ARTIS one - System Operation Job Aid

SIEMENS Healthineers System Operation Job Aid ARTIS one VA1x Template Effective Date: 10 Aug 2021 | HILS 2223 OUS Effective Date 01 APR 2022 | HOOD05162003265211 US Effective Date 06/17/2022 I HOOD05162003283804 Unrestricted © Siemens Healthineers, 2022 System Operation SIEMENS Healthineers Table of Contents (1/2) Control Room System Overview 4 Exam Room System Overview 5 Large Display* in the Exam Room 6 Handswitch 7 Footswitch 8 Switching the System On/Off 9 System Restart 10 Control Modules Overview 11 Control Modules: Table Control Module (TCM) 12 Control Modules: Stand Control Module (SCM) 14 Control Modules: Collimator Control Module (CCM) 17 Control Modules: Table-side Control Module (TSC) 18 Onscreen Menu 20 Layout Gallery 22 2 Effective Date 01 APR 2022 | HOOD05162003265210 *The Large Display is an option. Unrestricted © Siemens Healthineers, 2022 System Operation SIEMENS Healthineers Table of Contents (2/2) Layout Gallery: Display Layout Configurator 24 System and Anatomical Positions 26 System and Anatomical Positions: Store Programmed Positions 28 System and Anatomical Positions: Organize/Edit Stored Positions 30 3 Effective Date 01 APR 2022 | HOOD05162003265210 Unrestricted © Siemens Healthineers, 2022 System Operation SIEMENS Healthineers Control Room System Overview 1 2 (1) Display (2) Keyboard (3) Mouse (4) Imaging system box (5) Control module in control room* 3 5 SIEMENS Heolthingers 4 -1 + * Second control module in control room is an option. 4 Effective Date 01 APR 2022 | HOOD05162003265210 Unrestricted © Siemens Healthineers, 2022 System Operation SIEMENS Healthineers Exam Room System Overview 1 2 2 3 4 (1) Floor stand with C-arm, X-ray tube assembly, and FD 5 (2) Exam room display/Large Display* SIEMENS (3) Patient table (4) Control console for controlling the stand, patient table, and imaging system 6 (5) Handswitch (6) Footswitch *The Large Display is an option. 5 Effective Date 01 APR 2022 | HOOD05162003265210 Unrestricted © Siemens Healthineers, 2022 System Operation SIEMENS Healthineers Large Display* in the Exam Room 1 3 Live Assist SIEMENS .: (1) Image segments area Healthineers ... ARTIS one (2) Info area STOP (3) Fixed area of the Large Display Please note: The fixed area is always positioned in this location and cannot be removed from the display layout. Please check the Display Layout Configurator to configure other areas. AT_CARD Da Coro Alt2 (15.0 f/s) 2 77.4 KV 2 : 002.7 min LAO 8:42 AM Review FL Card Alt2 (10.0 p/s) 106.6 mA FL 71 mGy 931.69 uGym2 111 1 1 % 60 39 cm 1 ) 30.0 p/s Store Reference XRAY manually disabled - Deselect 'Block Radiation' *The Large Display is an option. 6 Effective Date 01 APR 2022 | HOOD05162003265210 Unrestricted © Siemens Healthineers, 2022 System Operation SIEMENS Healthineers Handswitch The handswitch has two operating elements. Acquisition Button Multifunctional button With the acquisition button on top of the With the multifunctional button on the rear of handswitch, you can release acquisition series *k the handswitch, you can progress in the and single acquisitions as preselected in the examination. Depending on the acquisition acquisition program. program selected, the multifunctional button has different functions: • In a program with a manual variable frame rate, it is used to switch from one phase to the next. LCO • In a PERIVISION* or PERISTEPPING* acquisition program, it is used to move from one position to another. • In a DR-DYNAVISION*, DYNAVISION* or 3D* acquisition program, it is used to start the next phase. *These acquisition programs are options. 7 Effective Date 01 APR 2022 | HOOD05162003265210 Unrestricted © Siemens Healthineers, 2022 System Operation SIEMENS Healthineers Footswitch The footswitch is available as a cabled version and a The wireless footswitch has an active range of wireless version. It is constructed with four pedals that approximately 5m (16ft) around the table/stand provide the ability to release fluoroscopy and acquisition where the receiver is installed. If the footswitch is plus other configurable functions (for example: table used out of this range, it may lose contact with the brake release, room lights). receiver and will then go into an inactive mode. Standard Footswitch (Cabled) Wireless Footswitch* SIEMENS Healthingers SIEMENS *The wireless footswitch is an option. 8 Effective Date 01 APR 2022 | HOOD05162003265210 Unrestricted © Siemens Healthineers, 2022 System Operation SIEMENS Healthineers Switching the System On/Off Switching the System ON Switching the System OFF Prior to switching on the system, please ensure that the 1. Select Options > End Session... in the main menu. on-site main switch is switched on and the emergency 2. The End Session dialog box is displayed. SHUTDOWN button is inactive. To switch the system on, 3. Select Shutdown System... and select Yes. press the power-on button (1) on the system console. Keep the power-on button pressed for more than 0.5s. Options Help End Session X (1) Power-on button Maintenance .. (2) USB drive End Session Log Off ... Configuration (3) CD/DVD drive Shutdown System ... Set Replace Mask SIEMENS 1 Auto Expose Restart System .. Healthineers 3 2 Load Test Images Restart Application .. Store Service Image Copy To WinNIEA Standby ... Service Cancel Help 9 Effective Date 01 APR 2022 | HOOD05162003265210 Unrestricted © Siemens Healthineers, 2022 System Operation SIEMENS Healthineers System Restart When a problem with the imaging system occurs, it may be necessary to restart the imaging system (Restart Application) or the entire system (Restart System). If a message Restart imaging system appears, you must terminate the imaging system application and then restart it. Restart Application 1. Select Options > End Session... in the main menu. The End Session dialog box is displayed. Options Help End Session X Maintenance 2. Select Restart Application... End Session Log Off ... Configuration Another dialog box appears. Shutdown System. Set Replace Mask 3. Select Yes. Auto Expose Restart System .... Restart Application .... 4. The software of the imaging system is terminated Load Test Images Store Service Image Standby ... --- - --- and restarted. Copy To WinNIEA Service Cancel Help Restart System 1. Select Options > End Session... in the main menu. The End Session dialog box is displayed. 2. Select Restart System... Another dialog box appears. 3. Select Yes. 4. The imaging system is shut down and restarted. 10 Effective Date 01 APR 2022 | HOOD05162003265210 Unrestricted © Siemens Healthineers, 2022 System Operation SIEMENS Healthineers Control Modules Overview System control modules allow you to operate the stand, the patient table, and the imaging system. (1) Table Control Module (TCM) (2) Stand Control Module (SCM) (3) Collimator Control Module (CCM) (4) Table-side Control (TSC) REF II # 144 7 - + 1 2 3 4 11 Effective Date 01 APR 2022 | HOOD05162003265210 Unrestricted © Siemens Healthineers, 2022 System Operation SIEMENS Healthineers Control Modules: Table Control Module (TCM) Overview of TCM Movement of the Patient Table Table Panning Knob (1) Tabletop transverse movement (manual) Adjust the tabletop position. (2) Tabletop longitudinal movement (manual) (3) Table lift (motorized) (4) Table rotation (manual) Perform Table Lift 1 2 Set Isocenter LED is on or flashes while this 3 function is active. SIEMEN Healthy Lock Tabletop Movement 4 DO = LED is on while this function is active. - Lock Lateral Tabletop Movement LED is on while this function is active. 12 Effective Date 01 APR 2022 | HOOD05162003265210 Unrestricted © Siemens Healthineers, 2022 System Operation SIEMENS Healthineers Control Modules: Table Control Module (TCM) Table Rotation • The table rotation is performed manually • The table rotation is only possible via the pedal, mounted on the base of the table column SIEME Health • The table locks every 3° 2 1 2 To rotate the patient table, perform the following: - 1. Press the table unlocking pedal. 2. Keep pressing the pedal and rotate the patient table. 3. Release the pedal. Rotate the patient table back and forth slightly until you feel it engage. 13 Effective Date 01 APR 2022 | HOOD05162003265210 Unrestricted © Siemens Healthineers, 2022 System Operation SIEMENS Healthineers Control Modules: Stand Control Module (SCM) With the Stand/C-arm multifunction joystick the stand 1 and C-arm positions can be adjusted by deflecting the joystick in the required direction: 2 (1) The dead man's switch/dead man’s grip (DMG) enables movements by pressing it down. 3 (2) The buttons on the left and the right side enable switching over from C-arm angulation to stand swivel or C-arm longitudinal movement. (3) The rocker key on the back enables lifting and lowering of the flat detector (setting the SID). -1> 14 Effective Date 01 APR 2022 | HOOD05162003265210 Unrestricted © Siemens Healthineers, 2022 System Operation SIEMENS Healthineers Control Modules: Stand Control Module (SCM) O O O 2x Anatomical positions Angulations or System positions linear movements O O Store position Set zero stop Orientation key O O Direct positions I Direct positions II Direct positions III 15 Effective Date 01 APR 2022 | HOOD05162003265210 Unrestricted © Siemens Healthineers, 2022 System Operation SIEMENS Healthineers Control Modules: Stand Control Module (SCM) Orientation Key The illuminated LED indicates the active position. Assignment of the illuminated LEDs to the current As the joystick of the respective control console is position of the control console with respect to the deflected, the orientation key causes movements to be patient table: made in the same direction. By pressing the key for more O than 3s, you can change the orientation of the control Control console to the right of the tabletop (default console. O position) O Control console at the foot end of the tabletop O Control console to the left of the tabletop O O Control console at the head end of the tabletop 16 Effective Date 01 APR 2022 | HOOD05162003265210 Unrestricted © Siemens Healthineers, 2022 System Operation SIEMENS Healthineers Control Modules: Collimator Control Module (CCM) The upper joystick controls the wedge filter. The lower joystick controls the rectangular diaphragm. # I Reset collimator leaves and filters diaphragms. # Collimator/FD rotation (Multispace) - + - Change image input format/zoom stage + 17 Effective Date 01 APR 2022 | HOOD05162003265210 Unrestricted © Siemens Healthineers, 2022 System Operation SIEMENS Healthineers Control Modules: Table-side Control Module (TSC) With the TSC, the imaging system can be operated in the examination room. Mouse Joystick Middle Button Display of the Mouse Joystick Functions on the Exam Store a 2D reference image when assigned to 2D Room Screen • postprocessing Possible directions of joystick deflection • Windowing button when assigned to 3D Navigate Joystick function without button pressed postprocessing Left Button Right Button Select and Finish steps or Select Close Joystick function with a button pressed manipulate exit functions. objects. Top View Block Block Radiation Movement 18 Front View Effective Date 01 APR 2022 | HOOD05162003265210 Unrestricted © Siemens Healthineers, 2022 System Operation SIEMENS Healthineers Control Modules: Table-side Control Module (TSC) Factory Default Button Configuration SM K REF REF Store the current image Scroll to the previous and Scene directory Postprocessing (Store monitor) the next reference image Onscreen menu SM K 1888 REF 8888 REF Store fluoroscopy image Scroll to the previous Dilatation timer Examination Onscreen 144 and the next scene menu REF REF O Store reference image Increase and decrease Layout Gallery fluoroscopy pulse rate Please note: This area can be configured. Please contact your Siemens Healthineers Customer Service for further 19 information. Effective Date 01 APR 2022 | HOOD05162003265210 Unrestricted © Siemens Healthineers, 2022 System Operation SIEMENS Healthineers Onscreen Menu When you press one of these keys on the TSC, the corresponding menu will appear on the display in the examination room. Examination Onscreen menu Postprocessing Layout Onscreen menu Gallery Display Layouts AX R-D TO AXION VA100 142m AX R-D Exam Acq. Program /com/// Frame Rate Pulse Rate Fluoro Program Assist Assist Assist Assist Live Sansis Live 30 DE Roadmap 0 General Native Layout 1 Layout 2 Layout 3 Layout 4 Layout 5 Overlay Ref O Q Series Description ... SM- Store Monitor syngo 3D Layouts - Review syngo 3D Layouts - Compare Exam Set ... 3D Head Ref_ Store Reference syngo 3D Volume Presets Dilatation Timer O Layout Gallery Close Patient 20 Effective Date 01 APR 2022 | HOOD05162003265210 Unrestricted © Siemens Healthineers, 2022 System Operation SIEMENS Healthineers Onscreen Menu To navigate within the Onscreen menu, deflect the mouse joystick. Move the joystick left or right to navigate between pages. V Move the joystick up/down to navigate between items. To select an item on the Onscreen menu, press the left mouse joystick button. To close the Onscreen menu, press the menu key again. or – – Press the right mouse joystick button (within a submenu, only the submenu is closed). 21 Effective Date 01 APR 2022 | HOOD05162003265210 Unrestricted © Siemens Healthineers, 2022 System Operation SIEMENS Healthineers Layout Gallery Examination Room Display Layouts 1. To select a layout, press the Layout Gallery key Assist Assist on the TSC*. Live Assist Assist Live Live Live Sensis Live Info Info Info Info 3D Sensis Info Layout Gallery Key Layout 1 Layout 2 Layout 3 Layout 4 Layout 5 syngo 3D Layouts - Review or – syngo 3D Layouts - Compare – syngo 3D Volume Presets Select Layout Gallery in the General menu. 2. Deflect the mouse joystick to select a layout. 3. Press the left button of the mouse joystick to activate the layout. *If configured 22 Effective Date 01 APR 2022 | HOOD05162003265210 Unrestricted © Siemens Healthineers, 2022 System Operation SIEMENS Healthineers Layout Gallery Examination Task Card (Control Room) Exam Room Display Layout Selection X Assist 1. Click this icon. Live Assist Assist Live Live Live Sensis Info Info 3D Info Info Layout 1 Layout 2 Layout 3 Layout 4 Assist 2. Select the desired layout and click Apply. Live Live 3D Live External 2 Live External 3 Info Sensis Info Info Info Layout 5 Layout 6 Layout 7 Layout 8 Live External 4 Info Layout 9 OK Apply Cancel Help 23 Effective Date 01 APR 2022 | HOOD05162003265210 Unrestricted © Siemens Healthineers, 2022 System Operation SIEMENS Healthineers Layout Gallery: Display Layout Configurator Examination Task Card (Control Room) BE Artis one - Configuration Panel × File The Display Layout Configurator allows you to configure the screen layout on the display in the examination room. You can 4D Recon- Auto Delete Patient Certificate Screen Saver struction JET Browser Handler customize the screen layout to your needs and to your + examination. Close Patient Add Printer Transferi Audit Trail Filming Study Filming 1. Select Options > Configuration in the main menu on the Assistant ............................ Layout Layout system console. *** 2. Double-click the Display Layout Configurator icon to open the Filming Patient Patient Software Reset KIOSK Display Layout Configurator. Layout Editor Registration Search Distribution Password Please Note: Date and Image Text Layout Regional and Organize PHI Time Editor Configurator Language ... Stored Pos. Decommis ... • A default layout is mandatory and can be changed but must contain a Live image segment. • If there is a Live image segment, it is always positioned in the top-left corner. Transfer NUM • The Info segment is mandatory. 24 • A vertical Info segment on the left side is not allowed. Effective Date 01 APR 2022 | HOOD05162003265210 Unrestricted © Siemens Healthineers, 2022 System Operation SIEMENS Healthineers Layout Gallery: Display Layout Configurator (1) Menu Bar Display Layout Configurator 1 New Duplicate Layout Layout layout Save 5 Import/Export Configure Configuration Sources ? New Layout, Duplicate Layout, Save, Undo/Redo. ayouts Sources 5 (2) Layouts 2 01. Live Assist 3 3D I* Info By clicking the arrow icon displayed to the left of the layout name, Layout 02. Assist Live Assist the default layout can be defined for system startup, for ClearStent Live Live Info Layout 2 Live, and during X-ray. If a layout has been defined as a default, it 03. Assist Live Assist is marked by a star. Info 3D Info Layout 3 (3) Layout build-up area * 04. Live Sensis Info You can drag and drop image segments from the Source to the Layout 4 layout build-up area, and select, move, resize, or delete them. 05. Assist Segment Properties Live Sensis Sensis Segment Size Lock Ratio Segment Position Lock (4) Segment Properties Layout 5 Height 1278 Scaling height 99.8% X 06. Width 1278 Scaling width 99.8% + 4 0 The size and position of the selected image segment are displayed Live 3D 4 External 2 and can be changed in this area. (5) Sources The sources that have been configured are displayed. Please note: Only the first 12 layouts can be selected/activated in the examination room. The remaining layouts are only displayed in the Display 25 Effective Date 01 APR 2022 | HOOD05162003265210 Layout Configurator. Unrestricted © Siemens Healthineers, 2022 System Operation SIEMENS Healthineers System and Anatomical Positions (1/2) Assis 1. Press the required position icon on the stand control module (SCM): System Positions System Positions: A set of basic positions of the stand and Patient Transfer Preview  Head Side table are saved as special system positions. The stand position Left Side is related to room coordinates. Right Side, Table Rotated 34. -32 cm Page OR Position Anatomical Positions (Programmed Positions): You can save a 1 1/3  Peri Position number of positions that you require for examinations. The C- Parking Position Automap arm will be positioned in relation to the patient’s position. Navigate Select 2. The corresponding menu appears on the Onscreen menu and the AssIst Anatomical Positions LED on the key lights up. Preview Page 1 1/5 ...................................... ... ] 3. Select the required target position by deflecting the stand/C-arm ...................................... Navigate 4 joystick backward or forward repeatedly. Select 26 Effective Date 01 APR 2022 | HOOD05162003265210 Unrestricted © Siemens Healthineers, 2022 System Operation – SIEMENS Healthineers System and Anatomical Positions (2/2) 4. Confirm the target position by pressing one (or both) side buttons. 5. Press the stand/C-arm joystick down and deflect it away from you until the target position has been reached. 6. The LED on the program key goes out. 7. The system returns to its original state. 27 Effective Date 01 APR 2022 | HOOD05162003265210 Unrestricted © Siemens Healthineers, 2022 System Operation SIEMENS Healthineers System and Anatomical Positions: Store Programmed Positions (1/2) 1. Move the unit and the table height (configurable by Siemens Healthineers Service) to the required position. 2. Set the SID, zoom stage, primary collimator, and filter diaphragms. 3. Press the Store position key from the stand/C-arm control module. The LED on the key lights up. Store position key 4. Select the required memory position (number) by deflecting the stand/C-arm joystick backward or forward repeatedly. 28 Effective Date 01 APR 2022 | HOOD05162003265210 Unrestricted © Siemens Healthineers, 2022 System Operation SIEMENS Healthineers System and Anatomical Positions: Store Programmed Positions (2/2) 5. Press one or both buttons on the side of the stand/C-arm joystick to store the current system position under the selected program number. The previous position is deleted. or – – Press the required position key to store the three most frequently used system positions with shortcuts (direct positions I, II, III). O Direct Positions Key I, II, III These saved system positions with shortcuts are not listed in the system positions and are not saved in the system position list. 6. The LED on the store key goes out and the system returns to its original state. 29 Effective Date 01 APR 2022 | HOOD05162003265210 Unrestricted © Siemens Healthineers, 2022 System Operation SIEMENS Healthineers System and Anatomical Positions: Organize/Edit Stored Positions (1/2) 1. Select Options > Configuration... in the main menu. 3. A list of the stored positions and a preview of the 2. Double-click the Organize Stored Positions icon. selected position will open. Positions may be marked by a: Artis one - Configuration Panel • Factory position (cannot be edited) X File Protected position (cannot be deleted or overwritten) 4D Recon- Auto Delete Patient Certificate Screen Saver struction JET Browser Handler Organize Stored Positions + Anatomical Positions Close Patient Add Printer Transfer Audit Trail Filming Study Filming Patient Transfer Assistant Layout Layout Head Side Preview Left Side ** * Right Side, Table Rotated OR Position Filming Patient Patient Software Reset KIOSK Peri Position Layout Editor Registration Search Distribution Password Parking Position Automap C-Arm FFFFFFF x LAO CRAN Date and Image Text Layout Regional and Organize PHI Time Editor Configurator Language ... Stored Pos. Decommis ... 2' 0º O [ .. .. ] 30 Effective Date 01 APR 2022 | HOOD05162003265210 Unrestricted © Siemens Healthineers, 2022 System Operation – SIEMENS Healthineers System and Anatomical Positions: Organize/Edit Stored Positions (2/2) 4. To edit and arrange the positions to your needs and to Organize Stored Positions your examination practice: e An al Positio System Positions Patient Transfer a) Select a position and click the up or down arrow to Head Side Left Side Preview Right Side, Table Rotated FFE change the sort order. OR Position Peri Position Parking Position b) Select the position and click Rename to rename a Automap C-Arm position (which is not protected). LAO CRAN L ............. .. ] .. ] 28º -29 cm 2. O c) Select the position and click Enable Write ......... ... ] a Protection or Disable Write Protection to [ ....... [ ........ ... ] determine whether a protection can be written or 33 not. [ ........ d) Select the position and click Copy to System Positions or Copy to Anatomical Positions to copy a position to the other list. e) Click the Undo or Redo icon to undo or redo the last b Rename Delete f c Enable Write Protection action. d Copy to Anatomical Positions f) Select the position and click Delete to delete a OK Apply Cancel Help position (which is not protected). 5. You can also apply write protection to selected positions. 31 Effective Date 01 APR 2022 | HOOD05162003265210 Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers 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. 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 a utility model or design, are reserved. © Siemens Healthcare GmbH 2022 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens-healthineers.com 32 Effective Date 01 APR 2022 | HOOD05162003265210 Unrestricted © Siemens Healthineers, 2022