Multix Select DR Turnover Workbook

SIEMENS Multix Select DR User Services www.usa.siemens.com/education Multix Select DR Turnover Workbook Answers for life. User Services. Driven by More. More: Our philosophy for a lifelong improvement through continuing education and consulting. Working closely with you, we develop your personalized education and consulting strategy and support you and your staff with our comprehensive User Services to help gain: • More: Routine Confidence • More: Clinical Expertise • More: Superior Performance More: Personalized training, education, and consulting services from Siemens Healthcare Customer Services. For your leading edge in medical care. User Services. Driven by More. More: Personalized More: More: Superior Clinical Performance More: Routine Expertise Confidence 2 I Contact Information Summary Welcome to Siemens Healthcare Clinical Education Offerings: Siemens Healthcare is dedicated to helping you Call 1-888-221-8010 (follow the prompts) • get the most out of your investment throughout Classroom Training the entire product life cycle and beyond. Our goal (Offerings, Registration & Scheduling) • is to enable you to take technology further, Educational Symposia • profitability higher, and patient care to the next On-site Training • level. Find the information, resources, and tools Printed Self-studies • you need to get the most out of your recent Virtual Education (Offerings & Registration) • investment and stay up-to-date. Visit Workshops & Fellowships www.usa.siemens.com/Welcome2Healthcare. Visit www.usa.siemens.com/education for more information regarding the current Clinical Training and Siemens Clinical Training and Continuing Continuing Education Education portfolio. Siemens Customer Care Center: Call 1-800-888-7436 Siemens Training Centers • Troubleshooting assistance Immediate assistance for software Siemens Clinical Education • applications and workflow issues Training Center – TDC2 • For Tech Support press option 2 / for 110 MacAlyson Court applications support, press option 3 Cary, NC 27511 • Press the * key or enter the last six digits of your Functional Location Number Functional Location Number ____________________ Serial Number ________________________________ IP Address System _____________________________ IP Address PACS _______________________________ 3 II Contents I Contact Information Summary ............................................................................................... 3 II Contents .............................................................................................................................. 4 III Course Agenda .................................................................................................................... 5 Day One............................................................................................................................. 5 Day Two............................................................................................................................. 5 Day Three .......................................................................................................................... 5 IV Course Objectives ................................................................................................................ 6 1 System Overview .................................................................................................................. 7 1.1 Objectives .................................................................................................................... 7 1.2 Switching On/Start-up.................................................................................................. 7 1.3 Starting the system from the powered down state......................................................... 7 1.4 Hardware Features....................................................................................................... 7 1.5 Day One Exercise ....................................................................................................... 13 2 The PEX Editor.................................................................................................................... 14 2.1 Objectives .................................................................................................................. 14 2.2 PEX Editor Overview ................................................................................................... 14 3 FLC and Performing Patient Exams....................................................................................... 18 3.1 Objectives .................................................................................................................. 18 3.2 Patient Task Card ........................................................................................................ 18 3.3 Registering a Patient................................................................................................... 19 3.4 Exporting Data via USB ............................................................................................... 19 3.5 Exporting Data via CD/DVD.......................................................................................... 19 3.6 Patient Resource Information ...................................................................................... 20 3.7 Acquisition Parameters ............................................................................................... 20 3.8 Exam Manager ........................................................................................................... 21 3.9 Making an Exposure ................................................................................................... 22 3.10 Image Subtask Card .................................................................................................. 22 3.11 Tools Subtask Card.................................................................................................... 22 3.12 Monitor Display ........................................................................................................ 22 3.13 Postprocessing ......................................................................................................... 22 3.14 Documentation ........................................................................................................ 25 4 System Information and Care/Maintenance .......................................................................... 27 4.1 Cleaning and Disinfecting ........................................................................................... 27 4.2 Technical Data ........................................................................................................... 27 4.3 Day Two: Exercise ....................................................................................................... 28 5 Patient Examinations and Image Review .............................................................................. 29 4 Multix Select Di dio III Course Agenda Day One Multix Select DR intro System activation Review of table, detector and Vertix wallstand (if present) and control console Cleaning and disinfecting Accessories Workflow Day Two PEX Programming Registering a patient: RIS/Update Performing patient exams Postprocessing an image Archiving Status symbols Performing patient exams Day Three Performing patient exams Review of images with Radiologist Questions Checklist sign-offs 5 IV Course Objectives Upon completion of this course, you will be able to: • Correctly perform start-up and shut down procedures • Identify the key hardware features of the Multix Select DR system • Describe the key features of the Fluorospot Compact imaging system • Correctly perform a patient registration • Utilize the Examination task card to perform a patient procedure • Utilize the Postprocessing task card to adjust an image • List the steps needed to archive patient data 6 Turnover Workbook | Multix Select DR 1 System Overview 1.1 Objectives 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 Select DR system • Demonstrate the use of the x-ray tube • Describe the main steps of the workflow 1.2 Switching On/Start-up • The Multix Select DR is turned on from the switched off mode • The X-ray room and generator are switched on and off by the same switch 1.3 Starting the system from the powered down state • If the Multix Select DR 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. (If the x-ray tube has not been used for a prolonged period of time - >2 weeks – contact your Siemens Service Engineer for the proper procedure prior to using the x-ray tube). 1.4 Hardware Features 1.4.1 The Control Console • The control console allows you to power the system up and down and also to release radiation for exposures. • The exposure button allows the user to depress the button half way down to engage the rotor, then press all the way down to release radiation. There will be a light indication on the icon in the center of the control console to indicate release of radiation, as well as an audible alarm. 1.4.2 Tableside Controls Bucky Tray • The bucky tray handle moves the bucky tray longitudinally when the bucky tray is not coupled with the x-ray tube stand. • The detector can be inserted into the table bucky in either a portrait or landscape orientation. Use caution to ensure the cable is not pinched. The guide pins prevent the detector from being inserted incorrectly. 7 Turnover Workbook | Multix Select DR Tabletop Movement Notes • Press the foot pedal at the front of the table base to release the tabletop brake. You can now float the tabletop. Releasing the foot pedal locks the tabletop into position. Cleaning and Disinfecting the Table • Turn off the system before cleaning and disinfecting. To clean the table surface, use only water or a lukewarm household cleaning agent solution. Be sure to remove any residue immediately. • To disinfect the table, use only guanidine derivatives, peroxide compounds or organic acids. *You SHOULD NOT USE Virex TB, Terralin, any alcohol based products, any phenol based products, and any chlorine releasing products to disinfect the tabletop or any surface of the Multix Select DR system or accessories. X-ray Tube Support Arm Rotation • The x-ray tube support arm can be rotated manually clockwise or counterclockwise by 90 degrees along its longitudinal axis. • • To unlock the tube support arm, slide the unlocking lever to release the arm. The support arm can now engage in the +/- 90 degree and 0 degree positions. X-Ray Tube Movement Controls • To move the tube column stand longitudinally along the table, press the longitudinal brake button on the front of the tube near the tube handle. Releasing the brake button will lock the - longitudinal position of the tube support column. • To move the tube vertically, press the vertical brake button on the - front of the tube near the tube handle. Releasing the brake button will lock the vertical position of the tube. 8 Turnover Workbook | Multix Select DR Notes • To angle the x-ray tube, press the button for tube rotation. When you release the button, the tube is locked into its’ new rotation. • The goniometer will show the current angulation of the x-ray tube. O 45 90 .06 45 • To simultaneously release both vertical and longitudinal movement of the x-ray tube support, press the button for vertical and longitudinal movement. When you release the button, the tube is locked in its new position. + X-Ray Beam Filtration and Collimation • To add copper filtration to the x-ray beam, use the top single slider function 0.1 0.0 to add 0.1 mm, the bottom single slider 0.2 0.0 function to add 0.2 mm, and both slider mm Cu ] functions to add 0.3 mm of copper. *Note: Before adding copper filtration to the x-ray beam, consult your facility medical physicist for recommendations. • To turn on the collimator light, press the collimator light button. Allow the timer to turn the collimator light off. • To collimate the image, use the slider functions to collimate the image top to bottom and side to side. 40 30 24 18 43| 35 |25|20| 13 43 38 30 25 20 15 FFA 150 40| 35 28 |24 |18 |13 15 20 25 30 FFA 90 13 | 18| 24| 28 38 43 35 |40 18 24 30 FFA 90 13 |20 25 | 35 |43 40 FFA 150 FFA 180 FFA 115 FFA 115 13 20/25/ 25 /45 FFA 180 cm 9 Turnover Workbook | Multix Select DR 1.4.3 The Bucky Wallstand Notes The detector can be inserted in portrait or landscape orientation. -------- * . . . Vertical Adjustment of the Bucky Wallstand • The bucky wallstand can be adjusted vertically by pressing the yellow vertical brake release button and moving the wallstand to the desired position. Releasing the brake button locks the wallstand into place. Cleaning and Disinfecting the Bucky Wallstand • Turn off the system before cleaning and disinfecting. To clean the wallstand surface, use only water or a lukewarm household cleaning agent solution. Be sure to remove any residue immediately. • To disinfect the wallstand, use only guanidine derivatives, peroxide compounds or organic acids. *You SHOULD NOT USE Virex TB, Terralin, any alcohol based products, any phenol based products, and any chlorine releasing products to disinfect the wallstand or any surface of the Multix Select DR system or accessories. 10 Turnover Workbook | Multix Select DR 1.4.4 The Digital Detector Notes Here is an overview of the digital detector: (2) (3) (1) Detector Cable (2) Grip – hold this grip when carrying the detector (3) Active detector area – any area inside of the black outline drawn on the detector is the active area. As a result, anatomy to be imaged must be inside the active area, as well as inside the collimated field. Cleaning and Disinfecting the Detector • Turn off the system before cleaning and disinfecting. To clean the detector surface, wipe the cover with a piece of cloth soaked in neutral detergent diluted in water and wrung dry. Then, wipe the cover with a piece of cloth soaked in water and wrung dry whenever neutral detergent has been used. • To disinfect the detector, wipe the detector with an ethanol solution or glutaraldehyde solution after every patient usage. *You SHOULD NOT USE Virex TB, Terralin, any alcohol based products, any phenol based products, or any chlorine releasing products to disinfect the detector or any surface of the Multix Select DR system or accessories. 11 Turnover Workbook | Multix Select DR The Detector Snap-On Grid Notes • There is a grid (optional) that can be used with the digital detector for those exposures that require the use of a grid. • To attach the grid, place the detector (front side facing the grid opening) and press together to attach. • To remove the grid, press both grid release buttons and tilt the detector slightly backwards, being careful to not allow the detector to fall. The Detector Cable • The detector cable can be disconnected at its midpoint. First, power the system down before disconnecting the cable. Next, locate the connectors in the cable. • Pull the connectors apart. To reconnect, line up the 2 red dots on the connector ends and push the connectors together, and then power up the system. 12 Turnover Workbook | Multix Select DR 1.4.5 Accessories Notes • Patient Handgrip - The handgrip can be attached to either of the two lateral accessory rails of the patient table. To attach the handgrip, pull out the edge protector at the end of the accessory rail so that the handgrip can be inserted, *Note: Use caution removing the edge protector as it is secured with a tight spring. Insert the handgrip into the groove of the accessory rail and slide it into the desired position. Secure the handgrip by turning the knob clockwise to tighten. Replace the edge protector at the end of the accessory rail. 1.4.6 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 1.5 Day One Exercise 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 13 Turnover Workbook | Multix Select DR 2 The PEX Editor 2.1 Objectives Notes 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 2.2 PEX Editor Overview 2.2.1 Opening PEX Editor 1. On the Patient Task Card > Settings Subtask Card click on this icon 2. The login screen will appear. Programs and Exams Editor Login Viewing only c Customer @ SIEMENS Password Ok Ok 3. Click the radio button next to Siemens 4. 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 14 Turnover Workbook | Multix Select DR 2.2.2 Exam Tab Notes The PEX Editor opens up to the Exam subtask card Haral Examination view ABDOMEN B -ABDOMEN BREAST ESPRE EXTREMTY R Barium_3_Follow_through MPORTERT Banun_4_Sin_Bowalla] IO PHANTOMS Q.TESTPROGRAMS Baum_6_Fistulogran |tb LEG LSFNE lodine d ERCP(d] PELVIS locine_6_MP(d) PMS CALERATION locine_9_H80|th) SCH CRPP SHOULDCR Predatric DA Baloch Sortby: C None F Booy Part D Ach type OGP Paramatar DICOM Mit Network Node 1 Default Network Node Exan Level OGP Leve Network Node 2 Flibro NOTAGTK NOOR S Camera Aut Scal Autosending E server for this exani 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 15 Turnover Workbook | Multix Select DR 1. Double left click on the OGP View you wish to modify Notes 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 TO TESTPROGRAMS Program Name 00 DFR Ka [d) Acquisition Mode Series Native Acquisition Type Table Store Store as new X - Ray Parameters Fluoro Program Set CP_RAD Po. MField: @ 1 pt Ciptwith et exp. 02.pt 3 pt 9 pt with AEC KV Exp. Correction 1- EP Dose Sensitivity 400 Tube Load ao % FOCUS Filter Type 0.0 Cu mm 16 Turnover Workbook | Multix Select DR Add OGP to Examination View Notes Highlight the desired Examination View and highlight the OGP View to be added, then click on Insert OGP. T Sternum p.a. (d) T Swimmers (d) Insert OGP SPINE LUMBAR WITH FLEXION/EXTE T T-Spine / L-Spine junc an (d) SPINE SACRUM AND COCCYX(d) SPINE THORACIC 2 VIEW(0) F. 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) W 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 17 Turnover Workbook | Multix Select DR 3 FLC and Performing Patient Exams 3.1 Objectives Notes After this session, you will be able to: • Register a patient • Perform patient exams • Post process an image • Archive patient data 3.2 Patient Task Card 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 .. W Humerus 2 vi ... Wa .. Perfor. -p- 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 • User Settings Patient Senings Service • View Job Status • PEX Editor ? • Clinical EXI log • Recycle Bin (if configured) 18 Turnover Workbook | Multix Select DR Service Subtask Card Notes • Rejected Image Statistics • Remote Assistance” 3.3 Registering a Patient To select a patient from the Preregistered list: RIS 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 to be examined RIS 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. 3.4 Exporting Data via USB You may export files using a USB memory stick. 1. Clinical EXI log 2. Reject Analysis log 3.5 Exporting Data via CD/DVD You may export patient studies/images via CD/DVD. 19 Turnover Workbook | Multix Select DR 3.6 Patient Resource Information Notes • When you open a patient folder by double Fzo, Mach 2 Out OF 3 clicking on the patient name on the Pre- access 26 registered and examined Patient list, the study loads with all OGPs for the exam 1 3 ordered. If you have a large number of X ANKLE LAT OGP’s, click on the eyeglasses icon and it will X ANKLE AP expand the list. X ANKLE OBL X FOOT LAT • Right clicking on the OGP will show you a summary of the OGP set-up in the PEX Editor. 1 3 T ABDOMEN SUPINE X ABDOMEN SUPINE T ABDOMEN 0-3yrs (8-14cm) T ABDOMEN 4-12yrs (12-20cr - 3.7 Acquisition Parameters • All Organ Programs will populate with predefined acquisition parameters. Dose 5.00 • These are based on an average adult patient and should be adjusted for body habitus and pediatric patients. AEC Exposure: Sensitivity 200=Detector 0.0 • Dose 5.0 micro gray 20 Turnover Workbook | Multix Select DR 3.8 Exam Manager Notes korn Manager Patient: Test, Patient Availidile Exame / Orgin Programe Assigned Exams f Organ Programs @ alphateric by name Organ Programs by Exam @alphabetic by bockpartrégion Organ Prowon'tkis acquisitonaicker dphabescaly by soquick on type ETPaarmalsiEsses Pula Perral T004FeMs e.p. B-T Patviciniat Duffel T11th Pehns Osfat T Schadalaan Add T Shoalder joint social * T Servers E .T.Srattwwwmo Lastramn @ T Thasa intying pos. DETTOWie TT-5phe. L-spine junction Eans Organ Prag Delete Details Accessiat Number: Detaiz Sudy Decoratore Polvio Pastel Scheduled Procedure Stag Exonthato Concet • 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 21 Turnover Workbook | Multix Select DR 3.9 Making an Exposure Notes • 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. 3.10 Image Subtask Card Image Tools • You are able to crop your image and review all images. 3.11 Tools Subtask Card • You are able to review the Exam Protocol. 3.12 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. 3.13 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 22 Turnover Workbook | Multix Select DR Notes Process Subtask Card Process. Graphics Rad 1:1 R R SO R R R RJ PR RR Graphics Subtask Card Process. Set Laterality label (R/L marker) Graphics Rad • • Set arrow • Set distance/calibrate • Remember to store the image with the distance graphics as a new image. The graphics are burned into the image. • 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 23 Turnover Workbook | Multix Select DR Rad Subtask Card Notes Process. Graphics Rad • Cropping • Auto cropping Auto-cropping • Set Black Set black y Auto-window • Auto window • Amplification (and Auto amplification) Amplification 2.0 Auto • LUT (look up table) * Gradation curve selection and Histogram display radation Dits Contratt LEEEEE DIKALL - - 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. 24 Turnover Workbook | Multix Select DR Filter Icon Notes Process. Graphics Rad • Select Diamondview parameters Auto-cropping • Select Noise Reduction Set black • Edge Enhancement and Harmonization settings Auto-window Set Gain and Kernel for Edge Enhancement and Amplification 2.0 • Auto Harmonization O Make sure to click on the “Apply” icon to save processing changes Abdomen 18 Abdomen Noise Reduction Edge Gain 0.50 Kernel 7 Harm Gain 0.30 Kernel 255 3.14 Documentation The Documentation task card is where you archive patient studies. V 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 Select Film Send • Unmark all images • Mark/Unmark single images • Twin view vertical • Twin view horizontal • Quad view • Delete images x 25 Turnover Workbook | Multix Select DR Notes Film Subtask Card Select Film Send The Film subtask card can be set up with a Camera DRY3000 default hardcopy camera and film size and layout Mixed leyour per exam. Name • Film marked images Size 1 4INx17IN • Preview marked images • Show film status Layout 1×1 • Print to scale Fixed Scale Factor Auto Scal 100% 58 Copies Anonymous Hide Text ? Send Subtask Card Selec Film Send The Send subtask card can be set up with three Target 1 store default network/PACS nodes. • Target selection Targe1 2 • Send Exam Protocol as SC image Target 3 • Send Exam Protocol to DICOM Dose SR Send Exam Protocol as. • Override configured settings (Send targets) SCimage DICOM Dose SR Override configured settings ? 26 Turnover Workbook | Multix Select DR 4 System Information and Care/Maintenance 4.1 Cleaning and Disinfecting Notes Cleaning and disinfecting the table and wallstand. • For cleaning, use only water or a lukewarm household cleaning agent solution. Be sure to remove any residue immediately. • For disinfecting, use only guanidine derivatives, peroxide compounds or organic acids. *You SHOULD NOT USE Virex TB, Terralin, any alcohol based products, any phenol based products, and any chlorine releasing products to disinfect the tabletop or any surface of the Multix Select DR system or accessories. Cleaning and disinfecting the digital detector • For cleaning, wipe the cover with a piece of cloth soaked in neutral detergent diluted in water and wrung dry. Then, wipe the cover with a piece of cloth soaked in water and wrung dry whenever neutral detergent has been used. • For disinfecting, wipe the detector with an ethanol solution or glutaraldehyde solution after every patient usage. *You SHOULD NOT USE Virex TB, Terralin, any alcohol based products, any phenol based products, or any chlorine releasing products to disinfect the detector or any surface of the Multix Select DR system or accessories. 4.2 Technical Data Patient Table • Max. patient weight 440 lbs. • Table grid stationary, 10:1 ratio, 40 inch focus Wallstand (optional) • Wallstand grid stationary, 10:1 ratio and 40 inch and 60/72 inch focus Digital Detector • 13.9 x 16.7 inch active area • 7.75 million active pixels • Can be inserted into bucky tray in portrait or landscape orientation • 139 micron pixel size • 3.6 lp/mm resolution • Gadolinium oxysulfide scintillator • Amorphous silicon semiconductor • Acquisition depth 14 bits • Weight: 10.9 lbs. • Cable length: 23 feet, detachable Imaging System • 10,000 image capacity • Image data export to CD or DVD • Image data import via USB to system hard drive 27 Turnover Workbook | Multix Select DR 4.3 Day Two: Exercise Notes 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 28 Turnover Workbook | Multix Select DR 5 Patient Examinations and Image Review Day three is a full work schedule and review Notes • Performing patient exams • Review patient images with medical staff • PEX Editor modify exam protocols – continued • Review of all task cards and subtask cards • Questions 29 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. 40 Liberty Blvd. Siemens reserves the right to modify the Malvern, PA 19355-9998 design, packaging, specifications and options USA described herein without prior notice. Please Telephone: +1-888-826-9702 contact your local Siemens sales representative www.usa.siemens.com/healthcare 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-152059-P1-4A00 Germany Printed in USA 9-2015 | All rights reserved Phone: +49 9131 84-4746 © 2015 Siemens Medical Solutions USA, Inc. www.siemens.com/healthcare Global Siemens Headquarters Global Siemens Healthcare Siemens AG Headquarters Wittelsbacherplatz 2 Siemens AG 80333 Muenchen Healthcare Sector Germany Henkestrasse 127 91052 Erlangen Germany Telephone: +49 9131 84-0 www.siemens.com/healthcare www.siemens.com/healthcare