ARTIS icono ceiling PERISTEPPING and PERIVISION workflows

In this video, we'll demonstrate the para stepping and paravision workflows for the Artist Icono ceiling system. Parry is only clinically relevant from the right or left side position. It can provide a maximum of 11 steps, which make a total of 12 acquisitions including the start position. Peripheral examinations can also be performed with an RAOLAO angulated C arm up to 30°, but the angulations can't be changed between the steps. Please note the direction of the stepping is linked to the patient registration position. Move the C arm to a left side position and adjust the table height so that the patient is as close as possible to the flat detector. Set the detector rotation to portrait for one leg or landscape for bilateral runoff. In this example, we examine the pelvis leg arteries. For this example, position the patient in a feet first supine position. After positioning the patient centrally on the patient table, immobilize the patient's knees. This is important to avoid motion artifacts. Select the required para stepping acquisition protocol. The system position when choosing the protocol determines the start position of the C arm. Perform a test run to check the position of the examination region and to make sure that no collision will occur. Please note the acquisition will be cancelled if there's a collision. To begin the para stepping workflow, perform a brief fluoroscopy in the start position, then trigger steps by deflecting the C arm joystick towards the feet of the patient until you reach the next position. The movement is carried out step by step until you've stopped at all positions. Where required. Perform a fluoroscopy column eight, position the finger filter and change the measuring field. The message Dr. stepping test phase NM is displayed to show the current step which is N in our example in the maximum number of steps which is M After completing the test phase, start the para stepping return phase. To do so, make sure that the C arm is still in the end position of the test phase. If possible, start this step immediately to avoid patient movements. Instruct the patient not to move and to hold their breath. Press the exposure release button or pedal to start the acquisition series. Make sure to keep it pressed until the fill phase is complete. Following the return, the fill phase begins. To trigger the fill phase briefly press the multi functional button on the hand switch. The message Doctor stepping fill phase in M is displayed. If you've integrated an injector, it receives an automatic start signal to administer the contrast media when the system returns to the start position. Otherwise, perform the injection manually. Press the exposure release button or pedal to start the acquisition series. Make sure to keep it pressed until the fill phase is complete. Watch the vessels fill with contrast media on the screen. Trigger a step when the optimum contrast media filling, which is around 2/3 of the image field, has been attained. Press the multi functional button on the hand. Switch in time to move to the next position. The message Dr. stepping completed is displayed, Para stepping is automatically deselected and the series is displayed on the screen. For Perivision, the preparation will be the same once the test phase in M is completed. Instruct the patient not to move and to hold their breath. Press the exposure release button or pedal to start the acquisition series. Make sure to keep it pressed until the mask and fill phase are complete. While the acquisition button is pressed, the mask phase will be performed for each step. When the C arm returns to the starting position for the fill phase, use the multi functional button to move to the next step in M. Please note, don't release acquisition when performing the parry mode, otherwise acquisition will be aborted and the contrast injection will be wasted.

123456789 4/26/2024 10:57 0% 4/26/1924 1(5): 2(5): 3(5): 4(5): 5(5): 5(11): PERISTEPPING and PERIVISION workflows ARTIS icono ceiling Clinically relevant from the right or left side position. 11 steps max 12 acquisitions including start position Can also be performed with an RAO/LAO angulated C-arm, but the angulation cannot be changed between the steps. The direction of the stepping is linked to the patient registration position. Artis zeego Feet First - Supine Table Detector Case Flows Favorites STOP FL Angio Pulse Rate 7.5 p/s Acquisition Single Frame Rate Measure Field Series Descr. Fluoro Ke Examination OK S 222111 P222111 System message DR-Stepping: Make fluoro image DR-Stepping test phase 1 (11): Deflect joystick. Release acquisition to complete phase. Siemens, Healthineers * 4/26/1924 10:57:40 AM 250.0 mA AM DR-Stepping test phase 5(11): Deflect joystick. 0.00 mGy/min 0.00 mGy Release acquisition to complete phase. rs 107.0 kV 000.1 min Play/Pause Scene +/- Ref2 Imag min N: Current step M: Maximum number of steps Scene Image Gy/min Gy hineers 49cm 5(11): Deflect joystick. DR-Stepping return phase: 5(5) DR-Stepping fill phase Use multifunctional button on handswitch to initiate steps. DR-Stepping: Completed Deflect joystick. Release acquisition to complete phase. PERI mask phase 5(5): Keep releasing acquisition PERI fill phase 1(5): Use multifunctional button on handswitch to initate steps. PERI: Completed Please note this 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. Please 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 utility model or design, are reserved. Unrestricted | Published by Siemens Healthineers AG | C Siemens Healthineers AG, 2024 Siemens Healthineers HQ I Siemens Healthineers AG Siemensstr. 3 91301 Forchheim Germany Phone: +49 9191 18-0 siemens-healthineers.com SIEMENS Healt Healthineers