PEPconnect

TrueFusion Step by Step

TrueFusion represents a workflow consisting of syngo TrueFusion (syngo X Workplace) and TrueFusion echo-fluoro guidance (ACUSON SC2000™ Ultrasound System, PRIME edition). This step-by-step will walk you through the connection, efficient workflow and sending information on the ultrasound system to the Angio system.

TrueFusion Step- By- Step • This feature must be properly licensed on the SC2000 Ultrasound System and Artis System • The syngo Application Software, ARTIS, and the ultrasound system must be properly set up and switched-on. 1. Select TrueFusion from 4D Workflow on Artis System TrueFusion Workflow must be started on US system as well Select syngo 4D application Select the 4D application you want to work with · Aneurysm Analysis Aortic Velve Guidance Cong. Heart Disease Guidance CTO Guidance · TrueFusion EP Planning Embolization Guidance EVAR Guidance Needle Guidance Stenosis Analysis OK Cancel 2. Connect to US Click US system in connection list True Fusion X Connect to Ultrasound Register patient on Ultrasound Then select device from list and connect. SC2000 157.163.201.234 localhost + SIEMENS Registration siemens.com/healthineers Overlay Healthineers Job Aid | TrueFusion Step-by-Step Effective Date:03/30/2018 | Quality HOOD05162002847282 If Ultrasound system is not in connection list: Select this icon + Add Device window pops up: Device identifier is the IP address. List of configured Ultrasound systems Add device X Enter the name or the IP address of the Add Device Menu device. In addition, you can define how. the device shall appear in the list Connect Function Device identifier Show as OK Cancel 3. Select this Icon 4. Accept the connection on the US System • A window indicating a connection request pops up on the screen of the ultrasound system. Echo Fluoro TrueFusion Connection Request There is a connection request from system Do you want accept this connection request ? The request will be automatically rejected if no selection is made within 30 seconds Accept Reject • Click Accept on the ultrasound system. • When connection is successful, the connection symbol should appear Siemens Healthineers Services Page 2 of 5 Job Aid | TrueFusion Step-by-Step Effective Date:03/30/2018 | Quality HOOD05162002847282 5. Registration of the US volume with two X-ray images • For alignment, two fluoroscopy scenes must be acquired on the ARTIS. • The two 2D images must be at different projections, at least 30 degrees apart. • The quality of registration depends on the orientation of the probe, the angular difference of the two projections, the C-arm position, and the zoom stage. • Troubleshooting: o TEE probe should be centered and completely visible, oblique sternal wires if in the area of interest o Recommended detector zoom is 32 o Recommended fluoro projections RAO 40- CAUD 0, LAO 10- CRAN 5 o Single shot if required o TEE probe should be stabilized • Green TEE Probe- Good Quality Registration • Red TEE Probe- perform new registration/ movement True Fusion X Connect to Ultrasound Registration ? ## Angulate C-Arm by at least 30º. The ideal difference is 90º 00:06|32 LAO 68 CRAN 83 Overlay Note: If there is movement of the table the probe will turn red, this is normal behavior, and once table movement has stopped and markers are located the probe should turn green. Siemens Healthineers Services Page 3 of 5 Job Aid | TrueFusion Step-by-Step Effective Date:03/30/2018 | Quality HOOD05162002847282 6. Overlay worflow step is automatically selected. • Have the option to Overlay; o Objects o Landmarks o Echo Geometry These can be enabled or disabled by selecting the checkmark in the object list True Fusion × Connect to Ultrasound Registration HAL Overlay Overlay objects for guidance. If necessary, go to previous step for precise re-registration using two images. Show Object ... 3D Objects RA Landmarks Echo Geometry AO 42 / CAUD 24 Live 7. Select Overlay objects on Live screen or 3D Roadmap on 4D screen (optional) Live 8. Adjust the C-arm position corresponding to US image display (optional) Siemens Healthineers Services Page 4 of 5 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 ………………………………………………………… Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens.com/healthineers Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2017

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