Omnia Max Turnover Workbook

SIEMENS Healthineers " Uroskop Omnia Max Omnia Max Turnover Workbook SIEMENS Healthineers www.usa.siemens.com/education I. Contact Information Summary Welcome to Siemens Healthineers Virtual Education (Offerings & Registration) • Siemens Healthineers is dedicated to helping you get the Workshops & Fellowships • most out of your investment throughout the entire product life cycle and beyond. Our goal is to enable you to take technology further, profitability higher, and patient Visit www.usa.siemens.com/clinicaleducation for more care to the next level. Find the information, resources, and information regarding the current Siemens tools you need to get the most out of your recent Clinical Training and Continuing Education portfolio. investment and stay up-to-date. Visit www.usa.siemens.com/Welcome2Healthcare. Discover. Try. Buy. on webShop Clinical Training and Continuing Education Do you want to “Discover. Try. Buy.” options, accessories, and clinical education to make the most of your Customer Care Center - Clinical Application Support: imaging equipment? Discover images, case studies, and video demonstrations with the latest clinical Call 1-800-888-7436 applications. Try advanced applications utilizing Troubleshooting assistance free software trials. Buy applications, coils, clinical • education, and accessories, conveniently at any time. Immediate assistance for software • Visit www.usa.siemens.com/webShop today! applications and workflow issues Please provide the Functional Location Number when Siemens Training Centers • calling for assistance. Siemens Clinical Education Training Center – TDC2 Clinical Education Offerings: 110 Mac Alyson Court Cary, NC 27511 Call 1-888-221-8010 (follow the prompts) Classroom Training (Offerings, Registration • & Scheduling) Educational Symposia • On-site Training • Printed Self-studies • 2 II. Contents I. Contact Information Summary.....................................................................................................................................2 II. Contents ............................................................................................................................................................................3 III Course Description ..........................................................................................................................................................4 III Agenda................................................................................................................................................................................ 5 1. System Introduction and Start Up...............................................................................................................................6 1.1. Objectives ...................................................................................................................................................... 6 1.2. System On/Off.............................................................................................................................................. 6 1.3. Foot Switch ....................................................................................................................................................7 1.4. Emergency Stop Buttons ........................................................................................................................... 8 1.5. Table Top........................................................................................................................................................ 8 1.6. Remote Control (*Option)......................................................................................................................... 9 1.7. Collimator ....................................................................................................................................................10 1.8. PEX Editor..................................................................................................................................................... 11 2. System Training Continued.......................................................................................................................................... 17 2.1. Objectives .....................................................................................................................................................17 2.2. Room Review...............................................................................................................................................17 2.3. Fluorospot Compact (FLC) Training......................................................................................................17 2.4. Storing System Positions......................................................................................................................... 25 2.5. Video Manager (*Option)........................................................................................................................ 26 2.6. Perform Patient Exams............................................................................................................................ 26 3. Review System ................................................................................................................................................................27 3.1. Objectives .....................................................................................................................................................27 3.2. Review...........................................................................................................................................................27 3.3. Perform Patient Exams.............................................................................................................................27 4. Review System ................................................................................................................................................................28 4.1. Objectives .................................................................................................................................................... 28 4.2. Review.......................................................................................................................................................... 28 4.3. Perform Patient Exams............................................................................................................................ 28 5. Review System ................................................................................................................................................................29 5.1. Objectives .................................................................................................................................................... 29 5.2. Review.......................................................................................................................................................... 29 5.3. Checklist...................................................................................................................................................... 29 5.4 Perform Patient Exams............................................................................................................................ 29 Appendix A: Omnia Max: Activating the System ..........................................................................................30 Appendix B: Omnia Max: Trouble Shooting Guide ........................................................................................33 Appendix C: Omnia Max: System Movements and Examination Prep .......................................................37 3 III Course Description Course Overview: This training guide will enable the end user to affectively operate the Omnia MAX at its optimal level. Proper use of system functions and features will empower operators with precise workflow, quick patient through put and user satisfaction. Upon completion of this course, you will be able to: Correctly perform start-up and shutdown procedures. • Identify the key hardware features of the Omnia MAX system. • Utilize the FLUOROSPOT Compact imaging system. • Utilize postprocessing functions to optimize image impression. • 4 III Agenda Day One Introduction to basic system workflow Day Two System review from day one Deep dive into system functionality to include the following Wireless remote control • Fluorospot Compact and all corresponding tabs • Tube/collimator • Perform patient exams Day Three Continue patient studies Review system Follow up on any pending questions Image quality review with physicians/staff Day Four Continue patient studies System review and work with Super Users to help train other staff Day Five Continue patient studies Cover checklist Question and answer Intro to customer care center 5 Turnover Workbook | Omnia Max 1. System Introduction and Start Up 1.1. Objectives Notes By the end of this section, the technologist will be able to: Turn the System On/Off • Utilize the Foot Pedal • Understand the Emergency Stop Buttons • Use the Wireless Remote Control (*Option) • Understand how to use the Collimator • Basics of the PEX Editor • 1.2. System On/Off 1.2.1. The system is turned On/Off by selecting the corresponding button on the control console in the control room. O STOP # * Warning SIEMENS 1.2.2. A daily re-boot of the system is recommended. 6 Turnover Workbook | Omnia Max 1.3. Foot Switch Notes 3 4 1 5 8 2 7 9 1. Radiation Release DR/RAD Exposure 2. Radiation Release Fluoro 3. Save Fluoroscopy image (press briefly) Save Fluoroscopy series (press longer) 4. Select image display on Reference monitor X-ray • Endoscopy • Ultrasound • Multimodality • 5. Save Video frame (endoscopy or ultrasound) 6. Raise table up/down and tilt tale +- 90 degrees 7. Table side to side and head to foot 8. Move X-ray system Longitudinally towards the foot 9. Move X-ray system Longitudinally towards the head 7 Turnover Workbook | Omnia Max 1.4. Emergency Stop Buttons Notes TOP TOP 1.4.1. Tableside Locations 1.4.2. Control Room 1.4.3. Wall Locations 1.5. Table Top 1.5.1. Table Top Lift 1.5.2. Table Tilt 1.5.3. Table Accessories 8 Turnover Workbook | Omnia Max 1.6. Remote Control (*Option) Notes (1) @ IS H # .... (4) 15) -M1 (1) Imaging system and generator functions (2) Collimator control (3) Zoom levels (4) Tube assembly/flat detector/grid movement (5) Table movement (6) Patient transfer and standard working position (7) Memory functions for table positions and collimator setting 1.6.1. Top Section 1.6.2. Middle Section 1.6.3. Bottom Section 9 Turnover Workbook | Omnia Max 1.7. Collimator Notes (1) (2) # + # (9) (10 (1) Selection of the collimated radiation field of the last exposure (2) Display panel (3) Keys for entering the source-image distance for free setting (disabled) (4) Selection of the Cu prefilter (5) Manual setting of width and length of the radiation field (6) Light localizer/laser line light localizer ON/OFF. switches off automatically after 30 - 250 s (configurable) (7) Patient handle (max. 40 kg) (8) Accessory rail (for inserting the dose measuring chamber) (9) Tape measure for source-object measurement (10) Slide for covering the laser line light localizer 10 Turnover Workbook | Omnia Max 1.8. PEX Editor Notes 1.8.1. Opening the PEX Editor On the Patient Task Card > Settings Subtask Card, select this icon: • The Logon Screen will appear • Programs andd Exames Editor 11 Turnover Workbook | Omnia Max Select the radio button next to Siemens. Notes • Enter the password the Applications Specialist gave, and select OK. • Programs and Exams Editor Login Viewing only @ Customer O SIEMENS Password ....... Ok Ok Java POWERED Java is a registered trademark of Oracle and/or its affiliates 1.8.2. Exam Tab The PEX Editor opens up to the Exam subtask card. • Exam Organ Program Fluoro Program Param. Module Configuration OGP View Examination View 9 Peri_Template (d) ABDOMEN 3 VIEWS_S(d) C Abdomen, left side pos. (d) ABDOMEN FLAT & UPRIGHT_S(d) C C-spine lat (d) ABDOMEN KUB S(d) C Femural neck axial (d) Insert OGP T ABDOMEN SUPINE (d) C Hip (d) X ABDOMEN SUPINE (d) C Hip, with grid (d) T ABDOMEN (8-13cm) (d) C Humerus lat (d) T ABDOMEN (14-19cm) (d) C Patella tangential (d) T ABDOMEN (20-25cm) (d) C Pelvis (d) L XTL ABDOMEN DECUB (d) C Pelvis, with grid (d) CR (d) C Portable lung (d) ABDOMEN UPRIGHT VIEW ONLY_S(d) C Portable lung, with grid (d) Remove OGP ABDOMEN-ACUTE INCL PA CHEST_S( C Shoulder (d) ABDOMEN-DECUBITUS_S(d) C Shoulder axial (d) ABDOMEN-LATERAL ONLY_S(d) C Zygomatic arch (d) ACROMIOCLAVICULAR JOINTS BIL_S( 100000 0000000000000 Group by @ Name Body Part Acq. type Sort by O Name Body Part Acq. type Exam Parameters Default Exams OGP Parameters ExamName ABDOMEN KUB_S Name for RIS ABDOMEN KUB S DICOM Modality Add to favorites Filming Layout Network Node 1 Default Network Node Exam leve OGP leve Network Node 2 Fluoro Network Node 3 Rac Camera Default camera O Auto Scale Auto Scale Autosending Never for this exam % % Automatically switch to next OGP after acquisition Store as new Store Delete Close 12 Turnover Workbook | Omnia Max 1.8.3. Entering Exam Names Notes Exam Organ Program Fluoro Program Param. Module Configuration OGP View Examination View 9 Peri_Template (d) ABDOMEN 3 VIEWS_S(d) C Abdomen, left side pos. (d) ABDOMEN FLAT & UPRIGHT_S(d) C C-spine lat (d) ABDOMEN KUB S(d) C Femural neck axial (d) T ABDOMEN SUPINE (d) C Hip (d) Insert OGP X ABDOMEN SUPINE (d) C Hip, with grid (d) .... T ABDOMEN (8-13cm) (d) C Humerus lat (d) T ABDOMEN (14-19cm) (d) C Patella tangential (d) .... T ABDOMEN (20-25cm) (d) C Pelvis (d) L XTL ABDOMEN DECUB (d) C Pelvis, with grid (d) CR (d) C Portable lung (d) ABDOMEN UPRIGHT VIEW ONLY_S(d) C Portable lung, with grid (d) 1+ C Shoulder (d) Remove OGP ABDOMEN-ACUTE INCL PA CHEST_S( ABDOMEN-DECUBITUS_S(d) C Shoulder axial (d) ABDOMEN-LATERAL ONLY_S(d) C Zygomatic arch (d) ACROMIOCLAVICULAR JOINTS BIL_S( 00000 Group by O Name Body Part Acq. type Sort by O Name Body Part Acq. type Exam Parameters Default Exams OGP Parameters ExamName ABDOMEN KUB_S Name for RIS ABDOMEN KUB_S DICOM Modality Add to favorites Filming Layout Network Node 1 Default Network Node Exam level OGP level Network Node 2 Fluoro Network Node 3 Rad Camera Default camera Auto Scale O Auto Scale Autosending Never for this exam % % Automatically switch to next OGP after acquisition Store as new Store Delete Close The Examination View is located on the right side of the screen in the Exam tab. • This is where the names can be created or modified to match the RIS Exam • Names (a copy of the RIS Exam Names should be supplied by the site). Left Click on an Exam name that is similar to the name in the RIS worklist. • Populate the Name for RIS field, with the name from the RIS list, then copy and • paste this name into the Examination View field (Control C to copy and Control V to paste). Use “Store” if the name was modified and “Store as New” if a new name is • created. 13 Turnover Workbook | Omnia Max 1.8.4. Modifying or Creating Organ Programs Notes Exam OGP View Examination View 2_Uro_Stone Imaging_DR (d) 000 KDB_Uroskop_Omnia_V03(d) 2_Uro_Stone Imaging_RAD (d) + 0 RAD_Daily_Check(d) 3 Uro_MCU_DR (d) 0_Uro_All(d) 3_Uro_MCU_RAD (d) nsert OGP + M 1_Uro_Standard new(d) ..... 4 Uro_Pediatry_RAD (d) + 1_Uro_Standard(d) 9_Peri_Template (d) 2_Uro_Stone Imaging(d) .... ..... + ..... calib01_OriginalBackup (d) + 3 Uro_MCU(d) calib01_OriginalBackup (d) .... V 4_Uro_Pediatry(d) ..... calib02_OriginalBackup (d) Barium_1_Swallow(d) DFR_8fps (d) + Barium_2_Meal(d) DFR_Arthro_Single_BW (d) Barium_3_Follow_through(d) ..... DFR_Barium_1fps_BW (d) DFR_Barium_Single_BW (d) Remove OGP Barium 4_Sm_Bowel(d) Barium_5_Enema(d) DFR Barium_Swallow_2fps_BW (d) Barium_6_Fistulogram(d) DFR_HSG_Single_BW (d) daily quality control(d) DFR_lodine_Single_BW (d) ..... 1+ Daily System Check T(d) Group by Name Body Part Acq. type Sort by @ Name @ Body Part Acq. type Exam Parameters Default Exams OGP Parameters ExamName Name for RIS DICOM Modalitv The OGP View is on the left side of the screen in the Exam Tab. This is where organ • programs can be modified or created. Double left click on the Organ Program to be modified, ensuring to select the • correct type of OGP View as seen above. The Organ Program subtask card will open. • In the Program Name field, remove the (d) and enter the new or modified name. • Adjust any Exposure Parameters/Settings, and select Store for modifying or Store • as New if a new Organ Program is created. Organ Program Body Part Examined UROLOGY Alternative Acquisition Programs Program Name 3_Uro_MCU_DR (d) Acquisition Mode Series Native Acquisition Type Table General Parameters Native Fluoro Program Set CP MCU MField 101 Single Shot Width Factor Auto Center Shift Dose per Pulse 1.39 O Fixed Frame Rate 2 Fo M Exp. Data from Fluoro O Var.Frame Rate Bandwidth KV M Auto D Collect to series Window Center 190 Characteristic Curve (C) 75 Frame Rate 1 Window Width 2000 2 f/s Dose Reduction 102: KV Frame Rate 2 f/s Edge Filter: Gain Focus Frame Rate 3 f/s Edge Filter: Kernel [ Regulation Stop Scene Length sec Harmonization: Gain 0.4 Max. Pulse Width 160 ms Patient Position Not defined Harmonization: Kernel 255- Blackening Correction 0 EP M Grid Collimator no change x no change : Flip M No change D Acq. Filter Auto Filter Type Rare 0.3 Cu mm M Mark Image M Auto Shutter Bones Black O White 14 Turnover Workbook | Omnia Max Notes 1.8.5. Adding an OGP View to Examination View [Pex Exam Insert OGP] Highlight the desired Examination View and highlight the OGP View to be added, • select Insert OGP. To remove OGP Views, highlight the OGP View from the desired Examination View and select Remove OGP. The order of the OGP Views can be adjusted, using the up/down arrows. • Exam OGP View Examination View RAD D500 81KV_Skull (d) 000 KDB_Uroskop_Omnia_V03(d) RAD Humerus (d) + 0 RAD_Daily_Check(d) ........ RAD_Knee ap. (d) 0_Uro_All(d) ..... ..... + RAD_L-Spine ap (d) - 1 Uro Standard new(d) ......................................... RAD_Pelvis (d) Insert OGP Standard Fluoro (d) ..... RAD_Skull ap/pa (d) RAD STANDARD (d) RAD_Warmup (d) 1 Uro_Standard(d) ......................... ..... + RAD_Wrist d.v./v.d. (d) 2_Uro_Stone Imaging(d) ..... Retro. Pyelogr. (d) + 3_Uro_MCU(d) RT092 Hip joint acc. to Goeb (d) 4_Uro_Pediatry(d) + SCM_Empfindlichkeit (d) Barium_1_Swallow(d) + Standard Fluoro (d) Barium_2_Meal(d) + Standard Uro (d) Remove OGP Barium_3_Follow_through(d) ..... + Stone Imaging (d) Barium_4_Sm_Bowel(d) ..... T001a Skull a.p./p.a. (d) Barium_5_Enema(d) + Barium_6_Fistulogram(d) ..... T001bL Skull lat (d) ..... ..... ..................................... Group by Name C Body Part Acq. type Sort by O Name C Body Part Acq. type Exam Parameters Default Exams OGP Parameters ExamName 1_Uro_Standard new Name for RIS 1_Uro_Standard new DICOM Modality 15 Turnover Workbook | Omnia Max 1.8.6. Backup PEX Editor Notes Configuration Password Change Password Reset Customer Password Database Export/Import Backup / Export Restore / Import Merge Include RIS Names. Database backup X Select a device to store the backup Devices C:\PEX_backup + D:\PEX_backup ..... E:\PEX_backup Go Close After changes to the PEX Editor, a backup is necessary. • While in the PEX Editor, select the Configuration tab. • Select Backup/Export • Select the C or D drive and Go to back up the PEX Editor to the local hard disc • (each drive can hold ten backups). 16 Turnover Workbook | Omnia Max 2. System Training Continued 2.1. Objectives Notes By the end of this section Technologist will be able to: Utilize the Fluoro Spot Compact and all corresponding tabs • Utilize system to store positions • Utilize the Video Manager (*Option) • Utilize room for patient exams • 2.2. Room Review 2.3. Fluorospot Compact (FLC) Training 2.3.1. Patient Tab Pre-Registered and Examined Patient Tabs • Patient Subtask Card • Patient Settings Service + X RIS RIS Settings Subtask Card • Patient Settings Service EXI 17 Turnover Workbook | Omnia Max Service Subtask Card Notes • Patient Settings Service 2.3.2. Examination Tab Patient and Resource Information • test, 17 Patient 0 0 DR STANDARD DR LARGE DR EXTRA LARGE DR PEDS/LOW DOSE Examination Fluoro Rad # 655.4 cm x 655.4 cm Postprocessing Current Target none 115 cm KV 18 Turnover Workbook | Omnia Max Notes Fluoro Subtask Card • DR STANDARD ent DR LARGE DR EXTRA LARGE DR PEDS/LOW DOSE Examination Fluoro Rad Postprocessing Standard Fluoro Single Shot p/s 30 fis KV KV 0 MA 0.0 mAs Documentation ms 0.0 ms 0:00 Dose 1.74 min 0.0 mm Cu 0.0 mm Cu 0.0 30 p/s Focus 19 Turnover Workbook | Omnia Max Rad Subtask Card Notes • Fluoro Rad # 655.4 cm x 655.4 cm Current Target none 115 cm KV mAS Dose 7.14 S 0.0 mm Cu 0.0 Focus % 80 20 Turnover Workbook | Omnia Max 2.3.3. PostProcessing Tab Notes Process Subtask Card • Process, Graphics R 9 R R Graphics Subtask Card • Process. Graphics 21 Turnover Workbook | Omnia Max Rad Subtask Card Notes • Process, Graphics Rad Auto-cropping Set black Auto window Amplification 5.6 + Auto 14INx17IN 5 Image Subtask Card • Image Took DVD 22 Turnover Workbook | Omnia Max Tool Subtask Card Notes • Image Tools HFF REF - REF 2.3.4. Documentation Tab Select Subtask Card • Select Film Send 23 Turnover Workbook | Omnia Max Film Subtask Card Notes • Select Film Send Camera DRY3000 Mixed layout Name Size 14INx17IN Layout 1:2 Copies Anonymous Hide Text Send Subtask Card • Select Film Send Target 1 store Target 2 Target 3 Send Exam Protocol es: SC image DICOM Dose SR Override configured settings ? 24 Turnover Workbook | Omnia Max 2.4. Storing System Positions Notes Transfer Position – Once stored holding this button will move the table into zero • degrees, X-ray tube assembly will move into the exposure position, and the patient table will raise/lower and longitudinally/transversely move into set position. To store the transfer position • Press the STORE key for at least 1 s. STORE - The LEDs of all memory keys (M1, M2, M3) flash. - The LEDs of the transfer position and standard working position flash. Press the transfer position key. - The current transfer position is stored. - The LED lights up. Working position – This is set at the desired working position for the physician. • Once stored holding this button will move the table into zero degrees, X-ray tube assembly will move into the exposure position, and the patient table will raise/ lower and longitudinally/transversely move into set position. To Store the Working position • Press the STORE key for at least 1 s STORE - The LEDs of all memory keys (M1, M2, M3) flash. - The LEDs of the transfer position and standard working position flash. Press the standard working position key. - The current standard working position is stored. - The LED lights up. Memory Keys - will store the unit positions (table longitudinal/transverse and • X-ray tube assembly longitudinal), collimator position, and detector input field/ zoom level. M1 M2 M3 25 Turnover Workbook | Omnia Max To Store the Memory Keys Notes • Press the STORE key for at least 1 s. STORE - The LEDs of all memory keys flash. Now press one of the three memory keys, e.g. M1, within 5 s. M1 - Only the LED of the memory key actuated lights up. - The current position is stored as "Memory x". To recall Memory positions • Recalling memory Press the relevant memory key, e.g. M1. positions - The unit moves to the positions stored in the key that is actuated. - When the requested position of the drives is reached, the LED of the actu- M1 ated "Memory x" key lights up. - When the unit leaves this position, the LED goes out. If no position is stored under the key that is actuated, the following stan- dard position is set: Table centered longitudinally/transversely Tube assembly at the far foot end Full format collimation 2.5. Video Manager (*Option) SERVICE ONLY SD/HD-SDI 1 SD/HD-SDI 2 S-Video 1 Sync Comp 1 VGA DVI - 11 DVI -12 USB 1 The Video Manager interface allows the connection of several external units at • the same time, for example Endoscopy, Ultrasound, and PACS workstation. 2.6. Perform Patient Exams 26 Turnover Workbook | Omnia Max 3. Review System 3.1. Objectives Notes Review from previous days • Utilize room for patient exams • 3.2. Review 3.3. Perform Patient Exams 27 Turnover Workbook | Omnia Max 4. Review System 4.1. Objectives Notes Review from previous days • Utilize room for patient exams • 4.2. Review 4.3. Perform Patient Exams 28 Turnover Workbook | Omnia Max 5. Review System 5.1. Objectives Notes Review from previous days • Utilize room for patient exams • 5.2. Review 5.3. Checklist 5.4 Perform Patient Exams 29 Appendix A: Omnia Max: Activating the System 30 Omnia MAX: Activating the System XP Turning on the Uroskop system Turning on the Uroskop system  From the control room desk, firmly depress the ON button on the control panel. Allow 2- 3 minutes for power-up and diagnostic self-testing. ON Control panel Note: Note: The above steps will only provide power for mechanical table operation and will not activate the imaging system. Activating the Imaging System Activating the Imaging System There are two ways to activate the imaging system for non-radiology staff:  Emergency Registration Emergency Registration – In the control room, depress the F12 key on the top right- F12 key hand side of the control keyboard, this will activate the imaging system. An PRESS F12 TO ACTIVATE FLUORO & X-RAY FOR THE UROLOGIST IN AN EMERGENCY Emergency study is now entered in the F10 F11 F12 Pit Scr Scrol Pause Sys RG Lock Break System’s Patient list along with the date and time of the examination. -Backspace insert PyUp Num Lock Delete End PgDn Home Enter F12 button on control keyboard SIEMENS siemens.com/healthineers Healthineers 31 Job Aid | Activating the System Effective Date: 10/01/2018 | Quality HOOD05162002955103 Note: Note: The imaging system is now activated for the physician’s foot switch, and the examination may begin. Patient data may be entered or edited at a later time, even if the system is turned off.  Manual Registration Manual Registration – In the control room, depress the F2 key on the top left-hand side F2 key of the keyboard to obtain the Patient Data entry screen (see below). Enter all relevant data in the fields displayed; at the minimum all “bold” fields are mandatory and must be bold populated. Then select the Examination button at the bottom-left side of the screen. Pais Erary Dhaka PATIENT INSTITUTION Laut Niana First Nomno Operator 2 Physician i Poliert ID 200440 2 Physician 2 Dale of! 4 4 ¥ | 1955 - Female 2 Other STUDY Study Comment | Emergency Examination Proro-o eter Cancel T Examination Patient Data entry screen Note: Note: The imaging system is now activated for the physician’s foot switch, and the examination may begin. 32 Siemens Healthineers Services Page 2 of 3 © Siemens Healthcare GmbH, 2017 Appendix B: Omnia Max: Trouble Shooting Guide 33 Omnia MAX: Trouble Shooting Guide XP Error Code Notifications on Exam Room Monitor A Error Code Notifications on Exam Room Monitor A If desired table movements or general imaging functions do not occur as expected during system operation look at the following to resolve.  Check the table’s left-side Monitor A in the exam room to see if there is a descriptive Error Code Error Code notification will appear in the bottom-right corner of Monitor A as well as at the control station monitor. o There will be a descriptive reason for why the operation is not functioning, upon which corrective actions may be taken. T A small pop-up Error Code notification would appear in the bottom-right corner of the table's left-side Monitor A Omnia MAX system will not turn on or boot up, Or the table will not move after boot-u Omnia MAX system will not turn on or boot up, Or the table will not move after boot-up  Check the 3 red Emergency Stop Buttons (ESB) are not depressed inward – especially the Emergency Stop button on the open-side of the bed below the table top. o To deactivate any Emergency Stop Button, turn the depressed button one- quarter turn to the right or clockwise. Note: DO NOT use any Emergency Stop button as the system’s normal “ON & OFF” function! Patient Emergencies Only use this function for Patient Emergencies!  Make sure the on-site main switch (or circuit breaker) providing the line power for the system is switched on. May be found on the wall in the control room to the left of the system Tech station.  Press the ON button again on the control panel in the control room. ON SIEMENS 34 siemens.com/healthineers Healthineers Job Aid | Omnia Trouble Shooting Guide Effective Date: 10/01/2018 | Quality HOOD05162002955153 Example of Emergency Stop Buttons ESB ESB Locations of Emergency Stop buttons on cysto table ESB Location of the Emergency Stop button at tech station Uroskop will not X-ray or Fluoro Uroskop will not X-ray or Fluoro  Verify the X-ray tube is fully extended out-ward over the bed. o The imaging system will not emit radiation if the X-ray tube assembly is not fully extended. o Tube In/Out (Park) Depress and hold the Tube In/Out (Park) button on any hand control to extend the X-ray tube for imaging. o Tube In/Out button If the LED in the Tube In/Out button is off, then the tube assembly is in the working position and is ready to image. QP X-Ray Tube In / Out button on hand control There is no endoscopic or ultrasound imaging on the table's right-side Monitor B There is no endoscopic or ultrasound imaging on the table’s right-side Monitor B  Endo Cam (Reference) Depress the Endo Cam (Reference) button on any hand control until the active imaging appears.  The Physician can depress the top-central blue golf-ball button labeled Video on the foot Video switch until the active imaging appears. REF 000 Endo Cam (Reference) button on hand control 35 Siemens Healthineers Services Page 2 of 4 © Siemens Healthcare GmbH, 2017 Job Aid | Omnia Trouble Shooting Guide Effective Date: 10/01/2018 | Quality HOOD05162002955153 The table will not tilt head-down or foot-down The table will not tilt head-down or foot-down  The “forearm” boom supporting the table’s dual-monitor frame is too close to the X-ray tube and may cause a collision upon table tilt.  Move the monitor frame just an inch or two further away from the X-ray tube. This arm is past 88 degrees (too close to Xray Tube) and causes an interlock of no table movement 36 Siemens Healthineers Services Page 3 of 4 © Siemens Healthcare GmbH, 2017 Appendix C: Omnia Max: System Movements and Examination Prep 37 Omnia MAX: System Movements and Examination Prep XP Multiple table movements may be performed individually from the exam room hand control to achieve the desired table height and positioning for patient transfer onto the cysto bed. These movements may all be stored into one of several functioning memory buttons on both hand controls for faster, safer patient transfers. Utilizing the hand controls for table movements Moving the table top to Patient Transfer position Moving the table top to Patient Transfer position This key will perform multiple movements to a specific stored table position for patient Transfer Transfer, a position that may be configured and stored to the staff’s needs.  Using the “hand control” in the exam room, depress and hold the Transfer button Transfer until the stored position is reached. The following will occur: o The patient table will move to 0 degrees (if there was any tilt). o The X-ray tube will move into the stored position. o The patient table will move to the stored position this includes, height (raising or lowering), as well as longitudinal/transverse movements. Note: The LED on the Note. Transfer button lights up once the stored position is Pt. Transfer Position Transfer button on the hand control reached. The patient may SIEMENS 38 siemens.com/healthineers Healthineers Job Aid | System Movements and Examination Prep Effective Date: 10/01/2018 | Quality HOOD05162002955113 be transferred once the position is reached. Positioning the X-ray tube Positioning the X-ray tube Transferring the Patient onto the cysto bed In most cases it is easier to transfer and position a patient when the X-ray tube is in the Park Park (retracted) position. Determine the desired position for the X-ray tube in the site specific setting.  Depress and hold the “Tube In/Out (Park)” button on the exam room “hand control” to extend or retract the X-ray tube. X-Ray Tube In / Out button on hand control Moving the table top to the Moving the table top to the Working Position pre-programmed case Working Position pre-programmed c case This key will perform multiple movements in order to obtain a comfortable working position for the physician. This is configured and pre-programmed to the staff’s needs.  Select this button to move to the “Working Position” via the hand control. Working Position button on hand control 39 Siemens Healthineers Services Page 2 of 5 © Siemens Healthcare GmbH, 2017 Job Aid | System Movements and Examination Prep Effective Date: 10/01/2018 | Quality HOOD05162002955113 Positioning the patient for the examination Positioning the patient for the examination Positioning is a site specific setup and should be performed accordingly. Note: Note: Below is the typical position for Cystoscopic examinations.  Cystoscopic Procedures – patient is supine on the bed with buttocks positioned within an inch of the physician’s end of the cysto bed. o Keep in mind NO part of the patient’s body may extend over the table top edge NO unprotected or unshielded. If needed, re-position, secure, and or protect any part of anatomy, especially hands if they extend over the Urologist’s working end of the bed. Patient positioned for cystoscopic procedure  PCNL or ERCP – patient is in the prone position on the table. If the viewing image needs to be flipped or mirrored to correctly view the anatomy consult an X-ray technologist prior to the examination. Patient positioned for a PCNL or ERCP procedure (Note: Image will need to be "flipped" left- to-right for correct diagnostic viewing.) 40 Siemens Healthineers Services Page 3 of 5 © Siemens Healthcare GmbH, 2017 Job Aid | System Movements and Examination Prep Effective Date: 10/01/2018 | Quality HOOD05162002955113 Activating Table Right-Side Monitor B Activating Table Right-Side Monitor B  To view integrated H.D. Endoscopy  To view Ultrasound Images o Ultrasound system is brought into the room and integrated to the Uroskop system for specific procedures, ie. Brachytherapy, prostate biopsies, etc. o This is done via the system’s video manager and video cable. Integrated HD endoscopy imaging Integrated mobile ultrasound imaging  To Activate the side-by side imaging on the table’s dual monitors, depress the Endo Endo Cam Cam (Reference) button on any hand control until the active imaging appears. REF 0.00 Endo Cam (Reference) button on hand control  The physician can also activate integrated endoscopy or ultrasound imaging for viewing on Monitor B by depressing the top-central blue golf-ball button labeled Camera Monitor Camera Monitor on the foot switch until camera imaging appears. Physician activating integrated imaging for right-side Monitor B via foot switch Siemens Healthineers Services 41 Page 4 of 5 © Siemens Healthcare GmbH, 2017 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 features which do not always have to be present in individual cases. Siemens reserves the right to modify the design, packaging, specifications and Local Contact Information options described herein without prior Siemens Medical Solutions USA, Inc. notice. Please contact your local 40 Liberty Blvd. Siemens sales representative for the Malvern, PA 19355-9998 most current information. USA Telephone: +1-888-826-9702 siemens.com/healthcare Note: Any technical data contained in this document may vary within defined tolerances. Original images always lose Legal Manufacturer a certain amount of detail when Siemensstrasse 1 reproduced. Forchheim, Germany 91301 Phone: +49 9131 84-4746 siemens.com/healthcare Siemens Healthcare Headquarters Siemens Healthcare GmbH Healthcare Sector Henkestr. 127 91052 Erlangen Germany Phone: +49 9131 84-0 siemens.com/healthcare Published by Siemens Healthcare GmbH · Regulatory No. HOOD05162002960750 ·16 Oct 2018 Printed in USA · 0000.x · ©Siemens Healthcare GmbH, 2017