Ysio version VC10 Turnover Workbook

SIEMENS Tape Measure mAS 2.5 S O Dose O mm Cu ? Miller, John Ysio T-Abdomen-Supine Version VC10 www.usa.siemens.com/healthcare Answers for life. 81 Table of Contents Tape Learning Materials ................................................................... 3 ure Introduction ............................................................................. 4 Purpose .................................................................................... 4 O Learning Objectives ................................................................. 4 Agenda .................................................................................... 5 2.5 Day One: System Overview ................................................. 6-15 Objectives .............................................................................. 6 Dose Switching On/Start-Up ............................................................. 6 Key Hardware Features ......................................................... 7 PEX Editor Overview ........................................................... 11 Opening PEX Editor ............................................................ 11 Exercise: Day One .................................................................... 15 mm Cu Day Two: FLC and Performing Patient Exams .................... 16-26 Objectives ............................................................................ 16 Topic Objectives ................................................................. 16 Patient Mode - Overview and Registering a Patient ................. 17 Study Lists ......................................................................... 17 Registering a Patient ........................................................... 17 Examination Mode – Making Acquisitions .............................. 19 Miller, Joh Patient Resource Information .............................................. 19 Acquisition Parameters ....................................................... 19 Exam Manager ................................................................... 19 ? Making an Exposure ........................................................... 20 Image Subtask Card ............................................................ 20 Tools Subtask Card ............................................................. 20 Examination Mode – Image Review ........................................ 21 Monitor Display .................................................................. 21 Exercise: Day Two .................................................................. 26 Day Three: Review of System ................................................. 28 T-Abdomen-Supine Topic Objectives ..................................................................... 28 Day Four: Review of System ................................................... 29 Topic Objectives .................................................................... 29 Day Five: Review of System and Signoff ................................ 30 Topic Objectives .................................................................... 30 Contact Information .............................................................. 31 2 S Learning Materials The following instructional materials are referenced throughout this training session: System Owner Manual Provides the necessary knowledge and expertise to accurately and safely operate the system. Training Workbook Supports the System Owner Manual through “big picture concepts,” examples, stories, interactive exercises, and references to online documentation. This book is yours to keep, so you can write in the book. Step-by-Step These documents provide quick reference tips to aid customers in “Just-in-time” learning opportunities. Quick Guide This document gives you quick access to information on the basic operating steps of your system. m 3 33.0 cm Introduction Introduction The purpose of this training session Learning Objectives is to provide you with the skills and After completing this training session, you will be able to: knowledge to operate your system. • Correctly perform start-up and shutdown procedures • Identify the key hardware features of the Ysio® 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 4 Agenda Agenda Agenda Topics Day One Day Three • Ysio Intro • Performing Patient Exams Review Patient Images with Radiologist(s) • System Activation • • Review of Table, Detector, MaxTouch, wi-D™ • Review of all Task Cards and Subtask Cards Charging Station, and Vertix Wall Stand • Questions • Cleaning and Disinfecting • Accessories Day Four • Workflow • Patient Imaging continued • PEX Programming • Questions Day Two Day Five • PEX Programming continued, if necessary • Patient Imaging continued • Registering a Patient/RIS Update • Checklist sign-offs • Performing Patient Exams • Questions • Postprocessing an Image • Archiving • Status Symbols 5 Day One: System Overview Objectives Notes After this session, you will be able to: • Correctly perform start-up and shutdown procedures • Identify the key hardware features of the Ysio system • Describe the four steps of the workflow • Program the PEX Editor Switching On/Start-Up • The Ysio system is started from the switched off mode • The X-ray room and Fluorospot Compact are switched on and off by the same switch Starting the system from the off state • If the Ysio has been switched off at the main power switch, the detector requires a warm-up time between 60 and 120 minutes to achieve good image quality Caution • Image acquisition is possible but reduced image quality may occur • Switch the main power switch in the room on • Press the ON button on the Generator ON/OFF console The system performs a self-test of the Fluorospot Compact and Ysio systems - • Rebooting the System Press the OFF button on the console - When the FLC has shut down (dark monitor), press the ON button - We recommend a daily reboot of the system or at least once a week. 6 Day One: System Overview (continued) Day One: Key Hardware Features Overview Notes This section will discuss key hardware features of the Ysio system. Emergency Stop Activating the Stop button (in an emergency) • All system movements and X-ray radiation are stopped. Turning clockwise (when situation has been rectified) • Unit drives and X-ray radiation are enabled again. Patient Table with Wireless Mobile Detector Maximum table capacity 660 lbs. • Table movements • Accessories • Grid insertion/removal For pediatric exposures, the grid can be removed - Stationary; 15/80 focused at 115 cm - • Bucky Tray When the tracking function is active, the detector tray follows the - longitudinal movement of the 3D overhead support • Table Centering Button Hand-held Tableside Control (Optional) 1. Parking position* 2. Table movement down 3. Table movement up 4. Floating tabletop 5. OGP button* *Available on fully automated systems only. (3) (1) (2) - (4) -(5) 7 Day One: Key Hardware Features (continued) wi-D Notes Wireless detector • 14x17 inch Amorphous Silicon detector with Cesium Iodide scintillator - • Automatically charged when in bucky tray, charging station, or backup cable • Battery operation time of 2 hours at 90 images per hour • Maximum patient weight on detector 297 lbs. with patient lying - 220 lbs. with patient standing - • Clip on grid 15/80 focused at 115 cm 5/31 grid is used mainly for chest X-rays (purchasable option) - • If the battery of the detector is completely empty, charge it and wait at least 60 minutes. The detector needs a warm-up time between 60 and 120 minutes to achieve good image quality, depending on environmental temperature and switch-off time. The detectors are calibrated once a year by your Clinical Service Engineer. • LED indicators LED 1: Front-end Status - LED 2: Wi-Fi Status - LED 3: Battery Status - (3) (2) Status Front-end Status Wi-Fi Status Battery Status LED (1) LED (2) LED (3) Image in progress with backup cable Off or Wi-Fi or front Wi-Fi disabled Battery disconnected end switched off or switched off completely Front-end ready to Green do an image with Wi-Fi Ok Battery Ok backup cable or Wi-Fi Green - Blinking N.A. N.A. Battery getting low Front-end not ready Orange to do an image with Wi-Fi not Ok Battery low backup cable or Wi-Fi 8 Day One: Key Hardware Features (continued) Cleaning and Disinfecting the wi-D Notes Do not let cleaning liquids seep into the openings of the system. • For cleaning, use water or a lukewarm diluted household cleaning agent solution. • For disinfection, use common surface disinfectants (aldehyde and/or amphotenic-based). Recommendation Protect the portable detector with a single-use plastic bag. MaxTouch (Touch User Interface) Tape Measure 125 Device KV MAS Position Generator 2.5 0.0 Dose S 0.0 ? John Miller 715 Thorax pa i+ HFP - Ready 180 cm 8 180 cm # 42 cm 4 ACSS = 42 cm I The touch screen corrects its display orientation when the tube is tilted from portrait to landscape. The touch screen has many user functions. Tab cards • Tape Measure SID measurement - SOD measurement - Magnification display (SOD Mag = SID/SOD) - • Device Positions • Generator Copper filter selections (Inserting cu filters harden the radiation - beam. Note: exposure may need to be increased) S Extended exposure – used on thinner patients, to lower the mA to - draw out the exposure time. (Maximum exposure time is 0.5 seconds) Top alignment – when collimating top to bottom, the tube will move - to top of detector and collimate off the bottom area Directly accessible functions Recall Collimation – recalls last collimation from previous exposure - #. 9 Day One: Key Hardware Features (continued) Cleaning the MaxTouch Notes Do not spray the MaxTouch directly. • Wipe the MaxTouch only with a clean, damp cloth Docking Station • Detector placement/removal • Sensor • Backup cable attachment The back side (with respect to the active sensitive array) includes electrical contacts to recharge the internal battery. Remove detector slowly so not to damage the pins. Vertix Wall Stand • System movements • Grid insertion/removal 115 cm and 180 cm focused grids - 300 cm grid is for Ortho package only* (purchasable option) - • Hand-held remote 1. Parking position 2. Centering button (tube to detector)* (3) (1) 3. Tracking button (tube to detector) 4. Light localizer (2) (4) 5. OGP button *Used to align tube/detector with fully synchronized system. Hand-held remote is an (5) option with fully synchronized systems. 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 - 10 Day One: PEX Editor PEX Editor Overview Notes Programs and Exams Editor is divided into six task cards: • Exam Enter your RIS exam names and OGP views - • Organ Program Edit technical factors - • Fluoro Program (no function on this system) • Film Layout Assign film layouts to programs - • Param. Module Build Stand Positions* - • Configuration Backup system - *Fully automated system only Opening PEX Editor On the Patient Task Card > Settings Subtask Card click on this icon. The login screen will appear. • Click the radio button next to Siemens • Enter the password that your Clinical Education Specialist gave you and click OK Programs and Seams Enter 11 Day One: PEX Editor (continued) Exam Tab Notes The PEX Editor opens up to the Exam subtask card. PEX Editor X Exam Organ program Fluoro program Film Layout Param. Module Configuration OGP View Examination View TUES-LEFT 9 Cassette_Template (d) M TOES-RIGHT ...... 9 Peri_Template (d) + V UGI STUDY ...... UPPER EXT. INFANT MIN 2V BILAT(d) ..... M 9 Scan_Template (d) Insert OGP + 9_Tomo_Template (d) + UPPER EXT. INFANT MIN 2V LEFT(d) MC Abdomen, left side pos. (d) + ... UPPER EXT. INFANT MIN 2V RIGHT(d) C C-spine lat (d) You can also + ... M VOIDING CYSTO-URETHROGRAM C Cassette (d) drag&drop OGPs from + WRIST 4 VIEW-BILATERAL ..... C Femural neck axial (d) the OGP view to Exams + WRIST 4 VIEWS-LEFT M C Hip (d) in the Examination view + WRIST 4 VIEWS-RIGHT C Hip, with grid (d) + M WRIST ARTHROGRAM ...... C Humerus lat (d) Remove OGP WRIST-BILATERAL C Patella tangential (d) + WRIST-LEFT C Pelvis (d) + WRIST-RIGHT ...... MC Dolvic with aridid M XR Nasal Bones(d) Group by @ Name Body Part Acq. type Sort by @ Name Body Part Acq. type Exam parameters Default Exams OGP Parameters ExamName XR Nasal Bones Name for RIS XR Nasal Bones 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 O Auto Scale @ Auto Scale % % Automatically switch to next OGP after acquisition Store as new Store Exam Delete 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 if you modified the name or click Store as New if you created a new name 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. 12 Day One: PEX Editor (continued) Modifying or Creating OGP View Notes 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 1. Double left click on the OGP View you wish to modify 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 _SPINE Program Name T L-Spine a.p. (d) Acquisition Mode DR RAD Acquisition Type Table Store Store as new X - Ray Parameters Fluoro Program Set CP_RAD_Po ... MField @ 1 pt C 1 pt with ext. exp. C 2 pt @ 3 pt 3 pt with AEC KV 75 MAS ms Exp. Correction Dose 2.5 Sensitivity 400 Tube Load 80 % Focus Filter Type 0.0 Cu mm 4 4 4 13 Day One: PEX Editor (continued) Adding OGP View 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 M SPINE LUMBAR WITH FLEXION/EXTEI + SPINE SACRUM AND COCCYX(d) M T_ T-Spine / L-Spine junc. a.p. (d) SPINE THORACIC 2 VIEW(d) M T T-Spine / L-Spine junc. Lat. (d) T T-Spine a.p. (d) M T T-Spine a.p. (d) T Swimmers (d) M T T-Spine Flexion / Extension (d) T T-Spine Lat. (d) TTRAingIst / ..... You are able to arrange the order of the views by clicking on the arrows. M 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 allows the next view to populate during 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 to insert image 2. Click on Backup/Export Configuration 3. Click on C 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 online User Manual located by pressing the F1 key on the Patient tab on your Fluorospot Compact. 14 Day One: Exercises Notes Day One Complete the following exercises. Exercise 1: 1. Turn the system on 2. Perform table movements 3. Attach any accessories to table 4. Center the tube to the detector with bucky pulled out 5. Insert wi-D into table in portrait and landscape formats 6. Manually move the tube into transverse and longitudinal detents 7. On the MaxTouch, change the kV, AEC, and add 0.2 mm cu 8. On the Vertix Wall stand, change out the grid 9. Adjust the vertical movements of the Vertix Wall stand 10. Open the PEX Editor and create/modify Examination Views 11. Create/modify OGP Views and insert OGP into Examination View 12. Rearrange the order of the OGP View in Examination View 13. Backup PEX Editor 14. End session 15 Day Two: FLC and Performing Patient Exams Objectives Notes Topic Objectives After this session, you will be able to: • Register a patient • Perform patient exams • Postprocess an image • Archive patient data During the Clinical Education Specialist training, you will also be doing patient exams. 16 Patient Mode – Overview and Registering a Patient Study Lists Notes On the Fluorospot Compact (FLC), the main area of the monitor shows: 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 archived studies, if configured Hatient Settings Service -O RIS The Patient task card is divided into 3 subtask cards: 1. Patient 2. Settings 3. Service Registering a Patient To select a patient from the Preregistered list: RIS 1. Click on Patient Tab 2. If your system has a RIS, click on the icon to update 3. Double click on patient’s name to be examined 4. The Examination Tab opens with all exams ordered and the organ programs listed for each study To perform a query for a certain patient, click on icon. RIS You can then enter any known data, like name, Patient ID, Accession number, date of birth, referring physician, etc. You can also query a worklist from a previous day. To manually register a patient: 1. Click on Patient Tab 2. Click on the Patient Registration icon 3. Populate all fields in bold text 4. If this is a patient with no data, click the Emergency icon to start examination. You will be able to populate data later 17 Patient Mode – Overview and Registering a Patient Settings Subtask Card Notes • User Settings • View Job Status • PEX Editor • Clinical EXI Log • Recycle Bin (if configured) Service Subtask Card 1. Rejected Image Statistics mt Patient Settings Service Exporting Data via USB You may export log files using a USB memory stick. 1. Clinical EXI Log 2. Reject Analysis Log Exporting Data via CD/DVD You may export patient studies/images via a CD/DVD. 18 Examination Mode – Making Acquisitions Patient Resource Information Notes The patient loads with all OGP for the exam ordered. If you have a lot of OGP, click on the eyeglasses icon and it will expand the list. Right-clicking on the OGP will show you a summary of the OGP set up in the PEX editor. Test, Patiekx 765890 0 0 *X L Elbow joint a.p XL Elbow joint lat W Chest p.a. W Chest lat TT V Acquisition Parameters 30.0 cm x 24.0 cm Il none 115 cm 8 113 cm All Organ Programs will populate with predefined acquisition parameters. These are based on an average adult patient and should be adjusted for body habitus and KV 81 pediatric patients. MAS *AEC Exposure: Sensitivity 400 = Detector Dose 2.5µgy Dose 2.50 5 0.0 nm Cu 0.0 Focus % 80 Exam Manager Once you select a patient and you do not see any Organ Programs listed, the Exam Manager will open and you will see this symbol. You will need to select the correct exam on the left side, click “Replace,” so the accession number stays the same, and then click “Examination.” This happens because the Exam Name from RIS does not match what you have entered in the PEX Editor. Remember to correct the ------- exam spelling in the PEX Editor. 19 Examination Mode – Making Acquisitions (continued) 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. V Image Subtask Card You are able to crop your image and review all images. Tools Subtask Card You are able to review the Exam Protocol. 20 Examination Mode – Making Acquisitions (continued) Examination Mode – Image Review Monitor Display Notes The information that populates in the four corners 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. 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. 21 Day One: Postprocessing Mode Exercises Postprocessing Notes The Postprocessing task card lets you make changes to the acquired image. It is divided into three subtask cards: Postprocessing 1. Process 2. Graphics 3. Rad Process Subtask Card • Zoom/Unzoom image 1:1 pixel display • Invert grey scale RA R R • Flip image horizontal and vertical R • Once an image has been flipped, it is not possible to rotate it anymore. • Window – Contrast and Brightness adjustments Window Center = Brightness (move mouse up/down) - Window Width = Contrast (move mouse left/right) - • Rotate image • Several rotational functions are available. Click icon for the options. • Images can be rotated clockwise or counter-clockwise, CR R in single degree increments or 90 degree increments. You can also rotate an image by an arbitrary angle. R ER R Process, Graphics Rad Process. Graphics Rad R R Graphics Subtask Card • Set laterality label (R/L marker) • Draw arrow • Draw distance/calibrate Remember to store the image with the distance graphics as a new image. - The graphics are “burned into” the image • Draw angle • Set view position and laterality • Enter text and comments Comments will always be in the bottom center of monitor - Text can be placed anywhere in the image - You can build a list for text and comments and change the text size - 22 Postprocessing Mode Postprocessing Mode Rad Subtask Card Notes LUT (look-up table selection) Gradation Curve • The LUT and Histogram chart is displayed 50 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 than pick the image that is most pleasing for the Radiologist and set those parameters in the PEX Editor. Filter icon • Select spatial filtering parameters • Diamond view settings • Set Gain and Kernel for Edge enhancement and Harmonization Make sure to click on the apply icon to save processing changes. Edan 7 0.00 255 23 Day One: Documentation Mode Exercises Documentation Task Card Notes The Documentation task card is where you archive patient studies. 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 be sent to the hardcopy camera or PACS. Mark all images Select Film Send • 1 • Unmark all images • Mark/unmark single image • Delete images RAD Film Subtask Card Select Film Send Camera AgfaDrystar The Film subtask card can be set up with a default hardcopy camera and film size and layout per exam. Name • Film marked images Size 14INx17IN • Preview marked images Layout 1x1 • Show film status Fixed Scale Factor Auto Scale 100% 100 Copies Anonymous Hide Text Send Subtask Card Select Film Send Targe1 1 store The Send subtask card can be set up with Target 2 three default networks/PACS. • Send marked images Targe1 3 • Show send status Send Exam Protocol as: • Send exam protocol to the network as a SCimage Secondary Capture image DICOM Dose SR • Send a DICOM Dose Structured Report to the network • Override the configured settings for the Send targets Override contigured settings ? 24 Documentation Mode Status Symbols Status Messages and Display Notes (1) Ready (2) = + 2% hu (1) Message line for system messages (2) Status symbols Symbol Short description V Ready for acquisition Not ready OOol VA Free hard disk space 100% 096 DUD DUR OUD Free DVD space 100% 09 Detector temperature is not within required range. Detector calibration has expired. Software update is available. Remote service is selected/active. 2 % hu Tube heat units 25 Day Two: Exercises Notes Day Two Complete the following exercises. Exercise 1: 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 26 Technical Data Sheet Notes Technical Data: Patient table • Max. patient weight 300 kg • Table grid Stationary; 15/80; focused grid: 115 cm Wall stand • Detector Tiltable from – 20° to + 90° with 0° detent wi-D • Detector wi-D 35 x 43 – Trixell Pixium 3543pR • The 7 million active pixels of the flat detector (FD) • Wireless mobile detector (wi-D) • Active detector size 34.2 cm x 43.2 cm • Can be inserted into detector tray in landscape and portrait format • Pixel size 144 m • Semiconductor material Amorphous silicon (a-Si) • Cesium iodide Scintillator (Csl) • Acquisition depth 14-bit • Data transmission W-LAN: 5 s preview; 10 s full image • Weight 4.8 kg • Max. load capacity 135 kg with patient lying on it; 100 kg with patient standing on detector • Bithium ion battery; rechargeable • Charging time 90 minutes for 80% of battery capacity • Battery operation time 2 hours typical at 90 images per hour • Charging site wi-D charging station, table detector tray, wall stand detector tray • Detachable grid Pb 15/80, f0=115 cm, clip-on when required • Back-up cable for connection between wi-D and charging station is 7m long Imaging system • Image display (typical) 5 s preview; 10 s complete image • Image storage capacity 10,000 images • Image size is approximately 9MB (megabytes) 27 Day Three: Review of System Notes Topic Objectives Today is a full work schedule and review: • Performing patient exams • Review patient images with radiologist(s) • PEX Editor modify exam protocols - continued • Review of all task cards and subtask cards • Questions 28 Day Four: Review of System Notes Topic Objectives Today is a full work schedule and review: • Patient Imaging continued • PEX Editor modify exam protocols - continued • Questions 29 Day Five: Review of System and Sign-off Notes Topic Objectives Today is a full work schedule and review: • Patient Imaging continued • Checklist sign-offs • Questions 30 Contact Information Notes Clinical Training and Continuing Education Welcome to Siemens Healthcare Siemens Healthcare is dedicated to helping you get the most out of your investment throughout the entire product life cycle and beyond. Our goal is to enable you to take the technology further, profitability higher, and patient care to the next level. Find the information, resources, and tools you need to get the most out of your recent investment and stay up-to-date. Visit www.usa.siemens.com/Welcome@Healthcare UPTIME Clinical Application Support Call 1-800-888-7436 • Troubleshooting assistance • Immediate assistance for software applications and workflow issues Please provide the Functional Location Number when calling for assistance. Clinical Education Offerings Call 1-888-221-8010 (follow the prompts) • Classroom Training (Offerings, Registration & Scheduling) • Educational Symposia • On-site Training • Printed Self-Studies • Virtual Education (Offerings & Registration) • Workshops & Fellowships Visit www.usa.siemens.com/clinicaleducation for more information regarding the current Siemens Clinical Training and Continuing Education portfolio. Discover. Try. Buy. On webShop Do you want to “Discover. Try. Buy.” options, accessories, and clinical education to make the most of your imaging equipment? Discover images, case studies, and video demonstrations with the latest clinical applications. Try advanced applications utilizing free software trials. Buy applications, coils, clinical education, and accessories conveniently at any time. Visit www.usa.siemens.com/webShop today! 31 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 Local Contact Information and options as well as standard and optional Siemens Medical Solutions USA, Inc. features which do not always have to be 51 Valley Stream Parkway present in individual cases. Malvern, PA 19355-1406 Siemens reserves the right to modify the USA design, packaging, specifications and options Telephone: +1-888-826-9702 described herein without prior notice. Please www.usa.siemens.com/healthcare contact your local Siemens sales representative for the most current information. Global Business Unit Note: Any technical data contained in this Siemens AG document may vary within defined tolerances. Medical Solutions Original images always lose a certain amount Imaging & Therapy Systems of detail when reproduced. Angiography & Interventional X-ray Systems Siemensstr. 1 DE-91301 Forchheim Order No. A914CX-CS-121192-P1-4A00 Germany Printed in USA 04-2012 | All rights reserved Telephone: +49 9191 18-0 © 2012 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