MULTIX Impact C & VA20: Remote Interface

SIEMENS Healthineers Remote Interface Job Aid O MULTIX Impact C & MULTIX Impact VA20 Effective Date: 07 l 30 l 2021 | HOOD05162003204274 Unrestricted © Siemens Healthineers, 2021 Unrestricted Remote Interface – SIEMENS Healthineers Table of Contents Introduction 3 Startup and Shutdown 4 Login and Logout 5 Settings 9 Patient Registration 10 Examination 14 MULTIX Impact Postprocessing 19 ttttt 16 2 Unrestricted © Siemens Healthineers, 2021 Remote Interface – SIEMENS Healthineers Introduction With the MULTIX Impact Systems, the Remote Interface allows you to work in close proximity to the patient and to MULTIX Impact have more face‐to‐face interaction with patients. The optional tablet enables you to perform basic workflows within the examination room. It is synchronized with the imaging system (IS). Data is communicated wirelessly with the system. The Remote Interface is available with software version VA11 or higher and can be downloaded from the Apple app store. 3 Unrestricted © Siemens Healthineers, 2021 Remote Interface – SIEMENS Healthineers Startup and Shutdown Startup To start up the tablet, press and hold the Sleep/Wake button Sleep/Wake button on the device until the screen lights up. Shutdown 1. Press and hold the Sleep/Wake button on the device until a slider appears. 2. Drag the slider to switch the device off. Please note: The maximum working distance between the tablet and the imaging system should be less than 10 m. Home button 4 Unrestricted © Siemens Healthineers, 2021 Remote Interface – SIEMENS Healthineers Login and Logout Logging in via QR code 1 Please open the Remote Interface 2 Click on the Scan QR button in 3 To log into the Remote Interface scan the QR by clicking on this icon to the lower right corner of the code displayed in the User manager window launch the Remote Interface. window. with the tablet´s built‐in camera. User manager X SIEMENS . Healthineers .. App Version: D.0.1 Change password Remote Interface deviceUND: 8CCOSAC595A2 Mobile information Mobile name IPAD mini Mac address 123456789123 MULTIX Impact Mobile list Mobile name Mac address PAD mini 123456789123 Username Password IP Log Or Scan QR @ 2019 Siemens Healthcare Gmbh, all rights reserved. Refresh Close Note: The QR code is also available in the Patient tab. 5 Unrestricted © Siemens Healthineers, 2021 Remote Interface – SIEMENS Healthineers Login and Logout Logging in via user account SIEMENS To log into Remote Interface via a user account, the account must be registered in Healthineers App Version: D.O.1 deviceUID: 8CC05AC595A2 the MULTIX Impact imaging system.* MULTIX Impact 1 Please launch the Remote Interface by clicking on this icon . Username 2 Enter the user name and password. You can only log in with the same accounts as on the imaging system. The following default user roles are available: Password • Tech: User role for performing basic examination, postprocessing and IP documentation operation. Mgr: User role for performing clinical administration by viewing and modifying Log On Scan QR • the default procedures and organ programs. Siemens: User role for special Siemens Healthineers staff. @ 2019 Siemens Healthcare Gmbh, all rights reserved. • 3 Click on the Log On button to log into the Remote Interface. * For further information please contact to your local Siemens representative. 6 Unrestricted © Siemens Healthineers, 2021 Remote Interface – SIEMENS Healthineers Login and Logout Logging out SIEMENS Healthineers If another user takes over, or if you are required to leave the room, you should Pre-Registered Examined Q, Search for patient log out of the Remote Interface for safety reasons. Status Name ID Date/Time Sex Age Accession No. SPS Description A, C, B 201912260933151 2019-12-26 09:33 Male 33Y 2019122609331 ... Sinuses 1 Click on the account icon at the upper right corner of the screen. 2 Select Log off in the dropdown list to log out of the Remote Interface. If you log off from the IS, you will be also automatically logged out from the Remote Interface, but not the other way around. 7 Unrestricted © Siemens Healthineers, 2021 Remote Interface – SIEMENS Healthineers Login and Logout Logging out Re‐login is not required in the following conditions: Re‐login is required in the following conditions:  Prerequisite: Remote Interface ‐ any screen  Prerequisite: Remote Interface ‐ any screen. Pressing the Home button or the Sleep/Wake button Pressing the Home button or the Sleep/Wake button • • or simply closing the tablet cover. or simply closing the tablet cover. • No operation of the imaging system. • Working on the imaging system. Waking up the device and re‐opening the Remote • Then the imaging system is no longer in the same • Interface to continue using the App. status as before the Remote Interface was closed. • Waking up the device and re‐login to the App.  Prerequisite: Remote Interface ‐ patient screen Pressing the Home button or the Sleep/Wake button • or simply closing the tablet cover. • Working on the imaging system and returning to the patient screen. • Waking up the device and re‐opening the Remote Interface to continue using the App. 8 Unrestricted © Siemens Healthineers, 2021 Remote Interface – SIEMENS Healthineers Settings SIEMENS a) Settings button: When you click the Settings button, a message box with Healthineers Corp. info, terms of use, etc. will be displayed. Pre-Registered Examined Q Search for patient RIS Status Name Date/Time Sex Age Accession No. SPS Description b) Language: To change the language of the Remote Interface you need to set A,C,B 201912260933151 2019-12-26 09:33 Male 33Y 2019122609331 ... Sinuses the language in the IS. c) Date/Time: To change the date and time of the Remote Interface you need to adjust it in the settings of the iPad. The time zone and time on the iPad needs to be the same as on the imaging system. If the time difference between iPad and the imaging system is more than 5 minutes, the Remote Interface will not work. 9 Unrestricted © Siemens Healthineers, 2021 Remote Interface – SIEMENS Healthineers Patient Registration Select a patient from the study list SIEMENS Healthineers 4 1 Click on the Study List icon in the upper left corner. 2 Pre-Registered Examined Q s RIS 2 Select the required study list. If your system is connected to an HIS/RIS, ID 3 Status Name Date/Time Sex Age Accession No. SPS Description you can find the patient in the Pre‐Registered study list. A, C, B 201912260933151 2019 - 12 - 26 09:32 ..... 2019122609331 ... Sinuses If you want to find an existing patient in the Local Database folder you have the following options: 3 Change the sorting sequence of the study entries on the currently displayed page by tapping the header of a required column: Status, First Name, Date/Time, Sex, Age, and Description. The study list is then sorted alphanumerically within this column. 4 Use the search criteria: • Searching by patient name or ID • Searching by using the scanner: Tap the icon and scan the QR code or barcode of the patient. • Select the time period from the filter: 1 Day, 2 Days, 1 Week or All 10 Unrestricted © Siemens Healthineers, 2021 Remote Interface – SIEMENS Healthineers Patient Registration Open a study list in single study or multi study mode SIEMENS Healthineers To open a study list you have the following options: Pre-Registered Examined Q Search for patient Status Name Date/Time Sex Age Accession No. SPS Description • Open the patient data by using the Single Study mode. The Single Study A,C,B 201912260933151 2019-12-26 09:33 Male 33Y 2019122609331 ... Sinuses mode displays only one study of a patient. or ‐ ‐ • Select the Multi Study mode. The Imaging System displays all studies of a patient with the same date. By clicking the RIS icon in the upper right corner you can update the worklist manually. 11 Unrestricted © Siemens Healthineers, 2021 Remote Interface – SIEMENS Healthineers Patient Registration Emergency Registration SIEMENS Healthineers In the Remote Interface, you can only register a patient with the emergency Pre-Registered Examined Q Search for patient Period function. The correct patient information can then be added in the IS User Status Name Date/Time Sex Age Accession No. SPS Description Interface at a later time. A,C,B 201912260933151 2019-12-26 09:33 Male 33Y 2019122609331 ... Sinuses To start the emergency registration, select the icon in the upper right corner of the window. A new study for the emergency patient is registered. By default, the name of the emergency patient is set to: ER_current date and time. 12 Unrestricted © Siemens Healthineers, 2021 Remote Interface – SIEMENS Healthineers Patient Registration Status icon After patient registration, you can check the current status of the patient study list by using the following icons: The study has been loaded from HIS/RIS SIEMENS Healthineers and its status has not been switched to a local study. Pre-Registered Examined Q Search for patient Period Status Name ID Date/Time Sex Age Accession No. SPS Description The study is in progress. . A, C, B 201912260933151 2019-12-26 09:33 Male 33Y 2019122609331 ... Sinuses The study is completed and closed. Print failed. Print succeeded. DICOM send failed. DICOM send succeeded. The pre‐registered and examined patient data is synchronized from the tablet to the imaging system via wireless network. 13 Unrestricted © Siemens Healthineers, 2021 Remote Interface – SIEMENS Healthineers Examination Select a procedure/organ program 1 Patient.AddOGP X 3 Adult Paediatric Often Used Before you can start the examination, you need to select one or Procedure Selected OGP more procedures/organ programs. Chest PA+LAT Chest LAT Chest PA Chest PA Chest AP Supine 1 Select the required examination type: Adult, Pediatric or Chest AP Upright Often‐Used. Chest Apical 2 Chest Decub LAT 2 To define the required body region, tap within the figure. Chest Dorsal Decub Chest Ventral Decub V 3 Heart To select a procedure for the examination process, click on Ribs AP L/R the required procedure lists in the Procedure window and Ribs AP Bilateral Ribs AP Upper add it to the Selected OGP window by tapping the arrow Ribs AP lower button in the middle of the window. Ribs AP Bilateral Upper 5 Ribs AP Bilateral Lower 4 Tap Done to confirm the exam procedure. Ribs PA Done Cancel or – 4 – Tap Cancel to exit. 14 Unrestricted © Siemens Healthineers, 2021 Remote Interface – SIEMENS Healthineers Examination Delete a procedure/organ program 1 Patient.AddOGP X 3 Adult Paediatric Often Used Procedure Selected OGP 5 To delete all organ programs in the Selected OGP window Chest PA+LAT Chest LAT Chest PA select the Delete button. Chest PA Chest AP Supine Chest AP Upright Chest Apical 2 Chest Decub LAT Chest Dorsal Decub Chest Ventral Decub V Heart Ribs AP L/R Ribs AP Bilateral Ribs AP Upper Ribs AP lower Ribs AP Bilateral Upper 5 Ribs AP Bilateral Lower Ribs PA Done Cancel 4 15 Unrestricted © Siemens Healthineers, 2021 Remote Interface – SIEMENS Healthineers Examination 4 SIEMENS . BAA^ÇAA Exam screen Healthineers 201912260933151, M,33Y 201912260933151 Mode After selecting the organ program the exam screen will open. The exam screen is subdivided into the following areas: Patient Size 15-25º 1 Organ Program (OGP) list, position guide and exposure status Caldwell Small =. indicator. The selected organ program is displayed on the left AEC side of the exam window and it is marked by a green frame. S Un 2 Sinuses Lateral KV Status information of collimator, grid and SID. 40 mA ms 3 Acquisition parameter control field Waters Dose 2.5 4 Patient information. The patient information field lists the 2 Density O register date, patient name, age, sex and accession number. cm # 2 cm # cm # 16 Unrestricted © Siemens Healthineers, 2021 Remote Interface – SIEMENS Healthineers Examination Change the organ program(s) To add an organ program in the Select the organ program to be repeated. To delete an organ program in the exam screen, exam screen, tap the Adding an The organ program is marked by a frame. select the organ program to be removed in the organ program icon. To repeat the OGP tap the Repeating an OGP list. The organ program is marked by a organ program icon. frame. To confirm the deletion tap the Deleting an organ program icon. Scapular Y Scapular Y Scapular Y To select the required organ program, go to the Select a procedure/organ program step. 17 Unrestricted © Siemens Healthineers, 2021 Remote Interface – SIEMENS Healthineers Examination Real‐time status information of collimator, grid and SID SIEMENS BAA^ÇAA Healthineers # A 201912260933151,M,33Y 201912260933151 Source to image distance (SID): Mode cm SID in cm or inch Patient Size Collimation size: 7 15-25º Caldwell Small cm # Collimator width AEC cm # Collimator height S Un # # Sinuses Lateral KV Grid status: 40 mAs Grid in ms Grid out Waters Dose 2.5 Density Grid removed # cm # 8 cm # cm # 18 Unrestricted © Siemens Healthineers, 2021 Remote Interface – SIEMENS Healthineers Examination Change acquisition parameters You can adjust the acquisition parameters according to the actual condition by tapping the corresponding icon. Workplace: Focus: B^A^ÇAA Generator functions: 201912260933151,M,33Y 201912260933151 Patient table Large focus Mode Tap the icon to increase or Wall stand Small focus decrease the following Small Free exposure values: kV, ms, mAs Dose Patient Size AEC measuring fields: and Density. Small Cassette exposure Tap the icon to select one or more suitable Press and hold the icon for AEC measuring fields so that the automatic S exposure control can match the dose to an extended period to Patient size: the organ of interest. continually increase or decrease the corresponding 40 Small/thin patient MAS Left measuring field X‐ray parameter. ms Medium patient Middle measuring field Dose Large/thick patient Right measuring field Density 19 Unrestricted © Siemens Healthineers, 2021 Remote Interface – SIEMENS Healthineers Postprocessing BAA^ÇAA Postprocessing screen SIEMENS . Healthineers 201912260933151,M,33Y 201912260933151 Name: B^A^C^^ Operator: Mg Tools After the image is acquired, it appears in the postprocessing ID: 201912260933151 kV: 40 DOB: 1986-12-26 L R T Km Age: 33Y screen. AccessionNo: 201912260933151 The following information is displayed on the acquired image: • Patient name, ID, age, birth date, accession number • Date and time of acquisition Cancel • Body part • Exposure parameters Layout • DAP value, if DAP is enabled • Current EXI, DI value • Flipping if applied • WC and WW values OgpName: Caldwell DI: -6.41 Acquisition Date: 2019-12-26 DAP: 0dGycm2 Acquisition Time: 10:07:22 WW/WL: 1624*1234 Reject Accept EXI: 0.57 Image display area Patient information/ postprocessing tools 20 Unrestricted © Siemens Healthineers, 2021 Remote Interface – SIEMENS Healthineers Postprocessing Accepting/Rejecting an image After the image is acquired, you can accept or reject the image. If the acquired image is okay: 2 If the acquired image is not okay: Tap the Accept icon to accept the image. Tap the Reject icon to reject the image. Layout Layout DI: -6.41 DAP: O DI: -6.41 WW//WL:1740.1512 Reject DAP: O Accept WWW/W/L:1740.1512 Reject Accept The image is marked by a checkmark. A dialog box appears and you need to add a rejection reason. Tap OK to confirm. or – – Tap Cancel to reject the image without a reason. The image is marked by a banned icon. 21 Unrestricted © Siemens Healthineers, 2021 Remote Interface – SIEMENS Healthineers Postprocessing Postprocessing tools Tools You can process images with the following image postprocessing tools: L R Tm L R Tap these icons to add a laterality label (R/L label) and position it in the acquired image. Remove the annotation by tapping the text or laterality label in the image and selecting this icon 1 . to delete it. Remove the cropping mask. Cancel 15 Flip the image horizontally or vertically. The Flip indicator is displayed in the acquired image. Drag or drop the flip indicator to the required position in the image. Layout Rotate the image. 17 . Crop the image. 15 Undo any image postprocessing. Reject Accept 22 Unrestricted © Siemens Healthineers, 2021 Remote Interface – SIEMENS Healthineers Postprocessing Healthineers * A Tools Change the image display layout LRT ,90 90 You can view the acquired images and adjust the image display Cancel layout in the viewing screen. 15 1 Select a patient in the Examined study list. Pre-Registered Examined Reject Accept 2 To change the image display layout, tap one of the Layout Single image display mode Gallery icons in the lower right corner. You can select between single image display mode or multiple image display mode. Healthingers ? : Tools LRT L 3 The selected image is either R A R ,90 90 • displayed as a full size image in single image display mode Cance or ‐ ‐ Layout • marked by a frame in multiple image display mode. Accept Reject Multiple image display mode 23 Unrestricted © Siemens Healthineers, 2021 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 2021 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84‐0 siemens.com/healthineers 24 Unrestricted © Siemens Healthineers, 2021