SOMATOM X.cite Hardware Overview - USA

Welcome to the SOMATOM X.cite Hardware Overview online training course. This training will introduce you to the following features and components of the SOMATOM X.cite scanner:  Patient Table Gantry Tablet Remote Scan Control (RSC) Control Box Congratulations. You have completed the SOMATOM X.cite Hardware Overview Online Training course. Listed below are the key learning objectives that have been presented.  Select the link below to view/print your review material before proceeding to the final quiz. Download and print a copy of the Course Review.  Identify the components of the patient tables and distinguish between the 227 kg / 500 lbs and 307 kg / 677 lbs patient table Both tables are impervious to water The head end is the end closest to the gantry The foot end is the end furthest away from the gantry The patient tables can be moved horizontally and vertically Storage box and side rail are optional Physiological measurement module (PMM): Optional device that provides the receptacle for the electrocardiogram (ECG) electrodes and a push button for changing the ECG channel Manual table movement: Pull the handle towards the foot end of the table top and pull the table top out of the gantry in case of an emergency (with STOP key pressed) or in power failure 227 kg / 500 lbs patient table Maximum load of 227 kg / 500 lbs PMM is located at the table side 307 kg / 677 lbs patient table Maximum load of 307 kg / 677 lbs PMM is located at the table foot end   Identify the components of the gantry Operating elements and displays on the gantry front Tablet Patient Observation Camera (optional) STOP key: Press the STOP key in case of an emergency. All system movements are interrupted and radiation is stopped. Visual Patient Instruction (optional)  Tablet (optional)  Ring Moodlight (optional) Gantry operator panel: Control the gantry functions, the movement of the patient table and trigger scanning You may notice that the Operator Panel, the RSC and the Control Box have several hardware buttons in common Gantry X-ray indicator: When illuminated yellow, radiation is active Laser Light Markers: Use to position the patient correctly. The laser beams visualize the gantry isocenter and the radiation exposure plane Turn the laser light marker on by pressing the Light Marker key on the gantry operator panel, the control box or the RSC Gantry Interfaces: The smart connector board provides two USB interfaces, the On/Off power button for the system and an SD card interface for service purposes Gantry Interfaces: The gantry provides interfaces for the optional X-ray foot switch and the respiratory gating system Funnel Moodlight (optional)  Laser Light Markers:  Laser beams that emanate from three points in the gantry opening The laser beams visualize the gantry isocenter and the radiation exposure plane Gantry intercom Gantry operator panel Table Foot Switch (option) Use the table foot switch to load and unload patients The table foot switch is located between the patient table and the gantry Operating elements and displays on the gantry back Gantry intercom X-ray indicator (optional, only without gantry operator panel on the gantry back) Air Filter: Replace the air filter regularly to protect the system from overheating   Describe the function of the tablet and store it safely Two tablets are offered with the scanner: 10” and 12” (optional) The Scan&GO application enables you to: Perform basic workflows within the examination room Prepare the scan directly at the gantry Review images on the tablet Tablet Storage: The 10” tablet can be safely stored at the gantry front and the optional docking station The 12” tablet can be safely stored at the optional docking station   Operate the Remote Scan Control (RSC) Use the RSC to   Start a scan Move the patient table Turn the laser light marker on/off Unload the patient Suspend a scan procedure ​Charging the RSC: ​Charge the wireless RSC by plugging the provided USB cable into the bottom of the RSC The wireless RSC will not react to operation while it is charging Battery Indicator Status – NOT charging Red light – low battery Off – battery fully charged Battery Indicator Status – Charging Slow blinking yellow – charging Solid yellow light – battery is fully charged Fast blinking yellow – charging error Off – not charging Storage: The RSC can be safely stored at the docking station Dead man’s switch: ​​The switch needs to be activated to enable any of the other keys on the device. To activate the dead man's switch, grasp the lower half of the RSC with your palm. Your thumb should be placed on one side of the RSC and your remaining fingers on the other side. Ensure your hands are in contact with the both sides of the back of the RSC.  Operating in range: The wireless RSC is limited to a certain operating range, which is indicated by the Out of Range indicator on the RSC Indicator blinks – at the limit of the operating range Red light – out of the operating range   Operate the Control Box and recognize the operating state of the scanner based on the indicator on the Control Box Use the Control Box to Start a scan Move the gantry and the table Communicate with the patient Unload the patient Stop radiation and movements in case of an emergency Suspend a scan procedure Indicator light: Green – scanner is ready for scanning Yellow – radiation is being generated The Control Box, the RSC and the gantry operator panel have several hardware buttons in common The gantry front has four major components. The Tablet and Remote Scan Control will be discussed in more detail later on in the training. Learn more about the gantry in the popups below. Gantry Front Components Learn about the gantry front. Tab TitleTextGantry Front The following operating elements and displays are located on the gantry front:   (1)   Tablet   (2)   Patient Observation Camera (optional)   (3)   STOP key   (4)   Visual patient instruction (optional)    (5)   Tablet (optional)   (6)   Ring Moodlight (optional)   (7)   Gantry operator panel    (8)   Gantry Interfaces          (including smart connector board)   (9)   Funnel Moodlight (optional)  (10)   Laser light markers  (11)   Gantry intercom (12)   Gantry operator panel   STOP key  In an emergency, press the STOP key. All system movements, such as table movement or gantry tilting, are interrupted and radiation is stopped.  Once the emergency situation has been resolved, click the Resume button in the dialog box at the acquisition workstation.     Gantry Operator Panel Depending on the configuration, the system has up to four operator panels.  With the gantry operator panels, you control the gantry functions, the movement of the patient table and trigger scanning.  (1) Move key (2) Feed Up key (3) Start key (4) Feed Out key (5) Unload key (6) Feed Down key (7) Suspend key (8) Feed In key (9) Laser light marker key The function of the keys on the Gantry Operator Panel are identical with the RSC and the Control Box.    (10): X-ray indicator Gantry X-ray indicator  The radiation status of the system is indicated by the X-ray indicator (10) on the gantry operator panel on the left and right of the gantry.  There is an additional X-ray indicator on the gantry back.  The color of the X-ray indicator indicates the radiation status of the system:  Iluminated in yellow: radiation active Not illuminated: no radiation   Laser Light Markers The laser light markers are laser beams that emanate from three points in the gantry opening. These points indicate the position of the scan center and the slice plane in the middle of the detector rows for the inner scan level and the outer offset level. The laser beams fan out so that you see lines as a mark or a cross at the intersection of the beams. The laser beams visualize the gantry isocenter and the radiation exposure plane. Caution: Do not look directly into the laser beam or at its reflection on smooth, mirror-like surfaces during adjustment.  To turn on the laser light marker, press the Light Marker key on the gantry control panel, the control box or the Remote Scan Control (RSC). After approximately 1 minute, the laser light marker is switched off automatically. If you want to switch off the laser light marker immediately, press the Light Marker key again. Gantry Interfaces  The side of the gantry provides the following interfaces: 1. X-ray foot switch interface  2. Respiratory gating system interface  Please note: The pictures of the components shown here are only examples.  Availability of the interfaces depends on your system configuration. Only connect equipment released by Siemens Healthineers. Smart connector board  The smart connector board is located at the lower right side of the gantry stand.  1. Two USB interfaces for USB 2.0 or higher 2. On/Off power button for the system 3. SD (Secure Digital) card interface for service purposes only Table Foot Switch Learn about the table foot switch.   You can move the patient table by using the table foot switch as an alternative to using the keys on the Remote Scan Control or the gantry operator panel. The table foot switch is located between the gantry and the patient table. The table foot switch has a Load pedal and an Unload pedal on each side. Table foot switch Load pedal: moves the table and loads a patient Unload pedal: moves the table down and ouf the gantry to unload a patient Illumination light: illuminated if the respective motion is possible. Please note: The table foot switch is an optional accessory. Gantry Back Learn about the gantry back. Tab TitleTextGantry Back  The following operating elements and displays are located on the gantry back: 1. Gantry panel (optional)  2. X-ray indicator 3. Tablet (optional)  4. Gantry intercom  5. Visual patient instruction (optional)  6. X-ray indicator (optional, only without gantry operator panel)  7. Air filter Air Filter and Exchange  (1) Air Filter   The air filter is located at the bottom of the gantry back. If the air filter is dirty, it might lead to the system overheating, so the air filter should be replaced regularly. The door of the filter is closed with magnets.  In 5 easy steps, you can exchange the filter pads on your own quickly and easily without tools. Step 1: Open the air filter cover.  Step 2: Remove the old air filter pad.  (1) Grid   Step 3: If needed, clean the grid, for example, with a vacuum cleaner.  Step 4: Place a new filter pad on the inside of the vent cover.  Step 5: Close the vent cover.  Please note: It is forbidden to use the gantry without replacing the filter. You will receive a notification when it is time to change the air filter. For information regarding the purchase of the filter pads, please contact your Customer Care Center. There is no air filter for the water-cooling gantry.      There are two table versions available, the 227 kg / 500 lbs patient table, and the 307 kg / 677 lbs patient table In general, the patient table top is impervious to water. The table, mattress and accessories are shaped such that they cause, if at all, only minimal artifacts. The markings on the positioning mat indicate the metal-free area of the patient table. Learn more about the features and details of the two different patient tables by starting the popups below. 227 kg Patient Table Learn about the 227 kg / 500 lbs patient table. Slide NumberText BlocksCalloutsAudio ScriptImage File1The head end is the end closest to the gantry. The foot end is the end furthest away from the gantry. The 227 kg patient table can carry a maximum load of 227 kg (500 lbs) in the center, and can be moved horizontally and vertically. Interfaces are located on the patient table as indicated on the image to the left. On the other side of the table, there is an optional physiological measurement module (PMM) interface.  Please note: Do not place any objects underneath the patient table. The patient table is equipped with a safety stop function. The patient table stops when a malfunction occurs. The pictures of the components shown here are only examples. The appearance and availability of the components depend on your system configuration. CalloutsTable foot endStorage box (optional)Side rail (optional)Patient table with movable table topTable head endThe head end is the end closest to the gantry. The foot end is the end furthest away from the gantry. The 227 kilograms patient table can carry a maximum load of 227 kilograms (500 pounds) in the center, and can be moved horizontally and vertically. Interfaces are located on the patient table as indicated on the image to the left. On the other side of the table, there is an optional physiological measurement module (PMM) interface. Please note: • Do not place any objects underneath the patient table. • The patient table is equipped with a safety stop function. The patient table stops when a malfunction occurs. • The pictures of the components shown here are only examples. The appearance and availability of the components depend on your system configuration. 2The storage box and the side rail are optional. The side rail also has two options: a long rail and a short rail. You can choose to attach these optional parts along one side or both sides of the patient table.CalloutsTable foot endStorage box (optional)Side rail (optional) Patient table with movable table topTable head endThe storage box and the side rail are optional. The side rail also has two options: a long rail and a short rail. You can choose to attach these optional parts along one side or both sides of the patient table.3Manual table movement In an emergency, with the STOP key pressed or in power failure, you can position the table top manually. Pull the handle towards the foot end of the table top and pull the table top out of the gantry. CalloutsHandleIn an emergency, with the STOP key pressed or in power failure, you can position the table top manually. Pull the handle towards the foot end of the table top and pull the table top out of the gantry. 4Physiological measurement module (PMM) The PMM is an optional device. It provides the receptacle for the electrocardiogramm (ECG) electrodes and a push button for changing the ECG channel. The PMM registers the ECG signal and the R-peak.  The PMM is located at the table side of the 277 kg / 500 lbs patient table.   CalloutsPMM interfacePush buttonThe physiological measurement module (PMM) is an optional device. It provides the receptacle for the electrocardiogramm (ECG) electrodes and a push button for changing the ECG channel. The PMM registers the ECG signal and the R-peak. The PMM is located at the table side of the 277 kg / 500 lbs patient table. 307 kg Patient Table Learn about the 307 kg / 677 lbs patient table. Slide NumberText BlocksCalloutsAudio ScriptImage File1The head end is the end closest to the gantry. The foot end is the end furthest away from the gantry. The 307 kg patient table can carry a maximum load of 307 kg (677 lbs) in the center, and can be moved horizontally and vertically. Interfaces are located on the patient table as indicated on the image to the left. Please note: Do not place any objects underneath the patient table. The patient table is equipped with a safety stop function. The patient table stops when a malfunction occurs. The pictures of the components shown here are only examples. The appearance and availability of the components depend on your system configuration. Click here to edit text.CalloutsTable foot end Storage box (optional)Side rail (optional)Patient table with movable table topTable head endThe head end is the end closest to the gantry. The foot end is the end furthest away from the gantry. The 307 kilograms patient table can carry a maximum load of 307 kilograms (677 pounds) in the center, and can be moved horizontally and vertically. Interfaces are located on the patient table as indicated on the image to the left. Please note: - Do not place any objects underneath the patient table. - The patient table is equipped with a safety stop function. The patient table stops when a malfunction occurs. - The pictures of the components shown here are only examples. The appearance and availability of the components depend on your system configuration.2The storage box and the side rail are optional. The side rail also has two options: a long rail and a short rail. You can choose to attach these optional parts along one side or both sides of the patient table.Click here to edit text.CalloutsTable foot endStorage box (optional)Side rail (optional)Patient table with movable table topTable head endThe storage box and the side rail are optional. The side rail also has two options: a long rail and a short rail. You can choose to attach these optional parts along one side or both sides of the patient table.3Manual Table Movement In an emergency, with the STOP key pressed or in power failure, you can position the table top manually. Pull the handle towards the foot end of the table top and pull the table top out of the gantry. CalloutsHandleIn an emergency, with the STOP key pressed or in power failure, you can position the table top manually. Pull the handle towards the foot end of the table top and pull the table top out of the gantry. 4Physiological measurement module (PMM) The PMM is an optional device. It provides the receptacle for the electrocardiogram (ECG) electrodes and a push button for changing the ECG channel. The PMM registers the ECG signal and the R-peak.  The PMM is located at the table foot end of the 307 kg / 677 lbs patient table and can be moved with the table top.    CalloutsPush buttonPMM interfaceThe physiological measurement module (PMM) is an optional device. It provides the receptacle for the electrocardiogram (ECG) electrodes and a push button for changing the ECG channel. The PMM registers the ECG signal and the R-peaks. The PMM is located at the table foot end of the 307 kg / 677 lbs patient table and can be moved with the table top. Multiple tablets are offered in the examination room.  The Scan&GO application on them enables you to perform basic workflows within the examination room. It is synchronized with the syngo Acquisition Workplace. Data is communicated wirelessly to the system. With Scan&GO technology: Easily display patient information. Prepare the scans directly at the gantry. Review images that are sent wirelessly from the scanner to the tablet.   Tablet Storage Learn about the tablet storage. (1) Pairing label: Identical labels on the tablet and the gantry enable you to identify if they are paired to function together        You can attach up to two tablets at the gantry front and up to two tablets at the gantry back (optional). The tablet is charged when it is attached to the gantry and the system is powered on. You can only attach the 10" tablets to the gantry. (1) Docking station for tablet (magnetic or mechanic) and remote control (2) Pairing labels  The tablet is charged when it is attached to the docking station:  Magnetic docking station for the 10'' tablet Mechanic docking station for the 12'' tablet Do not place the tablet on the patient or the patient table!  After reading the disclaimer, please proceed to the final quiz to complete the online training.  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 Upon successful completion of this course, you will be able to: Identify the components of the patient tables and distinguish between the 227 kg / 500 lbs and 307 kg / 677 lbs patient table ​Identify the components of the gantry Describe the function of the tablet  Operate the Remote Scan Control (RSC)  Operate the Control Box Recognize the operating state of the scanner based on the indicator on the Control Box  There are three main hardware components that will be described in detail: the patient table, the gantry, and the Control Box. The Gantry has several important elements that will be explored throughout the training. Further optional hardware components: Integrated injector arm: It is used to mount a dedicated injector in the examination room and to place the injector in a position that is convenient for you. X-ray foot switch: With the optional X-ray foot switch, you can trigger scanning as an alternative to using the Start key. Please note: Only an original Siemens Healthineers foot switch must be installed. With the operating elements of the control box, you can start and stop a scan and move the gantry and the table from outside of the examination room. The following scanner functions in the popup below are controlled by hardware buttons on the control box. Control Box Keys & Buttons Learn more about the Control Box keys and buttons. Checklist TitleChecklist TypeChecklist ContentStart keyHTML (1) Start key: Press this key to trigger a scan. The Start key on the control box is equipped with an X-ray indicator. A warning signal sounds when radiation is being generated.   The color of the indicator shows the operating state of the system: When illuminated in green the scanner is ready for scanning and when illuminated in yellow radiation is being generated. The operating elements for the intercom system are also located on the control box.             Communicating with the patientHTMLThere are two sets of volume keys to communicate with the patient. One set for listening to the patient and one for talking to the patient. For both you can adjust the volume individually. The respective volume is indicated by light band.    (2) Hear patient key: Press this key if you want to hear what the patient is saying. (3) Call patient key: Press and hold this key while speaking into the microphone.   Table movementsHTML (4) Feed Up key: Press this key to move the patient table up. (5) Feed Out key: Press this key to move the table out. (6) Feed Down key: Press this key to move the patient table down. (7) Feed In key: Press this key to move the table in. (8) Move key: Press this key to move the table to the preselected scanning position or tilt the gantry to the next measuring position. Laser light markerHTML (9) Laser light marker key: Press this key to turn the laser light marker on or off.   Stop, Suspend, UnloadHTML (10) Unload key: Use this key to unload a patient. (11) Stop key: Press this key to stop radiation and movements altogether in an emergency. (12) Suspend key: Press this key to hold the scan procedure. This is the preferred method for interrupting a scan before completion. You should not use the Stop key for this purpose.   SimilaritiesHTMLYou may notice that the RSC and Control Box have several hardware buttons in common. The manual keys that appear on the RSC and Control Box are color coded to better show similarities. A possible interaction device in the examination room is the wireless Remote Scan Control (RSC).  Learn more about the functionalities, the charging and handling of the RSC from the popups below. RSC Keys & Buttons Learn more about the RSC keys and buttons. Checklist TitleChecklist TypeChecklist ContentWireless RSCHTML ​The following scanner functions are controlled by hardware buttons on the RSC:  StartHTML (1) Start key: Trigger a scan.                                                MovementHTML (2) Feed Up key: Move the patient table up. (3) Feed Out key: Move the patient table out. (4) Feed Down key: Move the patient table down. (5) Feed In key: Move the patient table in. (6) Move key: Move the table to the planned scan position.   Laser Light MarkerHTML (7) Laser Light Marker key: Turn the laser light marker on or off. After approximately one minute, the laser light marker is switched off automatically. If you want to switch off the light marker immediately, press the Light Marker key again.   Unload & SuspendHTML (8) Unload key: Unload a patient. (9) Suspend key: Hold the scan procedure. This is the preferred method for interrupting a scan before completion. The STOP key should not be used for this purpose.   How to Charge and Handle the RSC Learn more about how to charge and handle the RSC. Tab TitleTextCharging The wireless RSC is equipped with rechargeable batteries. Charge the wireless RSC by plugging the provided USB cable into the bottom of the RSC. You can charge the wireless RSC at any USB port, for example, a monitor USB port.  Note: The wireless RSC will not react to operation while it is charging.   Battery Indicator Status Not charging Red Light - Low Battery Off - Battery is fully charged Charging Slow Blinking Yellow Light - Charging Solid Yellow Light - Battery is fully charged Fast Blinking Yellow Light - Charging Error Off - Not Charging Storage The RSC can be safely stored and charged when it is attached to the docking station.  (1) Docking station (2) Pairing label: Identical labels on the RSC and the gantry enable you to identify if they are paired to function together   Dead man's switch To avoid unintended activation of keys, the RSC is designed with a dead man's switch. This switch needs to be activated to enable any of the other keys on the device.  The dead man's switch is activated when the user holds the RSC. In other situations, the switch is deactivated.  To activate the dead man's switch, grasp the lower half of the RSC with your palm. Your thumb should be placed on one side of the RSC and your remaining fingers on the other side. Ensure your hands are in contact with the both sides of the back of the RSC.      Operating in Range The wireless RSC is limited to a certain operating range. The Out of Range indicator can be found on the bottom left of the RSC as indicated by the orange circle in the picture on the right. The indicator blinks when you are at the limit of the operating range and will turn red when you are out of the operating range. Note: Once the RSC is out of operation range, the connection is turned off.  As soon as the RSC is back in the operating range, it will establish the connection to the scanner automatically. Please note that this might take a few seconds.