MR Cardiac Lead Placement (D-line) Step by Step

MR Cardiac Lead Placement (D-line) syngo MR Systems with DotGO Technology with D-line software 1. Electrode Placement Positioning of the electrodes can be varied depending on the patient’s position of the heart Primary Configuration Alternate Configuration 2. Ensure optimal contact between the electrodes and the patient’s skin a. Thoroughly clean and prepare the patient’s skin by using only NUPREP ECG & EEG Abrasive Skin Prepping Gel b. If necessary, shave the location where you want to attach each electrode c. Wipe off all the excess gell and dry the skin carefully d. Apply only MRI-Safe electrodes such as Conmed 2700 Cleartrace electrodes, that have not reached their expiration date 3. Check the Signal a. Check the signal via the Dot display above the bore of the magnet b. To ensure reliable triggering, a minimum of two bars should be shown on at least one of the ECG channels, although the more bars on more channels can improve accuracy. The other ECG channels should show a minimum of one bar. If the signal is insufficient, the electrodes may need to be repositioned or replaced. Dos, John Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: XX/XX/XXXX | HOOD/HILS Healthineers Job Aid | MR Cardiac Lead Placement (D-line) Effective Date: 04/24/2020 | HOOD 05162003083135 4. Position the PERU device in the provided support so that the base of the support piece is parallel to B0. 5. Position the rest of the necessary coils per the exam being performed. 6. Landmark on the necessary anatomy for the exam being performed, and then return the table to the Home position. Note: Certain systems have a “Near Home” button. On these systems moving the table to the “Home” position clears the landmark, so instead, use the “Near Home” button for this step on those systems 7. Allow for the Learning Phase to acquire at least 10 heartbeats without touching the patient and without patient movement. a. Learning Phase is a brief period before the table is moved into the bore, during which the patterns of the last 10 ECG signals are learned and saved. The end of the Learning Phase is triggered when the table moves 30cm into the bore. b. To get the most helpful 10 learned heartbeats, the table should be at the Home position, the patient should remain still. 8. Press the appropriate button to advance to the landmark Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: XX/XX/XXXX | HOOD/HILS Healthineers Page 2 of 4 Job Aid | MR Cardiac Lead Placement (D-line) Effective Date: 04/24/2020 | HOOD 05162003083135 9. At the console, check the Physiologic Display a. The Physiological Display dialog window is a window on the GSP, which is fixed and cannot be moved or resized b. Each signal track displays one of the physiological signals as a continous curve, i.e., the ECG1 signal, ECG aVF signal, the pulse signal, the respiratory signal, and the external signal. c. The trigger information delivered by the PERU is shown as triangles above the signal curve. i. Large triangles are displayed to indicate the channel is being used for trigger- ing and small triangles indicate channels that are not being used for trigger- ing. d. If you are seeing good ECG waveforms but there are no trigger pulses, try using a different triggering algorithm or try using the Relearn VCG function with the patient at isocenter. Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: XX/XX/XXXX | HOOD/HILS Healthineers Page 3 of 4 Job Aid | MR Cardiac Lead Placement (D-line) Effective Date: 04/24/2020 | HOOD 05162003083135 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 2020 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Phone: +49 9131 84-0 siemens-healthineers.com Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: XX/XX/XXXX | HOOD/HILS Healthineers Page 4 of 4