ARTIS pheno (VE21A and higher) System Overview - USA

Continue Continue Continue Continue Continue Welcome ARTIS pheno System Overview Software Version VE21 In this online training, we will introduce you to the components in the exam room. This training relates to software version VE21. Master Template HOOD05162003052540 | Effective Date: 26-Nov-2019 ? Recognize the components of the stand and C-arm 1 Identify the functions of the foot switch. 5 Recall the functions of the control console. 3 Identify the functions for moving the patient table. 2 4 Recognize the functions of the exam room display 6 Identify the functions of the hand switch. Welcome artis_pheno_ve21_sysovw_en_welcome.mp3 Welcome to the System Overview for the ARTIS pheno. In this online training, we will introduce you to the components in the exam room. Please note: This training relates to software version VE21. ? Navigation Hints Before you start, we would like to give you a few tips on how to navigate: Table with 2 columns and 4 rows Not all pages contain audio. Some pages invite you to read for yourself or watch a video. All pages show a ? button in the lower-right corner. Select the ? button to get a quick guide through the navigation elements. Some pages show an X button in the upper right corner. Select the X button to return to the overview page and not miss any information provided. Some images have a magnifier icon in the bottom-left corner. Select these image to see an enlarged view of the image. Select the image again to return to the normal view. Enjoy the course! ? This slide is mandatory for all ED1 trainings. It is displayed directly after the Welcome slide. Please delete what is not needed. Navigation Hints Stand/C-arm Stand with C-arm ? Rotating Column X-ray Tube Assembly with Collimator Flat Detector (FD) Pilot Control Module (PCM) Stand Arm Stand Link Arm C-arm Stand with C-arm artis_pheno_ve21_sysovw_en_stand-w-carm.mp3 The ARTIS pheno system stand consists of the C-arm, detector, X-ray tube and collimator. The stand and C-arm can be moved via the joystick or via pre-programmed system positions using the touchscreen of  the Pilot control module.  In the following, we will talk about the input fields of the detector, the membrane keys and the scatter grid in more detail. Input Fields of the Detector Table with 3 columns and 11 rows Zoom Stage Input Field (Diagonal) Large FD as40HDR zen40HDR Nominal format/Zoom 0 49 cm 50 cm Zoom 1 40 cm 40 cm Zoom 2 32 cm 32 cm Zoom 3 25 cm 25 cm Zoom 4 20 cm 20 cm Zoom 5 16 cm 16 cm Zoom 6 13 cm 13 cm Zoom 7 10 cm 10 cm ? Input Fields of the Detector artis_pheno_ve21_sysovw_en_input-fields.mp3 Depending on the flat detector installed, different image formats and zoom stages are available. The input field is the diagonal measurement of the field. Detector Housing Membrane Keys For more information, select the orange markers. FD Lifting and Lowering Setting the source-image distance (SID) FD Rotation (Setting Portrait/Landscape) Longitudinal C-arm Movement C-arm Rotation Cranial/caudal angulations C-arm Orbital Movement RAO/LAO angulations Laser Positioner Light On/Off The laser positioner is an option. ? Detector Housing Membrane Keys artis_pheno_ve21_sysovw_en_membranekeys.mp3 You can use the membrane keys on the flat detector to activate certain system and FD movements. For more information, select the orange markers. Scatter Grid The scatter grid is intended to filter scatter, that is created by the patient and other objects, out of the image to improve image quality. As in pediatrics, the dose awareness is high and the scatter created by small patients is low, the grid can be removed. To ensure optimal image quality, the grid should remain inserted for all other cases. For more information about removing the grid, select the numbers below. ? 1 1 1 2 2 2 3 3 3 4 4 4 5 5 5 Scatter Grid artis_pheno_ve21_sysovw_en_scattered-radiation-grid.mp3 The scatter grid is intended to filter scatter, that is created by the patient and other objects, out of the image to improve image quality. As in pediatrics, the dose awareness is high and the scatter created by small patients is low, the grid can be removed. To ensure optimal image quality, the grid should remain inserted for all other cases. For more information about removing the grid, select the numbers below. Mechanical Lock Pay attention to correct locking: An audible engagement sound should be heard. 5 Insert the Grid from the Back When inserting the grid, pay attention to correct orientation. The arrows on the grid must point toward the detector and the label on the grid must point toward the patient. 4 Pull the Grid Out Pull the grid out to the rear. Once the grid is removed, place the grid in a safe place. 3 Press the Button Press the button on the front of the FD, the grid slides out of its holder. 2 Move the C-arm to the AP Position To minimize the risk of the grid falling, the C-arm should be in the anterior-posterior (AP) position when removing or inserting the grid. Please note: Handle the grid with special care. If the grid is dropped or not handled properly, the grid could be damaged. Grid damage cannot always be seen externally. 1 Patient Table Patient Table ? Before positioning the patient on the table, pay attention to the weight limit. You will find a sticker indicating the weight limit on your table. In the following, we will explain how to move the patient table. at Table Control Module (TCM) Patient Table Patient Table artis_pheno_ve21_sysovw_en_patient-table.mp3 Your ARTIS pheno system is installed with a patient table and a tabletop specifically tailored for your examination needs.  Before positioning the patient on the table, pay attention to the table weight limit. It is important that you consider not only the patient weight, but also the weight of the accessories on the rails and the weight needed in the event that cardio pulmonary resuscitation (CPR) is required. You will find a sticker indicating the weight limit on your table. With the table control module (TCM), you operate the table. In the following, we will explain how to move the patient table. ? Rotate the Patient Table You can rotate the patient table by using the hand grip, the foot pedal or the Pilot control module. Please note: The functions for the table control module and the hand grip can only be used on an ARTIS multi-tilt table. Select the tab arrows for more information. Table Control Module (TCM) Hand Grip Foot Pedal Rotate the Patient Table Table Control Module (TCM) This function can only be used for the ARTIS multi-tilt table. Do the following on the table control module (TCM): Press the table unlocking key. When the function is active the LED will appear blue. Rotate the table while pressing on the knob on the TCM. To lock the tabletop, press on the table unlocking key again. Foot Pedal Press on the pedal to release the table. Rotate the table. With the pedal pressed the table will not lock into position. Release the pedal and the table will lock when in an increment. When the table is engaged in a lock an audible click will be heard. Please note: In the case of a power outage, the pedal is the only method to rotate the table. Hand Grip Only for the ARTIS multi-tilt table: Push the button under the grip to release the table. Rotate the table. ? This video demonstrates how to move the table using the panning knob on your ARTIS pheno. Select play to start the video. Using the TCM Panning Knob Using the TCM Panning Knob Video is from artifact HOOD05162003027752 No changes here. 02_vid_ARTIS_pheno_VE20_TCM_panning_knob_EN_Final.docx ? This video demonstrates how to move the table using the TCM up and down buttons on the ARTIS pheno. Select play to start the video. Using the TCM Up/Down Buttons Using the TCM Up/Down Buttons Video is from artifact HOOD05162003027752 No changes here. 03_vid_ARTIS_pheno_VE20_TCM_up_down_buttons_EN_Final.docx ? This video demonstrates how to move the table using the touchscreen on the ARTIS pheno. Select play to start the video. Please note: All steps are performed on a VE20 system. The steps are the same for VE21. Table Movements with the Touchscreen Table Movements with the Touchscreen Video is from artifact HOOD05162003027752 No changes here. 04_vid_ARTIS_pheno_VE20_touchscreen_table_movements_EN_Final.docx Pilot COntrol Module Control Console ? Table Control Module (TCM) Use this control module to operate the patient table. Collimator Control Module (CCM) Use the collimator control module to perform collimation and change the zoom stage. Pilot Control Module (PCM) Use this control module to operate the stand and the C-arm movement as well as the imaging system. Control Console artis_pheno_ve21_sysovw_en_controle-console.mp3 With the control console, you can move the table, perform stand and C-arm movements, and operate the imaging system. Here you see the table control module, the pilot control module, and the collimator control module. In the following, we will introduce the functions of the pilot and the collimator control module. Functions of the Pilot Control Module (PCM) ? Store Direct Position CPR Assist Key Drive the system to the CPR Assist position. Drive to the Home Position Synchronize C-arm and Table Movement Lower the C-arm The key to raise the C-arm is behind the right joystick. Increase and Decrease Image Quality (Dose) during Fluoroscopy Increase and Decrease Image Zoom Stage Open the Image Directory Open the Reference Image Directory Open the Layout Selection Open the Onscreen Menu Jog Wheel The jog wheel combines several functions. Information about the current jog wheel function is indicated in the Info Area on the exam room display. Exit Function Store the Reference Image Store Monitor Image Direct Position Direct Position Block all System Movements Stand, C-arm and table Block Radiation Collision Override Use Stop Watch Touchscreen Functions of the Pilot Control Module (PCM) artis_pheno_ve21_sysovw_en_functions-pcm.mp3 With the Pilot control module, you perform stand/C-arm movements and operate the imaging system. Select the orange markers to learn more about the functions. ? This video demonstrates how to move the system using the Pilot control module. Select play to start the video. System Movements System Movements Video is from artifact HOOD05162003027752 No changes here. 05_vid_ARTIS_pheno_VE20_system_movements_Final.docx ? This video introduces you to the touchscreen on the ARTIS pheno. Select play to start the video. Please note: All steps are performed on a VE20 system. The steps are the same for VE21. Touchscreen Touchscreen Video is from artifact HOOD05162003027752 No changes here. 06_vid_ARTIS_pheno_VE20_touchscreen_overview_EN_Final.docx ? Programmed Positions System Positions System positions move the system into a predefined position for a clinical procedure. Due to the flexible isocenter, the C-arm will automatically follow the tilt and cradle of the table. Anatomical Positions Anatomical Positions move the system to create the same image view, for example LAO/RAO cranial/caudal views. When Define as ROI has been set, the table position is also considered. Direct Positions Your most frequently used positions can be stored as Direct Positions. Swipe from right to left on the touchscreen or press the keys on the Pilot control module. Programmed Positions artis_pheno_ve21_sysovw_en_programmed-positions.mp3 You can move the system to pre-programmed system positions by accessing the C-arm position menu from the touchscreen. There are different types of programmed positions. System positions are the basic positions, for example, right side, head side, patient transfer and parking positions. Anatomical Positions are customized positions to demonstrate a particular image view, for example, LAO/RAO, cranial/caudal views. You can store your most frequently used positions as Direct Positions. Depending on the type of the position, it is possible to have some, or all of the following system geometry stored in the position: Stand and C-arm position, table height and tilt, SID, zoom stage, collimation and filter positions. ? This video introduces you to the Onscreen Menu on the ARTIS pheno. Select play to start the video. Please note: All steps are performed on a VE20 system. The steps are the same for VE21. Onscreen Menu Onscreen Menu Video is from artifact HOOD05162003027752 No changes here. 08_vid_ARTIS_pheno_VE20_Onscreen_menu_introduction_EN_Final.docx ? This video demonstrates how to store and review images on the ARTIS pheno in the exam room. Select play to start the video. Store and Review Images Store and Review Images Video is from artifact HOOD05162003027752 No changes here. 09_vid_ARTIS_pheno_VE20_store_review_images_content_EN_Final.docx Collimator Control Module (CCM) Purpose Reduce scatter radiation Improve image quality Perform collimation On the live fluoroscopy image Or with CAREprofile on the last image hold (LIH) CAREprofile For collimation without radiation Activate the filter or collimation joystick when fluoroscopy is not active ? Joystick for Wedge Filter or Finger Filter To remove the filters, press down on the joystick. Toggle Wedge Filters/Finger Filter Collimator Joystick Deflect the joystick in the X,Y and diagonal directions. Press the joystick down to fully open the collimation. Joystick for Wedge Filter or Finger Filter To remove the filters, press down on the joystick. Reset Collimator Leaves and Filter Diaphragms Collimator Control Module (CCM) artis_pheno_ve21_sysovw_en_ccm.mp3 To reduce scatter radiation and improve image quality, use the collimator control module (CCM) to adjust the collimator and filter positions. You can perform collimation on the live fluoroscopy image or with CAREprofile on the last image hold (LIH). CAREprofile allows for collimation without radiation by placing graphical collimation lines on the LIH image. To activate CAREprofile, activate the filter or collimation joystick when fluoroscopy is not active. The graphics appear on the last image hold, and you can collimate and place filters on the image using the joysticks. When you press the fluoroscopy pedal again, the collimation and filters are applied.  ? This video demonstrates the operation of the Collimator Control Module on your ARTIS pheno. Select play to start the video. How to Operate the CCM How to Operate the CCM Video is from artifact HOOD05162003027752 No changes here. 07_vid_ARTIS_pheno_VE20_collimator_control_module_EN_Final.docx Help Select the icon above to open the table of contents. Click Next to continue. Next Welcome Slide The timeline displays the slide progression. Slide the orange bar backwards to rewind the timeline. Click Next to continue. Next Timeline Select the buttons to learn more about a topic. Be sure to review all topics before navigating to the next slide. Click Next to continue. Next Tab Arrow Slide Select the X to close the pop-up. Click Next to continue. Next Layer Slide Select Submit to record your response. Click the X in the upper right corner to exit the navigation help. Assessment Slide Exam Room Display ? Exam Room Display Live Segment The Live segment displays the current live image or last image hold (LIH). Ref1 The Ref1 and Ref2 segments display the reference images. Ref2 The Ref1 and Ref2 segments display the reference images. 3D Sharing 3D Sharing displays the 3D volume following 3D reconstruction.  External Video Source External video sources can be displayed (e.g. Sensis and PACS). Info Area Important system messages, examination data and system position information are arranged in the Info Area. Exam Room Display artis_pheno_ve21_sysovw_en_exam-room-display.mp3 Images, acquisition data, system messages and menus are displayed on the exam room display.  Your system may be installed with a large display or with a panoramic display.  Images and information are divided into segments, for example:  The Live segment displays the current live image or last image hold (LIH). The Ref1 and Ref2 segments display the reference images. 3D Sharing displays the 3D volume following 3D reconstruction.  External video sources can be displayed, for example, Sensis and PACS. Important system messages, examination data and system position information are arranged in the Info Area. Your system may have optional screen protection. This screen protection can remain installed during the procedure as the diagnostic image quality is not impacted.  ? Info Area The Info area can be configured to appear at the bottom and additionally on the large display: On the right side or left side, on the bottom left or on the bottom right. Select the orange marker to learn which information is displayed in the Info Area. Selected Examination and Fluoroscopy Protocol Acquisition Parameters, Dose Data and Grid Status System and Table Position Information Jog Wheel Functions System Messages Patient Data Info Area ? Segment Types Table with 3 columns and 9 rows Segment Type Segment Header Displayed Live Current live image or last image hold (LIH) (examination patient) Reference Reference image (examination patient) Dynamic Viewer Reference scene (examination room only) Viewer Images of integrated applications (e.g. 3D) (review patient) 3D Sharing 3D/4D rendered images (examination patient or review patient/registered volume) Apps Data loaded in third party application (e.g. QuantWeb) Parallel Patient If images of another patient are loaded, the selected segment type switches to magenta. External Other video sources (e.g. Sensis Vibe or ultrasound) that may be connected to the display and configured as segments Live Ref1 3D Sharing Sensis Dynamic Viewer Viewer 1 Apps ||||||||||||||||||||||| Segment Types artis_pheno_ve21_sysovw_en_segment-types.mp3 Here you can see some of the segment types. ? Change the Layout from the PCM The layout of the exam room display can be changed from the PCM. Select the steps below to learn how to open the Layout Gallery and change the layout using the Layout Gallery key on the PCM. Please note: It is also possible to open the Layout Gallery and change the layout by opening the Onscreen menu from the PCM. Additionally, you can also change the layout of the exam room display from the control room. For more information, please review the VE21 Software Overview Online Training. 1 1 1 2 2 2 3 3 3 Change the Layout from the PCM Select the Layout Using the Jog Wheel Deflect the jog wheel to select the desired layout. Press OK on the jog wheel. The layout will update immediately. 3 The Layout Gallery Opens The Layout Gallery opens directly on the exam room display. The Layout Gallery displays the available layouts on the exam room display. 2 Open the Layout Gallery To open the Layout Gallery, press the Layout Gallery key on the Pilot control module. 1 ? Change the Layout Using the Touchscreen It is also possible to change the layout from the touchscreen. To do that, do the following: Select Display. Select Layout. The layouts appear as a list of names. Select the desired layout. To change the input source, select Source from the touchscreen. 2 1 4 Change the Layout Using the Touchscreen Foot Switch Foot Switch ? Fluoroscopy Acquisition Alternative Acquisition (Configurable) Please note: To ensure adequate image quality, fluoroscopy needs to be initiated in the region of interest before the first acquisition. Foot Switch artis_pheno_ve21_sysovw_en_footswitch.mp3 With the foot switch, you can release fluoroscopy and acquisition. The foot switch is available as a wired and wireless version. Fluoroscopy is released with the bottom left foot switch pedal. Acquisition is released with the top left foot switch pedal. The functions of the foot switch pedals can be configured by Siemens Healthineers Service to your preference. It is possible to have one of the pedals of the foot switch assigned as an Alternative acquisition pedal.  Please note: To ensure adequate image quality, fluoroscopy needs to be initiated in the region of interest before the first acquisition. This recommendation should be followed whenever the region of interest has a higher variation of density to the previous region of interest. Hand Switch Hand Switch ? Acquisition Button Multifunctional Button Protocol with variable frame rate: To switch from one phase to the next phase DR-DYNAVISION, DYNAVISION or 3D protocol: To start the next phase Acquisition button releases: Acquisition series Single acquisitions Multifunctional button: In a program with variable frame rate, press this button to switch from one phase to the next. Go to the next step of an acquisition. Please note: It is not possible to release fluoroscopy with the hand switch. Hand Switch artis_pheno_ve21_sysovw_en_handswitch.mp3 The hand switch has two buttons: The yellow button releases acquisition series and single acquisitions. The grey button, the multifunctional button, has different functions depending on the selected protocol. In a program with variable frame rate, press this button to switch from one phase to the next. You can also go to the next step of an acquisition with this button. Please note: It is not possible to release fluoroscopy with the hand switch. Outro ? Course Review Congratulations. You have completed the ARTIS pheno System Overview course. Select the numbered buttons below to review the material before proceeding to the final assessment. Recall the functions of the control console Identify the functions for moving the patient table Recognize the components of the stand and C-arm 1 1 1 3 3 3 2 2 2 4 4 4 6 6 6 5 5 5 Recognize the functions of the exam room display Identify the functions of the hand switch Identify the functions of the foot switch Course Review Identify the Functions of the Hand Switch With the hand switch, you can only release acquisition – not fluoroscopy. Press the yellow button for releasing acquisition series and single acquisitions. The grey button is the multifunctional button. It has different functions depending on the configuration of the selected protocol. Identify the Functions of the Foot Switch With the foot switch, you can release fluoroscopy and acquisition. It is possible to have one of the pedals of the foot switch assigned as an Alternative acquisition pedal.  Fluoroscopy Acquisition Alternative Acquisition (Configurable) Recognize the Functions of the Exam Room Display Images, acquisition data, system messages and menus are displayed on the exam room display. Images and information are divided into segments, such as the Live segment, Ref1/Ref2 segment, 3D Sharing, Dynamic Viewer or Apps segment. The layout of the exam room display can be changed by using the Pilot control module or touchscreen. Recall the Functions of the Control Console Use the Pilot control module to operate the stand and the C-arm movement as well as the imaging system. Use the collimator control module (CCM) perform collimation and reduce scatter radiation. Collimator Control Module (CCM) Provided functions are for example: Activate a wedge or finger filter Activate CAREprofile Reset collimator leaves Pilot Control Module (PCM) Provided functions are for example: Store Direct Positions Change Direct Positions Select Programmed Positions Store a Store Monitor image Store a reference image Open the Onscreen menu Change the image zoom Identify the Functions for Moving the Patient Table Rotate the Table with the TCM This function is for the Artis multi-tilt table only: Press this key to unlock the table. Rotate the table while pressing on the knob on the TCM. To lock the tabletop, press on the table unlocking key again. Table Lift Keys Press one of the table lift keys to lift or lower the table. Panning Knob With the panning knob, you can adjust the tabletop position by pressing the knob down and moving it in the direction needed. Foot Pedal Press the foot pedal to rotate the table. Hand Grip (Artis Multi-tilt Table Only) Rotate the table by using the hand grip. Recognize the Components of the Stand and C-arm Rotating Column with C-arm The stand and C-arm can be moved via joystick or via pre-programmed system positions using the touchscreen of the Pilot control module.  X-ray Tube Assembly with Primary Collimator Flat Detector (FD) The flat detector provides membrane keys and a scatter-radiation grid. With the membrane keys, you can move the FD and C-arm. The grid can be removed. Pilot Control Module (PCM) Disclaimer 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 2021 Siemens Healthineers Headquarters\Siemens Healthcare GmbH\Henkestr. 127\ 91052 Erlangen, Germany\Telephone: +49 9131 84-0\siemens-healthineers.com ? Disclaimer Assessment This assessment will test your retention of the presented content. A passing score of 80% or higher is required. You will have 3 attempts to complete the course and earn your certificate . Assessment questions must be answered completely to receive full credit. Partial credit will not be given for assessment questions that require multiple answers. Start ? Assessment Select the best answer. ? Question 1 of 9 Where can you check the current allocation of the jog wheel functions? On the exam room display On the control room display On the touchscreen On the jog wheel itself Multiple Choice Select the best answer. ? Question 2 of 9 How can you collimate the image without applying X-ray? Activate the joysticks on the collimator control module on the last image hold (LIH) when no X-ray is applied. Collimate the image on the control room display. Use the collimation menu on the touchscreen. Multiple Choice Select the best answer. ? Question 3 of 9 You want to perform LAO/RAO and cranial/caudal angulations with the C-arm. Which joystick do you use? 1 2 3 1 3 2 Multiple Choice Select the best answer. ? Question 4 of 9 How can you release fluoroscopy? With the hand switch With the foot switch With the button on the pilot control module Multiple Choice Select the best answer. ? Question 5 of 9 Which button on the Pilot control module opens the Onscreen menu? 1 2 3 3 1 2 Multiple Choice Select the best answer. ? Question 6 of 9 Where can you select programmed positions (e.g. patient transfer, left side or head side)? 1 2 3 1 3 2 Multiple Choice Select the best answer. ? Question 7 of 9 How can you change the layout of the exam room display using the pilot control module? 1 2 3 4 4 1 3 2 Multiple Choice Select the best answer. ? Question 8 of 9 On the flat detector, which key do you press to lift or lower the detector? 1 2 3 4 4 1 3 2 Multiple Choice Select the best answer. ? Question 9 of 9 Which key do you press to store a reference image on the pilot control module? 1 2 3 4 4 1 3 2 Multiple Choice Retry Assessment Results %Results.ScorePercent%% %Results.PassPercent%% Continue YOUR SCORE: PASSING SCORE: Assessment Results You have exceeded your number of assessment attempts. Exit You did not pass the course. Select Retry to continue. Congratulations. You passed the course. Exit To access your Certificate of Completion, select the Launch button drop down on the course overview page. You can also access the certificate from your PEPconnect transcript. You have completed the Artis pheno VE21 System Overview Online Training. Completion ARTIS pheno (VE21 and higher) System Overview - USA