Luminos dRF MAX version VE10 Turnover Workbook

SIEMENS SIEMENS ..... ...... ...... ...... A Luminos dRF Max SIEMENS Luminos dRF MAX version VE10 Turnover Workbook www.usa.siemens.com/education Answers for life. Luminos dRF Max 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 Customer Care Center - Clinical Application 110 Mac Alyson Court Support: Cary, NC 27511 Call 1-800-888-7436 • Troubleshooting assistance Siemens Healthcare Training Center • Immediate assistance for software at the University of Utah applications and workflow issues 421 Wakara Way Suite 140 Please provide the Functional Location Number when Salt Lake City, UT 84108 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 Table of Contents Day One. 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Day Two. 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Day Three. 32 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Day Four. 33 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Day Five. 34 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Overview Learning Objectives After completing this training session, you will be able to: • Correctly perform start-up and shutdown procedures. • Identify the key hardware features of the Luminos dRF system. • Describe the key features of the FLUOROSPOT Compact imaging system • Correctly perform a patient registration. • Utilize the Examination task card to perform a patient procedure. • Utilize the Postprocessing task card to adjust an image. • List the steps needed to archive a patient study. • Explain the MAX features and their clinical uses. 3 Turnover Workbook | Ysio MAX VE10 Day One: System Overview System Overview Notes • After this session, you will be able to: Correctly perform start-up and shutdown procedures. – Identify the key hardware features on the Luminos dRF system. – Describe the four steps of the workflow. – Program the PEX Editor. – Switching On/Start-Up • The Luminos dRF 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 the powered-down state If the Luminos dRF 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. Caution • Image acquisition is possible, but reduced image quality may occur. • 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 dRF systems. • Reboot the system. Press the OFF button on the console. – When the FLUOROSPOT Compact has shutdown – (dark monitor), press the ON button. A daily re-boot of the system is recommended. 4 Turnover Workbook | Ysio MAX VE10 Day One: Key Hardware Features Key Hardware Features Notes Overview This section will discuss key hardware features of the Luminos dRF system. Tableside Controls Emergency Stop • All system movements and release of radiation are disabled. Emergency Stop Button • Turn the Emergency Stop button clockwise and release. System movements and release of radiation are now enabled. H Displays Left Display - Table tile angulation Right Display – X-ray tube angulation -38€ System Settings Tube Angulation Return Tube to 0º Angulation Enable/Disable tube/detector coupling Select SID 115 cm or 150 cm 1,50 1,15 5 Turnover Workbook | Ysio MAX VE10 Day One: Key Hardware Features (continued) Notes Raise/lower table Tabletop movement Longitudinal tube movement Ortho start and end position (optional) Smartmove for pre-defined OGP positions Patient Transfer vertical and horizontal Overhead tube Park bypass Adjust collimator settings H # # # Collimator light on/off 6 Turnover Workbook | Ysio MAX VE10 Day One: Key Hardware Features (continued) Table-mounted X-ray Tube Notes O (7) (6) (5) (4) M -X (8) (3) # (2) (9) (1) ( 1 ) (11) (10) 1. Accessory rails. 2. Collimator on/off. Recommendation is to allow the timer to turn off the collimator light. 3. Manual adjustment of transverse and longitudinal collimated field. 4. Motorized copper filtration button; 0.1, 0.2 and 0.3 mm are selectable. 5. Collimator field size will be displayed in inches. 6. Memory function. Recalls the last exposed collimated field size. 7. Stop lever for ±45º rotation of collimator. Stop position is 0º. 8. Buttons for entering free exposure SID (X or C organ program). 9. Tape measure for SID setting. 10. Slide cover for laser light localizer. The laser shuts off when the collimator light does. 3-D Tube with MaxTouch Display (optional) MaxTouch (Touch User Interface) Meage 66 6.3 Posvice 2.5 0.0 ? Sampleman, John *15.05.1958 Humerus with shoulder, A.P HFRL +B Ready - 8 115 # cm 115 cm # 20 cm # ACSS # 20 cm # The touch screen corrects its display orientation from portrait to landscape when the tube is angled from vertical to horizontal. 7 Turnover Workbook | Ysio MAX VE10 Day One: Key Hardware Features (continued) Overhead Tube with MaxTouch User Interface (optional) Notes • Tape Measure • SID Measurement • SOD Measurement • Magnification display (for reference only) • Device Position • Tube angulation • Tube rotation • Wallstand height (wallstand is optional) • Wallstand tilt (wallstand is optional) • Table height • MAX Align detector angulation/tilt • Detent on/off • Setup • Block system movement • Block radiation • Ortho (optional) • Select TOD • Confirm ortho start position • Confirm ortho end position • Tomo (optional) • Tomographic angle and exposure time • Measure tomo height on/off • Tomo height display • Tomo test run with x-ray off • Generator • Tube kV • Tube mAs • Exposure time • Dose level (sensitivity) • Exposure (density) correction • AEC measuring fields • Increase exposure time • Cu filtration • Large/small focal spot • Restore original values Directly Accessible Functions Organ Program List Cervical spine-C1, A.P. lying position Alternative Organ Programs Tube/detector tracking on/off SID tracking on/off 8 Turnover Workbook | Ysio MAX VE10 Day One: Key Hardware Features (continued) Notes Top alignment on/off Restore collimation Help ? Select detector for free exposure Patient name and configurable parameter Sampleman, John *15.05.1958 Patient position HFRL +B Status ready/not ready Ready Exchange Grid for next exposure! SID display DO cm Centering display – red if not centered Grid status 115 cm 9 Turnover Workbook | Ysio MAX VE10 Day One: Key Hardware Features (continued) Collimator width/height Notes # 20 cm # # 20 cm # Collimator mode – ACSS or manual ACSS Collimator rotation * Detector orientation portrait Detector orientation landscape No detector available in bucky tray (wallstand) 10 Turnover Workbook | Ysio MAX VE10 Day One: MaxTouch Features Park Position of the MaxTouch Notes When park position of the MaxTouch overhead tube is reached it will be displayed on the front of the MaxTouch screen. Park position will allow full table tilt and tabletop movement. If park position is not reached, the table will tilt 10º and then stop (from horizontal position). Tape Device Measure Position Generator P Tomo DOH ? Sampleman, John $15 05 1058 Cleaning the MaxTouch Do not spray liquids or cleaners on the MaxTouch directly. • Wipe the MaxTouch only with a clean, damp cloth moistened with water. Vertix Wall Stand (optional) (3) ( 2) (4) (5) • System movements • Grid insertion/removal 115 cm and 180 cm focused grids – • Hand-held remote 1. Ysio® feature only 2. Ysio feature only 3. Tracking button (tube to detector) 4. Collimator light 5. Ysio feature only 11 Turnover Workbook | Ysio MAX VE10 Day One: MAX Features (continued) MAX Features Notes Wireless Detectors (3) (1) (2) (1) Detector MAX wi-D, to be used in table and wall stand and for free exposure (2) Detector MAX mini, for free exposures only (3) Detector indicators Detector Indicators for MAX Wi-D and MAX Mini (5) (4) C (1) (2) (3) (1) Detector status LED (2) Wi-Fi status LED (3) Battery status LED (4) Infrared sensor needed for attachment of a detector (MAXswap) (5) Power button Short push (wake up) Long push (switch off/on) 12 Turnover Workbook | Ysio MAX VE10 Day One: MAX Features (continued) LED color / status Detector status LED (1) Wi-Fi status LED (2) Battery status LED (3) Notes LED off OFF state Wi-Fi disabled No battery LED green / Operating state and online / Listen Wi-Fi available (de- Battery OK blinking slow state tector connected to an Access Point) LED orange Offline or download state Wi-Fi not ready (de- Battery getting low tector not connected to an Access Point) LED orange - Error state or switching ON n.a n.a. blinking slow LED orange - n.a. n.a. Battery low blinking fast LED orange - Switching OFF (going to OFF state) n.a. n.a. blinking fast, when requested by message or by then red flashlight time-out on the 3 LEDS, then OFF Charging the detector batteries The battery of the detector can be charged: • With the detector in the closed bucky tray of the wallstand (MAX Wi-D) • In the battery charger (MAX Wi-D and MAX Mini) Here is an overview of the battery charger. (4) (1) (2) (3) IIID (1) Inserting a battery into the battery charger. Insert the battery into the charger as shown above. Pay attention to the alignment identification (1) on the battery and the charging slot (see above). Gently push the battery onto the connector. Once the battery is in place correctly, the bottom green LED starts blinking. 13 Turnover Workbook | Ysio MAX VE10 Day One: MAX Features (continued) Status LED’s on the battery charger Notes For each charging slot, there are 4 LEDs. When there is no battery to be charged, all LEDs should be off. There is 1 bottom LED (orange or green) and 3 green LEDs. Charging levels 0-25% 25-50% 50-75% 75-100% 100% Fault signal Changing the Battery 1. Open the locking system of the battery 2. Remove the discharged battery 3. Orient the charged battery in the correct position: battery connector facing the detector connector 4. Slide the battery in the recess area of the detector 5. Push down the battery in the recess area 6. Close the locking system of the battery and push down the latch. The detector should start automatically *Important: Before using the detector, wait until all LED’s are green. 14 Turnover Workbook | Ysio MAX VE10 Day One: MAX Features (continued) Attaching the clip-on grid. Notes 1. Put the detector with the bottom edge into the clip-on grid and the detector handle aligned with the handle cut-out of the grid. Be sure to align the LED’s on the detector with the LED openings on the grid. For the Max Mini detector, there will be no detector handle or cut out on the grid. 000 0 (4) 2. Push the detector gently against the loading spring of the grid and let it slide smoothly into the grid. Release the detector. The grid is now secured. 3. To remove the grid, press the detector gently down against the loading spring of the grid and pull the detector out. MAX Swap – attaching or detaching a detector from the Ysio system. MAX Swap allows you to share several wireless MAX detectors between systems. You do this by detaching a detector from one system and attaching it to another system. Some guidelines for using MAX Swap: • The detector has been registered before to the Ysio system by a Siemens Service Engineer. • The Fluorospot Compact (computer) is in the Patient tab • The calibration data from the registered detector is currently in the system. 15 Turnover Workbook | Ysio MAX VE10 Day One: MAX Features (continued) Attaching a detector Notes 1. Hold the detector with the LED’s facing the infrared sensor on the upper right corner of the Fluorospot Compact. 2. All of the LED’s on the detector will start to blink orange, then green. 3. When the LED’s stop blinking, the detector can be taken away. SIEMENS SHARED 4. The following message will appear on the Fluorospot Compact. Detector attachment Do you want to attach this portable detector? Detector type MAX mini, Serial number: 1237E2 Yes Cancel 16 Turnover Workbook | Ysio MAX VE10 Day One: Remote Control Console The Remote Control Console Notes The remote control console is separated into 3 areas: The hardware buttons user interface, the modular joystick user interface, and the touchscreen user interface (TUI). Since the Luminos dRF is a remote flu- oro room, a great number of exams will be performed with the physi- cian at the remote control console. STOP (2) CO (3) The system remote control consol consists of three main parts: (1) Touchscreen User Interface TUI (2) Hardware buttons panel User Interface (3) Modular joystick User Interface (There are three different versions: one with a throttle instead of a joystick for the collimator settings, one without ST filters and one with ST filters.) TUI (Touchscreen User Interface)` Po 1 120mm #42.0x42.0cm Scheduled list 1 Series 8t/s Image Tools Setup + 0.2 70 1.0 2:52 8 The TUI is separated into 3 sections: • The left hand side will show fluoro parameters. • The center section shows the acquisition/ radiographic parameters. • The right hand side is for image review and system setup. Fluoro Parameters Functions in this section include: • Fluoro mA, kV and cumulative fluoro time. • Store Fluoro (optional). Stores a dynamic loop of fluoro. Length of loop stored depends on pulsed fluoro rate used. 17 Turnover Workbook | Ysio MAX VE10 Day One: Remote Control Console (continued) • Fluoro 5-minute alarm reset. Notes • CARE Vision (Pulsed Fluoro). Pulse rates are 15, 10, 7.5 and 3 pulses per second. – 30 pulses per second is possible on full field and Mag 2 only. – 15 p/s Setup Subtask Card The Setup Subtask Card has functions for image manipulation and tabletop movements. Image Tools Setup K DVD R R 1. Image flip horizontal and vertical. • Used depending on patient position on the table. 2. Reverse transverse and longitudinal movement of the table. 3. Table and display-related movements. • Used depending on how the operator works – either looking at the table or looking at the monitor. 18 Turnover Workbook | Ysio MAX VE10 Day One: Remote Control Console (continued) 4. Initiate DVD recording. DVD Notes 5. CAREPosition (optional). • Allows for repositioning of the patient without the use of fluoroscopy. Once active, it stays active for that patient. 6. Block system movements 7. The digital detector zoom modes are displayed along the bottom: • Full field, Mag 1, 2 and 3. • The field size will be displayed at the top center of the TUI. Image Subtask Card This tab allows you to: mage Tools Setup 1. Review images already acquired. 2. Save LIH (last image hold) fluoro images. 3. Re-mask and pixel shift on DSA images (optional). 4. Send images to reference monitor or folder (monitor optional). FREE 5. Replay series/start and stop loop 6. Select image source to be displayed on reference monitor and store these images 7. Image segmentation Tools Subtask Card This tab allows you to: 1. Review acquired images. 2. Mark/unmark images. 3. Put a R/L marker on the image. 4. Magnification of current image. 5. Lock collimation 19 Turnover Workbook | Ysio MAX VE10 Day One: Remote Control Console (continued) Hardware Buttons User Interface Notes STOP This panel includes: 1. Radiation “ON” indicator. 2. Exposure release. 3. Block Radiation. 4. Room lights on/off (onsite installation required). 5. Move tube to 0º position. 6. Enable/disable tube/detector coupling. 7. Joystick for tube angulation. 20 Turnover Workbook | Ysio MAX VE10 Day One: Remote Control Console (continued) 8. Tomographic fulcrum height setting. Notes 9. Select SID of 115/150 cm. 1.50 -HO 10. Adjust table height. 11. System On/Off. O 12. Emergency Stop. STOP 13. Patient Transfer Vertical/Horizontal. 53. 14. SmartMove button. 21 Turnover Workbook | Ysio MAX VE10 Day One: Remote Control Console (continued) Modular Joystick User Interface Notes 1. System movement and exposure release. • Exposure release (button on rear side of shaft). • Switch between over-table/tube and tabletop motion (button on top of shaft). 2. Table tilt. T. • Disable automatic stop in 0º position when button is pressed. 3. Collimator function with joystick. • Button for opening collimator completely. • Button for turning on/off the collimator light. 4. Compression Cone (optional). • Joystick will deploy compression cone and bring cone toward the table. Compression force is displayed (in Newtons) in the upper left corner of the TUI. • Button with LED will override motion blocking. 5. Wedge and finger filter controls (optional). • Left and right wedge filters can be moved and rotated independently. • Finger filter can be deployed and moved using either joystick. • Button for removal of all filters from the imaging field. • Typically used with DSA. 22 Turnover Workbook | Ysio MAX VE10 Day One: Wrap-up Workflow Notes (High level overview. Discussed in detail on Day Two). There are four main steps to the workflow: • Patient Task Card Register a patient – • Examination Task Card Perform the patient examination – • Postprocessing Task Card Manipulate an image – • Documentation Task Card Archive the exam/study – PEX Editor Overview Programs and Exams Editor is divided into six task cards: • Exam Enter your RIS exam names and OGP views – • Organ Program Edit technical factors – • Fluoro program View and/or edit fluoro program parameters – • Parameter Module (no function for this system) • Configuration Back up the OGPs – 23 Turnover Workbook | Ysio MAX VE10 Day One: Exercises Exercises Notes Complete the following exercises. Exercise 1: 1. Turn the system on. 2. Perform table movements. 3. Attach any accessories to table. 4. Remove the grid from the table. 5. Put the table into transverse and vertical Patient Transfer positions. 6. On the MaxTouch, change the kV, AEC, and add 0.2 mm copper. 7. On the Vertix wallstand, change out the grid. 8. Adjust the vertical movements of the Vertix wallstand. 9. End session. 24 Turnover Workbook | Ysio MAX VE10 Day Two: PEX Editor Opening the PEX Editor Notes On the Patient Task Card > Settings Subtask Card, click on this icon: The logon screen will appear. Programs and Exams Editor SEMENS Viewing only OK • Click the radio button next to Siemens. • Enter the password that your Siemens clinical education specialist gave you and click OK. Exam Tab The PEX Editor opens up to the Exam subtask card. Exam Organ program Fluoro program Film Layout Param. Module Configuration OGP View Examination View ABDOMEN B- ABDOMEN BREAST M 1 TC_dRF_RAD_Alternative(d) CHEST Abdomen(d) CSPINE DSA Insert OGP Barium_1_Swallow(d) Barium_2_Meal(d) EXTREMITY + Barium_3_Follow_through(d) IMPORTIERT Barium_4_Sm_Bowel(d) IQ PHANTOMS Barium_5_Enema(d) IQ TESTPROGRAMS + Barium_6_Fistulogram(d) ..... ..... + ... KNEE lodine_1_Swallow(d) LEG lodine_2_Enema(d) ....... LSPINE Remove OGP lodine_4_ERCP(d) PELVIS M lodine_6_IVP(d) PMS CALIBRATION lodine_9_HSG(d) ..... SCM CRFP Paediatric_BA_Bowel(d) ...... SHOULDER Paediatric_BA_Swallo(d) Group by C Name @ Body Part Acq. type Sort by @ Name ....................... Body Part C Acq. ty ............................... Exam parameters Default Exams OGP Parameters ExamName Name for RIS DICOM Modality D Add to favorites Filming Layout Network Node 1 Default Network Node Exam Level OGP Level Network Node 2 Fluoro Network Node 3 Rad Camera 6 Auto Scale Auto Scale DAutosending % 60 % 25 Turnover Workbook | Ysio MAX VE10 Day Two: PEX Editor (continued) Entering Exam Names Notes On the right side of the screen, you see the Examination View. This is where you will modify or create the listed exam names to match your site’s RIS Exam Names. (You will need to have a copy of your RIS Exam Names supplied by the site.) 1. Left click on an Exam name that closely matches one of the exams on your RIS worklist. 2. Populate the Name for RIS and Exam Name fields with the correct name. 3. When finished click Store if you modified the name or Store as New if you created a new name. 4. Continue until all exams are entered. It is very important that you type in the name exactly as it appears on your list (letter-for-letter and spacing). If not, the study will not populate when you click on the patient to be examined. Modifying or Creating OGP View On the left side of the screen, you see OGP View. This is where you will modify or create a new view. Make sure you pick the correct prefix in front of the OGP View. • C = Cassette exposure (CR or film) • T = Table exposure • W = Wallstand exposure • X = Free exposure (the wi-D “external” from the table bucky) 1. Double left click on the OGP View you wish to modify. 2. The Organ Program subtask card will open. 3. In the Program Name field, backspace out the (d) and enter in the new or modified name. 4. Make any technical factor changes and either click Store if you modified the name or Store as New if you created a new name. Exam Organ program Body Part Examined TC TESTPROGRAMS Program Name 00_DFR_Ka (d) Acquisition Mode Series Native General Parameters Fluoro Program Set CP MP MField Dose per Pulse 1.09 E Ep Data from Flupro KV 70-Auto Characteristic Curve (C) Dose Reduction 1022 Focus Regulation Sto Max. Pulse Width 80 Blackening Correction 26 Turnover Workbook | Ysio MAX VE10 Day Two: PEX Editor (continued) Adding OGP View to Examination View Notes Highlight the desired Examination View and highlight the OGP View to be added, then click on Insert OGP. V T Ankle Joint Lat. Right (d) Insert OGP ANKLE 2 VIEW BILATERA T Ankle Joint Obl. Left (d) T Ankle Joint a.p. Left (d) T Ankle Joint Lat. Left (d) M T Ankle Joint Obl. Right (d) T Ankle Joint a.p. Right (d T Ankle Joint Lat. Right (d X Ankle Joint a.p. Left (d) X Ankle Joint Lat. Left (d) X Ankle .Inint a n Rinht (d" You are able to arrange the order of the views by clicking on the arrows. T Ankle Joint Lat. Left (d) T Ankle Joint a.p. Right (d) T Ankle Joint Lat. Right (d' X Ankle Joint a.p. Left (d) X Ankle Joint Lat. Left (d) Checking the box Automatically switch to next OGP after acquisition allows the next view to populate during the exam. Make sure to click Store to save. Mistamatinales awitah ta naid non Backup PEX Editor After you finish making changes in the PEX Editor, it is very important to do a backup. 1. Click on the Configuration tab. 2. Click on Backup/Export. 3. Click on the C drive and click Go. On the local hard disc (e.g., drive C and D) the number of backups is limited to 10. For more details and diagrams of the PEX Editor, please see the online User Manual located by pressing the F1 key on the Patient tab on the FLUOROSPOT Compact. 27 Turnover Workbook | Ysio MAX VE10 Day Two: Registering a Patient FLC and Performing Patient Exams Notes Objectives After this session, you will be able to: • Register a patient. • Perform patient exams. • Postprocess an image. • Archive patient data. During the Clinical Education Specialist training, you will also be doing patient exams. Study Lists On the FLUOROSPOT Compact (FLC), the main area of the monitor shows: 1. Preregistered Patient • List of patients from RIS 2. Examined Patients • List of patients that have been examined 3. Archiving Information • Patient data and image stamps of deleted or archived studies, if configured The Patient Task Card is divided into 3 subtask cards: 1. Patient Patient |Settings |Service 2. Settings 3. Service 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 3. Double click on the patient’s name to be examined. 4. The Examination Tab opens with all exams ordered and the organ programs listed for each study. 28 Turnover Workbook | Ysio MAX VE10 Day Two: Registering a Patient (continued) To manually register a patient: Notes 1. Click on the Patient Tab. 2. Click on the Patient Registration icon (Create New Study). 3. Populate all fields in bold text. 4. If this is a patient with no data, click on the Emergency icon to start the examination. You will be able to populate the data later. Settings Subtask Card • User Settings Patient| Settings| Service ?F • View Job Status • PEX Editor • Clinical EXI log • Recycle Bin (if configured) Service Subtask Card 1. Rejected Image Statistics Exporting Data via USB You may export files using a USB memory stick. 1. Clinical EXI log 2. Reject Analysis log Exporting Data via CD/DVD You may export patient studies/images via CD/DVD. 29 Turnover Workbook | Ysio MAX VE10 Day Two: Making Acquisitions Patient Resource Information Notes The patient loads with all OGPs for the exam ordered. If you have a large number of OGPs, click on the eyeglasses icon and it will expand the list. Right clicking on the OGP will show you a summary of the OGP setup in the PEX Editor. Emergency, 1 M uGym2 Patient 0 299 0.0 *1 Series 8f/s 8_DSA_2 2 RAD AEC_C D089 8 rad_2pt Exar Fluoro Rad Acquisition Parameters 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 patients. AEC Exposure: Sensitivity 400=Detector Dose 2.5 micro gray. Fluoro Rac # 42.6 cm x 42.6 cm Current Target none 125 cm 115 cm 115 cm MAS 70 Dose 0.89 S 0.0 mm Cu 0.0 Focus % 80 Exam Manager If the Exam Manager is displayed, you will need to select the 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 from the RIS is not recognized by the PEX Editor, or that exam name has not yet been programmed. 30 Turnover Workbook | Ysio MAX VE10 Day Two: Making Acquisitions (continued) A Notes This happens because the Exam Name from the RIS does not match what you have entered into the PEX Editor. Remember to correct the exam spelling in the PEX Editor. Exam Manager Patient: Emergency, 97 Available Exams / Organ Programs Assigned Exams / Organ Programs @ alphabetic by nemo alphabetic by body part region ~ Organ Progrems in acquistion order @ alphabetically by acquisition type ABDOMEN 1_TC_dRF_All_Acq_Types 1_RAD_altem_serie 1_Series 81/'s 20_20_wall_verticel 2_RAD_AEC_C_D089 DFR_&ps 8_rad_2pl DFR_Barium_1fps_BW 8_DSA_2 DFR_Barium_Single_BWV 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_Peed Barium_2ips_BW DFR_Peed Barium_Single_BW DFR_Peedlodine_2fps_BW DFR_Peedlodine_Single_BW DFR_Renal/Bliery_Single_BW P_Ductus choleduchus P Kidney ARM BREAST # CHEST Exams Favoritos Organ Frog. Details Accession Number. Details .. Home Examination 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. Subtask Card You are able to crop the image and review all images. 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 determining fac- tors for checking if the image is under/overexposed. 31 Turnover Workbook | Ysio MAX VE10 Day Two: Postprocessing Mode Postprocessing Notes The Postprocessing task card lets you make changes to the acquired image. Postprocessing It is divided into three subtask cards: 1. Process 2. Graphics 3. Rad Process Subtask Card • Zoom/Unzoom images using variable zoom function • Invert grey scale • Flip image horizontal and vertical • Once an image has been flipped it is not possible to rotate it • Window – Contrast and Brightness adjustments Window Center – Brightness (move mouse up/down) – Window Width – Contrast (move mouse left/right) – • Rotate image – Images can be rotated 90º clockwise, or 90º clockwise/ counterclockwise and 1º clockwise/counterclockwise depending on soft- ware level Process. Graphics Rad R- R- R R R -Ò R -226 533 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. 32 Turnover Workbook | Ysio MAX VE10 Day Two: Postprocessing Mode (continued) Rad Subtask Card Notes LUT (look up table selection) Process. Graphics Rad Auto-cropping Set black V Auto-window Amplification 2.0 Auto 0 JV. Gradation Curve • The LUT and Histogram chart is displayed. timize Imax LUT and HISTOGRAMM Gradation Data Gradation ID Shape g_Jut_12 Contrast 1.5 Carter 3072 Offset 100 Amplification 2.0 DEFAULT ORADATION PARAMETERS Histogram ROI 512 1024 1536 2048 2560 3072 3584 4096 Input Signal (log) A 3004 LR 2374 View @ Logarithmit Full range linear @ Zoom 1 linear Zoom 2 linear OK AGPY Cancel Filter Icon • Select Spatial Filtering parameters • Diamond View settings • Set Gain and Kernel for Edge Enhancement and Harmonization Make sure to click on the “Apply” icon to save processing changes. V 33 Turnover Workbook | Ysio MAX VE10 Day Two: Documentation Mode Documentation Mode Notes Documentation The Documentation task card is where you archive patient studies. It is divided into three subtask cards: 1. Select 2. Film 3. Send Select Subtask Card All images need to be marked with a white circle to be sent to the hardcopy camera or PACS. 1 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 34 Turnover Workbook | Ysio MAX VE10 Day Two: Documentation Mode (continued) Send Subtask Card Notes 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 n Send Film (VC software) Target 1 DACSTORE Target store Target 2 Target Target 3 Target 3 Send Exam Protocol as. Send Exam Protocol as: SCimage SCimage DICOM Dose SR DICOM Dose SR Override configured Override configured Status Messages and Display Ready (OUD) 5 5 +0 2% hu (1) Message line for system messages (2) Status symbols General status Symbol Short description Ready for fluoroscopy and acquisition Not ready oooo Free hard disk space 100% 0% Free DVD space DUD OUD DUD 100% 0% Detector temperature is not within required range Detector calibration has expired. Software update is available. Remote service is selected/active. 2 % hu Tube heat units Wireless detector status Symbol Color Short description green Detector battery is well charged. yellow Detector battery is low. red Detector battery is empty. Detector battery is being charged green Detector signal is good. Detector signal is weak. Detector signal has been lost. 35 Turnover Workbook | Ysio MAX VE10 Day Two: Exercises Exercises Notes Complete the following exercises. 1. Open the PEX Editor and create/modify Examination Views. 2. Create/modify OGP Views and insert OGP into Examination View. 3. Rearrange the order of the OGPs in the Examination View. 4. Back up the PEX Editor. 5. Manually register a patient. Make sure to add the accession # and Study description. 6. Set the room up for the exam. 7. Change the technical factors. 8. Make exposure and continue with the rest of the views. 9. Re-crop the image. 10. Add a laterality label to the image. 11. Enter Text and place in image. 12. Select the Text and erase it. 13. Unmark all images and change the order. 14. Send all images to PACS. 15. End current patient study. 36 Turnover Workbook | Ysio MAX VE10 Day Two: Technical Data Sheet Technical Data Sheet Notes Patient Table • Max. patient weight – 300 kg with restrictions • Table tilt - +90 to -45 or +90 to -90 (optional) • Table height – 50 cm to 100 cm from the floor • Table grid – stationary, 15:1, 80 lines/cm, 125 cm focus, removable • SID – 115 cm or 150 cm, selectable Table Detector (MAX Dynamic) • Active detector size – 42 x 42.6 cm • Pixel size – 148 microns • Semiconductor material – amorphous silicon • Scintillating layer – cesium iodide • Acquisition depth – 16 bits • Matrix – up to 2840 x 2874 pixels Wallstand (optional) • Tiltable from -20º to +90º with 0º detent • Grids – 115 cm focused, 180 cm focused MAX Wi-D (optional) • Active detector area – 34.9 cm x 42.5 cm • Pixel size – 148 microns • Semiconductor material – amorphous silicon • Scintillating layer – cesium iodide • Acquisition depth – 16 bits • Weight – 6.6 lbs. • Max. load capacity – 330 lb. with patient recumbent, 220 lb. with patient standing • Battery – lithium ion, rechargeable, exchangeable • Battery charging time – 4 hours in battery charger • Battery operation time – up to 525 images • Charging location – Wallstand (optional) detector tray, battery charger (op- tional) • Clip on grid – 5:1, 85 lines/cm, 115 cm focus or 15:1, 80 lines/cm, 115 cm focus MAX Mini (optional) • Active detector area – 28.4 cm x 22.8 cm • Pixel size – 148 microns • Semiconductor material – amorphous silicon • Scintillating layer – cesium iodide • Acquisition depth – 16 bits • Weight – 3.5 lbs. • Max. load capacity – 330 lb. with patient recumbent, 220 lb. with patient standing • Battery – lithium ion, rechargeable, exchangeable • Battery charging time – 4 hours in battery charger • Battery operation time – up to 525 images • Charging location – battery charger • Clip on grid – 5:1, 85 lines/cm, 115 cm focus 37 Turnover Workbook | Ysio MAX VE10 Day Two: Technical Data Sheet (continued) Imaging System Notes • Image storage capacity – 50,000 images • CARE Vision – pulsed fluoro at rates of 3, 7.5, 10 and 15 pulses/sec. Also available is 30 pulses/sec. in full field and zoom 2 only • Acquisition – single image or series (0.5, 1, 2, 4 or 8 frames/sec.) • LIH – storage for last image hold 38 Turnover Workbook | Ysio MAX VE10 Day Three: Review Review of System Objectives Topic Objectives Today is a full work schedule and review: • Performing patient exams • Review patient images with Radiologists • Modify exam protocols in PEX Editor– continued • Review of all task cards and subtask cards • Questions Notes 39 Turnover Workbook | Ysio MAX VE10 Day Four: Review Review of System Objectives Topic Objectives Today is a full work schedule and review: • Patient imaging – continued • Modify exam protocols in PEX Editor – continued • Questions Notes 40 Turnover Workbook | Ysio MAX VE10 Day Four Notes 41 Turnover Workbook | Ysio MAX VE10 Day Five: Review Review of System and Sign-off Topic Objectives Today is a full work schedule and review: • Patient imaging – continued • Checklist sign-offs • Questions Notes 42 Turnover Workbook | Ysio MAX VE10 Day Five Notes 43 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. A914CX-CS-15311-P1-4A00 Germany Printed in USA 02-2015 | All rights reserved Telephone: +49 9191 18-0 © 2015 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 www.siemens.com/healthcare