections: The left-hand side will show fluoro parameters. Process. Graphics Rad • Auto-cropping • The center section shows the acquisition/radiographic Set black parameters. Auto-window Amplification 2.0 • The right-hand side is for image review and system setup. Auto All parameters necessary for a patient examination V are displayed on the Touch User Interface. Gradation Curve 105 cm 4-90º [p 94/4 Min! #40x40 cm • The LUT and Histogram chart is displayed. Exam Set 5 Fluoro Program Optimize Image JE and HISTOGRAM radation Data + Image Tools Setup Gradation ID Shape g_lut_12 Contrast 1.5 Center 3072 9.2 56 Offset 100 DEFAULTORADATION PARAMETERS 8 5 12 10 24 153 2048 2550 Input Signal (log ) 3.5 the @ Fulrange theat @ zoomt near @ zoom 2 mes Image Gallery ? Ready • If you change the LUT, Shape, Amplification or Diamond View parameters, the middle image shows the changes made. • The other images show the different Harmonization kernel and gain settings that are applied. You can then pick the Fluoro Parameters image that is most pleasing for the Radiologist and set those parameters in the PEX Editor. Functions in this section include: Process. Graphics Rad Auto-cropping • Fluoro kV, mA, and cumulative fluoro time. 92 - Set black Auto-window Amplification 2.0 Auto • Store Fluoro (optional). Stores a dynamic loop of fluoro. Length of loop depends QC linear processing on pulsed fluoro used (if present). 01 Thorax pa - high contrast Noise Reduction Edge. Gain 0.00 Kernel 7 •Fluoro 5-minute alarm reset. Harry ain 0.00 Kernel 255 Filter Icon • Select Spatial Filtering parameters CAREVision (pulsed fluoro) pulse rates Diamond View settings • • are 15, 10, 7.5, and 3 pulses per second. 15 p/s • Set Gain and Kernel for Edge Enhancement and Harmonization High-speed (30 pulses per second) also available. Only available with zoom 2. Make sure to click on the “Apply” icon to save processing changes. V 10 27 www.croptima.com A914CX-CS-121836-P1-4A00_v3-CS4.indd Sheet: 11 / 18 Date: 2012-8-9 page(s): 26, 11 Cyan Magenta Yellow Black Day Two Day One Postprocessing Notes Subtask Cards Notes The Postprocessing task card lets you make changes to the acquired image. Setup Postprocessing The Setup subtask card is for system setup and orientation. It is divided into three subtask cards: • Orientation of image from top to 1. Process bottom – for patients who are feet R 2. Graphics first on the table. K 3. Rad • Orientation of image from left to Process Subtask Card right – for patients who are prone R • Zoom/Unzoom image 1:1 pixel display on the table. • Invert grey scale • Flip image horizontal and vertical • Reverse tabletop movement. • Once an image has been flipped it is not possible to rotate it This applies to movement from • Window – Contrast and Brightness adjustments the Opti-Grip or tableside control. Window Center – Brightness (move mouse up/down) – Window Width – Contrast (move mouse left/right) • DVD recording (optional). Record – • Rotate image – Images can be rotated 90º clockwise, live fluoro loops on the fly. 90º clockwise/counterclockwise or arbitrary GS 1º clockwise/counterclockwise. • Select Undo Rotation to reset the image • CAREPosition on/off (optional). Radiation-free positioning of Process. |Graphics Rad the patient. R • O- Disable system movement. Disables all CR movement of the table, DIT, overhead tube (if present), and wall stand (if present). 70 TO R • Disable radiation. Prevents the release of both fluoro and radiographic radiation from both the under-table -226 tube and the overhead tube (if present). 533 0- auto Graphics Subtask Card • Set Laterality label (R/L marker) • Draw arrow • Draw distance/calibrate Remember to store the image with the distance graphics – as a new image. The graphics are burned into the image. • Draw angle • Set view position and laterality • Enter Text and Comments Comments will always be at the bottom center of the monitor. – Text can be placed anywhere in the image. – You can build a list for Text and Comments and change the – Text font size. 26 11 www.croptima.com A914CX-CS-121836-P1-4A00_v3-CS4.indd Sheet: 12 / 18 Date: 2012-8-9 page(s): 12, 25 Cyan Magenta Yellow Black Day One Day Two Tools Notes Notes This taskcard allows you to review acquired images. This happens because the Exam Name from the RIS does not Image match what you have entered into the PEX Editor. Remember to This subtask card allows you to: correct the exam spelling in the PEX Editor. • Review images already acquired • Save LIH (last image hold) fluoro images Assigned Exams / Organ Programs Re-mask and pixel shift on DSA images (optional) allable Exams / Organ Programs @ thebest by body port region Organ Programs by Exam • Orgen Programs in acquisition order • Send images to reference monitor or folder (monitor optional) ABDOMEN 1_TC_dRF_AILAcq_Types 1_RAD_altem_serie 20_20_wall_vertical 1_Series 8f/s 2_RAD_AEC_C_D009 DFR_8fps 8_rad_2pt • Review loops of fluoro or multi-frame acquisitions DFR_Barium_1fps_BW B_DSA_2 DFR_Barium_Single_BW DFR_Barium_Swallow_2fps_BW DFR Single_1BC SCA_D174_LgH2F_6cm_30ms DFR_HSG_Single_BW TOM_40_2500_P140 DFR_Jodine_2fps_BW RAD_FreeExp_43x43coll DFR_lodine_Single_BW DFR_Pead Barium_2fps_BW DFR_Pead Barium_Single_BW Image Tools Setup DFR_Peadlodine_2fps_BW DFR_Pead lodine_Single_BW DFR_Renal/Biliary_Single_BW P_Ductus choleduchus ARM @ BREAST # CHEST Exams Favorites Organ Prog. Details Accession Number. Home Evermination Cancel Making an Exposure When all parameters are set and you are ready to make an exposure, make sure you see the Ready symbol on the bottom right of the FLC. Note: The status area (header) of the TUI will show: • Table height • Table tilt • Park status Subtask Card • Grid in/out You are able to crop your image and review all images. • Collimated field size • Movement disabled • Radiation disabled Tools Subtask Card You are able to review the Exam Protocol. Monitor Display The information that populates in the 4 corners of the image is configurable. The upper left side should show a white circle, meaning that the image is marked to be sent to the printer or PACS. To unmark the image, simply right click on it. The bottom left corner shows the Clinical EXI. This number has a low and high range (125-500) and is only one of the determin- ing factors for checking if the image is under/overexposed. 12 25 www.croptima.com A914CX-CS-121836-P1-4A00_v3-CS4.indd Sheet: 13 / 18 Date: 2012-8-9 page(s): 24, 13 Cyan Magenta Yellow Black Day Two Day One Patient Resource Information Notes 3-D Tube with MaxTouch Display (optional) Notes The patient loads with all OGPs for the exam ordered. If you have a large number of OGPs, click on the eyeglasses icon MaxTouch (Touch User Interface) and it will expand the list. Right clicking on the OGP will show you a summary of the 66 OGP set-up in the PEX Editor. 6.3 2.5 0.0 Emergency, 14 0.0 uGym2 ? Patient 299 31 0.0 Sampleman, John *15.05.1958 C *1 Series 8f/s Humerus with shoulder, 8_DSA_2 A P 2_RAD AEC_C_D089 HFRL 8 rad_2pt V Ready @ 115 Y # 20 cm H ACSS % Exan 12 Fluoro Rad The touch screen corrects its display orientation from portrait to Acquisition Parameters landscape when the tube is angled from vertical to horizontal. All Organ Programs will populate with predefined acquisition parameters. These are based on an average adult patient and should be adjusted for body habitus and pediatric Tab Cards patients. AEC Exposure: Sensitivity 400=Detector Dose 2.5 • Tape Measure micro gray. SID Measurement – Fluoro Rac SOD Measurement – Magnification Display (SOD Mag = SID/SOD) – # 42.6 cm x 42.6 cm • Device Position none 125 cm • Generator 115 cm 115 cm Copper filter selections (Inserting cu filters will harden the – radiation beam. Note: exposure may need to be increased). Extended exposure: used on thinner patients to lower the – 70 MAS mA and increase the exposure time when using AEC. Top Alignment: when collimating top to – Dose 0.89 bottom, the tube will align itself to the S 0.0 center of the new collimated field.Good mm Cu 0.0 for smaller patient chest exams at the Focus % 80 wall stand. Exam Manager Store collimation: will recall the collimated – If the Exam Manager is displayed, you will need to select the field size from the last exposure. correct exam on the left side, click Replace in the center so the accession number stays the same, and click Examination. The Exam Manager is displayed whenever the exam name Cleaning the MaxTouch from the RIS is not recognized by the PEX Editor, or that exam name has not yet been programmed. Do not spray the MaxTouch directly. • Wipe the MaxTouch only with a clean, damp cloth. 24 13 www.croptima.com A914CX-CS-121836-P1-4A00_v3-CS4.indd Sheet: 14 / 18 Date: 2012-8-9 page(s): 14, 23 Cyan Magenta Yellow Black Day One Day Two wi-D (optional) Notes To manually register a patient: Notes Wireless detector • 14'' x 17'' Amorphous silicon detector with cesium iodide scintillator – • Automatically charged when in table and/or wall bucky tray, charging station, or backup cable. 1. Click on the Patient Tab. Battery operation time of 2 hours at 90 images per hour 2. Click on the Patient Registration icon (Create New Study). • 3. Populate all fields in bold text. • Maximum patient weight on detector 4. If this is a patient with no data, click on the Emergency icon 297 lb with patient lying to start the examination. You will be able to populate the – 220 lb with patient standing data later. – • Clip on grid 15/80 focused at 115 cm 5/31 grid is used mainly for chest X-rays (purchasable option) Settings Subtask Card – Note: Clip-on grid is for cross-table exams only. It should • User Settings never be placed under a patient. Grid cutoff will result. Patient Settings Service • If the battery of the detector is completely empty, charge it and wait at least 60 minutes. The detector needs a warm-up time between 60 and 120 minutes to achieve good image quality, depending on environmental temperature and switch-off time. • View Job Status The detectors are calibrated once a year by your • PEX Editor Clinical Service Engineer. • Clinical EXI log • Recycle Bin (if configured) LED Indicators Service Subtask Card 1. Rejected Image Statistics 1. Front-end status 2. Wireless network 3. Battery status (3) Exporting Data via USB (3) (2) You may export files using a USB memory stick. (2) (1) (1) O 1. Clinical EXI log 2. Reject Analysis log Exporting Data via CD/DVD You may export patient studies/images via CD/DVD. Note: LED indicators will be green, flashing green, or orange. • Green: status is good. • Flashing Green (only applies to battery): battery getting low. • Orange: battery is low, wireless network not available, backup cable must be used for acquisition. 14 23 www.croptima.com A914CX-CS-121836-P1-4A00_v3-CS4.indd Sheet: 15 / 18 Date: 2012-8-9 page(s): 22, 15 Cyan Magenta Yellow Black Day Two Day One FLC and Performing Patient Exams Notes Cleaning and Disinfecting the wi-D Notes Objectives Do not let cleaning liquids seep into the openings of the system. After this session, you will be able to: • For cleaning, use water or a lukewarm diluted household cleaning agent solution. • Register a patient. Perform patient exams. • For disinfection, use common surface disinfectants • (aldehyde and/or amphotenic-based). • Postprocess an image. • Archive patient data. * Recommendation: protect the portable detector with During the Clinical Education Specialist training, a single-use plastic bag. you will also be doing patient exams. Study Lists On the Fluorospot Compact (FLC), the main area Docking Station E of the monitor shows: 1. Preregistered Patient • Detector placement/removal List of patients from RIS • Sensor • 2. Examined Patients • Backup cable attachment • List of patients that have been examined 3. Archiving Information The back side (with respect to the active sensitive array) • Patient data and image stamps of deleted or archived studies, if configured includes electrical contacts to recharge the internal battery. Remove detector slowly so as not to damage the pins. The Patient Task Card is divided into 3 subtask cards: 1. Patient Wall stand (optional) 2. Settings 3. Service Wall stand will be configured for cassette or wi-D operation. • Cassette configured for 14 x 17 only. • wi-D configured for portrait or landscape orientation. • Motorized and manual wall stand movement. • Tilting capability (horizontal to -20º). • Removable grid. Registering a Patient To select a patient from the Preregistered list: 1. Click on the Patient tab. 2. If your system has a RIS, click on the RIS icon to update. RIS OR 3.Click on this icon to do a patient search. RIS 4. Double click on the patient’s name to be examined. 5. The Examination Tab opens with all exams ordered and the organ programs listed for each study. 22 15 www.croptima.com A914CX-CS-121836-P1-4A00_v3-CS4.indd Sheet: 16 / 18 Date: 2012-8-9 page(s): 16, 21 Cyan Magenta Yellow Black Day One Day Two Wall stand Remote Control Notes Add OGP to Examination View Notes Highlight the desired Examination View and highlight the OGP (3) P (1) View to be added, then click on Insert OGP. T Stemum p.a. (0) SPINE LUMBAR WITH FLEXION/EXTE (2) (4) F T Swimmers (d) Insert OGP T T-Spine / L-Spine |unc ap (d) SPINE SACRUM AND COCCYX(d) SPINE THORACIC 2 VIEW(d) T T-Spine / L-Spine junc. Lat. (0) T T-Spine a.p. (a) T T-Spine a.p. (d) T T-Spine Flexion / Extension (d) T Swimmers (d) T T-Spine Lat (d] (5) You are able to arrange the order of the views by clicking on the arrows. 1. Parking position for overhead tube SPINE THORACIC 2 VIEW(d) 2. Centering button (tube to wall stand) T T-Spine a.p. (d) ..... T Swimmers (d) 3. Tracking button (tube to wall stand) T T-Spine Lat. (d) 4. Collimator light W T-spine a.p. (d) 5. OGP button (not functional) ..... W T-spine Lat. (d) W Swimmers (d) Checking the box “Automatically switch to next OGP after Workflow acquisition” allows the next view to populate during the exam. Make sure to click Store to save. (High level overview; discussed in detail on Day Two) There are four main steps to the workflow: Automatically switch to next OGP • Patient Task Card after acquisition Register a patient – • Examination Task Card Examine the patient Fluoro Program Tab Card – • Postprocessing Task Card Manipulate an image 1. Defines fluoro program names and parameters – • Documentation Task Card 2. Allows user to set default fluoro program and Mark image for LIH Archive the exam/studies – Backup PEX Editor After you finish making changes in the PEX Editor, it is very important to perform a backup. 1. Click on Configuration tab Configuration 2. Click on Backup/Export 3. Click on C: drive and click Go On the local hard disk (e.g., drive C: and D:), the number of backups is limited to 10. PEX Editor Import Each import replaces the current database and cannot be undone, so be careful not to replace the original or most recent backup. For more details and diagrams of the PEX editor, please see the 16 hardcopy Operator Manual. 21 www.croptima.com A914CX-CS-121836-P1-4A00_v3-CS4.indd Sheet: 17 / 18 Date: 2012-8-9 page(s): 20, 17 Cyan Magenta Yellow Black Day Two Day One Modifying or Creating OGP View Notes Day One Exercises Notes On the left side of the screen, you will see OGP View. This is Complete the following exercises: where you will modify or create a new view. Make sure you pick the correct prefix in front of the OGP View. 1. Turn the system on. • C = Cassette exposure 2. Perform table movements. • T = Table exposure 3. Park and unpark the DIT. • U = Undertable exosure • W = Wall exposure 4. Attach any accessories to the table. • X = Free exposure 5. Insert the wi-D into the table in portrait and landscape orientation. 1. Double left click on the OGP View you wish to modify. 2. The Organ Program subtask card will open. 6. Manually move the overhead tube into transverse and longitudinal detents. 3. In the Program Name field, backspace out the (d) and enter in the new or modified name. 7. On the TUI, change the kV, AEC and add 0.2 mm cu. 4. Make any technical factor changes below and either click 8. On the wall stand, change out the grid. Store if you modified the name or click Store as New if you 9. Adjust the vertical movements of the wall stand. created a new name. 10. Insert and remove the lead shielding from the DIT. Exam Organ program 11. Using the Opti-Grip, move the tabletop transverse Body Part Examined TC TESTPROGRAMS and longitudinal. Program Name 00_DFR_Ka (d) Acquisition Mode Series Native 12. End session. Acquisition Type Table Store Store as new X - Ray Parameters Fluoro Program Set CP_RAD_Po MField 0 1 pt @ 1 pt with ext. exp C 2 pt C 3 pt C 3 pt with AEC KV 75 MAS ms Exp. Correction EP - Dose 2.5 Sensitivity 400 Tube Load 80 % Focus Filter Type 0.0 Cu mm 20 17 www.croptima.com A914CX-CS-121836-P1-4A00_v3-CS4.indd Sheet: 18 / 18 Date: 2012-8-9 page(s): 18, 19 Cyan Magenta Yellow Black Day Two Day Two Day Two: The PEX Editor, FLC, Notes Exam Tab Notes and Performing Patient Exams The PEX Editor opens up to the Exam subtask card. Objectives gan program Examination View ABDOMEN B- ABDOMEN After this session, you will be able to: BREAST 1_TC_R_AD_Alternative(d) CHEST Abdomen(d) CSPINE • Program the PEX Editor Insert OGP Barium_1_Swallow(d) DSA Barium_2_Meal(d) EXTREMITY Barium_3_Follow_through(d) IMPORTIERT Barium_4_Sm_Bowel(d) • Register a patient IQ PHANTOMS Barium_5_Enema(d) IQ TESTPROGRAMS Barium_6_Fistulogram(d) • Perform patient exams KNEE lodine_1_Swallow(d) LEG lodine_2_Enema(d) LSPINE lodine_4_ERCP(d) • Postprocess images PELVIS Remove QGP lodine_6_MVP(d) PMS CALIBRATION lodine_9_HSG(d) SCM CRFP Pediatric_BA_Bowel(d) • Archive patient study data SHOULDER Paediatric_BA_Swallo(d) Group by @ Name @ Body Part @Acq. type Sort by @ Name @ Body Part @ Acq. type Default Exams OGP Parameters ExamName Name for RIS DICOM Modality [ Add to favorites Filming Layout PEX Editor Overview Network Node 1 Default Network Node Exam Level OGP Level Network Node 2 Fluoro Network Node 3 Rad Camera @ Auto Scale @ Auto Scale Programs and Exams Editor is divided into six task cards: Autosending [Never for this exam % 60 % Automatically switch to next OGP • Exam. after acquisition Store as new Delete Enter your RIS exam names and OGP views. – • Organ Program. Entering Exam Names Edit technical factors. – • Fluoro Program. On the right side of the screen, you will see Examination View. This is where you will modify or create the listed exam names to • Film Layout. Assign film layouts to programs. match your site’s RIS exam names. (You will need to have a copy – Param. Module. of your RIS examination names). • Build stand positions*. 1. Left click on an exam name that closely matches – • Configuration. one of your exams. Backup organ programs. 2. Populate the Name for RIS and exam Name fields with – the correct name. *For automated systems only. 3. When finished, click Store if you modified the name or click Store as New if you created a new name. 4. Continue until all exams are entered. Opening PEX Editor It is very important that you type in the name exactly as it appears on your list (word-for-word and spacing). If not, On the Patient Task Card > the study will not populate when you click on the patient Settings Subtask Card, to be examined. click on this icon. The login screen will appear. • Click the radio button next to Siemens • Enter the password your Clinical Education Specialist gave you and click OK Programs and Exams Editor Viewing only Customes C SEVENS Password 18 19 www.croptima.com