VersaCell® X3 System Troubleshooting Online Training

Welcome to the VersaCell® X3 System Troubleshooting Online Training course. This course provides you with an overview of troubleshooting tools and techniques which can be used to identify and resolve instrument errors.     Select Next to continue. Describe how to navigate the Event Log Describe how to operate in Bypass Mode Describe how to stop and restart in an emergency List the steps to resolve common errors Upon successful completion of this course you will be able to: Select Next to continue. Congratulations.  You have completed the VersaCell X3 System Troubleshooting Online Training course.  Listed below are key points that have been presented.  Take time to review the material before you proceed to the final quiz.  Describe how to navigate the Event Log  Information for errors that occur on the system can be found in the following screens: Event Log To access, select Events from the Command Bar at the top of the screen Displays event numbers, date/time of errors, and error messages Archive limit is 90 days Help screen To access, select the Help icon from the Status Bar at the bottom of the screen Displays context-sensitive help for the current screen List the steps to resolve common errors To resolve Sample Errors (includes low volume and sample integrity errors): Identify the tube with the sample error Remove the tube and resolve the sample issue Reload the tube in a drawer Causes of Duplicate Sample ID Errors: Different Patient Tubes Assigned to Same SID Two Tubes Loaded for the Same Patient False Duplicate To resolve Barcode Errors Identify the tube with the barcode error Remove the tube and fix the barcode Reload the tube in a drawer To resolve Assay Errors Identify the cause of the assay error Resolve the error at the connected instrument Select Resolved (if necessary) When the system generates a transfer error: The robotic arm cannot pick or place a sample tube. One or more associated Instrument Errors may be generated, depending on where the sample tube is in the processing cycle. Most often, the robotic arm will present this tube to the operator. If the robotic arm presents the tube to the operator, the operator must remove the tube from the gripper.   Describe how to stop and restart in an emergency The E-stop should only be used in an emergency, for example if a sample tube breaks.  Do not use the E-stop to turn off the instrument.   If the E-stop button is pushed: The power to all system motors shuts off. A VersaCell Error Report screen displays indicating that an E-stop was detected. The system status changes to Stopped Error. The VersaCell icon displays a red triangle and the message Error Stopped. Describe how to operate in Bypass Mode Bypass mode can be used to maintain communication with the LIS if the VersaCell X3 system encounters hardware problems or during maintenance. In Bypass mode, the VersaCell X3 system functions solely as a communications link between the instruments and the LIS. To place the system in Bypass mode during start up, select the Bypass VersaCell icon from the Windows desktop. Select Next to continue. To document the examination, for in-procedure or post-procedure review or to use images for clinical guidance, you must first store images. Images can be stored as scenes, single images or reference images. Acquisition scenes are automatically stored on Artis systems. To save space on the hard drive, fluoroscopy images are not automatically stored; you will need to manually store either a single fluoroscopy image or a fluoroscopy scene. To store a single frame of an acquisition scene or fluoroscopy last image hold (LIH) you use the store monitor function.  Fluoroscopic and Roadmap scenes can be stored with Store Fluoro.  Any image from a fluoroscopy/Roadmap scene (LIH) or an image from an acquisition scene can be stored as a Reference image. When a reference image has been stored, it is displayed on the reference one segment on the large display.  Image review can be accessed from the control or exam room. You review images in the exam room using the jog wheel on the Pilot Control Module (PCM) and in the Post Processing task card on the system console in the control room.  The Event Log can be used to find information on errors that occur on the system: To access, select Events from the Command Bar at the top of the screen Displays event numbers, date/time of errors, and error messages Archive limit is 90 days Context-sensitive Help which can be useful for troubleshooting is also available in the software.  To access the Help system, select the Help icon from the Status Bar at the bottom of the screen. Event Log Learn about the Event Log. Base ImageHotspotsText BlocksImage File Select Export to create a log file of events in an .xls file format in C:\VersaCell\Export. The file name format is EventLog_mm-dd-yyyy.xls. You must have Microsoft Excel installed to read this file as an Excel spreadsheet. The top area of the screen includes menus to select the date range, severity, and/or error codes to be displayed.  The options for the Date drop-down menu are: All, Previous 24 Hours, or Specific Range.   When the desired options have been selected, select the Go button to display the errors. The first column displays the error code for each error. The main area of the screen displays each event message along with a color-coded severity. The date and time that the error occurred are displayed. The Source column displays the system on which the error occurred. The User column displays the name of the user that was logged in when the error occurred. After start-up is complete the Home screen is displayed in the control room. The home screen provides direct access to related tasks for starting the examination; patient registration, searching for patients and importing patient data. Additionally, you will find access to the Online Help, Configuration Panel and shutting down the system. The E-stop should only be used in an emergency, for example if a sample tube breaks.  Do not use the E-stop to turn off the instrument.   If the E-stop button is pushed: The power to all system motors shuts off. A VersaCell Error Report screen displays indicating that an E-stop was detected.  The system status changes to Stopped Error. The VersaCell icon displays a red triangle and the message Error Stopped. Recovering from E-stop Learn how to restart the system after the E-stop is pushed. Checklist TitleChecklist TypeChecklist ContentInvestigate errorsHTML When the E-stop is pushed, the Instruments button on the command bar flashes red. To view any errors caused by the E-stop, select the icon. The Instruments screen displays, with the VersaCell tab displaying a red dot. All errors caused by the stop condition are listed. If any errors occurred, resolve those errors. Select each checkbox to learn more about restarting the system after the E-stop is pushed.   Pull the E-stop button outHTML Wait at least 1 minute after emergency shut down, and then pull the E-stop button out. Ensure that the E-stop button clicks when you pull it out. This restores power to the motors. A message displays indicating that the system is re-initializing the hardware.   Select the Run iconHTML On the Status Bar, select the Run icon. The robotic arm moves to its home position. Wait for the system to initialize.    Select the Run icon againHTML Select the Run icon again to put the system into Run mode and resume sample processing. When complete, select the X in the upper-right corner to close the window and continue.   A wide range of examinations are possible on the ARTIS pheno. Images can therefore be acquired in different acquisition modes. Depending on your system options, images may be acquired in native or digitally subtracted display (DSA), in 2D or 3D. Some examinations require dedicated acquisition modes, for example, when imaging the lower extremities you may select another special type of acquisition mode, Peristepping or Perivision.  It is important that you are familiar with the different acquisition modes and the associated terminology. The popup titled Learn about acquisition modes will introduce you to some of the common acquisition modes on the Artis.  Please note that the acquisition modes available on your system depend on your system configuration.  Bypass mode can be used to maintain communication with the LIS if the VersaCell X3 system encounters hardware problems or during maintenance. In Bypass mode, the VersaCell X3 system functions solely as a communications link between the instruments and the LIS. To place the system in Bypass mode during start up, select the Bypass VersaCell icon from the Windows desktop. Bypass Mode Learn about the features of Bypass mode. While in Bypass mode, the VersaCell X3 system: Establishes communication with the connected instruments and displays the VersaCell state as Bypass at the Home screen. Continues to receive test orders and send results to the LIS. Disables the robotic arm, drawers, air compressor, main door, interface wheels, Run, Stop, and Unlock buttons. Does not transfer sample tubes to and from the instruments. You can manually load and remove sample tubes from the connected instruments to continue processing. To exit Bypass mode, sign off the system. The system updates the database and displays the database backup status bar and its software closes.   When complete, select the X in the upper-right corner to close the window and continue.   Radiation dose to the patient and personnel should be reduced as much as possible in alignment with the ALARA principle (as low as reasonably achievable). To help achieve this, Artis systems are equipped with combined applications to reduce exposure (CARE) which comprise various features to reduce radiation dose for the patient and the operator. In addition to CARE, there are multiple low dose fluoro, roadmap, acquisition programs and if your system is licensed, low dose syngo DynaCT. A fluoro timer is integrated in the system and is configured to the local legal requirements. Either an audible alarm will be heard when the configured time has elapsed or fluoroscopy will be blocked. For further protection to operating personnel from scatter radiation, Radiation protection devices can be fitted around the ARTIS pheno in the form of upper and lower body radiation protection. The common operator errors that can occur on the VersaCell X3 system include: Sample Errors Duplicate SID Errors Barcode Errors Assay Errors Transfer Errors Select Next to continue. The following equipment is in the exam room: Artis pheno Multi-axis stand, C-arm, x-ray tube and detector, Siemens multi-tilt table, exam room display, control modules for system movements, a footswitch for radiation release, an optional control console trolley and an optional multi-functional hand switch. Sample errors are caused by instrument aspiration errors. To view the details of sample errors: If Samples is flashing at the Command Bar, select it. The sample’s icon turns red at the Samples screen. On the Home screen, select the drawer with red error tallies to navigate directly to the Samples screen that contains the error. Resolving Sample Errors Learn how to resolve sample errors. Checklist TitleChecklist TypeChecklist ContentIdentify the tube with the sample errorHTML At the Command Bar, select Samples, which will display a red triangle error icon. Identify and locate the sample tube with the error.  You can also select the drawer icon with any red errors to navigate to a sample error. Select each checkbox to learn more about resolving sample errors.   Remove the tubeHTML Open the drawer and remove the sample tube. Check the sample for volume, clot, or other physical issues. Resolve the sample issue.    Reload the tube in a drawerHTML Place the tube or tubes in a drawer, using one of these options: If you resolve issues on more than one sample tube, place the tubes in their original positions. Close the drawer and on the Scan Rack Options screen, select Resume from Last Position with the Sample Errors checkbox selected.   Place the tube in the next available position in the original drawer.  Close the drawer and select Resume from Last Position on the Scan Rack Options screen. To clear the error from the original position, while the drawer is open, select the position and Rescan on the Samples screen.    Place the tube in a different drawer.  Close the drawer and select Start from First Position on the Scan Rack Options screen. To clear the error from the original position, open that drawer. On the Samples screen, select the original position. Select Rescan, and close the drawer.   When complete, select the X in the upper-right corner to close the window and continue.     Welcome to the SOMATOM go. platform Scan&GO Online Training. SOMATOM go. platform scanners feature Scan&GO, a tablet based mobile workflow application. The Scan&GO application enables you to controll all routine scan workflows. Without leaving the patient's side you will be able to admit the patient, position the patient for the scan, and finalize the scan with this mobile setup. This Online Training will guide you through steps of controlling a scan workflow using the Scan&GO application on the tablet and provide you with an opportunity to practice performing scan workflows from the tablet software. To view the details of barcode errors: If Samples is flashing at the Command Bar, select it. The sample’s icon turns red at the Samples screen. On the Home screen, select the drawer with red error tallies to navigate directly to the Samples screen that contains the error. Resolving Barcode Errors Learn how to resolve barcode errors. Checklist TitleChecklist TypeChecklist ContentIdentify the tube with the barcode errorHTML At the Command Bar, select Samples, which will display a red triangle error icon. Identify and locate the sample tube with the error. You can also select the drawer icon with any red errors to navigate to a barcode error. Select each checkbox to learn more about resolving barcode errors.   Remove the tubeHTML Remove the sample tube and reposition or replace the barcode label.    Reload the tube in a drawerHTML Return the sample tube to its original position and close the drawer.  At the Scan Rack Options screen, select Start from First Position, or Resume from Last Position with the Barcode Errors checkbox selected. You can also place the sample tube in a new position. It will be processed like a new sample tube. When complete, select the X in the upper-right corner to close the window and continue. Assay errors are errors on connected instruments that prevent the automatic completion of tests. To view the details of assay errors: If Instruments is flashing at the Command Bar, select it.  Assay errors may generate one or more associated Instrument Errors. If Samples is flashing at the Command Bar, select it. The sample’s icon turns yellow at the Samples screen. On the Home screen, select the drawer with yellow delayed tallies to navigate directly to the Samples screen that contains the error. Permanent order errors occur when an order exceeds an instrument’s capability, or lacks required information.   Resolving Assay Errors Learn how to resolve assay errors. Checklist TitleChecklist TypeChecklist ContentIdentify the cause of the assay errorHTML At the Command Bar, select Instruments, which is flashing. Review the Assay Errors area on the Instruments screen. You can also navigate to the Samples screen, select the tube with the assay error and look at the sample orders. Select each checkbox to learn more about resolving assay errors.   Resolve the assay errorHTML Resolve the assay error at the connected instrument (for example, add more inventory).   Select Resolved (if necessary)HTML    The error on the VersaCell X3 system may be cleared automatically. However, in some cases, you must indicate on the Instruments screen that error has been resolved: Select the Resolved checkbox for the test(s) or sample(s) for the error you resolved. Select the Resolved button. Once the assay error is resolved, the VersaCell X3 system will automatically transfer sample tubes to the connected instrument to complete processing. When complete, select the X in the upper-right corner to close the window and continue.   Permanent Order Errors Learn about permanent order errors. Permanent order errors occur when an order exceeds an instrument’s capability, or lacks required information. For example: The order has a sample ID that contains more characters than the instrument supports. The sample does not have a specimen type and is scheduled to run on instruments that require a specimen type, such as Dimension instruments. The sample does not have a valid specimen type. Permanent order errors display on the VersaCell tab of the Instruments screen. Unlike assay and instrument errors, which are recoverable, permanent order errors are not.  Permanent order errors must be resolved at the LIS. After the issue is resolved, you can re-introduce the tube or select Requery LIS.   When complete, select the X in the upper-right corner to close the window and continue. Welcome to the Artis System Basics Operation Online Training! This course serves as an introduction to basic operation of the ceiling-mounted Artis systems. The course includes information about the different controls modules, movements of the C-arm, and Programmed positions. When the system generates a transfer error: The robotic arm cannot pick or place a sample tube. One or more associated Instrument Errors may be generated, depending on where the sample tube is in the processing cycle. Most often, the robotic arm will present this tube to the operator. If the robotic arm presents the tube to the operator, the operator must remove the tube from the gripper.   Remove a Tube from the Gripper Learn how to remove a tube from the gripper.   Select the play arrow to begin video.    When complete, select the X in the upper-right-hand corner to close the window and continue.   Resolving Transfer Errors Learn about resolving transfer errors. Tab TitleTextStandard Drawers If the transfer error occurs on a standard drawer, first check the interface wheel and drawer for obstructions. If the tube has been removed from the drawer or is not present, then perform one of the following to clear the transfer error status from the drawer position: Open the drawer and select the position with the transfer error. Use the Rescan button on the Samples screen to rescan the position and then close the drawer. OR Open and then close the drawer. On the Scan Options screen, select Continue from Last Position with the Transfer Errors checkbox selected. Interface Wheel If the transfer error sample tube is on the interface wheel, the system will automatically disable the position on the interface wheel. To resolve the error: Check the wheel and drawer for any obstructions. Remove the tube. Select the Unlock Door icon in the Status Bar. Open the wheel door. Remove the tube. Close the wheel door. Select the Lock Door icon in the Status Bar. If the tube was not aspirated for all tests, reload the tube in a drawer. Enable the wheel position on the wheel screen, if necessary. Access the wheel screen by selecting the Wheel button on the Instruments screen. In this case, the drawer position for the sample also displays a transfer error.  8-Position Priority Drawer If the transfer error occurs on the 8-position priority drawer, the system will automatically disable the position on the 8-position priority drawer. Enable the position on the Priority Drawer tab of the Samples screen (provided that the tube has been removed or is not present). When complete, select the X in the upper-right corner to close the window and continue.   A duplicate sample ID error occurs when the VersaCell X3 system has seen the same barcode for a tube on 2 occasions while the original tube is still in process. The system scans and processes the first sample tube, and generates an error after scanning the second sample tube. The second tube is not processed. The alert should be investigated to eliminate the possibility that a barcoding error has occurred with 2 separate specimens prior to loading on the system. Select Next to continue.