MULTIX Impact Accessories and Auxiliary Devices Job Aid
This job aid describes the application for accessory and auxiliary devices used with the MULTIX Impact system.
SIEMENS Healthineers SIEMENS Healthineers SIEMENS MULTIX Impact GEED CEED LL MULTIX Impact Accessories & Auxiliary Devices Effective Date: 12/05/2018 | HOOD05162002958753 SIEMENS Unrestricted © Siemens Healthcare GmbH, 2019 Unrestricted © Siemens Healthcare GmbH, 2019 Healthineers .. MULTIX Impact Accessories & Auxiliary Devices SIEMENS Healthineers Table of Contents Patient Positioning Mattress 4 Hand Grips 5 Compression Belt 8 Detector Holder 11 Footswitch 12 Compensation Filters 13 Filter Holder 14 Three-field Template 15 FD Detector 16 Clip-On Grids 17 BABIX Holder 18 Trolley for BABIX Cradle 19 U-shaped BABIX Cradle 20 U-shaped BABIX Retainer 21 Lateral Cassette Holder 22 Cassette Holder without Retainer 23 Mobile Patient Table GT 24 Wireless Remote Control Console 26 2 Barcode Scanner 28 Effective Date: 12/05/2018 | HOOD05162002958753 Unrestricted © Siemens Healthcare GmbH, 2019 Glossary of Orientation Terms SIEMENS Healthineers • In front means in front of the patient table looking in the Healthineens> direction of the x-ray tube MULTIX Impact • Left is the head end of the patient table • Right is the foot end of the patient table • Frontal means the longitudinal side of the patient table close to the operating panel • In back means the longitudinal side of the patient table away from the operating panel • Turn toward the right means tighten accessory with A knurled screws or levers (clockwise) SIEMENS . Healthineers • Turn toward the left remove accessory with knurled screws or levers or other fastening devices (counterclockwise) 3 Effective Date: 12/05/2018 | HOOD05162002958753 Unrestricted © Siemens Healthcare GmbH, 2019 Patient Positioning Mattress SIEMENS Healthineers Application • Used for comfortable patient positioning Attachment • Attached to the protection strip at the head end • Place the mattress on the tabletop and pull the loops over the hand screws of the protection strip 4 Patient Effective Date: 12/05/2018 | HOOD05162002958753 Positioning Unrestricted © Siemens Healthcare GmbH, 2019 Mattress Hand Grip SIEMENS Healthineers Lateral Application • Used for stable and safe patient positioning Attachment STOP • Attach to either of the two lateral accessory rails of the patient table 1. Hold the base (1) of the hand grip and loosen it by turning hand O grip (2) counterclockwise 2. Pull out the edge protector (3) at the end of the accessory rail 3. Insert the hand grip into the groove of the accessory rail and slide it into the desire position 4. Tighten the hand grip by turning it clockwise Removal • Proceed in the reverse order 5 Effective Date: 12/05/2018 | HOOD05162002958753 Hand Grips Unrestricted © Siemens Healthcare GmbH, 2019 Hand Grip SIEMENS Healthineers Strip Application Removal • Assists in positioning the patient • • Maximum permissible load is 20 kg Patient Table in horizontal position 1. Loosen both cap screws on the hand grip strip Attachment 2. Turn up the hand grip strip and remove it carefully • Attach to the front or back accessory rail in the horizontal from the accessory rail position 1. Loosen the right and left cap screws (1) on the hand grip strip 2. Position the hand grip strip from below at the accessory rail 3. Lift it up and turn it down O 4. Tighten both cap screws 5. Make sure that the hand grip strip is secure by pulling and pressing on it 6 Effective Date: 12/05/2018 | HOOD05162002958753 Hand Grips Unrestricted © Siemens Healthcare GmbH, 2019 Hand Grip SIEMENS Healthineers Overhead Patient Application • Stretches the patient during chest examinations • Engages in the 0o 90o and 180o positions , , Attachment 1. Move the detector tray until its upper edge is about eye level 2. Push shaft straight down into the holder on the left or right at the top of the detector tray until the shaft is completely inside the duct Removal • Pull it vertically upwards out of its holder 7 Effective Date: 12/05/2018 | HOOD05162002958753 Hand Grips Unrestricted © Siemens Healthcare GmbH, 2019 Compression Belt SIEMENS Healthineers Application • Used for patient compression during thoracic and 1 abdominal examinations Attachment 4 1. Ratchet handle Tension lever 3 2. 2 3. Cap screw 4. Tag for cap screw 2 8 Compression Effective Date: 12/05/2018 | HOOD05162002958753 Belt Unrestricted © Siemens Healthcare GmbH, 2019 Compression Belt SIEMENS Healthineers Detachment Attachment Removal Patient table is in the horizontal position Patient table is in the horizontal position 1. Position the patient on the table 1. Press the ratchet handle back 2. Push the tension part of the compression belt into the 2. Turn the cap screw on the tensioning part toward the left required position over the front of the accessory rail 3. Press both tension levers on the belt holder inward 3. Press both tension levers outward 4. Pull the belt holder backward off the accessory rail 4. Confirm that the tensioning part is secure by pulling on it 5. Lift the belt holder over the patient 5. Press the ratchet handle downward 6. Roll up the compression belt halfway using the cap screw 6. Lift the belt holder with the belt across the patient 7. Place the belt holder next to the tensioning part 7. Push the belt holder over the back accessory rail 8. Press both levers inward on the tensioning part 9. Pull the tensioning part from the accessory rail Loosening 10. Assist the patient in stepping don from the patient table The patient table is in the horizontal position 11. Using the cap screw, roll the belt on the tensioning part • Press the ratchet handle back • Turn the cap screw on the tensioning part toward the left • Using the ratchet handle, set a lower belt tension 9 Compression Effective Date: 12/05/2018 | HOOD05162002958753 Belt Unrestricted © Siemens Healthcare GmbH, 2019 Compression Belt SIEMENS Healthineers Safety Daily Checks Disinfection 1. Check tension lever 1. Disinfect all components of the compression belt with 2. Check cap screw only a soft cloth soaked in disinfectant 3. When the cap screw and tension levers are in locked 2. Do not use spray disinfectant status, check if compression belt is locked Cleaning 1. Clean with a damp cloth since the compression belt is transparent plastic 2. Do not use corrosive, soluble, or abrasive cleaning materials 3. Use a clean and dry soft cloth to wipe any spray painted, plastic, and chromium alloy surfaces 10 Compression Effective Date: 12/05/2018 | HOOD05162002958753 Belt Unrestricted © Siemens Healthcare GmbH, 2019 Detector Holder SIEMENS Healthineers Lateral Application Removing • Used for lateral exposures with the X-ray tube so the • Take the detector out of the detector holder from above detector is upright • Place the detector in a safe location • Used only on or above the table top or directly at the side • Dismantle the detector holder with both hands from the of the table top lateral accessory rail of the patient table Attachment • Attach to either of the two lateral accessory rails of the patient table • Use both hands and insert the detector holder into the groove of the accessory rail • Slide it into the desired position • Tighten the detector holder Inserting • Insert the detector into the holder from above 11 Detector Effective Date: 12/05/2018 | HOOD05162002958753 Holder – Unrestricted © Siemens Healthcare GmbH, 2019 Lateral Footswitch SIEMENS Healthineers Application • The footswitch can only be used with the elevating patient table 1. Left Switch Table down movement steute steute 2. Middle Switch Table up movement 3. Right Switch Release the brakes for the table top floating 1 2 3 12 Effective Date: 12/05/2018 | HOOD05162002958753 Footswitch Unrestricted © Siemens Healthcare GmbH, 2019 Compensation Filters SIEMENS Healthineers SIEMENS SIEMENS Application • Absorption compensation for acquisitions of the Pelvis, Foot, Infant Skull, Adult Skull, T-spine, L-spine, and Shoulder Pelvis Filter Foot Filter SIEMENS SIEMENS SIEMENS Padiatrie Attachment 1. Push the filter with the aluminum part downwards into the two accessory rails of the multileaf collimator (the safety spring in the left rail is pushed beside in this case) 2. Push the filter up to the stop Infant Skull Filter Adult Skull Filter Shoulder Filter Removal SIEMENS BW's, lateral SIEMENS BWS, lateral BWS, ap. 1. Pull the filter out of the accessory rails of the multileaf collimator (the safety spring in the left rail has to be pushed beside in this case) 2. Keep the filer secured in the holder Thoracic Spine Filter Thoracic or Lumbar Spine Filter 13 Compensation Effective Date: 12/05/2018 | HOOD05162002958753 Filters Unrestricted © Siemens Healthcare GmbH, 2019 Filter Holder SIEMENS Healthineers 8 Filters Application • For storing a maximum of 8 compensation filters Fastening the Wall Holder • Have the holder fastened to the wall at working height at a suitable place with the enclosed wall plugs and screws Equipping the Wall Holder • Remove compensation filters from the packaging • Turn the filter so that you can read the designation on the filters from above • Place the filters in the upwards angled compartments Storing the Compensation Filter • Place the filter in a free compartment of the wall holder • Turn the filter so that you can read the designation on the filter from above 14 Effective Date: 12/05/2018 | HOOD05162002958753 Filter Holder Unrestricted © Siemens Healthcare GmbH, 2019 Three Field Template SIEMENS Healthineers Application • For exposing the IONTOMAT ionization chambers on the object to be exposed • Available as a complete set or individually for the following SIDS: • 90 cm – 110 cm, 110 cm – 130 cm, 130 cm – 175 cm, 175 cm – 220 cm 4 Usage • Push the locking lever on the left accessory rail to the left • Slide the template into the collimator accessory rail in the correct direction for exposing the ionization chamber • Check that the templates sit firmly in the collimator • Expose the ionization chambers by switching on the light of the collimator Storage • Push the locking lever on the left accessory to the left • Pull the template out of the accessory rails • Store the three-field templates in a suitable location 15 Three Field Effective Date: 12/05/2018 | HOOD05162002958753 Template Unrestricted © Siemens Healthcare GmbH, 2019 FD Protector SIEMENS Healthineers Application • Protective cover for the detector • Used for examinations where the patient has to stand on the detector if the patient’s body weight exceeds 100 kg Conditions • May only be used without clip-on grids • Maximum load on the FD Protector must not exceed the specified value on the label • If the detector back-up cable is used, make sure the cable runs through the intended cable slots 16 Effective Date: 12/05/2018 | HOOD05162002958753 FD Protector Unrestricted © Siemens Healthcare GmbH, 2019 Clip-on Grids SIEMENS Healthineers Application Removing • Used for free exposure on the mobile MAX detectors • Push the detector gently down against the loading spring • For exposures on the patient table or on the wallstand use of the clip-on grid and then pull the detector out of the the corresponding internal grid clip-on grid and let go Attachment Storing • Detector front must face the backside of the clip-on grid • The wall holder is used for storage of exchangeable grids • Put the detector with the bottom in the clip-on grid as or cassette trays and it can be mounted to the wall shown in above figure • Push the detector gently down against the loading spring of the clip-on grid and let it slide smoothly into the clip-on grid and let go • Ensure that the grid unit is locked before lifting the detector unit or else the grid unit can fall and be damaged 17 Effective Date: 12/05/2018 | HOOD05162002958753 Clip-on Grids Unrestricted © Siemens Healthcare GmbH, 2019 BABIX Holder SIEMENS Healthineers Application Assembly • Used to fasten the BABIX during pediatric examinations of • Swing the support arm of the BABIX holder in front of the small children center of the cassette/detector tray • Mounted with the support arm on the wall stand column • The BABIX holder is now ready to hook up the BABIX and can be parked either on the left or the right • Check the BABIX holder for firm attachment at the support arm by pulling or pushing it Attachment • Check the tractive force, screws, and other fixing devices • To park the holder, it can be swiveled 180o around its of the BABIX holder at the support arm for their stability fastening point and loading capacity • Fastening hooks slide lengthwise in the support arm and • Hook the bow of the BABIX in the hook of the BABIX make it possible to position the BABIX at different holder locations up to right in front of the front panel of the wall stand 18 Effective Date: 12/05/2018 | HOOD05162002958753 BABIX Holder Unrestricted © Siemens Healthcare GmbH, 2019 Trolley for BABIX Cradle SIEMENS Healthineers Application • Suspending the BABIX cradle after positioning the empty trolley • An aid for X-raying infants in the upright position 1. Position the empty trolley in front of the detector of the wall • Enables the BABIX cradle is suspended to be brought quickly into the stand exposure position 2. Fix the trolley with the locking brakes • Can be used with the wall stand 3. Place the infant in the BABIX cradle Operating Sequences 4. Fix it with corresponding cushions and wedge 5. Suspend the BABIX cradle with the infant in the spring hook • Positioning the trolley with the BABIX cradle already suspended 6. Turn the hook as required for Lateral or AP exposures 1. Before moving and positioning, fix the BABIX cradle 7. Lock the spring hook by turning down the knurled screw to with the infant in the exposure position with belts the stop 2. Draw these belts through the loops on the sides of the 8. Fix the BABIX cradle with belts drawn through the loops on trolley (prevents the infant from swinging to and fro the sides of the trolley and getting injured during moving and positioning) 9. Take exposures are required 10. Unhook the BABIX cradle and free the infant from the BABIX cradle 19 Trolley for Effective Date: 12/05/2018 | HOOD05162002958753 BABIX Cradle Unrestricted © Siemens Healthcare GmbH, 2019 BABIX Cradle SIEMENS Healthineers U-shaped, 700 mm Application Removal • Used for pediatric examinations with the table and the • Remove the BABIX from the holder wallstand in which you must firmly envelop the child’s • Take the BABIX with the infant out of the examination body in a straight posture room and attend to the infant • Not suitable for use in magnetic resonance tomography • Hang the BABIX on the corresponding BABIX retainer and store appropriately Attachment • Position the BABIX holder Note: the BABIX and immobilizing straps may show wear and • Check that the BABIX holder is securely attached begin to crack after prolonged use • Hook the BABIX on the hook of the holder and align it for the exposure 20 BABIX Cradle, Effective Date: 12/05/2018 | HOOD05162002958753 U-shaped, Unrestricted © Siemens Healthcare GmbH, 2019 700 mm BABIX Retainer SIEMENS Healthineers U-shaped BABIX Application Removal Storing • Storage and stretching of BABIX • Carefully pull the BABIX out of the groove • Remove the child from the BABIX and of the BABIX retainer attend to its needs Attachment • Hang the BABIX on the wooden hook with • Hold the BABIX securely Fasten the wooden holder to the wall with Lift the BABIX off the wooden hook of the the opening in the BABIX facing the • • the attached screws and wall plugs at a retainer retainer • suitable location and correct working Place the BABIX on a safe supporting Press the two longitudinal sides of the • height surface BABIX into the grooves of the retainer Carefully place the child in the BABIX in a • Check to make sure that the BABIX is • comfortable position securely seated in the retainer • Secure the child in the BABIX • Check to make sure the child is correctly and safely positioned in the BABIX • Take the child into the prepared X-ray room 21 BABIX Effective Date: 12/05/2018 | HOOD05162002958753 retainer Unrestricted © Siemens Healthcare GmbH, 2019 Lateral Cassette Holder SIEMENS Healthineers Attachment Application 1. Position the Patient 2. To hold the cassette upright in all table positions Open the clamping lever (1) • (including Trendelenburg) during lateral exposures 3. Place the cassette holder on the accessory rail and move it to the exposure position • Maximum cassette format: Height is 35 cm, Width is Unrestricted 4. Close the clamping lever • Minimum cassette format: 13 cm x 18 cm vertical or 18 5. Push and pull the cassette holder to ensure it is seated properly cm x 24 cm horizontal 6. Lift the tensioning device (4) properly in the holder 4 7. Place the cassette on the lower holder 8. Slide the tensioning device downward 3 9. Ensure the cassette is seated 10. Loosen the cap screw (2) to permit adjustment of the height and the 2 cap screw (3) to permit lateral adjustment 1 11. With the patient positioned for the examination, adjust the height and lateral tilt of the cassette 12. Tighten the cap screws (2) and (3) 13. Ensure the patient is stabilized and comfortable 22 Lateral Effective Date: 12/05/2018 | HOOD05162002958753 Cassette Unrestricted © Siemens Healthcare GmbH, 2019 Holder Cassette Holder without Retainer SIEMENS Healthineers Application Removal • For lateral exposures 1. Remove the cassette from the bracket of the cassette • Holds the cassette upright holder • Compatible with all cassette formats 2. Remove the cassette holder from the tabletop (both horizontal and vertical) 3. Assist the patient in stepping down from the tabletop Attachment 1. Position the patient 2. Ensure the patient is comfortable and stabilized 3. Slide the cassette into the bracket of the cassette holder 4. Ensure that the cassette is seated properly in the holder 5. Position the cassette holder on the tabletop by the patient and in the location appropriate for the examination 6. Ensure that the cassette holder is stable 23 Cassette Effective Date: 12/05/2018 | HOOD05162002958753 Holder - No Unrestricted © Siemens Healthcare GmbH, 2019 Retainer Mobile Patient Table GT SIEMENS Healthineers Application Operation • Intended for examinations with X-ray units for general 1. Move the table to an appropriate position radiography 2. Lock both castors and ensure the table is fixed 3. Help the patient move onto the bed 4. Release the brakes of both castors, move the table to the required exposure position, and then lock the brakes again 5. Insert the grid if necessary 6. Adjust the detector and tube position according to the required exposure position 7. Switch on the light localizer at the collimator and prepare the final exposure 8. Release an exposure 9. Release the brakes on both castors and move the table to a position convenient for the patient to leave the table 10. Lock both castors and help the patient leave from the table 24 Mobile Effective Date: 12/05/2018 | HOOD05162002958753 Patient Table Unrestricted © Siemens Healthcare GmbH, 2019 GT Mobile Patient Table GT SIEMENS Healthineers Overview 1. Tabletop 2. Accessory Rails 1 3. Castors without brakes 2 4. Castors with brakes • Enables the patient table to be fixed at any location 6 5 5. Detector tray 6. Brake knob 3 • Used to move the detector tray manually in the longitudinal direction • Detector tray can be stopped and fixed at any position within its moving range 4 25 Mobile Effective Date: 12/05/2018 | HOOD05162002958753 Patient Table Unrestricted © Siemens Healthcare GmbH, 2019 GT Wireless Remote Control Console (WRCC) SIEMENS Healthineers D 1 Operation Active in a range of approximately 7 meters around the 2 4 • 5 wall stand 3 # Operation Area 6 P1 P2 1. Opening the collimator in vertical direction 2. Closing the collimator in horizontal direction 3. Closing the collimator in vertical direction 7 4. Opening the collimator in horizontal direction 5. Turn On/Off Laser Light Localizer • LED on: laser light localizer is on 8 • LED off: laser light localizer is off 6. Default Position 1 & 2 SIEMENS 7. Moving detector unit Healthineers 8. Tracking 26 Wireless Mobile Effective Date: 12/05/2018 | HOOD05162002958753 Remote Control Detector Unrestricted © Siemens Healthcare GmbH, 2019 Console Holder CR Wireless Remote Control Console (WRCC) SIEMENS Healthineers 1 2 3 Display Area H • There are 3 LEDS showing the status of the remote control console: # 1. Battery LED • LED off: battery sufficiently charged and remote control P1 P2 is not connected to the USB charging cable • LED on red: battery needs charging, remaining capacity < 2.0 V • LED flashing yellow: remote control connected to the USB charging cable and batteries are fully charged 2. Bluetooth LED • LED off: The Bluetooth signal strength is good • LED on: No Bluetooth signal 3. Operation LED SIEMENS An operation button is being pressed Healthineers • 27 Wireless Effective Date: 12/05/2018 | HOOD05162002958753 Remote Control Unrestricted © Siemens Healthcare GmbH, 2019 Console Barcode Scanner SIEMENS Healthineers Application Troubleshooting • Used for scanning patient data • If the scanner is not operating properly, perform the following checks: Operation 1. Check the interface cable is securely attached to the Imaging system should be in Patient mode scanner handle and the terminal Pre-registered Patients list is displayed on the screen 2. Check the labels are of sufficient quality to be 1. Point the barcode scanner at the corresponding label and recognized by the scanner press the trigger button 3. If the scanner still does not function properly, contact (The barcode scanner laser beam must cross the entire your Siemens Healthineers Customer Service label) The patient ID is displayed in the searching field in the Pre-registered Patients list 1. Note: When connecting the scanner to or disconnecting 2. Click Search the scanner from the imaging system, make sure the The patient is shown in the Results List system has been switched off. 28 Barcode Effective Date: 12/05/2018 | HOOD05162002958753 Scanner Unrestricted © Siemens Healthcare GmbH, 2019 SIEMENS Healthineers 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 2019 Global Siemens Healthineers Headquarters Henkestr. 127 91052 Erlangen, Germany Phone: +49 9131 84 0 siemens.com/healthineers Unrestricted © Siemens Healthcare GmbH, 2019