LUMINOS Lotus Max VF11B SmartOrtho Workflow Online Training

Continue Button Untitled Scene Master Template HOOD05162003052540 | Effective Date: 26-Nov-2019 ? LUMINOS Lotus Max SmartOrtho Workflow Online Training This online training will introduce you to the SmartOrtho examination workflow and cover the following three learning objectives: Memorize the SmartOrtho workflow steps Differentiate between the process of utilizing SmartOrtho on the patient table vs. at the Bucky wall stand (BWS) 1 3 2 Understand the functionality of SmartOrtho Welcome [Audio file name: audf_llm_smartortho_wf_olt_welcome.mp3] Welcome to the LUMINOS Lotus Max SmartOrtho Workflow Online Training. This online training will introduce you to the SmartOrtho examination workflow and cover the following three learning objectives: Hints for Navigating this Online Training Before you start, we would like to give you a few tips on how to navigate: Table with 2 columns and 3 rows Not all pages contain audio. Some pages invite you to read for yourself or watch a video. All pages have a ? button in the lower right corner. Click the ? button to get a quick guide through the navigation elements. Some pages have an X button in the upper right corner. Click the X button to return to the overview page and not miss any information provided. Enjoy the course! ? ? Hints for Navigating ? Introduction SmartOrtho provides Ortho acquisitions with automatic synchronized movement of the tube and detector. It’s an automated tilting technique for full-leg and full-spine imaging. The system will automatically move to the correct position for each image of the Ortho sequence after the user has defined the start and end position. Introduction [Audio file name: audf_llm_smartortho_wf_olt_intro.mp3] With the Ortho option on your system, you can acquire a series of images from different patient heights at the Bucky Wall Stand or on the patient table. SmartOrtho provides Ortho acquisitions with automatic synchronized movement of the tube and detector. It’s an automated tilting technique for full-leg and full-spine imaging. The system will automatically move to the correct position for each image of the Ortho sequence after the user has defined the start and end position. ? SmartOrtho on Patient Table SmartOrtho acquisition is performed by synchronized X-ray tube tilting and detector movement . The X-ray tube is centered over the table. When Ortho acquisition is started, detector moves and tube tilts to next position automatically (horizontal or vertical table position possible). Acquisition position 1 Acquisition position 2 Acquisition position 3 Please note: During SmartOrtho on the table all table movements are blocked. Up to 3 images can be acquired on the patient table. SmartOrtho on Patient Table [Audio file name: audf_llm_smartortho_wf_olt_table.mp3] The SmartOrtho acquisition is performed by synchronized X-ray tube tilting and movement of the detector. The X-ray tube is centered over the table. When an Ortho acquisition is started, the detector moves and the tube tilts to the next position automatically. Please note: During SmartOrtho on the table all table movements are blocked. Up to 3 images can be acquired on the patient table. ? SmartOrtho – Bucky Wall Stand (BWS) SmartOrtho acquisition is performed by synchronized X-ray tube tilting and detector movement . The X-ray tube is positioned in the middle of the Ortho cover range. When Ortho acquisition is started, detector moves and tube tilts to next position automatically. Acquisition position 1 Acquisition position 2 Acquisition position 3 Ortho Stand Necessary accessory Please note: For automatic Ortho imaging onto the BWS (optional), the Ortho stand is needed (accessory). Up to 4 images can be acquired and are automatically stitched together. Ortho acquisition is available for fully synchronized configuration. SmartOrtho - Bucky Wall Stand (BWS) [Audio file name: audf_llm_smartortho_wf_olt_bws.mp3] The SmartOrtho acquisition is performed by synchronized X-ray tube tilting and movement of the detector. The X-ray tube is positioned in the middle of the Ortho cover range. When an Ortho acquisition is started, the detector moves and the tube tilts to the next position automatically. Please note: For automatic Ortho imaging on the Bucky Wall Stand (optional), the Ortho stand is needed (accessory). Up to 4 images can be acquired and are automatically stitched together. Ortho acquisition is available for fully synchronized configuration. ? SmartOrtho Workflow Steps In this chapter, we will guide you through the SmartOrtho workflow. Select the numbered steps below to learn more about it. Please note: Pay attention to the messages displayed on the display and on the touchscreen. If the series acquisition is interrupted, the whole sequence must be started again from the beginning. 1 1 1 2 2 2 3 3 3 4 4 4 5 5 5 6 6 6 SmartOrtho Workflow Steps [Audio file name: audf_llm_smartortho_wf_olt_wf_steps.mp3] In this chapter, we will guide you through the SmartOrtho workflow. Select the numbered steps below to learn more about it. Please note: Pay attention to the messages displayed on the display and on the touchscreen. If the series acquisition is interrupted, the whole sequence must be started again from the beginning. Performing SmartOrtho Imaging Make sure the… Correct organ program is selected. Units and the patient are correctly positioned. Ortho acquisition range (ROI) has been defined. Start and end positions are correctly set. TOD and the acquisition parameters are correctly set. Press the acquisition push-button half (pre-contact) and hold it in that position. The system moves to the first acquisition position. Instruct the patient to keep still. Press the acquisition push-button fully down and hold it pressed until all the acquisitions are finished. Depending on the configuration: The first position is acquired and displayed. The system moves to the next acquisition position. The next position is acquired and displayed, and so on. After all exposures are done, the acquired images are automatically stitched together and displayed in Composing. 6 Checking / Changing Parameters for all Acquisition Positions For checking or changing parameters of all acquisition positions, proceed as follows: 5 Review / modify all the relevant acquisition parameters If the same acquisition parameters shall be applied for the second or further acquisi-tions of the Ortho series: Select each Ortho Step position Click the STOP regulation icon if necessary Regulation stop for exposure control is applied for further images. All related generator controls are blocked, i.e. kV, mAs, ms, Dose, Focus, tube load, and measuring fields. Adjusting the Ortho ROI Proceed as follows in the examination room: To use the laser line light localizer for setting the image area, ask the patient to close their eyes, check that they are closed and turn on the light localizer. Align the laser line on the upper edge of the Region of Interest (ROI) by tilting (or moving in case of a standing patient) the X-ray tube to the upper start position. Press this button on the MAXtouch. The position is stored and the button is marked by a check mark. Align the laser line on the lower edge of the ROI by tilting (or moving in case of a standing patient) the X-ray tube unit to the lower end position. Press this button on the MAXtouch. The position is stored and the button is marked by a check mark. Turn off the laser light. Collimate the width to the desired ROI. Collimation in height will be adjusted automatically. Check collimation and measuring fields. 4 Changing / Entering the TOD For later measurements and correct composition of Ortho images, it is required to enter the correct TOD (Table-Object Distance), i.e. tabletop / detector to object plane distance. After selecting an Ortho organ program, the TOD defined in this organ program is displayed. Measure the TOD using a ruler. - or - Measure the SOD (Source-Object Distance) using the tape measure available at the collimator front. Select the correct TOD on the MAXtouch. A sound indicates that the value has been registered. - or - Select / enter the correct TOD on the monitor in the control room. Please note: If you change the SID (Source-to-Image Distance) or TOD in postprocessing, make sure to enter the same value for all the images of the Ortho series. If SID and TOD are not equal for all the images of an Ortho series, Composing is not possible. 3 Positioning the Patient 2 Positioning on patient table Position the patient lying on the table. Position the calibration device (sphere, ruler) in diagnostic relevant area, or measure the TOD (Table-Object Distance) and enter it manually. Positioning on SmartOrtho stand Place the SmartOrtho stand in front of the BWS leaving sufficient space for detector movement. Position the patient with their back to the SmartOrtho stand and their hands folded over their head, or with their hands holding the attached hand grips. Position the calibration device (sphere, ruler) in a diagnostic relevant area, or measure the TOD and enter it manually. Please note: The detector unit must be in the 0° position. Check that the detector tray does not grind on the semi-transparent stripes of the relevant area. Preparing SmartOrtho You can perform the setup via FLUOROSPOT Compact display in the control room, TUI on the system remote control console, or via MAXtouch on the optional ceiling-supended X-ray tube. If necessary, you can perform fluoroscopy. Make sure… An Ortho organ program is selected. The collimator is in the 0° lock position. The SmartMove LED button is blinking. The Ortho subtask card is displayed. Please note: Press the SmartMove button to move the X-ray tube and the detector to the start position. Position the patient on the patient table or to the SmartOrtho stand. 1 Ortho subtask card SmartMove button Ortho Organ Program The selection of an Ortho organ program allows up to 4 acquisitions on the BWS and up to 3 acquisitions on the table, each belonging to one Ortho series. For each step, individual settings for the generator are available. Every Ortho image within one Ortho series is numbered and stored. ? SmartOrtho Workflow in a Nutshell Steps of the SmartOrtho workflow: Preparing SmartOrtho: Ortho organ program selection, 0° lock position of collimator housing, blinking SmartMove LED button, Ortho subtask card displayed, Ortho functions displayed on the TUI. Positioning the patient: On patient table or on SmartOrtho stand at the BWS. Detector unit in 0° position. Always handle Ortho stand, detector tray and detectors with care. Changing or entering TOD (table) / SOD (Ortho stand): Correct TOD selection on MAXtouch in examination room or on display in control room. Adjusting the Ortho Region of Interest (ROI): Tilt the X-ray tube to the upper start and lower end position. Store start and end position by pressing the corresponding MAXtouch or TUI button. Checking / Changing parameters for all acquisition positions: Select each Ortho Step position, review or modify all relevant parameters, click the STOP regulation icon if necessary. Performing Ortho imaging: For all acquisitions. Result: Images are automatically stitched together and displayed in Composing. SmartOrtho Workflow in a Nutshell [Audio file name: audf_llm_smartortho_wf_olt_wf_nutshell.mp3] In the previous chapter, the following steps for the SmartOrtho workflow and their prerequisites were discussed: Prepare SmartOrtho regarding Ortho organ program selection, 0° lock position of collimator housing, blinking SmartMove LED button, Ortho subtask card displayed, Ortho functions displayed on the TUI. Position the patient, either on the patient table or on the SmartOrtho stand at the Bucky wall stand. Make sure the detector unit is in 0° position. Always handle Ortho stand, detector tray and detectors with care. Change or enter the TOD (Table-Object Distance), respectively the SOD (Source-Object Distance for the Ortho stand), either on the MAXtouch in the examination room or on the display in the control room. Adjust the Ortho Region of Interest (ROI) by tilting the X-ray tube to the upper start and lower end position. Store start and end position by pressing the corresponding MAXtouch or TUI button. To check or change the parameters for all acquisition positions, select each Ortho Step position, review or modify all relevant parameters, and click the STOP regulation icon if necessary. Perform Ortho imaging for all acquisitions, which are automatically stitched together and displayed in Composing. ? Course Review Congratulations. You have completed the LUMINOS Lotus Max SmartOrtho Workflow Online Training. Select the numbered buttons below to review the material before proceeding to the final assessment. Memorize the SmartOrtho workflow steps Differentiate between the process of utilizing SmartOrtho on the patient table vs. at the Bucky wall stand (BWS) Understand the functionality of SmartOrtho 1 1 2 2 2 3 3 3 Course Review [Audio file name: audf_llm_smartortho_wf_olt_cr.mp3] Congratulations. You have completed the LUMINOS Lotus Max SmartOrtho Workflow Online Training. Select the numbered buttons below to review the material before proceeding to the final assessment. Memorize SmartOrtho Workflow Steps Preparing SmartOrtho: Ortho organ program selection, 0° lock position of collimator, blinking SmartMove LED button, Ortho subtask card displayed, Ortho functions displayed on the TUI. Positioning the patient: On patient table or on SmartOrtho stand at the BWS. Detector unit in 0° position. Always handle Ortho stand, detector tray and detectors with care. Changing or entering TOD (table) / SOD (Ortho stand): Correct TOD selection on MAXtouch in examination room or on display in control room. Adjusting the Ortho Region of Interest (ROI): Tilt the X-ray tube to the upper start and lower end position. Store start and end position by pressing the corresponding MAXtouch or TUI button. Checking / Changing Parameters for All Acquisition Positions: Select each Ortho Step position, review or modify all relevant parameters, click the STOP regulation icon if necessary. Performing Ortho imaging: For all acquisitions. Result: Images are automatically stitched together and displayed in Composing. Apply SmartOrtho on Table vs. on Ortho Stand at BWS SmartOrtho on Patient Table SmartOrtho on Ortho Stand at BWS X-ray tube is centered over the table. When Ortho acquisition is started, the detector moves and the tube tilts to the next position automatically (horizontal or vertical table position possible). Please note: During SmartOrtho acquisitions on the table all table movements are blocked. Up to 3 images can be acquired on the patient table. Up to 3 images can be acquired on the patient table. For automatic Ortho imaging on the BWS, the Ortho stand is needed (accessory). X-ray tube is positioned in the middle of the Ortho cover range. When Ortho sequence is started, the detector moves and the tube tilts to the next position automatically. Please note: Up to 4 images can be acquired and are automatically stitched together. Ortho acquisition is available for fully synchronized configuration. SmartOrtho acquisition is performed by X-ray tube tilting and detector movement Understand the Functionality of SmartOrtho SmartOrtho is an automated tilting technique for full-leg and full-spine imaging. SmartOrtho provides Ortho acquisitions with automatic synchronized movement of the tube and detector. The system automatically moves to the correct position for each image of the Ortho series after the start and end position have been defined. Disclaimer Please note that the learning material is for training purposes only! For the proper use of the software or hardware, please always use the Operator Manual or Instructions for Use (hereinafter collectively “Operator Manual”) issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training. The Operator's Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Note: Some functions shown in this material are optional and might not be part of your system. Certain products, product related claims or functionalities (hereinafter collectively “Functionality”) may not (yet) be commercially available in your country. Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. Copyright © Siemens Healthcare GmbH 2021 Siemens Healthineers Headquarters\Siemens Healthcare GmbH\Henkestr. 127\ 91052 Erlangen, Germany\Telephone: +49 9131 84-0\siemens-healthineers.com ? Disclaimer Assessment This assessment will test your retention of the presented content. A passing score of 80% or higher is required to complete the course and earn your certificate. You may repeat the assessment as many times as needed. Start ? Assessment Select the best answer. ? Question 1 of 5 Which of the following statements about SmartOrtho is correct? With SmartOrtho you can acquire an automated series of images from different patient heights with standing or lying patient. The selection of an Ortho organ program allows up to 2 acquisitions. With SmartOrtho on the patient table, the X-ray tube is positioned in the middle of the Ortho cover range. With SmartOrtho on the patient table, the X-ray tube is positioned in the middle of the Ortho cover range. With SmartOrtho on the patient table, the X-ray tube is positioned in the middle of the Ortho cover range. During SmartOrtho on the table, all table movements are fully functional. During SmartOrtho on the table, all table movements are fully functional. During SmartOrtho on the table, all table movements are fully functional. Multiple Choice Incorrect All table movements are blocked. Incorrect This is the case for applying SmartOrtho on the Ortho stand at the BWS, but not on the patient table. Incorrect More acquisitions are possible. Incorrect Select the applicable image. ? Which button is the SmartMove button? Question 2 of 5 Pick One Incorrect This is the acquisition push-button. Correct Incorrect This is the STOP regulation icon. Select the best answer. ? Question 3 of 5 Which list indicates the correct order of steps as part of the SmartOrtho workflow? Press the SmartMove button > Move X-ray tube and detector to start position > Position the patient Select the SmartOrtho position > Click the STOP regulation icon > Review / modify the relevant acquisition parameters Select or correct TOD on the monitor in the control room > Position the patient > Prepare SmartOrtho Select or correct TOD on the monitor in the control room > Position the patient > Prepare SmartOrtho Select or correct TOD on the monitor in the control room > Position the patient > Prepare SmartOrtho Multiple Choice Incorrect This order of workflow steps is incorrect. Incorrect This order of workflow steps is incorrect. Incorrect Select the best answer. ? Question 4 of 5 Which of the following statements about the SmartOrtho workflow is correct? After all exposures are performed, the acquired images are automatically stitched together and displayed in Composing. Up to 6 images can be acquired in one Ortho series. SmartOrtho automatically defines the ROI with start and end position. SmartOrtho automatically defines the ROI with start and end position. SmartOrtho automatically defines the ROI with start and end position. After preparing SmartOrtho, the MAXtouch user interface is blinking. After preparing SmartOrtho, the MAXtouch user interface is blinking. After preparing SmartOrtho, the MAXtouch user interface is blinking. Multiple Choice Incorrect It is not the MAXtouch user interface blinking. Incorrect Start and end position are defined manually by the user. Incorrect The number of acquirable images is lower. Incorrect Select the best answer. ? Question 5 of 5 Which of the following statements about you performing the SmartOrtho workflow is correct? I pay attention to messages displayed on the monitor or touchscreen. If the series acquisition is interrupted, I can continue with the acquisition where it dropped off. I only collimate height, since collimation in width will be adjusted automatically. For Composing, I can enter different TOD or SID values of the single acquisitions. Multiple Choice Incorrect You have to enter equal TOD or SID values to make Composing possible after. Incorrect You collimate width. Collimation in height will be adjusted automatically. Incorrect In this case, you have to start the whole sequence again. Incorrect Assessment Results YOUR SCORE: PASSING SCORE: Review Retry Retry Continue Continue Continue %Results.ScorePercent%% %Results.PassPercent%% ? Assessment Results You did not pass the course. Take time to review the assessment then select Retry to continue. Congratulations. You passed the course.. Exit To access your Certificate of Completion, select the Launch button drop down on the course overview page. You can also access the certificate from your PEPconnect transcript. ? You have completed the LUMINOS Lotus Max SmartOrtho Workflow Online Training. Completion Navigation Help Select the icon above to open the table of contents. Click Next to continue. Next Welcome Slide The timeline displays the slide progression. Slide the orange bar backwards to rewind the timeline. Click Next to continue. Next Timeline Select the CC icon to display closed captioning (subtitles). Click Next to continue. Next Caption Icon add subtitles Select the buttons to learn more about a topic. Be sure to review all topics before navigating to the next slide. Click Next to continue. Next Tab Arrow Slide Select the X to close the pop-up. Click Next to continue. Next Layer Slide Select Submit to record your response. Click the X in the upper right corner to exit the navigation help. Assessment Slide Question Bank 1 HOOD05162003169404 | Effective Date: 16 MAR 2021 1.1 Welcome 1.2 Hints for Navigating 1.3 Introduction 1.4 SmartOrtho on Patient Table 1.5 SmartOrtho - Bucky Wall Stand (BWS) 1.6 SmartOrtho Workflow Steps 1.7 SmartOrtho Workflow in a Nutshell 1.8 Course Review 1.9 Disclaimer 1.10 Assessment