Multix Fusion Wireless Turnover Workbook

Multix Fusion Wireless Workbook

SIEMENS Multix Fusion Wireless Turnover Workbook SIEMENS Mistin Fusion Answers for life. SIEMENS ...... . 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 today! Clinical Training and Siemens Training Centers Continuing Education Siemens Clinical Education Training Center – TDC2 Customer Care Center 110 Mac Alyson Court Clinical Application Support: Cary, NC 27511 Call 1-800-888-7436 • Troubleshooting assistance • Immediate assistance for software applications and workflow issues Please provide the Functional Location Number when calling for assistance. Clinical Education Offerings: Call 1-888-221-8010 (follow the prompts) • Classroom Training (Offerings, Registration & Scheduling) • Educational Symposia • On-site Training • Printed Self-studies • Virtual Education (Offerings & Registration) • Workshops & Fellowships Visit for more information regarding the current Siemens Clinical Training and Continuing Education portfolio. 2 SIL VIN Table of Contents Day One. 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Day Two. 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Day Three. 33 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Troubleshooting. 36 . . . . . . . . . . . . . . . . . . . . . . . . Overview Learning Objectives 1. Correctly perform start-up and shut down procedures 2. Identify the key hardware features of the Multix Fusion Wireless 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 patient data 3 Overview (continued) Agenda Day One Topics • Multix Fusion Wireless intro • System activation • Review of table, detector, TUI and Vertix wallstand (if present) • Cleaning and disinfecting • Accessories • Workflow Day Two Topics • PEX Programming • Registering a patient: RIS/Update • Performing patient exams • Postprocessing an image • Archiving • Status symbols • Performing patient exams Day Three Topics • Performing patient exams • Review of images with Radiologist • Questions • Checklist sign-offs 4 Day One Day One: System Overview Notes After this session, you will be able to: • Correctly perform start-up and shut-down procedures • Identify the key hardware features on the Multix Fusion Digital system • Demonstrate the use of the TUI on the X-ray tube • Describe the four steps of the workflow Switching On/Start-up • The Multix Fusion Wireless is turned on from the switched off mode • The X-ray room and generator are switched on and off by the same switch Starting the system from the powered-down state • If the Multix Fusion Wireless has been switched off at the main circuit breaker, simply switch the main circuit breaker on, and then switch the power on at the control console. There is no X-ray tube warm-up required. 5 Day One Hardware Features Notes Notes Tableside Controls Emergency Stop All system drives are shut down and movements are stopped immediately. Movements can only be resumed when Emergency Stop is cancelled. Emergency Stop Reset • Turn the Emergency Stop button clockwise and release. System movements are now enabled. SIEMENS Multic Fusion Bucky Tray • The bucky tray has a brake handle for positioning of the bucky tray for table exposures. 6 Day One Notes • Kick plates at the table base allow for floating of the tabletop and motorized vertical movement of the table for height adjustment. Foot kick switches in the table base 18888888888 8988888888 8888889888 8888888888 Wireless Detector (3) (4) (1) Wireless detector (2) I/O box (on the wall) (3) Battery charger The wireless detector is part of the digital image acquisition chain that also includes the input/output box for the Wi-Fi link and the battery charger. 7 Day One The wireless detector has indicator light indicators that show Notes detector, wireless network and battery status. There is a back-up cable that can be used for image recovery. LED LED State Mode Description Green Solid Wireless Wireless connection has been established Blinking Wireless Poor link quality Orange Solid Wireless Receptor is ready for X-ray Blue Solid Wireless or with Receptor is on in wireless mode backup cable. Battery is fully charged with backup cable connected Blinking with backup cable Battery is been charging via backup cable (2) (3) (4) (1) Orange LED (2) Green LED (3) Blue LED (4) Switch on/off button The Detector Battery The Multix Fusion wireless detector operates on battery power. The battery will last about 2 hours at 240 images, or about 8 hours in standby mode. Charging a fully discharged battery will take a maximum of 3.5 hours. See the following illustration for battery removal. (1) (1) Battery latch button O Ensure that the receptor is powered off O Press the battery latch button (1) located near the backup cable connector O Grab the lifted side of the battery and finish removing 8 Day One For battery insertion, make sure the battery is at a slight angle Notes so that the side of the battery with the contacts sits over the adjoining contacts in the battery compartment of the detector. Then press down on the center position of the lifted side of the battery to snap it into the detector. The battery charger can hold up to 3 batteries at any one time. (2) (1) (1) Charger (2) Battery 9 Day One Ceiling-Mounted X-Ray Tube Notes Notes Tube Movement Control Elements – Left Side • Tube rotation about the vertical axis Com • Tube vertical movement up and down – manual • Tube movement up – motorized • Tube movement down – motorized Tube Movement Control Elements – Right Side • Tube movement transverse – detents (green LED) • Tube movement longitudinal – SID detents to wallstand (green LED) • Tube angulation – cranial and caudal • Tube movement transverse, longitudinal and vertical. This function is also found as a rocker switch at the end of the tube handles on both sides. *Note: All tube movements, manual or motorized, are deadman functions. Releasing the button will stop the movement of the tube. 10 Day One Touch User Interface (TUI) Notes V (3) (1) -135º 117 +2.0 H 102cm ky H/U/D (2) I DO + 1. Information field with icons 2. Control field with selectable buttons 3. Message field for system messages and “OK” status Information Field • System Mode – table, wallstand or free exposure • Tube angulation – table, wallstand or free exposure • SID – table and wallstand. System must be detented for value to be displayed. Red icon indicates conditions are not met so value cannot be calculated. • Wallstand Tracking – conditions for wallstand tracking: 1. Tube detented 2. Wall mode selected 3. Wallstand at 0 degree tilt 4. Detector inserted in wallstand 5. Tube angulation (none). Horizontal to wallstand Note: Tracking button on wallstand must be pressed and all conditions met for tracking to be active. A red tracking icon on the TUI means not all conditions for tracking are met or tube is “lost.” Control Field • Block system movement. If enabled, all tube, KA table and wallstand movement controls are disabled. KA 11 Day One Touch User Interface (TUI) (continued) Notes Top Alignment. When collimating top to bottom, the tube will move up to place the center of the X-ray beam higher on the detector. Very useful on patients with smaller chests. • Wallstand tilt at 0 degrees • Tube detented • No tube angulation – horizontal to wallstand • Detector orientation of portrait only • Landscape orientation is detector at top position in bucky tray Increase Value. Applies to kV, mAs, ms (exposure time) and density correction (for AEC exposures). Function must first be + selected before Increase Value is active. Decrease Value. Applies to kV, mAs, ms (exposure time) and density correction (for AEC exposures). Function must first be selected before Decrease Value is active. Selection of small and large focal spots. Dose level (Low, Medium, High). For AEC exposures only. It is recommended to use 2.50 the “2.5” setting for standard dose uGy exposures. Density correction (for AEC only). Values +2.0 range from +2 to -2, in 0.5 increments. kV selector. Values range from 40 to 150 117 and are based on the Siemens exposure point system. KV 12 Day One Touch User Interface (TUI) (continued) Notes SID Tracking. Can be used on table or wallstand. Must be on detent to table or wallstand grid and have at least 35 inches SID to activate. Selection of AEC chambers. Can be selected individually or in combination. Message Field System will display a green check mark to indicate ready for exposure, or any system or error message. STOP Generator Operating Elements • One Point Technique – for use with AEC only HEO 81.0 0.0 2.50 92cm KV HGy IDO + 13 Day One Touch User Interface (TUI) (continued) Notes • Two Point Technique – Manual kV and mAs. • • V 117 23.7 115cm 8 KV MAS + • Three Point Technique – Manual kV, mAs and exposure time. Maximum exposure time is 2 seconds. V 0º 117 23.7 110 115cm 8 KV MAS ms + 14 Day One Touch User Interface (TUI) (continued) Notes Message Field Bucky tray open. X-ray will be prevented. Exposure made (for table and wall bucky). Emergency Stop activated. All system movements are blocked. X-ray is possible. STOP SID on wall bucky undefined. X-ray is prevented.” Undefined receptor (for table and wall bucky). Make sure detector is centered in bucky tray. X-ray is prevented. ? Call Service. X-ray is possible. Generator not ready. X-ray is prevented 15 Day One Collimator Control Elements Notes (8) (7) (6) # (5) 9 (3) (2) (10) (1) E (11) 1 & 11.Rails for inserting collimator accessories 2. Collimator light localizer 3 & 4. Manual setting of height and width of collimator light field 5. Motorized selection of copper filtration 6. Display field: Cu filtration, ACSS/Manual collimation, SID and current collimated field size. 7. Memory button: Restores collimation from previous exposure 8. Lever for rotating collimator: Limits are +/- 45 degrees 9. Buttons for entering SID for free exposures 10. Tape measure for SID 16 Day One Wallstand Notes Detector can be inserted in portrait or landscape orientation. Utilize the detector stop to support the detector in the wallstand bucky (not needed with portrait orientation). Ins • Wallstand grids are color-coded: * Blue – 115 cm (45”) * Pink – 150 cm (60”) * Orange – 180 cm (72”) • The radiographer is responsible for selecting and inserting the correct grid. Workflow (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 * Examine the patient • Postprocessing Task Card * Manipulate an image • Documentation Task Card * Archive the exam/studies 17 Day One Day One Exercise Notes 1. Turn the system on 2. Perform table movements 3. Perform overhead tube movements 4. Attach any accessories to the table 5. Insert the detector into the table in portrait and landscape orientation 6. On the TUI, change the kV, AEC and add 0.2 mm Cu 7. On the wallstand, change out the grid 8. Adjust the vertical movements of the wallstand 9. End session 18 Day Two Day Two: The PEX Editor, FLC and Performing Notes Notes Patient Exams After this session, you will be able to: • Program the PEX Editor • Register a patient • Perform patient exams • Post process images • Archive patient study data PEX Editor Overview Opening PEX Editor On the Patient Task Card > Settings Subtask Card click on this icon The login screen will appear. Programs and Exams Editor Login Viewing only Customer SIEMENS Password OK Ok • Click the radio button next to Siemens • Enter the password and click OK Programs and Exams Editor is divided into six task cards, 4 of which will be used: • Exam * Enter your RIS exam names and OGP views • Organ Program * Edit technical factors • Film Layout * Assign film layouts to programs • Configuration * Backup organ programs 19 Day Two PEX Editor Overview (continued) Notes Notes Exam Tab The PEX Editor opens up to the Exam subtask card tienegutman OGP WEN Examination view ABDOMEN B -ABDONEN BREAST CHEST CSP NE EXTREMTY Barium__Follow_ou IO PHANTOMS IQ TESTPROGRAMS Baum 6_Fistulogran |tb KNEE LEG LSPINE PELVIS locine_6_MP(d PMS CALIERATION SCH CRPP FE PORCININIC_BA BONGIO) SHOULDER Sortby: @ Non F Booy Part Doch type OOP Parumnatura DICOM Madly Timing Lagost Network Node 1 Default Network Node OGP Level Network Node 2: Flibro NOTAGTK NOOR S Camera Autosending Fever fortexani 1% Entering Exam Names On the right side of the screen you see 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 Examination Names). 1. Left click on an Exam name that closely matches one of your exams 2. Populate the Name for RIS and exam Name fields with the correct name 3. When finished click “Store as new” 4. Continue until all exams are entered It is very important that you type in the name exactly as it appears on your list (word for-word 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 • T = Table exposure • W = Wall exposure • X = Free exposure 20 Day Two PEX Editor Overview (continued) Notes 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 below and either click Store if you modified the name or click Store as New if you created a new name Exam Organ program Body Part Examined TC TESTPROGRAMS Program Name DO DFR Ka [d) Acquisition Mode Series Native Acquisition Type Table Store Store as new C 1 pt 1 pt with ext. exp. @ 2 pt C 3 pt 3 pt with AEC KV 50 mAs 3.2 v ms Exp. Correction EP Dose 2.5 Sensitivity 400 Tube Load 80 % Focus Filter Type 0.0 Cu mm 21 Day Two PEX Editor Overview (continued) Notes Add OGP to Examination View Highlight the desired Examination View and highlight the OGP View to be added, then click on Insert OGP. P T Sternum p.a. (d) SPINE LUMBAR WITH FLEXION/EXTE T Swimmers (d) Insert OGP T T-Spine / L-Spine junc an (d) SPINE SACRUM AND COCCYX(d) SPINE THORACIC 2 VIEW(0) T T-Spine / L-Spine junc. Lat. (0) T T-Spine a.p. (a) T T-Spine a.p. (0) T T-Spine Flexion / Extension (a) T Swimmers (d) T T-Spine Lat. (d) You are able to arrange the order of the views by clicking on the arrows. SPINE THORACIC 2 VIEW(d) T T-Spine a.p. (d) T Swimmers (d) T T-Spine Lat. (d) W T-spine a.p. (d) W T-spine Lat. (d) Swimmers (d) Checking the box “Automatically switch to next OGP after acquisition” makes the system switch to the next view in the exam. Make sure to click Store to save. Automatically switch to next OGP after acquisition Backup PEX Editor • After you finish making changes in the PEX Editor, it is very important to do a backup. 1. Click on Configuration tab 2. Click on Backup/Export 3. Click on preferred drive and click Go • Each import replaces the current database and cannot be undone, so be careful not to replace the original or most recent backup. • On the local hard disk, (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 Operator Manual 22 Day Two FLC and Performing Patient Exams Notes After this session, you will be able to: • Register a patient • Perform patient exams • Post process an image • Archive patient data The Patient Task Card is divided into 3 subtask cards: 1. Patient 2. Settings Patient 3. Service Study Lists On the Fluorospot Compact (FLC) Patient tab, the main area of the monitor shows: Preregistered Patients Examined Patients Archiving Information Patient Name Patient ID |Date of Birth |Sex Study Description Ward |Physician |Flag P26, Match 2 out of 3 Patient_ ... 02-12-196 ... M W Humerus 2 vi ... Wa .. Perfor. 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 Settings Subtask Card Patient Senings Service • User Settings • View Job Status • PEX Editor • Clinical EXI log • Recycle Bin (if configured) 23 Day Two FLC and Performing Patient Exams (continued) Notes Service Subtask Card • Rejected Image Statistics • Remote Assistance” Registering a Patient RIS 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 3. Double click on the name of the patient RIS to be examined 4. The Examination Tab opens with all exams ordered and the organ programs listed for each study 5. You can also perform a Patient-based query and search by name, accession number, etc. To manually register a patient: 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 the patient has no data, click on the Emergency icon to start the examination. You will be able to populate the data later. Exporting Data via USB You may export image or data files using a USB memory device. Exporting Data via CD/DVD You may export patient studies/images via CD/DVD. 24 Day Two FLC and Performing Patient Exams (continued) Notes Patient Resource Information When you open a patient 20, Match 2 OuL 01 3 • folder by double clicking on access 26 the patient name on the Pre- registered and examined 3 Patient list, the study loads X ANKLE LAT with all OGPs for the exam X ANKLE AP ordered. If you have a large X ANKLE OBL number of OGP’s, click on the X FOOT LAT eyeglasses icon and it will expand the list. • Right clicking on the OGP will show you a summary of the OGP set-up in the 3 PEX Editor. `T ABDOMEN SUPINE X ABDOMEN SUPINE T ABDOMEN 0-3yrs (8-14cm) T ABDOMEN 4-12yrs (12-20cr Acquisition Parameters • All Organ Programs will populate with predefined Dose acquisition parameters. 2.50 • These are based on an average adult patient and should be adjusted for body 0.0 habitus and pediatric patients. • AEC Exposure: Sensitivity 400=Detector Dose 2.5 micro gray 25 Day Two FLC and Performing Patient Exams (continued) Notes Exam Manager korn Manager Patient: Test, Patient Exame / Orgin Programe Assigned Exams f Organ Prugrume Niphateric by name Organ Pragame by Exam Organ Program's is acquisitonaicker dphabesicaly by soquick on type TPaarmalsiEsaes -T Parclia 2 views TO04FeMs e.p. B-T Patviciniat Duffel T11th Pehns Ofat # T Schadalaan Add T Shoalder joint exiel T Servers E.T.Srattwwwmo Lastramn T Thasas intying pos. ET TOWN TT-5phe. L-spine junction Eans Orgen Prag Delete Detato Accessiat Number: Details Sudly Decorator: Polvic Postel Scheduled Procedure Stag E-oninato Concel • Once you select a patient and the Exam Manager opens, you will see this icon: • First, select the exam name from the right side, then select the correct exam from the left side and click replace. • 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 Organ program Body Part Examined TC TESTPROGRAMS Program Name DO DFR Ka [d) Acquisition Mode Series Native Acquisition Type Table 26 Day Two FLC and Performing Patient Exams (continued) Notes 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. Image Subtask Card • You are able to crop your image Image Tools 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 and is only one of the determining factors for checking if the image is under/overexposed. Postprocessing • The Postprocessing task card lets you make changes to the acquired image. • It is divided into three subtask cards: 1. Process 2. Graphics 3. Rad Postprocessing 27 Day Two FLC and Performing Patient Exams (continued) Notes Process Subtask Card Process. Graphics Rad 1:1 R R R R -R R- PR RP Graphics Subtask Card • Set Laterality label (R/L Process. marker) Graphics Rad • Set arrow • Set distance/calibrate • Remember to store the image with the distance graphics as a new image. 5 The graphics are burned into the image. XYZ • Set angle • Set patient 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 28 Day Two FLC and Performing Patient Exams (continued) Notes Rad Subtask Card Process. Graphics Rad • Cropping • Auto cropping Auto-cropping Set black • Set Black Auto-window • Auto window • Amplification (and Auto Amplification 2.0 Auto amplification) • LUT (look up table) O * Gradation curve selection and Histogram display radation flits --------- Image Gallery • 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 image that is most pleasing for the Radiologist and set those parameters in the PEX Editor. 29 Day Two FLC and Performing Patient Exams (continued) Notes Filter Icon Process. Graphics Rad • Select Diamondview parameters Auto-cropping • Select Noise Reduction V Set black V Auto-window • Edge Enhancement and Harmonization settings Amplification 2.0 Auto • Set Gain and Kernel for Edge Enhancement and Harmonization Make sure to click on the “Apply” Abdomen icon to save processing changes 18 Abdomen Noise Reduction Documentation Edge. Gain 0.50: Kernel 7 Harm. Gain 0.30 Kernel 255 The Documentation task card is where you archive patient studies. It is divided into three subtask cards: Documentation 1. Select 2. Film 3. Send Select Subtask Card All images need to be marked with a white circle to sent to the hardcopy camera or PACS. • Mark all images • Unmark all images Select Film Send • Mark/Unmark single images • Twin view vertical • Twin view horizontal • Quad view • Delete images X 30 Day Two FLC and Performing Patient Exams (continued) Notes Film Subtask Card Select Film Send The Film subtask card can be set Camera BRY3000 up with a default hardcopy Mixed layout camera and film size and layout Name per exam. Film marked images Size 14INx17IN • • Preview marked images Layout 1x1 • Show film status Fixed Scale Factor • Print to scale Auto Scale 100% 58 Copie Anonymous Hide Text ? Send Subtask Card Select Film Send The Send subtask card can be set Target 1 store up with three default network/ PACS nodes. Target 2 • Target selection Target 3 • Send Exam Protocol as SC image Send Exam Protocol as. • Send Exam Protocol to SCimage DICOM Dose SR DICOM Dose SR • Override configured settings (Send targets) Override configured settings ? Day Two: Exercise 1. Manually register a patient. Make sure to add the accession # and Study description 2. Set the room up for the exam 3. Change the technical factors 4. Make exposure and continue with the rest of the views 5. Recrop the image 6. Add a laterality label to image 7. Enter a comment 8. Enter text and place in image 9. Select the text and erase it 10. Unmark all images and change the order 11. Send all images to PACS 12. End session 31 Day Two Cleaning and Disinfecting Notes Cleaning and Disinfecting the table and wallstand • For cleaning, use water or a lukewarm diluted household cleaning agent • For disinfecting, use common surface disinfectants (aldehyde and/or amphotenic based) Cleaning and disinfecting the Touch User Interface • Do not spray the Touch User Interface directly. Wipe only with a soft cloth dampened with water. Technical Data Sheet Patient Table • Max. patient weight 660 lb. • Table grid moving, 10:1 ratio, 45-inch focus Wallstand • Tiltable from -20 to +90 degrees • Wall grid moving, 10:1 ratio, 45, 60 or 71 inch focus Detector • 13.78” x 16.57” active area • 7.64 million active pixels • Can be inserted into bucky tray in portrait or landscape orientation • 139 micron pixel size • 3.6 lp/mm resolution • Cesium iodide scintillator • Amorphous silicon semiconductor • Acquisition depth 16-bit • Image display 14-bit • Weight 7.26 lbs. • Max. load capacity 330 lb. patient recumbent, 220 lb. patient standing • Detachable grid 10:1 ratio, 40 inch focus Imaging System • Image display (typical) 7 sec. preview, 9 sec. complete image • Image storage capacity 10,000 images • Image data export to CD and DVD (12 bits) 32 Day Three Review of System Notes Notes Today is a full work schedule and review • Performing patient exams • Review patient images with radiologist(s) • PEX Editor modify exam protocols – continued • Review of all task cards and subtask cards • Questions 33 Notes Notes 34 Step-by-Step Exercises Troubleshooting System Movements and Functions Notes Notes Notes It is possible to disable system movements and functions by using the Disable function. Some points to remember are: • When not activated, the icon will have a blue diagonal line through it. All system movements should be possible. • When active, the icon will be backlit and have a reddish diagonal line through it. All buttons on the tube, wall buckyand table are disabled and no system movement is possible. Top Alignment Top Alignment is designed to allow for the re-centering of the X-ray beam when you collimate top to bottom. An example would be a smaller adult or a child chest X-ray. When you collimate top to bottom, the X-ray beam automatically centers higher to place the center of the beam in the center of the thorax, not over the abdomen. The more closely you collimate top to bottom, the higher the beam center becomes. When this icon is active, it will be backlit. Some conditions must be met for Top Alignment to be active: • The wall bucky is tilted to 0 degrees (there is no tilt) • You must be on detent to the wall bucky and to the correct SID • The X-ray tube is angled at 90 degrees (horizontal) • The detector must be inserted in portrait (14x17 lengthwise) orientation • For top alignment in landscape (crosswise) orientation, the detector must be inserted in the bucky tray at the top of the tray, not centered. Once top alignment is active in landscape orientation, you cannot de-select it. If top alignment is not desired in landscape orientation, then center the detector in the bucky tray. • If the Top Alignment icon appears grayed-out, then some of the conditions have not been fulfilled. 35 Step-by-Step Exercises Troubleshooting SID Tracking Notes Notes Notes SID Tracking, or Source to Image DistanceTracking, allows the user Insert image 720 to change the height of the bucky tray and have the tube follow to maintain the SID. This can be done at the table or wall bucky. When SID Tracking is active, the icon will be backlit. Some conditions must be met for SID Tracking to function: Wall Bucky • The wall bucky is tiltable and is tilted to 90 degrees (horizontal) • X-ray tube must be detented in X and Y planes above tilted wall bucky • X-ray tube angulation must be 0 degrees, +/- 3 degrees. • SID must be greater than 33 inches • The detector must be inserted into the wall bucky tray Table Bucky • The X-ray tube is in detent to the table bucky grid • X-ray tube angulation is 0 degrees, +/- 3 degrees • SID is greater than 33 inches • The detector must be inserted into the table bucky tray If these conditions cannot be or have not been fulfilled when the SID Tracking button is pressed, then the icon will appear dark pink. This indicates that SID Tracking is lost. The function is active, but not all of the requirements for tracking have been met. Here are some things to look for when SID Tracking is lost: 1. If at the wall bucky, make sure the bucky is horizontal and not tilted 2. Make sure the X-ray tube is not angled more than 3 degrees 3. If at the table bucky, make sure the table height is not too high or low, meaning the tube cannot maintain an SID greater than 33 inches When it comes to Top Alignment and SID Tracking, the optimal workflow is to fulfill all of the requirements for that function first, then activate the function with the icon. 36 Step-by-Step Exercises Troubleshooting ACSS Notes Notes Notes ACSS stands for Automatic Collimator Size Selection. Simply put, this is automatic collimation: when active, you cannot collimate larger than the detector size, but you can collimate smaller. ACSS has a couple of conditions that must be met for it to be active: • The bucky tray must be pushed all the way in (table or wall) • The detector must be centered in the table bucky tray in landscape(crosswise) orientation Key Points 1. When the bucky tray is pushed in, ACSS will be displayed on the LCD display of the tube. This indicates that ACSS is active. 2. If you see ‘Manual” on the tube after pushing the bucky tray in, then ACSS is not active. This is usually a result of not pushing the bucky tray all the way in, or the detector is not centered when in landscape orientation in the table bucky tray. **You cannot make an exposure in the table or wall bucky if ACSS is not active. Remember, ACSS only applies to exposures in the table and wall bucky. It does not apply to tabletop exposures. The Message Field • The Message Field is the area of the Touch User Interface next to where the system green “Ready” field is displayed with the check 117 2.0 H AV HUID FIDO . A mark, indicating an exposure can be made. + • This is also the area where system error STOP messages are displayed. HBO 117 +2.0 I IDO & A -E xxxcm + 37 Step-by-Step Exercises Troubleshooting The Message Field (continued) Notes Notes Notes • The various messages that may be displayed are as follows: • The bucky tray is open (table or wall); no exposure • The Emergency Stop button has been activated STOP • The SID on the wall bucky is not defined (not in detent); • Undefined image receptor (detector not centered);Insert image 800 no exposure. • Call Service • Generator not ready; no exposure X Key Points 1. If there are more than 3 messages, only one will be displayed. 2. If there are 3 or fewer messages, all will be displayed. 38 Notes 39 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 Local Contact Information features which do not always have to be Siemens Medical Solutions USA, Inc. present in individual cases. 51 Valley Stream Parkway Siemens reserves the right to modify the Malvern, PA 19355-1406 design, packaging, specifications and options USA described herein without prior notice. Please Telephone: +1-888-826-9702 contact your local Siemens sales representative for the most current information. Note: Any technical data contained in this Global Business Unit document may vary within defined tolerances. Siemens AG Original images always lose a certain amount Medical Solutions of detail when reproduced. X-ray Products Henkestr. 127 DE-91052 Erlangen Order No. A914CX-CS-151376-P1-4A00 Germany Printed in USA 05-2015 | All rights reserved Telephone: +49 9131 84-4746 © 2015 Siemens Medical Solutions USA, Inc. Global Siemens Headquarters Global Siemens Healthcare Legal Manufacturer Siemens AG Headquarters Siemens AG Wittelsbacherplatz 2 Siemens AG Wittelsbacherplatz 2 80333 Muenchen Healthcare Sector DE-80333 Muenchen Germany Henkestrasse 127 Germany 91052 Erlangen Germany Telephone: +49 9131 84-0