YSIO X.pree System Components Examination Room 2 USA

Welcome to the YSIO X.pree System Components Online Training - Examination Room (Part 2). The YSIO X.pree device enables radiographic exposures of the whole body and may be used on pediatric and adult patients.   The system is not approved for use with patients with a weight of more than 300 kg / 661 lbs (table height adjustable) or 450 kg / 992 lbs (table height non-adjustable). It can also be used for emergency applications. Exposures can be taken with the patient sitting, standing, or in the lying position. Optionally, three different system automation configurations are available: YSIO X.pree: No motorization. YSIO X.pree AIM: Semi-motorized. System positioning at the touch of a button for up to 10 positions in the examination room. YSIO X.pree AIM PLUS: Fully motorized. Virtually unlimited system positions at the touch of a button for a convenient and smooth workflow in your examination room.   Congratulations. You have completed the YSIO X.pree System Components Online Training - Examination Room (Part 2). Listed below are the key points that have been presented. Take some time to review the course summary material before you proceed to the final quiz. Identify the main components of the ceiling-suspended tube unit: X-Ray tube, user interface (tube UI) with touchscreen, collimator and its control panel, and myExam 3D Camera on the underside of the collimator   Remember the main features of the X-ray tube: Rotate the X-ray tube unit (together with the collimator) about the horizontal axis (RHA = rotation horizontal axis) and/or about the vertical axis (RVA = rotation vertical axis) X-ray tube follows table height adjustment; source-image distance (SID) is maintained Automatic synchronization between X-ray tube and detector inserted into the Bucky wall stand (detector height adjustment) ​Acoustic signal if X-ray tube is too hot (>65% HU)    ​Recognize the different fields and buttons on the tube UI and its touchscreen Menu, patient and examination data Tab cards for parameter display and function selection: Examination tab displaying settings after selection of regular Clinical Protocol and an Ortho Clinical Protocol  Positioning tab with the two blinds for System Position and Measuring Tape Button indicators for tube movement Display and selection of alignment, grid status, SID, copper filter, and collimation Display of system messages, for example system readiness for acquisition    ​Identify the collimator and remember the functions of its control panel buttons Knob for manual vertical collimation Knob for manual horizontal collimation Button for full-field light localizer and laser line light localizer Measuring tape for SID/SOD measurement. It has two scales: Inches (left scale) and cm (right scale). Laser line light localizer with sliding cover. The laser line light localizer projects the axis mark for longitudinal centering, which is aligned with the centering mark on the receptor. Its sliding cover is used to protect the eyes of the patient or any other person. Accessory rails. The accessory rails may be loaded with a maximum of 70N (7kg). Crosshairs in the light localizer window ​ Identify the myExam 3D Camera and remember its purpose Located on the underside of the collimator  Automatically recognizes collimation from the size of the patient 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 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. The information in this material contains general technical descriptions of specifications and options as well as standard and optional features that do not always have to be present in individual cases. Certain products, product related claims or functionalities described in the material (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, 2020 The ceiling-suspended tube unit consists of the following components:   (1)   Lifting column (2)   X-ray tube unit (3)   Tube UI (tube user         interface with color         touchscreen) (4)   Collimator (5)   Collimator control panel (6)   myExam 3D Camera (7)   Handles with buttons The YSIO X.pree device supports both manual collimation and Automatic Collimation Size Selection (ACSS). The collimator contains a laser line localizer that projects crosshairs from the longitudinal and transverse axis of the radiation field onto the detector or directly onto the patient.  The full field light localizer for projecting the crosshairs is switched on with the button at the front of the collimator. Learn more about the collimator features in the pop-ups below.   Rotating the Collimator Learn about rotating the collimator. If collimation not parallel to the table edges is required, the collimator can be rotated by ± 45° around the vertical axis of the central beam. (1) Lock-in lever (2) Lamp housing Rotating the collimation +/- 45° around the central beam axis Press the lock-in lever (1) on the collimator in the direction of the front panel. The 0° lock of the collimator is released.  Grasp the collimator and turn it by the required angle in the intended direction.   When the collimator is not in the 0° position, it will be indicated on the tube UI with this symbol.   ​​Rotating back into the 0° lock-in position Grasp the collimator and turn it into the centered 0° lock-in position.   Collimator Components Learn about the components of the collimator. (1)   Manual vertical collimation (2)   Manual horizontal collimation (3)   Button for full-field light localizer and laser line light localizer (4)   Measuring tape for SID/SOD measurement. It has two scales: Inches (left scale) and cm (right scale). (5)   Laser line light localizer with sliding cover. The laser line light localizer projects the axis mark for         longitudinal centering, which is aligned with the centering mark on the receptor. Its sliding cover is         used to protect the eyes of the patient or any other person. (6)   Accessory rails. The accessory rails may be loaded with a maximum of 70N (7kg). (7)   Crosshairs in the light localizer window (8)   3D camera   Technical Data Collimator Learn about the technical data of the collimator.   Inherent filtration 1mm Al at 70 kV Full field light localizer Very efficient 4 W high power LED technology; High energy efficiency enabling low-noise design without external cooling system, lifetime approx. 100.000 h, timer functionality, laser line light localizer (coverable) Copper prefilter The X-ray beam quality can be changed by applying filters to reduce low-energy quanta and thus reduce the skin dose. The collimator is equipped with motorized copper filters of 0.1, 0.2 or 0.3 mm Cu. The usage of the filters can be programmed in the clinical protocol. The filters can be switched on and off any time at the imaging system as well as at the tube UI at the tube head. Rotation ±45° manually Collimator control Manual and motorized, pre-set via Clinical Protocols Setting Collimation Learn about different ways to set collimation. Collimation can be set in the following manners:     -   Initial collimation is defined in the Clinical Protocol.   -   Via Automatic Collimation Size Selection (ACSS, see next pop-up).   -   Collimation is automatically recognized from the size of the patient by the     myExam 3D Camera.   -   You can set the collimation on the syngo XR (AWS, Acquisition Work Station) imaging system     in the camera image (virtual collimation, option).   -   You can set the collimation with the light localizer via the knobs on the collimator:       1   Rotate the diaphragm knob to adjust the format height.     2   Rotate the diaphragm knob to adjust the format width.          The format which results in the exposure plane corresponding to the predetermined SID          appears in the indication for the radiation field size in the display of the collimator.     3   Check illumination of the format and collimate as close as possible to the object.     Automatic Collimation Size Selection (ACSS) Learn about Automatic Collimation Size Selection (ACSS) Tab TitleTextIntroduction Apart from manual collimation, the YSIO X.pree device supports Automatic Collimation Size Selection (ACSS). ACSS limits the maximum opening of the collimator to the borders of the selected detector or cassette in the table and Bucky wall stand. In case ACSS is not possible, you have to take care that the X-ray field will not go beyond the border of the FD detector. The collimation format can be set in the Clinical Protocol. If the selected Clinical Protocol requires a new position of the tube and/or the detector, the collimation is set when the detector and the tube have reached the final position stored in the Clinical Protocol.Conditions for ACSS All system components (collimator, generator, tube stand, imaging system, detector) are ready for use. A detector is inserted in the tray of the table or wall stand (ACSS is not supported for free mobile detectors). The central beam is perpendicular to the solid state detector/cassette with a tolerance of not more than +/- 3 degrees. The collimator is not rotated.                        The respective icon in the collimator status bar is not visible. Additional conditions for systems without AIM/AIM Plus: The SID is between 90 cm and 300 cm, and the tube stand is in detent. Additional conditions for systems with AIM/AIM Plus: The SID is between 90 cm and 300 cm. Manual collimation is always active, if the above conditions are not fulfilled. The type of collimation is displayed on the tube user interface: ACSS is displayed: Automatic Collimation Size Selection (ACSS) is active. Manual is displayed: Manual collimation is active. Make sure the X-ray beam does not extend the dimensions of the detector/cassette. Underside Collimator Control Elements Learn about the underside collimator control elements. Control elements at the underside of the collimator: (1)   Laser line light localizer with slider to cover the outlet opening (2)   Crosshairs in the light localizer window (3)   Locking spring for accessories The locking spring is located on the left guide rail at the underside of the collimator. The locking spring locks the compensating filters, templates, and other things that are inserted in the accessory rails of the collimator to secure them from falling out. To remove the accessories, press the locking spring to the left until the compensating filter, template, and other things can be removed from the collimator. (4)   myExam 3D Camera   Upon successful completion of part 2 of the examination room online training, you will be able to: Identify and recognize the following system components of the ceiling-suspended YSIO X.pree tube unit and to remember their features:   X-ray tube Tube UI (tube user interface with color touchscreen) Collimator and its control panel myExam 3D Camera on the underside of the collimator The tube UI is a color touchscreen for control of multiple functions. The touchscreen corrects its display orientation from landscape to portrait, when the X-ray tube is tilted by 90°. The display on the tube UI informs you about the position of the support (SID, tube angle), the generator settings, patient name, Clinical Protocols, and other parameters. Learn more about the tube UI in the pop-ups below.   The User Interface at the Tube (Tube UI) Learn about what is displayed on the tube UI. (1)   Menu, patient and examination data (2)   Tab cards for parameter display and function selection (3)   Movement button indicators (4)   Display and selection of alignment, grid status, SID, copper filter, and collimation (5)   System messages Displaying Help on the Tube UI Learn about how to display help on the tube UI. You can display context-sensitive help information on the tube UI. 1. Open the menu 2. Tap the i icon / choose Help. The user interface elements, for which context sensitive information is available, will be marked by an "i". 3. To access context sensitive information, tap the "i" icon. 4. To stop context sensitive information, tap the "x" icon. Tube UI Menu Learn about the tube UI menu and its items. (1)   Display of the logged-in user account (2)   Enable help (3)   Page remote control (4)   Block system movement (5)   Block radiation (6)   Rotation 0° detent: Select if the center lock is for portrait or for the landscape format.        The detent will be active if the detector is not inserted or inserted in the corresponding format.        The detent will be inactive or deactivated (setting is ON as shown on the image) if the detector        is inserted in the opposite format as configured. General Displays and Settings Learn about general displays and settings on the tube UI. Tab TitleTextPart 1 Open menu Acquisition type, patient name, and date of birth   Centering information Enable/disable center tracking   Enable/disable top alignment Grid status and grid focus f0   Grid status does not match the setting in the clinical protocol step Part 2 Indication of source-image distance (SID)   Enable/disable SID tracking Indication of additional information: Copper filter, detector type, detector orientation, collimation size, rotated collimator, and if automatic collimation size sensing is active (ACSS) or not (Manual) System status: • White background: Status OK, the system is ready for operation. • Green background: Status OK, the system is ready for acquisition.   System is not ready for acquisition   Tap the message bar to see all the messages (examples shown here). Examination Tab Learn more about the Examination tab on the tube UI. Tab TitleTextLess Settings Displayed The collapsed Examination tab shows touch-adjustable entries for the Clinical Protocol step name, Acquisition Type, Patient Size (S, M, L, and XL), kV, Dose, and for the Measuring Field. By clicking the Show more button, the Examination tab expands and you can see more settings.   More Settings Displayed In addition to the previous settings, the expanded Examination tab shows touch-adjustable entries for the Exposure Mode, the applied copper filter (mmCu), and for the Focus. You can go back to the collapsed view of the Examination tab by clicking the Show less button.     Ortho Settings Displayed The Examination tab looks like this once an Ortho Clinical Protocol has been selected:   (1)     Select TOD (Table-Object Distance) (2)     Confirm Ortho start position.           A check mark is displayed when the position has been confirmed. (3)     Confirm Ortho end position.          A check mark is displayed when the position has been confirmed. Positioning Tab Learn more about the Positioning tab on the tube UI. Tab TitleTextSystem Position Blind The Positioning tab has two collapsible blinds: The System Position blind and the Measuring Tape blind. The System Position blind displays the rotation angles of the tube unit, detector unit, wall stand, and patient table.   (1)     Tube rotation horizontally (2)     Tube rotation vertically (3)     Detector rotation horizontally (4)     Detector rotation vertically (5)     Detector tilt on wall stand   Tap the arrow down icon to display the Measuring Tape settings.   Measuring Tape Blind The Measuring Tape blind on the Positioning tab displays the settings for tape measurement:   (1)     Select SID measurement (Source-Image Distance) (2)     Select SOD measurement (Source-Object Distance) (3)     Magnification display: Calculated magnification result from SID and SOD   Tap the arrow down icon to display the System Position settings.   Tube UI - Tube Movement Buttons and Functions Learn about the tube movement buttons on the tube UI and their functions. Tab TitleTextButtons According to tube UI OrientationThe tube UI is a color touchscreen for control of multiple functions. The touchscreen corrects its display orientation from portrait to landscape, when the X-ray tube is tilted by 90°. Next to the handles on the tube unit, there are four buttons on each side of the tube UI. The functions of the buttons are indicated by symbols and colors on the tube UI.       Vertical Alignment Tube Unit Horizontal Alignment Tube Unit Functions of Tube Movement Buttons    Button Symbol  Button Function    Button Symbol Button Function Tube rotation about the horizontal axis Floating movement up and down Motorized movement up Motorized movement down Longitudinal movement Transverse movement Tube rotation about the vertical axis Floating tube movement (longitudinal, transverse, vertical) The system components of the YSIO X.pree are located in either the examination room or the control room.  The examination room contains the (1)     YSIO X.pree ceiling-suspended tube unit with the X-ray tube,           user interface (tube UI), collimator and its control panel,          and the myExam 3D Camera on the underside of the tube unit (2)     Patient table with MAX wi-D or MAX static (3)     Bucky wall stand with MAX wi-D or MAX static In this online training, we will deal with the X-ray tube, tube UI, collimator and its control panel, and with the myExam 3D Camera on the collimator underside. For information on the floor mounted components (patient tables, Bucky wall stand, and available detectors), please see the YSIO X.pree System Components Online Training - Examination Room (Part 1) in the YSIO X.pree training area of PEPconnect. In the control room, the system components include the (1)     Generator ON/OFF console with radiation release button, (2)     Touch display, (3)     Wireless Remote Control, (4)     Manual radiation release, and the Imaging station, the computer available together with the control room system components listed above. For information on the system components in the control room, please see the YSIO X.pree System Components Online Training - Control Room in the YSIO X.pree training area of PEPconnect. The myExam 3D Camera is located on the underside of the collimator. It automatically recognizes collimation from the size of the patient. Use the handles to bring the X-ray tube unit into position, if necessary into the pull-in range of the tracking control. The X-ray tube unit (together with the collimator) can be rotated manually about two axes:   • about the horizontal axis (RHA = rotation horizontal axis) • about the vertical axis (RVA = rotation vertical axis) The X-ray tube follows table height adjustment, and the source-to-image distance (SID) is maintained. In addition, there is automatic synchronization between the X-ray tube and the detector inserted into the BWS: The X-ray tube follows synchronized and keeps centering on the middle of the detector or its upper edge (detector height adjustment). If the X-ray tube is too hot (>65% HU), an acoustic signal will sound.   Technical Data X-ray Tube Learn more about the technical data of the X-ray tube.   X-ray tube OPTITOP 150/40/80HC-100 Maximum exposure voltage (IEC 60613) 150 kV Focal spot nominal value (IEC 60336) 0.6 / 1.0 Nominal anode input power (IEC 60613:1989) (thermal anode reference power = 300 W) 40 kW / 80 kW Nominal anode input power (IEC 60613:1989) (thermal anode reference power = 0 W) 52 kW / 103 kW Radiographic anode input power (IEC 60613:2010) 47 kW / 85 kW Optical anode angle (IEC 60788) 12° Anode heat dissipation rate 120,000 J/min. (170,000 HU/min.) Anode heat storage capacity 580,000 J (820,000 HU) Maximum heat storage capacity of tube housing 1,800,000 J (2,530,000 HU) Anode drive 150/180 Hz (9,000 to 10,800 rpm) Leakage radiation (IEC 60601-1-3) (at 150 kV at 1 m distance) ≤ 0.8 mGy/h (450 W) Total filtration (IEC 60601-1-3) ≥ 2.5 mm Al/80 kV Weight 26 kg