MULTIX Impact: Hardware Overview Online Training

Welcome to the MULTIX Hardware Overview Online Training. The MULTIX Impact enables radiographic exposures of the whole body including: Skull Chest Abdomen Extremities The system can be used on pediatric, adult and bariatric patients. Exposures can be taken with the patient sitting, standing, or in the lying position.    Upon successful completion of this course, you will be able to: Identify the main system components of the MULTIX Impact Understand the difference between the two types of patient tables Summarize the functions controlled by the wireless remote control Explain detector sharing and the meaning of different detector indicators Recognize the different fields and buttons on the Touchscreen User Interface (TUI) Congratulations. You have completed the MULTIX Impact Hardware Overview Online Training. Take some time to review the course summary material before proceeding to the final assessment. Identify the main system components Patient Table, Detector, Bucky Wall Stand, X-ray Tube, Multileaf Collimator, Touchscreen User Interface, Wireless Remote Control   Understand the difference between the two types of patient tables Both the Fixed & Elevating Patient Table contain the following components: Tabletop, Accessory rails, Detector tray, Emergency STOP button, Brake knob to move the detector tray, and foot kick switch(es) for tabletop movements Table Lift function is only available for the elevating Patient Table   Explain detector sharing and the meaning of different detector indicators Detector Sharing – enables sharing between the MAX wi-D or Impact wi-D and different Siemens Healthineers systems with the same detector configuration   LED Color/Status Detector status LED Wi-Fi status LED Battery status LED LED off Off State Wi-Fi Disabled No battery LED green Operating State and online Ready for acquisition Wi-Fi Available  (detector connected to an Access Point) Battery OK LED orange Offline or download state Wi-Fi not ready  (detector connected to an Access Point) Battery getting low LED orange - blinking slow Error state or switching ON N/A N/A LED orange - blinking fast N/A N/A Battery low LED orange - blinking fast, then red flashing on the 3 LEDs, then off   N/A N/A   Recognize the different fields and buttons on the Touchscreen User Interface (TUI) Patient information field – Patient Name, Patient Gender, Patient Birthday, Patient ID, and Help Button Control field – Patient Size, Workplace Selection, SID Tracking with Patient Table, Tube/Detector Tracking, Top Alignment, Restore OGD Parameter, Control Element Disable Function, Generator Functions, and Collimator Functions System status field – System Status, Grip Status, Tube Position, Centering Display, Collimation, Collimator Mode   Summarize the functions controlled by the wireless remote control Turning on and off the laser light localizer Opening and closing the collimator Moving to default position 1 & 2 Moving the detector unit Disable and enable tracking Select this link to view/print the downloadable course review material before proceeding to the final quiz. 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 Please proceed to the assessment. (1) MULTIX Impact floor-mounted  X-ray tube with TUI and collimator (2) Patient table  (3) Bucky wall stand (1) Image Station (2) Keyboard and mouse (3) Generator ON/OFF console with radiation release button Optional Components (4) Hand switch for radiation release  (5) Wireless remote control console  (6) Barcode scanner  (7) Intercom system  1 2 3 1 2 3 4 7 Note: 5 & 6 are not pictured in this control room Table Components Tabletop Accessory Rails Detector Tray Emergency STOP push button Brake knob to move the detector tray Foot kick switch for tabletop movements and table lift Note: The table lift function is only available for the elevating patient table   Brake Knob Learn about the brake knob. Element HTML The brake knob is mounted on the right side of the detector tray.  To move the detector tray: Pull the brake knob to release the brake of the detector tray When the detector tray reaches the desired position, let go of the brake knob The brakes now hold the detector tray in the desired position   Sound File Audio ScriptThe brake knob is mounted on the right side of the detector tray. The brake knob can be moved manually in the longitudinal direction. The detector tray can be stopped and fixed at any position within its moving range.  To move the detector tray: Pull the brake knob to release the brake of the detector tray When the detector tray reaches the desired position, let go of the brake knob The brakes now hold the detector tray in the desired position Foot Kick Switches Learn about foot kick switches.  Both Tables Push button mode (dead man function) The foot kick switch operates like a push button The corresponding function is enabled only as long as the foot kick switch is pressed Specific to Elevating Patient Table Releasing the tabletop brakes (in longitudinal and transverse direction) Table downwards movement, "push button mode" Table upwards movement, "push button mode" Fixed Patient Table Elevating Patient Table Table Movements Learn about table movements. Tab TitleTextAdjusting Table Height       Moving the Table Down Press the second foot kick switch from the left in the table base - or - Press the left foot switch for table down movement WARNING: The table top stops automatically at a certain height which can be programmed by Service. To continue movement, release the control and re-press it again Moving the Table Up Press the second foot kick switch from the right in the table base  - or - Press the middle foot switch for table up movement Positioning the Tabletop To position the table top: For the fixed patient table, press the foot kick switch in the table base - or - For the elevating patient table, press the right foot kick switch to release the brakes  Push the tabletop manually into the required position WARNING: Putting strain on the extended table top may activate the collision control device.      Collision Protection The table has a collision detection that stops downward motorized movements in case the tabletop collides with an obstacle.  In case of a collision, there is collision signal and collision information at the TUI. The tabletop can be moved upwards.   Inserting & Removing the Grid Learn about inserting and removing the scatter radiation grid. Tab TitleTextInserting the Grid   Hold the grid horizontally, labels facing up Insert the grid into the accessory rails Holding it horizontally and straight, push the grid all the way in When the grid has reached the end position, the locking lever engages Note: Please make sure the SID (Source-Image Distance) range of the grid is compatible to the selected SID Removing the Grid   Push the tabletop away from you Press the locking lever at the left side of the grip Keep it straight and pull the grid out towards the front Remove the grid Features of the wall stand include: Detector Unit (either MAX wi-D or Impact wi-D) with grid Automatic synchronization (detector height adjustment) Centering function of wall stand Ability to mount the wall stand to the floor Operating Elements of the Wall Stand Learn about the operating elements of the Bucky wall stand. Element HTML Stand Column with LED indicator LED green: System is ready for exposure LED yellow: Exposure are being performed LED blue: System is not ready for exposure Front panel with imprint for detector position and measuring fields Profile rails for accessories (on both sides) Buttons for motorized vertical movement Button for centering tube to detector with LED indicator Button for tube/detector tracking function Button for manual vertical movement Detector tray Emergency STOP button 567943321 Sound File Audio ScriptThe operating elements of the Bucky Wall Stand include:  The Stand Column with LED indicator The green LED indicates the system is ready for exposure The yellow LED indicates the exposure are being performed The blue LED indicates the system is not ready for exposure A Front panel with imprint for detector position and measuring fields Profile rails for accessories (on both sides) Buttons for motorized vertical movement A Button for centering tube to detector with LED indicator A Button for tube/detector tracking function A Button for manual vertical movement The Detector tray, and  The Emergency STOP button Inserting & Removing the Detector Learn about inserting and removing the detector. Tab TitleTextInserting the Detector The detector can be inserted into the detector tray in portrait or landscape format.  Move the detector unit to a convenient working height Press the brake handle and pull out the detector tray until it reaches the stop position Insert the detector from above into the holders* * When you insert the detector in landscape format, it may seem like the detector is not fixed properly but the detector is secured by the clamp  Press the brake handle Carefully and slowly slide the detector tray into the detector     Removing the Detector    To remove the detector: Move the detector unit to a convenient working height Use the brake handle to pull out the detector tray with the detector Remove the detector by pulling it upwards Carefully and slowly insert the detector tray again * works with the wireless detector only  Tracking and Centering Learn about tracking and centering the wall stand. Tab TitleTextPositioning the Tube Unit To position the tube unit: Select a suitable organ program at the imaging system or at the TUI for an exposure onto the wall stand Position the tube unit manually as required for the exposure using the movement buttons at the TUI or the buttons on the handles Centering the Tube Unit To center the tube unit: Begin by selecting a suitable organ program at the imaging system or at the TUI for an exposure onto the wall stand Centering in the longitudinal direction Position the tube unit manually using the button for longitudinal movement Centering in the vertical direction Press the centering button on the wall stand The tube unit moves to the vertical center position The LED indicator on the button lights up Press the button for the light localizer on the collimator or on the optional Wireless Remote Control Console  Centering is only possible when the Tube is - 90o +/- 45o or 90o +/- 45o.         Inserting & Removing the Grid Learn about inserting and removing the grid. Tab TitleTextInserting the Grid       When inserting the scatter radiation grid, confirm that the grid being inserted is correctly assigned to the intended source-image distance (SID) on which the grid is focused. Hold the grid vertically Label with the tube symbol must point towards the tube unit Place the grid against the top and bottom guide rail Push the grid all the way in Ensure the grid remains both vertical and straight When the grid has reached the end position, the locking lever engages   Removing the Grid   Press the locking lever  Keep the grid straight and pull the grid out towards the side Remove the grid with both hands   The X-ray tube consists of the following components: Column stand with optional LED indicator on the top of the column LED green: System is ready for exposure LED yellow: Exposures are being performed LED blue: System is not ready for exposure X-ray tube unit Tube unit support arm Multileaf collimator Touch User Interface (TUI) Movement Control Elements Handles with movement control buttons Use the handle if you want to bring the tube unit manually to another position ex. vertical, longitudinal, or rotation     Controlling Tube Unit Movements Learn about controlling specific tube unit movements. Checklist TitleChecklist TypeChecklist ContentAdjusting Height ManuallyHTML Adjusting height (z-direction) manually Grasp the handles of the tube unit with both hands Press the button to release the brake for vertical movement (Releasing the button will stop the movement) Pull the tube unit into the required position Adjusting Height Motor DrivenHTML      Adjusting height (z-direction) motor driven Press one of the buttons on the control panel for up or down movement Adjusting Longitudinal PositionHTML Adjusting longitudinal position (x-direction) Grasp the handles of the tube unit with both hands Press the button to release the brake for longitudinal movement (releasing the button will stop the movement) Pull the tube unit into the required position "Floating" Support MovementHTML "Floating" Support Movement If you want to move the support in the longitudinal and vertical direction simultaneously, press the button on the support control panel for "floating" support movement Rotating the Tube Unit (RHA/RVA)HTML  Rotate about the Horizontal Axis (RHA) Grasp the handles of the tube unit with both hands Press the button to release the brake for rotating the tube unit about the horizontal (support arm) axis  Turn the tube unit into the required position The angle of rotation is displayed in degrees on the TUI        Rotate about the Vertical Axis (RVA) Grasp the handles of the tube unit with both hands Press the button to release the brake for rotating the tube unit about the vertical (column stand) axis  Turn the tube unit into the required position The angle of rotation is displayed in degree on the TUI The buttons on the handles are configurable by Siemens Healthineers Uptime Service for: Floating movement in the X- and Z- direction Rotating the unit about the vertical axis (RVA) Centering the Tube to DetectorHTML   To center the tube to the detector tray, press the centering button on the tube unit.   Movement of the Tube Units Learn about movement of the tube units. Element HTML(1) Tube Base (2) Column (3) Tube arm (4) Vertical movement (5) Longitudinal Movement (6) RHA (7) RVA1234 567 XYZ Sound File Audio ScriptThe tube unit support can be moved longitudinally in the x-direction and vertically in the z-direction for SID. The x-ray tube unit can be rotated about the horizontal axis (RHA) and about the vertical axis (RVA). Movement Controls Learn about the movement controls. Icon    Description   Icon    Description   Tube rotation about the vertical axis                              Longitudinal tube movement   Vertical tube movement up and down      Tube rotation about the horizontal axis   Vertical tube movement up (motorized)     Floating tube movement (longitudinal, vertical)   Vertical tube movement down (motorized)     Centering tube to detector The multileaf collimator is either automatic or manual. The multileaf collimator contains a laser line localizer that projects crosshairs from the longitudinal and transverse axis of the radiation field onto the detector or directly onto the patient. The full field light localizer for projecting the crosshairs is switched on with the button at the front of the collimator.   Rotating the Collimator Learn about rotating the collimator. The collimator can be rotated out of the 0o stop position by pulling the lock-in lever towards the front operating panel. The maximum rotation in both directions is +/- 45o by using the tube flange. Assure that the rotation is not limited by the wiring harness. If the collimator is NOT in the 0o position, it will be indicated at the display of the TUI with this symbol Rotating the collimation +/- 45o around the Central Beam Axis Press the lock-in lever on the Multileaf collimator in the direction of the front panel. The 0o lock of the Multileaf collimator is released.  Grasp the collimator and rotate it by the required angle to the required direction ​Rotating back into the 0o lock-in position Grasp the collimator and turn it into the centered 0o lock-in position   Collimator Control Elements - Front Learn about manual and automatic front collimator control elements. Element HTMLControl Elements at the front Slides for setting the pre-filtration Format width scale Adjusting knob for format height collimator Turning to the left opens the collimator Turning to the right closes the collimator Button for full-field light localizer and laser line light localizer Switches off automatically after a preset time (configurable) Accessory rails with locking spring Tape measure for SID setting (cm and inch) Adjusting knob for format width collimator Turning to the left closes the collimator Turning the right opens the collimator Format height scales Detent level for +/- 45 degree rotation of the collimator about the vertical axis. The collimator only stops in the 0 degree position.    Manual123456789Control Elements at the Front N/A N/A Adjusting knob for format height collimator Turning to the left opens the collimator Turning to the right closes the collimator Button for full-field light localizer and laser line light localizer Switches off automatically after a preset time (configurable) Accessory rails with locking spring Tape measure for SID setting (cm and inch) Adjusting knob for format width collimator Turning to the left closes the collimator Turning the right opens the collimator N/A Detent level for +/- 45 degree rotation of the collimator about the vertical axis. The collimator only stops in the 0 degree position.  Automatic736 Sound File Audio ScriptThe control elements on the front of the collimator differ depending on whether the collimator is manual or automatic.  Take a moment to familiarize yourself with these differences using the labeled images below (pause for 15 seconds). Note that the Automatic Collimator does not contain controls for setting the pre-filtration, adjusting the width scale, or adjusting the height scale. Collimator Control Elements - Underside Learn about the underside collimator control elements. Element HTMLControl elements at the underside: Laser line light localizer with slider to cover the outlet opening Crosshairs in the light localizer window Locking spring for accessories Camera (optional for automatic collimator) ​The laser line localizer projects the axis mark for longitudinal centering which is aligned with the centering mark on the receptor.   To switch on the laser line light localizer, press the button at the front of the collimator. To switch off the laser line localizer, press the button again. The laser line localizer can also be switched off automatically by an internal time switch. The crosshairs project the longitudinal and transverse axis of the radiation field onto the cassette or directly onto the patient. The full field light localizer for projecting the crosshairs is switched on with the button at the front of the collimator. To switch it off, press the button again. The full field light localizer can also be switched off automatically by an internal time switch.  The locking spring is located on the left guide rail at the underside of the collimator. The locking-spring locks the compensating filters, templates, and other things that are inserted in the accessory rails of the collimator to secure them from falling out.  Sound File Audio ScriptThe control elements at the underside of the collimator include: Laser line localizer with slider to cover the outlet opening Crosshairs in the light localizer window Locking spring for accessories Optional Camera for the automatic collimator ​The laser line localizer projects the axis mark for longitudinal centering which is aligned with the centering mark on the receptor.   To switch on the laser line light localizer, press the button at the front of the collimator To switch off the laser line localizer, press the button again The laser line localizer can also be switched off automatically by an internal time switch. The crosshairs project the longitudinal and transverse axis of the radiation field onto the cassette or directly onto the patient. The full field light localizer for projecting the crosshairs is switched on with the button at the front of the collimator. To switch it off, press the button again. The full field light localizer can also be switched off automatically by an internal time switch.  The locking spring is located on the left guide rail at the underside of the collimator. The locking-spring locks the compensating filters, templates, and other things that are inserted in the accessory rails of the collimator to secure them from falling out.  Filter Selection Learn about the filter selection. Tab TitleTextManual Prefilter SelectionManual filter selection is performed using the two levers on the collimator.    Cu prefilter Lever position: upper Lever position: lower 0.0 mm Left  Left 0.1 mm Right Left 0.2 mm Left Right 0.3 mm Right Right Automatic Filter SelectionFor the motorized collimator, there are four possibilities of selecting internal additional Cu filters: 0.0 mm (no) Cu 0.1 mm Cu 0.2 mm Cu 0.3 mm Cu Selecting Additional FiltersThe selection of additional filters is specified in the organ program. This setting can be changed at the imaging station or on the TUI. Touch this button on the Basic tab on the TUI A popup appears to select the required filter The additional filter selection is displayed at the imaging station When changing the additional filters with respect to the organ program selected, this is marked with an asterisk (*) at the imaging station denoting the change - or - Select the filter at the imaging station Detector Indicators Detector status LED Wi-Fi status LED Battery status LED Infrared sensor Needed for attachment of a detector Power button (only on the MAX wi-D) Press and hold to switch the detector on/off Meaning of Detector Indicators Learn about meaning of detector indicators.   LED Color/Status Detector status LED Wi-Fi status LED Battery status LED LED off Off State Wi-Fi Disabled No battery LED green Operating State and online Ready for acquisition Wi-Fi Available  (detector connected to an Access Point) Battery OK LED orange Offline or download state Wi-Fi not ready  (detector connected to an Access Point) Battery getting low LED orange - blinking slow Error state or switching ON N/A N/A LED orange - blinking fast N/A N/A Battery low LED orange - blinking fast, then red flashing on the 3 LEDs, then off   N/A N/A Inserting Detector & Detector Battery Learn about inserting the detector and the detector battery. Tab TitleTextInserting the Detector Push the tabletop away from you as far as possible Press the brake handle in the handgrip to release the detector tray Pull out the detector tray until it reaches the stop position Carefully place the rear edge of the detector onto the detector tray Push the rear edge of the detector against the stops and lower the detector onto the tray between the lateral stops Carefully and slowly slide the detector tray into the patient table Charging the Detector Battery The battery of the detector can be charged through one of the following options: With the detector in the closed detector tray of the table* With the detector in the closed detector tray of the Bucky wall stand* In the battery charger * automated detector battery charging option is only available with the MAX wi-D​ Inserting Battery into Charger The battery charger is designed to insert a battery in only one direction. Insert the battery into the charger Pay attention to the alignment identification on the battery and charging slot Gently push the battery onto the connector Once the battery is in its correct place, the bottom green LED begins blinking Note: Charging a fully discharged battery will take a maximum of 3.5 hours. Up to three batteries can be charged at a time in the charger.    Changing the Battery Battery changing procedure: Open the locking system of the battery  Remove the discharged battery Orient the charged battery in the correct position with the battery connector facing the device connector Slide the battery in the recess area of the device Push down the battery in the recess area Close the locking system of the battery and push down the latch to ensure no protrusion of the locking system Wait until all LEDs are green before using the detector Note: When the battery is inserted correctly, the detector starts automatically   FD Calibration Learn about the FD manager. Slide NumberText BlocksCalloutsAudio ScriptImage File1 FD Manager Button Shows which type of detector is currently connected The wireless detectors are shown with Wi-Fi and battery status Shows the serial numbers of the detectors which help to identify the right detector Shows the date when the next calibration should be done. CalloutsFD ManagerDetector TypeSerial NumberDate of Next CalibrationThe wireless detector overview window at the imaging system shows the detector configuration of the system. It can be opened by clicking the FD Manager in the control area of the Patient mode. You can also open the window by clicking the button FD Manager in the Service mode. The image is labeled with the following areas: 1 is the FD Manager, 2 shows which type of detector is currently connected. The wireless detectors are shown with Wi-Fi and battery status. 3 is the serial numbers of the detectors which help to identify the right detector. 4 shows the date when the next calibration should be done. Continue to the next slide to learn about the other areas in the FD manager.2 Shows the current position of a detector Monitors the wireless detector and shows the shock history (only for the MAX wi-D) Choose which detector shall be used for free exposures by default Press to detach the wireless detectors from the system for usage with another system CalloutsDetector PositionShock HistoryDetector Selection for Free ExposuresDisconnect DetectorsIn the labeled image on this slide: 1 shows the current position of a detector 2 monitors the wireless detector and shows the shock history but is only used for the MAX wi-D 3 allows you to choose which detector should be used for free exposures by default When 4 is pressed, it detaches the wireless detector from the system for usage with another system Detector Sharing Learn about detector sharing. Detaching the Detector: Click Disconnect at the detector overview window A message appears asking if you want to detach the detector Select OK to start the detachment procedure A message then appears stating that the detachment was successful and the detached detector can be removed from the detector overview window Attaching the Detector: Hold the detector with the sides of the LEDS to the infrared (IR) sensor When the pop-up window appears, click Yes to attach the detector The LED blinking will stop during the attachment process and the FD can be taken away A message will appear stating that the detector is attached successfully Note: if the detector attachment was not successful, try again or call Siemens Healthineers Service      Operation Area 1. Turn on/off laser light localizer LED on: laser light localizer is on LED off: laser light localizer is off 2. Opening/closing the collimator              opening in vertical direction  closing in horizontal direction  closing in vertical direction  opening in horizontal direction 3. Default Position 1 & 2 4. Moving the BWS detector unit up/down 5. Disable/enable tracking LED on: tracking is active LED off: tracking is inactive 1 2 2 3 4 5 Display Area 1. Battery LED off: battery sufficiently charged, remote control 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 being charged LED on yellow: remote control is connected to the USB charging cable  and batteries are fully charged 2. Bluetooth Signal LED off: The Bluetooth signal strength is good LED on: no Bluetooth signal 3. Operation  LED on: an operation button is being pressed 1 2 3 The Touchscreen User Interface (TUI) is divided into three fields with frames and different background colors: Patient information field Control field System status and information field   TUI Fields Learn about the different TUI fields. Slide NumberText BlocksCalloutsAudio ScriptImage File1Patient Information Field Before starting acquisition, make sure the name of the patient on the TUI agrees with the name of the patient to be examined.  The Patient information field contains: Patient Name Patient Gender Patient Birthday Patient ID Help Button Before starting the acquisition, make sure to verify that the name of the patient on the TUI agrees with the name of the patient to be examined. If a new study for the emergency patient is registered, only the name and patient ID are displayed. The missing personal data of the patient can be entered in the imaging system at a later time. 2Control Field  The following settings can be adjusted in the Control Field: Patient Size Workplace Selection SID Tracking with Patient Table Tube and Detector Tracking Top Alignment  Restore Default Organ Program Settings Control Element Disable Function Generator Functions Collimator Functions ​CalloutsBasic TabMore tabOrgan program selectionIn the Control Field, you can select the organ programs and change the acquisition parameters. The following settings can be adjusted in the Control Field: - Patient Size - Workplace Selection - SID Tracking with Patient Table - Tube and Detector Tracking - Top Alignment - Restoring the organ program parameters to the default settings - Disable Function - Generator Functions and - Collimator Functions 3System Status and Information Field System Status Grid Status Tube Position Centering Display Collimation  Collimator Mode The system status and information field contains information about the system status, grid status, tube position, centering display, collimation, and collimator mode. Control Field Options Learn about the different control field options. Checklist TitleChecklist TypeChecklist ContentPatient SizeHTML Small/thin patient Medium Patient Large/thick Patient Workplace SelectionHTML Patient Table Wall Stand Free exposure Cassette exposure SID Tracking with Patient TableHTML  Disabled: preconditions are not fully fulfilled Inactive: not pressed Active: pressed Preconditions include: Workplace table mode is active Tube stand is above the table Tube RHA angle is 0o +/-3o SID > 90 cm Detector is inserted in the tray of the patient table When SID tracking is activated, the x-ray tube follows the elevating table in vertical movement. SID tracking lost: indicates if SID tracking is lost during tracking movement or if the preconditions cannot be fulfilled after the button has been pressed  Tube/Detector TrackingHTMLTube Tracking  In Table Mode: With the Elevating Table - the detector inside the table follows the tube rotation with an RHA of the tube up to 45o in both directions or longitudinal movement With the Fixed Table - the automatic mechanical coupling connects the detector unit in its travel range with the tube unit this coupling ensures automatic centering of the X-ray tube unit to the detector center in the vertical position In Wall Mode: With RHA of the tube up to 90o, the tube follows the detector inside the wall stand vertically The central beam is locked on the detector Inactive: not pressed Active: pressed Tracking Lost Top AlignmentHTML Disabled: preconditions are not completely fulfilled Not Pressed: center-aligned Press the centering button to activate the center alignment Pressed: top-aligned Press the centering button to activate the top alignment Preconditions include: Wall mode is selected Tube RHA angle is -90o +/- 45o or 90o +/- 45o depending on configured position of BWS Restore OGD ParameterHTML Restore the organ program parameters to default settings Control Element Disable FunctionHTML Inactive: not pressed Active: pressed All buttons for motorized movement of the tube stand and other components such as the BWS and patient table are disabled. Generator FunctionsHTML kV selection ms selection mAs selection Dose selection Density correction AEC field selection Focus selection Collimator FunctionsHTML Cu filter selection (only available with the motorized collimator) Restore collimator button Collimator size selection SID adjustment for free exposure The barcode scanner is used for scanning patient data.  When using the barcode scanner, make sure the imaging system is in Patient mode and the Pre-registered Patient list is displayed on the screen.  Point the barcode scanner at the corresponding label and press the trigger button The patient ID is displayed in the searching field in the Pre-registered Patients List Click Search The patient is shown in the Result List ​Note: The scanner cannot correctly read a barcode if the entire label is not scanned When connecting the scanner to the imaging system or disconnecting it from the imaging system, make sure the system has been switched off.   Troubleshooting the Barcode Scanner Learn about troubleshooting the barcode scanner. If the scanner is not operating properly, the following checks should be performed: Check the interface cable is securely attached to the scanner handle and the terminal Check that the labels are sufficient enough quality to be recognized by the scanner Note: Wrinkled, smudged or torn labels can cause the scanner not to read at all. If you suspect that label quality is a problem, scan a known good label to check the scanner's read operation. If the scanner still does not function properly, contact your Siemens Healthineers Customer Service