PEPconnect

Multix Impact Positioning guide

This job aid will cover several Examinations and hints for setting up the MULTIX Impact system, as well as best practices for patient positioning.

SIEMENS L Healthineers Meosthingers MULTIX Ingocl CLLU Patient Positioning Aid ... MULTIX Impact1 SIEMENS Healthineers 1 MULTIX Impact is not commercially available in all countries. Its future availability cannot be guaranteed. Please contact your local Siemens Healthineers organization for further details. Effective Date: 05/26/2019 | HOOD05162003014146 Restricted © Siemens Healthineers, 2018 Unrestricted © Siemens Healthineers, 2019 MULTIX Impact SIEMENS Healthineers MULTIX Impact1 is an innovative floor-mounted radiography system that recognizes that your clinical imaging routine is unique, and so it can be fully tailored to meet your imaging requirements. This digital radiographic workplace for recumbent, standing, or seated patients can accommodate MULTIX Impact nearly all your radiography studies. It offers excellent value for the money and makes access to high-quality imaging technology much easier. The intuitive operating system and modern wireless detectors in the MULTIX Impact optimize clinical processes in radiography by improving both John Doe productivity and the patient experience. Medium 1 MULTIX Impact is not commercially available in all countries. Its future availability cannot be guaranteed. 2 Please contact your local Siemens Healthineers organization for further details. Effective Date: 05/26/2019 | HOOD05162003014146 Unrestricted © Siemens Healthineers, 2019 Patient positioning aid SIEMENS Healthineers The patient positioning aid focuses on the MULTIX Impact1 variant with elevating table and medium-size rail for the Healthineers tube stand. The rail allows you to perform examinations MULTIX Impact with a minimum source-image distance (SID) of 115 cm ELLE and a maximum SID of 265 cm on the Bucky wall stand (BWS). The rail has detents at SIDs of 115 cm, 150 cm, and 180 cm toward the BWS for easier positioning of the system. At a SID of 115 cm, the tube follows the BWS down to a central beam height of 33 cm above the floor when the table is in its lowest position (51.5 cm) and the table top is A moved all the way to the side. For SIDs larger than 115 cm, SIEMENS Healthineers the tube is above the table and loses tracking at 54 cm to the table top. With the table in its lowest position, tracking is lost at a central beam height of 98 cm above the floor. 1 MULTIX Impact is not commercially available in all countries. Its future availability cannot be guaranteed. 3 Please contact your local Siemens Healthineers organization for further details. Effective Date: 05/26/2019 | HOOD05162003014146 Unrestricted © Siemens Healthineers, 2019 Table of contents SIEMENS Healthineers • Lateral projections 5 • Wheelchair thorax AP 7 • Abdomen upright 8 • Hip axial (Sven Johannson) Variant A 9 • Hip axial (Sven Johannson) Variant B 11 A • Knee PA standing 13 SIEMENS Healthineers • Patella axial 14 • Foot DP weight-bearing 16 • Foot LAT weight-bearing 17 4 Effective Date: 05/26/2019 | HOOD05162003014146 Unrestricted © Siemens Healthineers, 2019 Lateral projections SIEMENS Healthineers Lateral projections on the table A lateral projection is necessary for some examinations requiring a recumbent position, which means that the tube needs to be angled so that the beam is in a coronal plane. For these kinds of examinations, you can either use a mobile detector holder, as shown in the picture, or a lateral detector holder that can be mounted to the edge of the table. SIEMENS A lealthineers . 5 Effective Date: 05/26/2019 | HOOD05162003014146 Unrestricted © Siemens Healthineers, 2019 Lateral projections SIEMENS Healthineers Lateral projections on the Bucky wall stand You can perform a lateral projection on the BWS at a SID of 115 cm. If the distance is greater than 115 cm, you need to be aware of the collision zone with the table top. This projection is used, for example, for weight-bearing and non- ELLE weight-bearing examinations of the foot (SID MULTIX Impact 115 cm) with the tube angled at 90 degrees. - If there is a mobile patient bed available, all recumbent patients can be examined using the Bucky wall stand for lateral projections. 6 Effective Date: 05/26/2019 | HOOD05162003014146 Unrestricted © Siemens Healthineers, 2019 Wheelchair thorax AP SIEMENS Healthineers Examination This examination is performed with the patient seated in a wheelchair in an upright position. Place the detector behind the patient and make sure that it’s well-positioned between the wheelchair and the patient. Hints With wheelchairs that are made of radiolucent material, this examination can also be performed with the wheelchair backed up to the BWS. SIEMENS Healthineers 7 Effective Date: 05/26/2019 | HOOD05162003014146 Unrestricted © Siemens Healthineers, 2019 Abdomen upright SIEMENS Healthineers Examination This examination is performed with the patient in an upright position facing the BWS. Place the detector in either landscape or portrait orientation, depending on the patient’s anatomy. For easier system positioning, the tube-column has detents at SIDs of 150 cm and 180 cm. MULTIX Impact Hints Move the table to its lowest position and the table top all the way to the side. Tracking is lost at 54 cm to the table top, which equals a central A beam height of 98 cm above the floor. For small SIEMENS .. Healthineers *** and pediatric patients, we recommend using a step for proper positioning. 8 Effective Date: 05/26/2019 | HOOD05162003014146 Unrestricted © Siemens Healthineers, 2019 Hip axial (Sven Johannson) – Variant A SIEMENS Healthineers Examination This examination is performed with the patient in supine position on the table. The table top needs to be moved away from the tube stand to the farthest possible position. Rotate the tube to an rotated vertical angulation (RVA) of 30 degrees and the patient away from the longitudinal axial of the table. Using a mobile detector holder, adjust the angle of the detector to align the X-ray perpendicular to it. MULTIX Impact With this variant, the examination can be performed with an RVA of up to 30 degrees 9 and a maximum SID of 124 cm. Effective Date: 05/26/2019 | HOOD05162003014146 Unrestricted © Siemens Healthineers, 2019 Hip axial (Sven Johannson) – Variant A SIEMENS Healthineers Hints Pay attention to the laterality. For the right hip, the patient should be positioned with the left side close to the tube stand, and vice versa for the left hip. For system variants without a table, use a mobile patient bed or stretcher. Use a positioning aid to keep the patient’s angulated leg in a comfortable position. MULTIX Impact MULTIX Impact With this variant, the examination can be performed with an RVA of up to 30 degrees 10 and a maximum SID of 124 cm. Effective Date: 05/26/2019 | HOOD05162003014146 Unrestricted © Siemens Healthineers, 2019 Hip axial (Sven Johannson) – Variant B SIEMENS Healthineers Examination This examination is performed with the patient in a supine position on a mobile patient bed in front of the BWS. Rotate the bed instead of angulating the tube. MULTIX Impact With this variant, the examination can be performed with an RVA of up to 45 degrees 11 and a SID of 115-150 cm. Effective Date: 05/26/2019 | HOOD05162003014146 Unrestricted © Siemens Healthineers, 2019 Hip axial (Sven Johannson) – Variant B SIEMENS Healthineers Hints Pay attention to the laterality. For the right hip, the patient should be positioned with the left side close to the tube stand, and vice versa for the left hip. Use a positioning aid to keep the patient’s angulated leg in a comfortable position. With this variant, the examination can be performed with an RVA of up to 45 degrees 12 and a SID of 115-150 cm. Effective Date: 05/26/2019 | HOOD05162003014146 Unrestricted © Siemens Healthineers, 2019 Knee PA weight-bearing SIEMENS Healthineers Examination wealthineers This examination is performed with the patient facing the BWS in an upright position for a PA projection. Height-tracking for the tube and BWS can be activated by pressing the appropriate button on the side of the BWS. Hints Move the table to its lowest position and the table top all the way to the side. At a SID of 115 cm, the tube follows the BWS down to a central beam height of 33 cm above the floor. For small and pediatric patients, we recommend using a ULTIX Impact step for proper positioning. 13 Effective Date: 05/26/2019 | HOOD05162003014146 Unrestricted © Siemens Healthineers, 2019 Patella axial SIEMENS Healthineers Examination This examination is performed with the patient in a supine position on the table. You can either use a mobile detector holder or the patient can hold the detector. The tube can be angulated according to Country/Region specifications. Another option is to perform the examination on the table with the patient in a prone position. MULTIX Impact 14 Effective Date: 05/26/2019 | HOOD05162003014146 Unrestricted © Siemens Healthineers, 2019 Patella axial SIEMENS Healthineers Hints Move the table to end-position so that it’s as far away from the tube as possible. Position the patient near end of the table so that the tube - can be angled if necessary. MULTIX Impact SIEMENS Healthineers 15 Effective Date: 05/26/2019 | HOOD05162003014146 Unrestricted © Siemens Healthineers, 2019 Foot DP weight-bearing SIEMENS Healthineers Examination This examination is performed with the patient standing with one foot weighted on the wireless detector. The detector can be positioned on the floor between the BWS and the table, on the opposite side of the table, or on the lateral MULTIX Impact backside of the table if the room set-up allows this. Hints The wireless detector has a maximum load capacity of 100 kg for patients in a standing position. For large patients, please use a panel A protector. Because patients in standing positions SIEMENS. like to have something to hold onto, please ilthineers ... remind them to not hold the tube head. 16 Effective Date: 05/26/2019 | HOOD05162003014146 Unrestricted © Siemens Healthineers, 2019 Foot LAT weight-bearing SIEMENS Healthineers Examination Healthingers : This examination is performed with the patient SIEMENS standing in lateral position to the BWS. Please use a step or similar object to bring the patient’s foot to the height of the central beam. Hints Move the table to its lowest position and the table top all the way to the side. At a SID of 115 cm, the tube follows the BWS down to a central beam height of 33 cm above the floor. MULTIX SIEMENS Healthineers 17 Effective Date: 05/26/2019 | HOOD05162003014146 Unrestricted © Siemens Healthineers, 2019 Disclaimer SIEMENS Healthineers MULTIX Impact is not commercially available in all countries. Its future availability cannot be guaranteed. Please contact your local Siemens Healthineers organization for further details. On account of certain regional limitations of sales rights and service availability, we cannot guarantee that all products/services/features included in this document are available through the Siemens Healthineers sales organization worldwide. Availability and packaging may vary by country and are subject to change without prior notice. The information in this document contains general descriptions of the technical options available and may not always apply in individual cases. MULTIX Impact Siemens Healthineers reserves the right to modify the design and specifications contained herein without prior notice. Please contact your local Siemens Healthineers sales representative for the most current information. In the interest of complying with legal requirements concerning the environmental compatibility of our products (protection of natural resources and waste conservation), it may contain recycled components that adhere to the same quality assurance measures used for factory-new components. John Doe Medium 18 Effective Date: 05/26/2019 | HOOD05162003014146 Unrestricted © Siemens Healthineers, 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 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens.com/healthineers 19 Effective Date: 05/26/2019 | HOOD05162003014146 Unrestricted © Siemens Healthineers, 2019