Mira Max Turnover Workbook

SIEMENS Healthineers Education Services Mobilett Mira Max siemens.com/healthcare Mira MAX Turnover Workbook Answers for life. I Contact Information Summary Welcome to Siemens Healthineers Clinical Education Offerings: Siemens Healthcare is dedicated to helping you Call 1-888-221-8010 (follow the prompts) • get the most out of your investment throughout Classroom Training the entire product life cycle and beyond. Our goal (Offerings, Registration & Scheduling) • is to enable you to take technology further, Educational Symposia • profitability higher, and patient care to the next On-site Training • level. Find the information, resources, and tools Printed Self-studies • you need to get the most out of your recent Virtual Education (Offerings & Registration) • investment and stay up-to-date. Visit Workshops & Fellowships siemens.com/healthcare. Visit www.usa.siemens.com/clinicaleducation for more information regarding the current Clinical Training and Siemens Clinical Training and Continuing Continuing Education Education portfolio. Siemens Customer Care Center: Call 1-800-888-7436 Siemens Training Centers • Troubleshooting assistance Immediate assistance for software Siemens Clinical Education • applications and workflow issues Training Center – TDC2 • For Tech Support press option 2 / for 110 MacAlyson Court applications support, press option 3 Cary, NC 27511 • Press the * key or enter the last six digits of your Functional Location Number Functional Location Number ____________________ Serial Number ________________________________ IP Address System _____________________________ IP Address PACS _______________________________ 2 II Contents I Contact Information Summary ............................................................................................... 2 II Contents .............................................................................................................................. 3 III Course Agenda .................................................................................................................... 4 IV Course Objectives ................................................................................................................ 5 1. Day One: System Introduction and Start Up........................................................................... 6 1.1 Objectives .................................................................................................................... 6 1.2 System Start-Up/Shut Down .......................................................................................... 6 1.3 Emergency Stop............................................................................................................ 6 1.4 Wireless Detectors ........................................................................................................ 6 1.5 Control and Display Panel............................................................................................ 11 1.6 Arm System................................................................................................................ 11 1.7 X-Ray tube assembly ................................................................................................... 12 1.8 System Workflow........................................................................................................ 12 1.9 PEX Editor .................................................................................................................. 13 2. Day Two: System Training Continues................................................................................... 18 2.1 Objectives .................................................................................................................. 18 2.2 System Review ........................................................................................................... 18 2.3 Fluorospot Compact (FLC) Training .............................................................................. 18 2.4 Perform Patient Exams ................................................................................................ 23 3. Day Three: Review ............................................................................................................. 24 3.1 Objectives .................................................................................................................. 24 3.2 Review from Day one and two ..................................................................................... 24 3.3 Answer Any Questions ................................................................................................ 24 3.4 Calling Customer Care Center...................................................................................... 24 3 Mobilett Mira Max III Course Agenda Day 1 Introduction to system basics to include system use, the FLC (Fluorospot Compact), and PEX editor. Additionally, cover system workflow and utilizing the system to perform patient exams. Day 2 System review from Day One. Deep dive into system functionality to include the following; Fluorospot Compact and all corresponding tabs, Tube, and Detector. Perform Patient Exams. Day 3 Continue patient studies, review system, follow up on any pending questions. Image quality review with physicians/staff. 4 Mobilest Mira Max IV Course Objectives This training guide will enable the end user to affectively operate the Mira MAX at its optimal level. Proper use of system functions and features will empower operators with precise workflow, ease of use, and user satisfaction. Upon completion of this course, you will be able to: • Correctly perform start-up and shutdown procedures. • Identify the key hardware features of the Mira MAX system. • Utilize the Fluorospot Compact imaging system. • Utilize the PEX Editor for setting up site specific Examinations. • Utilize postprocessing functions to optimize image impression. • Successfully send images to Archiving station. 5 Turnover Workbook | Mira Max 1. Day One: System Introduction and Start Up 1.1 Objectives Notes • By the end of this section, the technologist will be able to: • Correctly perform start-up and shutdown procedures • Identify the key hardware features of the Mira Max system • Follow the basic system workflow • Understand the basics of the PEX Editor 1.2 System Start-Up/Shut Down Turning the system on is a three part process. • Press the “Power On” button via the numeric keypad located on the control display panel.. • When the word “CODE” is visualized in the kV and mAs display, use the numeric key pad to input the customized four digit PIN. • The word “MOVE” will now be visualized on the display (portable generator is active). At this point the system can physically move but the system software is not on. • Press the power on button to activate the system software. The system is ready when the application program is displayed on the monitor. To turn the system off select the “Power Off” button. This will shut down the generator and imaging system. 1.3 Emergency Stop Stops radiation and motorized movement immediately When the emergency stop is activated the screen saver will display on the monitor and the screen will lock To unlock, turn the pressed button clockwise until is snaps back into the normal position. SIEMENS> Mobilett Mira Max 1.4 Wireless Detectors 1.4.1 MAX Wi-D • Weight 6.6lbs • 3.5 hour battery life for normal operation. • 90 minutes charge time for 80% battery capacity. 6 Turnover Workbook | Mira Max • Charges in the “onboard” detector holder or externally with the battery Notes charger. • Max Patient weight, 330lbs with patient recumbent and 220lbs with patient standing. • Pixel Size; 148 micron • Active Detector Area 13.7” X 16.7” 1.4.2 MAX Mini • Weight 3.5lbs • 3.5 hour battery life for normal operation. • 4 hours in battery charger • Max Patient weight, 330lbs with patient recumbent and 220lbs with patient standing. • Pixel Size; 148 micron • Active detector Area 11.2” X 9” 1.4.3 LED Lights on the Detector • Located on close to the handle to give basic detector information. Detector indicators (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) 7 Turnover Workbook | Mira Max Notes LED color / status Detector status LED (1) Wi-Fi status LED (2) Battery status LED (3) 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 1.4.4 Battery Charger • Charging the MAX Wi-D can be accomplished on the system or via the battery charger (*Optional). • Charging the MAX Mini can be accomplished via the battery charger. (4) (1) (2) (3) ILID (1) Charger (2) Batteries (3) 4 charging LEDs for each battery (4) Power input with green power indicator - Green LED is illuminated when power is on. • Inserting a battery into the battery charger. 8 Turnover Workbook | Mira Max Notes (1) 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. 1.4.5 LED Status on the battery charger • There are four LEDs for each charging slot. When there is not a battery charging, all LEDs are off. Charging levels 0-25% 25-50% 50-75% 75-100% 100% 1.4.6 Changing the Battery • Open the locking system of the battery • Remove the discharged battery • Orient the charged battery in the correct position: battery connector facing the detector connector • Slide the battery in the recess area of the detector • Close the locking system of the battery and push down the latch. The detector should start automatically. • Note: Before using the detector, wait for all LED’s to be green. ED ED 9 Turnover Workbook | Mira Max 1.4.7 Attaching a detector Notes • Hold the detector with the LEDs facing the infrared sensor, which is located on the upper left corner of the storage compartment. • All of the LEDs on the detector will start to blink orange, then green. • When the LEDs stop blinking, the detector can be taken away • The following message will display on the FLC, select Yes. Detector attachment Do you want to attach this portable detector? Detector type MAX mini, Serial number: 1237E2 Yes Cancel • A second pop-up box will display with a green check, select close on this box. 1.4.8 Disconnecting Detector • Open the MAX Detector Overview page on the FLC • Select Disconnect for the required MAX detector Detector overview uGym2 Patient MAX mini MAX wi-D Examination | Postprocessing | Documentation Patient ent Settings Service Serial number S/N:1451DC /N:1547TU Calibration due 22-11-2018 26-06-2019 RISCO Default V Disconnect Disconnect Tools OK Cancel @ select patient[2/2] OXES 10 Turnover Workbook | Mira Max 1.5 Control and Display Panel Notes 1) 3 (5) (6) (7) (9) (10) (11) MAS D A/D (2) (4) (11a) (11b) (11c) (1) "Generator ready" LED display (GREEN) (2) "Exposure" LED display (YELLOW) (3) LED display for operating mode A = Analog D = Digital (4) Button for toggling between analog and digital mode (5) kV display and kV setting buttons for increases (+) and decreases (-) (6) Light localizer button (7) mAs display and mAs setting buttons for increases (+) and decreases (-) (8) "Low charge" battery indicator (red LED 1) (9) Battery indicator (yellow LED bars) @ 00 (10) "Mains operation" LED display (YELLOW) (11) Numeric keypad with ON button (11a). LOCK button (11b) and OFF button (11c) 1.6 Arm System 2 6 (1) X-ray tube assembly (2) Arm system (3) Holder for lead apron (4) Exposure release button (5) Transport safety device (6) Buttons for fine adjustment of the system 11 Turnover Workbook | Mira Max 1.7 X-Ray tube assembly Notes 78 6 10 (1) Protractors (2) SID tape measure (3) Collimator (4) DAP ionization chamber (option) (5) Light localizer button ON/OFF (on both sides) (6) Collimator adjustment knobs (7) Moving forward (8) Deadman switch (9) Moving backward (10) Handles for adjusting the X-ray tube 33sembly and arm system 1.8 System Workflow 1.8.1 Patient Task Card • Register a patient 1.8.2 Examination Task Card • Examine the Patient 1.8.3 Postprocessing Task Card • Manipulate an Image 1.8.4 Documentation Task Card • Archive the Exam/Images Recycle Bin Patient Name|Patient ID Social Security No. Mistary Rank Date of Birth Sex | Study Description Ward Physician Emergency. 5 E 5 22-01-201 ... O ? T Select All Deselect all Multiple Selection No studies added to the work list @ Doar open 13/31 12 Turnover Workbook | Mira Max 1.9 PEX Editor 1.9.1 Opening the PEX Editor Notes • On the Patient Task Card > Settings Subtask Card, select this icon: • The Logon Screen will appear Programs and Exames Editor - • Select the radio button next to Siemens. • Enter the password the Applications Specialist gave, and select OK. Programs and Exams Editor Login Viewing only Customer SIEMENS Password ....... Ok OK Java POWERED Java is a registered trademark of Oracle and/or its affiliates 13 Turnover Workbook | Mira Max 1.9.2 Exam Tab Notes • The PEX Editor opens up to the Exam subtask card. Exam Organ Program Fluoro Program Param. Module Configuration OGP View Examination View 9_Peri_Template (d) ABDOMEN 3 VIEWS_S(d) C Abdomen, left side pos. (d) ABDOMEN FLAT & UPRIGHT_S(d) C C-spine lat (d) ABDOMEN KUB S(d) C Femural neck axial (d) ..... Insert OGP T ABDOMEN SUPINE (d) ...** C Hip (d) X ABDOMEN SUPINE (d) C Hip, with grid (d) T ABDOMEN (8-13cm) (d) C Humerus lat (d) T ABDOMEN (14-19cm) (d) ... + C Patella tangential (d) T ABDOMEN (20-25cm) (d) ..... C Pelvis (d) L XTL ABDOMEN DECUB (d) C Pelvis, with grid (d) CR (d) C Portable lung (d) ABDOMEN UPRIGHT VIEW ONLY_S(d) C Portable lung, with grid (d) ABDOMEN-ACUTE INCL PA CHEST_S( C Shoulder (d) Remove OGP ABDOMEN-DECUBITUS_S(d) C Shoulder axial (d) ABDOMEN-LATERAL ONLY_S(d) C Zygomatic arch (d) ACROMIOCLAVICULAR JOINTS BIL S( 00000000000000 Group by O Name Body Part Acq. type Sort by O Name Body Part Acq. type Exam Parameters Default Exams OGP Parameters ExamName ABDOMEN KUB_S Name for RIS ABDOMEN KUB_S DICOM Modality Add to favorites Filming Layout Network Node 1 Default Network Node Exam level OGP leve Network Node 2 Fluoro Network Node 3 Rad Camera Default camera O Auto Scale Auto Scale Autosending Never for this exam % % Automatically switch to next OGP after acquisition Store as new Store Delete Close 1.9.3 Entering Exam Names Exam Organ Program Fluoro Program Param. Module Configuration OGP View Examination View 00_red+P16_20151217 (d) ABDOMEN 2 VIEW(d) 9 Peri_Template (d) ABDOMEN KUB_S(d) C 10mAs_70KV (d) ACROMIOCLAVICULAR JOINTS(d) C Abdomen Supine (d) C Abdomen, left side pos. (d) Insert OGP ANKLE BILATERAL 3 VIEW_S(d) ANKLE LEFT 3 VIEW_S(d) C C-spine lat (d) ANKLE RIGHT 3 VIEW_S(d) C Femural neck axial (d) BABYGRAM_S(d) C Hip (d) BONE AGE STUDIES_S(d) C Hip, with grid (d) CALCANEUS BILATERAL_S(d) C Humerus lat (d) CALCANEUS LEFT_S(d) C Patella tangential (d) X CALCANEUS LAT Left (d) C Pelvis (d) X CALCANEUS AXIAL Left (d) C Pelvis, with grid (d) 4 Remove OGP CALCANEUS RIGHT_S(d) C Portable lung (d) CHEST 1 VIEW_S(d) C Portable lung, with grid (d) CHEST PA AND LATERAL_S(d) Group by @ Name Body Part @ Acq. type Sort by . Name Body Part Acq. type Exam Parameters Default Exams OGP Parameters ExamName CALCANEUS LEFT _S Name for RIS CALCANEUS LEFT _S DICOM Modality Add to favorites Filming Layout Network Node 1 Default Network Node Exam level OGP leve Network Node 2 Fluoro Network Node 3 Rad Camera Default camera C Auto Scale @ Auto Scale Autosending D Never for this exam % Automatically switch to next OGP after acquisition Store as new Store Delete Close • The Examination View is located on the right side of the screen in the Exam tab. • This is where the names can be created or modified to match the RIS Exam Names (a copy of the RIS Exam Names should be supplied by the site). • Left Click on an Exam name that is similar to the name in the RIS worklist. • Populate the Name for RIS field, with the name from the RIS list, then copy and paste this name into the Examination View field. • Use “Store” if the name was modified and “Store as New” if a new name is created. 14 Turnover Workbook | Mira Max 1.9.4 Modifying or Creating Organ Programs Notes • The OGP View is on the left side of the screen in the Exam Tab. This is where organ programs can be modified or created. • When creating or modifying Organ Programs, be mindful to pick the correct prefix. • C = Cassette Exposure (CR or Film) • X = Free Exposure* (Wireless Detector) • Double left click on the Organ Program to be modified. • The Organ Program subtask card will open. • In the Program Name field, remove the (d) and enter the new or modified name. • Adjust any Exposure Parameters/Settings, and select Store for modifying or Store as New if a new Organ Program is created. Exam Organ Program Fluoro Program Param. Module Configuration Body Part Examined SHOULDER Alternative Acquisition Programs Program Name X SHOULDER Right (d) Acquisition Mode DR RAD Acquisition Type Free Exposure X - Ray Parameters Image Processing Parameters Presettings M Mark Image Auto-cropping Stand ... M Set Black Fluoro Program Set none M PT Position Not defined Defined size as cropped MField Laterality Not Defined Amplification 2.0 M Auto View position Not Defined C 1 pt Gradation Parameters Anatomically Correct View C 1 pt with ext. exp. Flip No change @ 2 pt 4 Extremity/Skull 3 pt Invert (Image) ORA C 3 pt with AEC 05 /20 Spatial Frequency Parameters 00000 KV 60 Rotate 00 0 90 @ 180 12 333 mAs 1.8 Shoulder - HC Label ms EXI Values 200 Exp. Correction EP default 1 ... Dose Sensitivity 400 Windowing Tube Load 80 % Width Factor Stand Parameters Focus Center Shift M Auto TOD not defined cm Filter Type 2000 Grid No value cm 0.0 Cu mm Window Center Fo Window Width 2500 Collimator 9.06 × 9.06 inches Stand Position T NO angle Center Top Alignment D SID Tracking Tracking Anatomic order number Store Store as new Print Delete reviou ne> Close 15 Turnover Workbook | Mira Max 1.9.5 Adding an OGP View to Examination View Exam Organ Program Fluoro Program Param. Module Configuration OGP View Examination View X AC JOINT LEFT WB (d) O Pex Database VE10 Sep12014 Mas - X AC JOINT RIGHT (0) 0 Siemens CSE Test Programs(d) X AC JOINT RIGHT WB (d) ABDOMEN APYDE CUBITUS(C) X ANKLE 0-3yrs (d) Insert OGP ABDOMEN APYLATERAL(O) X ANKLE 4-12yrs (d) ABDOMEN FLAT/UPRIGHT ROUTINE(C X ANKLE AP (d) ABDOMEN LATERAL DECUB 1 VIEWIC X ANKLE AP Left (0) ABDOMEN UPRIGHT 1 VIEW(d) X ANKLE AP Right (d) ABDOMEN/KUB 1 VIEW[d) X ANKLE LAT (d) ANKLE LEFT 1 VIEW(0) X ANKLE LAT Left (0) ANKLE LEFT 2 VIEWS(d) X ANKLE LAT Right (d) X ANKLE AP Left (d) X ANKLE Left 0-3yrs (d) Remove OGP X ANKLE OBL Left (d) X ANKLE Left 4-12yrs (d) X ANKLE LAT Left (d) X ANKLE OBL (d) ANKLE LEFT ROUTINE(d) X ANKLE OBL Left (d) ANKLE RIGHT 1 VIEW(d) Group by @ Name Body Part Acq. type Sort by @ Name Body Part Acq. type Exam Parameters Default Exams OGP Parameters ExamName ANKLE LEFT 2 VIEWS Name for RIS ANKLE LEFT 2 VIEWS DICOM Modality Add to favorites Filming Layout Network Node 1 Default Network Node Exam level OGP level Network Node 2 Fluoro Network Node 3 Rad Camera Default camera @ Auto Scale Auto Scale Autosending Never for this exam 6 % 60 % Automatically switch to next OGP after acquisition Store as new Store Delete Close • Highlight the desired Examination View and highlight the OGP View to be added, select Insert OGP. To remove OGP Views, highlight the OGP View from the desired Examination View and select Remove OGP. • The order of the OGP Views can be adjusted, using the up/down arrows. • Place a check in the box to activate “Automatically switch to next OGP after acquisition”, which allows the next view to populate automatically. Select Store to save this function per OGP View. Notes 16 Turnover Workbook | Mira Max 1.9.6 Backup PEX Editor • After changes to the PEX Editor, a backup is necessary. • While in the PEX Editor, select the Configuration tab. • Select Backup/Export • Select the C or D drive and Go to back up the PEX Editor to the local hard disc (each drive can hold ten backups). Exam Organ Program Fluoro Program Param . Module configuration Database backup Units for Password Collimator Size C cm inches Change Password Select a device to store the backup Devices Reset Customer Password C:\PEX backup - pex_20170419-080917.zip Data Type Selection Siemens Default D:\PEX_backup E:\PEX_backup Database Export/Import Language English Backup / Export Restore / Import Merge Image Converter @ Flat detector C Image intensifier Include RIS Names ... Pex Versions Editor version: 1.9.6.6 Database version : Store Go Close Close Notes 17 Turnover Workbook | Mira Max 2. Day Two: System Training Continues 2.1 Objectives Notes By the end of this section Technologist will be able to: • Utilize the Fluorospot Compact and all corresponding tabs. • Utilize the system for patient exams. • Successfully send images to Archiving station. 2.2 System Review 2.3 Fluorospot Compact (FLC) Training 2.3.1 Patient Mode • Pre-Registered and Examined Patient Tabs • Patient Subtask Card Patient Settings Service + == RIS RIS • Settings Subtask Card Patient Settings Service EXI 18 Turnover Workbook | Mira Max Notes • Service Subtask Card Patient Settings Service 2.3.2 Examination Mode • Patient and Resource Information Emergency, 75 uGym2 Patient 3 1.32 *X ANKLE AP Left X ANKLE OBL Left Examination ANIALE LAT LA Target Hit none Postprocessing KV 70 + mAs 5.6 Documentation + Tools S/N: 1451DC Wait for FD 19 Turnover Workbook | Mira Max • Tools Subtask Card Notes Tools 2.3.3 PostProcessing Mode • Process Subtask Card Process. Graphics Rad R R • Graphics Subtask Card Process. Graphics Rad 20 Turnover Workbook | Mira Max Notes • Rad Subtask Card Process. Graphics Rad Auto-cropping Set black Auto-window Amplification 2.0 Auto as cropped • Image Subtask Card Image Tools • Tool Subtask Card Image Tools IQ 21 Turnover Workbook | Mira Max 2.3.4 Documentation Mode Notes • Select Subtask Card Select Film Send • Send Subtask Card Select Film Send Target 1 PACS Target 2 Target 3 Send Exam Protocol as: SCimage DICOM Dose SR Override configured settings ? 22 Turnover Workbook | Mira Max 2.3.5 Tools Subtask Card Notes Tools 2.4 Perform Patient Exams 23 Turnover Workbook | Mira Max 3. Day Three: Review Notes 3.1 Objectives • Review from previous days • Utilize System for patient exams • Review Calling into the Customer Care Center 3.2 Review from Day one and two 3.3 Answer Any Questions 3.4 Calling Customer Care Center • Dial 800 number: 800-888-7436 • Review Functional Location number and options in the phone tree. 24 Turnover Workbook | Mira Max Notes 25 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 and options as well as standard and optional features which do not always have to be present in individual cases. Siemens reserves the right to modify the design, packaging, specifications and options Local Contact Information described herein without prior notice. Please Siemens Medical Solutions USA, Inc. contact your local Siemens sales representative 40 Liberty Blvd. for the most current information. Malvern, PA 19355-9998 USA Note: Any technical data contained in this Telephone: +1-888-826-9702 document may vary within defined tolerances. www.usa.siemens.com/healthcare Original images always lose a certain amount of detail when reproduced. Siemens Healthcare GmbH, Business Unit XP Siemensstrasse 1 Regulatory No. HOOD05162002659483 Forchheim, Germany 91301 Printed in USA 06-2017 | All rights reserved Phone: +49 9131 84-4746 © 2017 Siemens Healthcare GmbH www.healthcare.siemens.com Global Siemens Headquarters Global Siemens Healthcare Siemens Healthcare GmbH Headquarters Wittelsbacherplatz 2 Siemens Healthcare GmbH 80333 Muenchen Healthcare Sector Germany Henkestrasse 127 91052 Erlangen Germany Telephone: +49 9131 84-0 www.healthcare.siemens.com www.siemens.com/healthcare