Artis zee multi-purpose VD12 System Overview Online Training

Continue Continue Continue Continue Continue Continue Welcome Artis zee multi-purpose System Overview Software Version VD12 In this online training, we will introduce the Artis zee multi-purpose and explain how to operate the system. This training relates to the software version VD12 and higher. Recognize the system components 1 Store and review images 5 Operate the touchscreen control 3 Move the system 2 Master Template HOOD05162003052540 | Effective Date: 26-Nov-2019 4 Release radiation Welcome [artis-mp_vd12_olt_sysovw_en_1-1.mp3] Welcome to the system overview of the Artis zee multi-purpose. In this online training, we will introduce important components of the Artis zee multi-purpose and explain how to operate the system. Please note: This training relates to the software version VD12 and higher. System Components System Components Stand and patient table Control modules Exam room display Stand with C-arm Patient Table Trolley with Control Modules Exam Room Display System Components [artis-mp_vd12_olt_sysovw_en_2-1.mp3] Let’s first talk about the important system components, such as the stand and the patient table, the control console, and the exam room display. We will go through one by one starting with the stand and the C-arm. Stand and Patient Table Acquisition system and patient table can be moved relative to each other Rotational and orbital movement of C-arm possible For more information, select the orange markers . C-arm The C-arm can be operated from the control console via the stand control module. Stand Column Patient Table Before positioning the patient on the table, pay attention to the table weight limit. You will find a sticker indicating the weight limit on your table. The patient table can be moved in all directions using the table control module. Flat Detector (FD) The FD 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. The flat detector is mounted on a lifting device for a variable source image distance (SID). Emergency Stop Button Connectors for Control Modules Rails for the Footboard and other Accessories X-ray Tube Assembly with Primary Collimator Stand and Patient Table [artis-mp_vd12_olt_sysovw_en_2-2.mp3] The Artis zee multi-purpose system is equipped with a C-arm stand which has an integrated patient table. The acquisition system and the patient table can be moved relative to each other in all directions. The system also allows oblique projections by rotational and orbital movement of the C-arm. The C-arm is equipped with a flat detector which provides a removable scatter-radiation grid, and membrane keys to move the flat detector and C-arm. For more information, select the orange markers. Input Field of the Detector Table with 3 columns and 8 rows Zoom Stage Input Field (Diagonal) FD 30x40 Nominal format/Zoom 0 48 cm Zoom 1 42 cm Zoom 2 32 cm Zoom 3 22 cm Zoom 4 16 cm Zoom 5 11 cm Input Field of the Detector [artis-mp_vd12_olt_sysovw_en_2-3.mp3] Here you can see the input fields and zoom stages of the detector. Different zoom stages and image formats are available. Scatter-radiation Grid Reduces scattered radiation Improves image quality Used for examining adults Removal for pediatric applications For more information about removing the grid, select the numbers below. 1 1 1 3 3 3 2 2 2 Scatter Radiation Grid Scatter-radiation Grid [artis-mp_vd12_olt_sysovw_en_2-4.mp3] A grid reduces scattered radiation and thus improves image quality. However, since a grid attenuates primary radiation, it makes a higher dose necessary. The grid should be used for examining adults. If a grid is not used, the image quality will be impaired due to an increase in scattered radiation. The scattered radiation grid should be removed for pediatric applications. If the grid is removed, the radiation exposure of the infant will be reduced. The impact on image quality due to scattered radiation can be tolerated. For more information about removing the grid, select the numbers below. Insert the Grid When you insert the grid into the FD, make sure that the arrows on the grid point towards the detector and that the label points toward the patient. Insert the grid until you hear the mechanical stop snapping. 3 Remove the Grid Next, remove the grid by pressing the button at the front of the FD. The grid will slide out of its holder. Place it in a safe place so that it will not get damaged. 2 Prepare the System Before you remove the grid, make sure that you move the system almost to an anterior-posterior position, as you can see in the image. In this position, the grid will not fall down when you remove it. 1 Trolley with Control Modules Table Control Module (TCM) Use this control module to operate the patient table. Stand Control Module (SCM) Use this control module to operate the stand and the C-arm. Collimator Control Module (CCM) Use this control module to perform collimation and change the zoom stage. Touchscreen Control (TSC) Use this control to operate the imaging system. To learn more about the purpose of the control modules, select the orange markers. Trolley with Control Modules [artis-mp_vd12_olt_sysovw_en_2-5.mp3] The trolley of the Artis zee multi-purpose system provides the table control module, stand control module, collimator control module, and the touchscreen control. Some buttons on the control modules have an LED light, which lights up when the respective function is active. To learn more about the purpose of the control modules, select the orange markers. Alright, this is all you need to know for now about the control modules. Later in this training, we will explain the operation of the control module. For now, let’s continue with the exam room display to finish our overview of the system components. Exam Room Display Live screen Assist screen Reference screen Live screen Current live image Acquisition data Assist screen Position data System messages Menus for system movements Reference image Reference screen Reference images Video screen Other video sources Exam Room Display [artis-mp_vd12_olt_sysovw_en_2-6.mp3] Your system in the exam room is installed with several small displays. The information is divided on different screens, such as a live screen, an assist screen, a reference screen or video screen. The live screen displays the current live image and acquisition data. The assist screen shows position data, system messages and menus for system movements. It also displays the reference image. The reference screen displays the reference images. On the video screen, other video sources can be connected. Knowledge Check - System Components Knowledge Check Let’s see what we’ve learned so far! Try to answer the following questions about the system components. When you’re ready, select Start! Start Knowledge Check Which control module moves the patient table? Question 1 of 3 Look at the image and select the correct control module. Which control module moves the patient table? Incorrect You did not select the table control module. Correct With the table control module, you can move the patient table. Insert it until you hear the mechanical stop snapping. Press the button on the front of the flat detector to engage the snapper. Check if the arrows on the grid point toward the detector. Check if the label points toward the patient. Question 2 of 3 What should you be aware of when inserting the scatter-radiation grid? Select three (3) answers. Multiple Answer Question Correct When inserting the grid, make sure that the label points toward the patient and the arrow toward the detector. Insert it until it snaps. Incorrect You did not select all correct answers for inserting the grid. Which control module moves the C-arm? Question 3 of 3 Look at the image and select the correct control module. Which control module moves the C-arm? Incorrect You did not select the control module for moving the C-arm. Correct The stand control module moves the C-arm. Review Review Retry Knowledge Check Results Continue Knowledge Check Results You did not answer all questions correctly. You can review your answers, try the questions again or continue with the training. Congratulations! You answered all questions correctly. You can try the questions again or move on with the training. Move the System Move the System Table control module (TCM) Stand control module (SCM) Membrane keys on the flat detector Membrane Keys Table Control Module (TCM) Stand Control Module (SCM) Move the System [artis-mp_vd12_olt_sysovw_en_4-1.mp3] Now that we know the components, let’s talk about how we move the system. In this lesson, we will explain how the patient table and the stand with the C-arm can be moved. Table Control Module (TCM) Table Joystick With the table joystick, you can adjust the tabletop position by pushing on the joystick and moving it in the direction needed. Additionally, when the end of the longitudinally table movement is reached, the C-arm is moved instead in the longitudinal direction. Table Lift Key Hold one of the table lift keys down to lift or lower the table. Isocenter Key Lock for Lateral Tabletop Movement Orientation Key Table Tilt Key (Option) For more information, select the orange markers and orange callouts on the keys. Table Control Module (TCM) [artis-mp_vd12_olt_sysovw_en_4-2.mp3] As we learned in the previous lesson, the table is operated via the table control module. For more information about its functions, select the orange markers and orange callouts on the keys. Isocenter Key With the isocenter key, the current table height is saved as the isocenter height. The table stops every time this position is reached. The displays of the table coordinates X-position, Y-position, and IO-height are set to zero. When you register a new patient, this function is deactivated automatically. For more information, select the orange markers. Focal spot of X-ray tube Image Receptor Plane Isocenter The isocenter is the center of rotation, the fixed point in the projection image during a C-arm rotation or angulation. Table-Object Distance (TOD) Lock for Lateral Tabletop Movement Press the lateral tabletop movement lock to lock the lateral tabletop movement. Lock for Lateral Tabletop Movement When this key is activated, you can only move the tabletop longitudinally. If the tilt function is available on your patient table, hold down one of the table tilt keys to tilt the table in the Trendelenburg or reverse Trendelenburg direction. Press both keys simultaneously and keep them pressed down until the table moves back to the horizontal position. Table Tilt Key (Optional) Table Tilt Key (Optional) Orientation Key The direction of joystick deflection for LAO/RAO and cranial/caudal angulation depends on the location of the control modules in relation to the system. To change the orientation (e.g. when moving the control console to another location on the table), press and hold the orientation key for more than 3 seconds. If your system is equipped with a laser positioner, press the orientation key for less than 3 seconds to switch the laser positioner on or off. Table Control Module (TCM) Stand Control Module (SCM) Orientation Key Joystick Orientation Key Joystick Stand Control Module (SCM) Watch the video to learn how to move the stand and C-arm using the SCM. Select Play to start the video! Stand Control Module (SCM) [vid_artis_vd12_artis_mp_system_movements_en_final.docx] (HOOD05162003080798) Voice Script: Welcome to the System Movements video for the Artis zee multi-purpose. In this video you will learn how to perform system movements on Artis zee multi-purpose using the control console. You use the Stand Control Module (SCM) on the Control console to control system movements. You activate system movements by deflecting the multifunctional joystick. At the top of the multifunctional joystick is the Dead man’s switch. You must press the Dead man’s switch prior to and during joystick deflection to activate system movement. The Dead man’s switch helps protect against unintentional system movements that may occur as a result of accidental touch. Press down on the joystick and deflect the joystick in the desired direction, for example: LAO and RAO angulations. Press down on the joystick and deflect the joystick for cranial and caudal angulations. Please note: The direction of joystick deflection for LAO/RAO and cranial/caudal angulation, depends on the location of the control modules in relation to the system. There is an Orientation key on the Stand Control Module to select the orientation. The illuminated LED indicates the active position. To change the orientation, for example when moving the control console to another location on the table, press and hold the key for more than 3 seconds. The system toggles to the next orientation. Keep pressing the key until the correct orientation is selected. There are buttons on either side of the multifunctional joystick. When one of the buttons is pressed an alternative C-arm movement is activated. On Artis zee multi-purpose, pressing one of the side buttons activates stand longitudinal movements. Please note: you only need to press one of the side buttons to activate the movement. You do not need to press both side buttons. On the back of the multifunctional joystick there is a rocker switch for lifting and lowering the detector. Press on the lower button to lower the detector. Press on the top button to raise the detector. On the Stand Control Module, there are keys to select System Positions and Programmed Positions. System Positions are basic positions of the stand and table, for example, frontal, lateral, over table and under table. Select the System Positions key on the Stand Control Module. A menu appears on the Asist screen with the available positions. Deflect the joystick to select the desired position. To confirm the selection, press one (or both) of the two buttons on the sides of the joystick. To move the system to the selected position, press down on the joystick and deflect the joystick away from you. The speed of system movements depends on the degree of joystick deflection, that is, maximum speed is achieved with maximum deflection. Keep the joystick deflected until the system reaches its position. When the position is reached, the LED on the key goes out. You can save a number of positions that you require for examinations under the Programmed Positions key. You can select the position and move to the position as described for the System Positions. You can store your most frequently used positions as Direct Positions. There are three direct position keys on the Stand Control Module. To store a Direct Position: · Move the system to the desired position. · Press the Store Key. · Press the desired position key, one, two or three · The current position is stored under the Direct Position key, the previously store position is overwritten. To move the system to a Direct Position, press the required position key. Press down on the joystick and deflect the joystick away from you. The system moves to the position. You can use the zero-stop button to stop the C-arm in the basic position. · Press the zero-stop button. · The LED lights up. Movements stop at the Basic position. Membrane Keys on the Flat Detector FD Lifting and Lowering Press this button to set the source image distance (SID). FD Rotation Press this button to move the FD in the portrait or landscape direction. Longitudinal C-arm/Tabletop Movement This button moves the c-arm by default. When the end of C-arm movement is reached, it moves the table in the longitudinal direction. C-arm Rotation Press this button to rotate the C-arm in the CRAN/CAUD angulations. C-arm Orbital Movement Press this button to rotate the C-arm in RAO/LAO angulations. For more information, select the orange markers. Membrane Keys on the Flat Detector [artis-mp_vd12_olt_sysovw_en_4-4.mp3] You can also use the membrane keys on the flat detector to move the system. To learn more about which system movements can be conducted on the flat detector, select the orange markers. Knowledge Check - Move the System Knowledge Check Let’s see what we’ve learned so far! Try to answer the following questions about moving the system. When you’re ready, select Start! Start Knowledge Check How can you lift and lower the patient table? Question 1 of 4 Select the correct keys. How can you lift and lower the patient table? Incorrect You did not select the correct key to lift or lower the table. Correct You can lift and lower the patient table using the table lift keys on the table control module. Via the patient table control module Via the membrane keys on the flat detector Via the touchscreen control Via the stand control module Question 2 of 4 Where can you lift and lower the flat detector? Select the two (2) correct answers. Multiple Answer Question Correct You can lift and lower the flat detector using the stand control module and the membrane keys on the detector. Incorrect You did not select the correct answers to lift and lower the flat detector. On the stand control module, which key opens the system positions menu? Question 3 of 4 Select the correct key. On the stand control module, which key opens the system positions menu? Incorrect You did not select the key to open the system position menu. Correct This key opens the system positions menu. On the stand control module, which key do you press to store a direct position? Question 4 of 4 Select the correct key. On the stand control module, which key do you press to store a direct position? Incorrect You did not select the correct button to store a direct position. Correct With this key, you can store a direct position. Review Review Retry Knowledge Check Results Continue Knowledge Check Results You did not answer all questions correctly. You can review your answers, try the questions again or continue with the training. Congratulations! You answered all questions correctly. You can try the questions again or move on with the training. Touchscreen Control Moodule Touchscreen Control (TSC) Postprocess images Change the layout of the exam room display Store and review images Mouse Joystick Use this joystick to move the mouse cursor on the exam room display. Left Button Press this button to select objects on the exam room display and to manipulate them. Right Button When a function is active, press this button to finish the steps or exit the function. When no function is active, it opens the onscreen menu. Middle Button Depending on the assigned function, you can do the following with the middle button: Store Ref function: When the mouse joystick is assigned to 2D postprocessing > Store a 2D reference image Windowing function: When the mouse joystick is assigned to 3D postprocessing > Window 3D views In 3D, you can scroll through MPR images depending on the workflow Touchscreen Control On the touchscreen, you can select functions related to the current examination. Postprocessing Onscreen Menu Press this button to open the postprocessing onscreen menu on the exam screen. An LED lights up when this menu is selected. Layout Gallery Onscreen Menu Press this button to open the layout gallery onscreen menu on the exam screen. An LED lights up when this menu is selected. For more information, select the orange markers. Touchscreen Control (TSC) [artis-mp_vd12_olt_sysovw_en_6-1.mp3] With the touchscreen control, you operate selected functions of the imaging system. It’s used, for example, to postprocess images, change the layout of the exam room display or store and review images. For more information, select the orange markers. Functions of the TSC To learn more about the functions of the TSC, select Play to start the video! Functions of the TSC [vid_artis_vd12_tsc_overview_en_final.docx] (HOOD05162003080798) Voice Script: Welcome to the Artis Touchscreen Control (TSC) video. In this video you will learn about the basic functions of the TSC on your Artis system. The Touchscreen control (TSC) is located on the Touchscreen control module. The TSC has a touch sensitive liquid-crystal display and is operated by touch with your fingertip. On the TSC you can select functions related to the current examination. The functions available depend on your system type, and your system configuration. Please note that the buttons and the layout of the TSC on this video is an example only. Your TSC may appear differently. There are different types of buttons on your TSC: · Selectable buttons have a bold line at the bottom. · Buttons that open a window or a drop-down menu have a line and an arrow at the bottom. · When a button is currently selected, the button appears white and a line appears at the top. · Some buttons select functions that require operation with the mouse. In this case, a green mouse symbol appears at the top of the button. The input area of the TSC is divided into two parts: · In the stack of task cards in the center, you will find buttons grouped by function. · On the outside of the card stack, on the left, right and bottom sides, you will find buttons for your most frequently required functions, for example: o Block radiation o Block system movements o Store a Store Monitor image, a fluoroscopy loop or a reference image. o And buttons for image review. Your TSC may be configured with more than one layout. A Standard and an Expert layout are available as default. Further layouts may be configured based on the user or the type of the examination. You can configure the assortment of the buttons per layout on the TSC Configurator on your system console. Select: Options > Configuration and select the TSC Configurator icon. Please note: this video will not describe how to configure the TSC. To change a layout, select the Settings task card and select the layout from the drop-down list. Please note that it may take approximately a minute for the new layout to update. The Block Radiation and Block system Movements buttons are mandatory and cannot be removed from the TSC. In the Expert Layout the Settings task card includes further buttons, for example: · The buttons to select the Live or Ref displays on the Assist screen. · The menu to select the patient position. · A button to close the patient. In the Exam task card, you can select the exam set, the acquisition and the fluoroscopy protocol. Additionally, you can adjust the acquisition frame rate and the fluoroscopy pulse rate. If the DSA license is available, the buttons for Roadmap, DSA Roadmap and Overlay Reference image appear in the Exam task card. Further buttons may be configured to appear in the Exam task card but may also be configured to other areas on the TSC. For example, the buttons for: · Selection of Plane A or Plane B (Artis zee and Artis Q biplane) · The Dilation timer. · Or IVUS selection. The buttons for Selection Plane A or Plane B and the Dilation timer are included in the Expert layout by default. On the Image task card, you can select postprocessing functions. You then use the mouse to perform postprocessing functions. The buttons in the Image task card are grouped by function. Some examples of the functions that you can access in the Image task card in the Expert layout include: · Zoom by a factor of 2 · Zoom to acquisition size · Display ECG · Shutter the image · Invert the image · Adjust the brightness and contrast · And Adjust the edge enhancement You can also access some applications in the Image task card, for example, DSA. When you select DSA, a menu opens with DSA post processing options. Please note that either Replace Mask or Move Mask may be configured to appear. If your system is licensed, you can select the CLEARstent button to generate a CLEARstent reference image. You can also access buttons to add annotations and measurements to the image and send images to the film sheet. If your system is licensed and configured, further task cards will be available on your TSC. This may include: · The Quant task card · The 4D task card and · The Physio task card. Please note that the buttons for the Quant, 4D and Physio task cards cannot be configured to appear in other task cards. In the Quant task card, you can select calibration and quantification functions and perform them with the mouse joystick, including: · Calibration · 2D Vessel analysis · 2D and 3D Coronary vessel analysis And left ventricle analysis. If your system is licensed to perform 3D acquisitions, the 4D task card is available on the touchscreen. The buttons in the 4D task card are grouped by function. You can access the following functions in the 4D task card: · Select the Review/image manipulation mode · Open the 3D Wizard · Save a study bookmark · Overlay 3D objects on the Live screen · 3D Roadmap on the 4D screen. · Overlay 3D contours on the Live screen. · Adjust the image display to the current C-arm position. Adjust the C-arm position to the current image display. If your system is configured with Sensis, the Sensis buttons are available on the Physio task card of the TSC. The Physio task card presents a slightly different button selection. Radiation Release Radiation Release Foot switch Hand switch Collimator control module (CCM) Foot Switch Hand Switch Collimator Control Module (CCM) Radiation Release [artis-mp_vd12_olt_sysovw_en_7-1.mp3] In this lesson, we will talk about how to release radiation with the foot switch and hand switch, and we will explain the functions of the collimator control module. When you’re ready, move on to the next slide. Foot Switch Fluoroscopy Acquisition Wired and wireless version Charge wireless foot switch sufficiently For more information, select the orange markers. Fluoroscopy This pedal releases fluoroscopy. Acquisition This pedal releases acquisition. Switch Roadmap On/Off or Alternative Acquisition In the standard setting, this pedal activates the roadmap. However, this pedal is also often used for alternative acquisition. Alternative Acquisition is used, for example, to provide a low dose or single shot acquisition program. Lower Right Pedal Can be configured to your needs. Foot Switch [artis-mp_vd12_olt_sysovw_en_7-2.mp3] With the foot switch, you can release fluoroscopy and acquisition. Here you can see the default setting of the foot switch. The functions of the pedals can be configured to your preference. The foot switch is available as wired and wireless versions. Please make sure that you charge the wireless foot switch sufficiently. For more information, select the orange markers. Hand Switch Acquisition Button Multifunctional Button Acquisition Button Multifunctional Button To learn more about the buttons’ functions, select the tab arrows below. Hand Switch [artis-mp_vd12_olt_sysovw_en_7-3.mp3] The hand switch has an acquisition button and a multifunctional button. To learn more about the buttons’ functions, select the tab arrows below. Depending on the acquisition program selected, the multifunctional button has different functions: In a program with manual variable frame rate, press this button to switch from one phase to the next. In a PERIVISION or PERISTEPPING acquisition program, press this button to release stepping in a filling run. In a DR-DYNAVISION, DYNAVISION or 3D acquisition program, press this button to start the next phase. Multifunctional Button With the acquisition button, you release acquisition series and single acquisitions. To release the preselected acquisition program, press the acquisition button. Acquisition Button Please note With the hand switch, it is only possible to release acquisition. Fluoroscopy is not possible with the hand switch. Table with 2 columns and 3 rows Acquisition Fluoroscopy Hand switch - Foot switch Foot switch Collimator Control Module (CCM) To perform collimation To limit the radiation file to the region of interest Collimation on live fluoroscopy image Collimation on LIH using CAREprofile Move the collimator/filter joystick to display the current position of the collimator leaves and filter diaphragms. Change the collimation without performing fluoroscopy. Stands for wedge filter Stands for finger filter For more information, select the orange markers. Wedge/Finger Filter Key Press this key to select the wedge or finger filter. An LED light indicates which filter is selected. Collimator/FD Rotation If you press one of these keys briefly, the FD changes from portrait to landscape and vice versa. If you hold down one key, the image rotates clockwise/counter clockwise (manual override). To switch it back to automatic Collimator/FD rotation, press both keys simultaneously. The flat detector, the collimators, and the image return to the normal position. The portrait/landscape rotation of the flat detector is also reset. Collimator Joystick Move the collimator joystick in the following directions to adjust rectangular diaphragms: Up: Open vertically Down: Close vertically Left: Open horizontally Right: Close horizontally If you push on top of the joystick, the collimator leaves are opened completely. Reset Collimation Press this key to reset the entire collimation. The collimator leaves and filter diaphragms will be moved to their initial position. Select Image Format/Zoom Stage Press the - or + key to reduce or enlarge the zoom stage. Filter Joystick Use the filter joysticks to adjust the finger and wedge filter by moving the joystick in the following directions: Up: Rotate filter clockwise Down: Rotate filter counterclockwise Left: Move filter to the left Right: Move filter to the right Push on top of one of the two joysticks to open the finger/wedge filter. Collimator Control Module (CCM) [artis-mp_vd12_olt_sysovw_en_7-4.mp3] Use the collimator control module to perform collimation and to limit the radiation field to the region of interest. You can perform collimation on the live fluoroscopy image, or without radiation on the last image hold using CAREprofile. To activate CAREprofile, just move the collimator or filter joystick to display the current position of the collimator leaves and filter diaphragms. Then you can change the collimation without performing fluoroscopy. Furthermore, the control module provides a wedge and finger filter, which can be adjusted with the filter joystick. You can select the filter by using the wedge and finger filter key. For more information, select the orange markers. Image Storage and Review Store Images To learn more about these functions, select the tab arrows on the right. Storing Images as Store Monitor Store a Reference Image Store a Fluoroscopic Scene (Option) Store Images [artis-mp_vd12_olt_sysovw_en_8-1.mp3] Finally, let’s talk about image storage and review. With the TSC, you can store images using the Store Monitor and/or Store Reference function, or, if it is available on your system, Store Fluoroscopy. To learn more about these functions, select the tab arrows on the right. Store a Reference Image You can store any image which has been created on an Artis system and is being currently displayed on the Live screen as a reference image. To store a reference image, select the function Store Reference on the touchscreen. When a reference image has been stored, it is displayed on the reference or assist screen. Store Reference Store a Fluoroscopic Scene (Optional) If this function is available on your system, you can store the last fluoroscopy or a roadmap scene using the touchscreen in the examination room. To store a fluoroscopic scene, select the Store Fluoroscopy on the touchscreen. Store Fluoroscopy (Optional) Storing Images as Store Monitor You can store any image, which is currently displayed on the Live screen, as a new image. To store the current image, select the Store Monitor function on the touchscreen. Store Monitor Review 2D Images To learn how to review generated 2D images using the TSC, select Play to start the video! Review Images [vid_artis_vd12_image_review_tsc_en_final.docx] (HOOD05162003080798) Voice Script: Welcome to the Artis 2D image review on the Touchscreen control (TSC) video. In this video you will learn how to review 2D images using the buttons on your touchscreen control and the mouse joystick. You find the buttons for 2D image review on the borders of the task card stack on the touchscreen. Please note that the buttons available on the Touchscreen and their position depend on your system configuration. Press the button to open the Image Player. Press the Plus or Minus buttons to scroll through the scenes. If required, press the button to open the Scene Directory. Use the mouse joystick to navigate through the Directory. Press on the left mouse button to select a scene for review. The scene or image displays in full screen. To set the review frame rate, deflect the mouse joystick. The more that the joystick is deflected, the faster the scene is played back. Release the mouse joystick when the desired speed is reached. To stop a loop from playing, deflect the mouse joystick briefly. Deflect the joystick to the left to scroll through the scene backward frame by frame. Deflect the joystick to the right to scroll through the scene forwards frame by frame. Alternatively, you can use the buttons in the Image Player to scroll through the scene frame by frame. If configured in the layout, press the Loop through all scenes button on the touchscreen to review one scene after the other. To review Reference images, press the button to open the Image Player for reference images. You will find the buttons for post processing images in the Image task card. The buttons are grouped by function. The functions available depend on your touchscreen configuration. Knowledge Check Knowledge Check Before we wrap up this training, let’s have one last knowledge check to see what we’ve learned about the touchscreen control, releasing radiation, and image storage and review! When you’re ready, select Start. Start Knowledge Check Via the touchscreen Via the hand switch Via the stand control module Via the foot switch Question 1 of 3 How can you release acquisition? Select the two (2) correct answers. Multiple Answer Question Correct Acquisition can be released using both, the hand and foot switch. Incorrect You did not select the correct system components for releasing acquisition. Which button stores the current image as a Store Monitor image? Question 2 of 3 Select the correct button on the touchscreen! Which button stores the current image as a Store Monitor image? Incorrect You did not select the correct button for the Store Monitor function. Correct This is the Store Monitor function. Where do you open the Image Player? Question 3 of 3 Select the correct button on the touchscreen! Where do you open the Image Player? Incorrect You did not select the correct button to open the Image Player. Correct This button opens the Image Player. Review Review Retry Knowledge Check Results Continue Knowledge Check Results You did not answer all questions correctly. You can review your answers, try the questions again or continue with the training. Congratulations! You answered all questions correctly. You can try the questions again or move on with the training. Outro Release radiation Operate the touchscreen control Move the system Recognize the system components Course Review Congratulations. You have completed the System Overview Online Training for the Artis zee multi-purpose. Select the objectives listed below to review the material before proceeding to the final assessment. Store and review images 1 1 1 2 2 2 3 3 3 4 4 4 5 5 5 Course Review Store and Review Images For storing and reviewing images, you use the touchscreen control. You can store any image which is currently being displayed on the Live screen as a Store Monitor image. With Store Reference, you can store any image which has been created on an Artis system and is being currently displayed on the Live screen as a reference image. When a reference image has been stored, it is displayed on the reference or assist screen. 2D and reference images can be reviewed in the Image Player. Deflect the mouse joystick to scroll through the scenes. Image Player Store Monitor Store Fluoro (Optional) Store Reference Image Release Radiation With the foot switch, you can release fluoroscopy and acquisition. The foot switch is available as wired and wireless versions. Please make sure that you charge the wireless foot switch sufficiently. With the hand switch, it is only possible to release acquisition. Fluoroscopy is not possible with the hand switch. Use the collimator control module to perform collimation and to limit the radiation field to the region of interest. You can perform collimation on the live fluoroscopy image, or without radiation on the last image hold using CAREprofile. Collimator Control Module (CCM) Hand Switch Operate the Touchscreen Control With the touchscreen control, you operate selected functions of the imaging system. You can for example: Block radiation and system movements Change the layout of the large display Select the acquisition and fluoroscopy protocol Adjust the acquisition frame rate and fluoroscopy pulse rate Use the mouse joystick to operate the onscreen menu on the exam room display. Mouse Joystick Use this joystick to move the mouse cursor on the exam room display. Left Button Press this button to select objects on the exam room display and to manipulate them. Right Button When a function is active, press this button to finish the steps or exit the function. When no function is active, it opens the onscreen menu. Middle Button Depending on the assigned function, you can do the following with the middle button: Store Ref function: When the mouse joystick is assigned to 2D postprocessing > Store a 2D reference image Windowing function: When the mouse joystick is assigned to 3D postprocessing > Window 3D views In 3D, you can scroll through MPR images depending on the workflow Touchscreen Control On the touchscreen, you can select functions related to the current examination. Postprocessing Onscreen Menu Press this button to open the postprocessing onscreen menu on the exam screen. An LED lights up when this menu is selected. Layout Gallery Onscreen Menu Press this button to open the layout gallery onscreen menu on the exam screen. An LED lights up when this menu is selected. Touchscreen Move the System With the table control module, you can move the patient table. You can also change the orientation if you move the control console to the other end of the patient table. The stand control module moves the stand with the C-arm. When using the joystick, hold the dead man’s grip down to release movements. Then you can move the system by deflecting the joystick. You can also use the membrane keys on the FD to move the C-arm as well. Table Control Module (TCM) Stand Control Module (SCM) Dead Man’s Grip (DMG)/ Dead Man’s Switch Recognize the System Components Stand Column C-arm The C-arm can be operated from the control console via the stand control module. Exam Room Display The exam room display shows e.g. the live image, the reference image and an assist screen. Patient Table Before positioning the patient on the table, pay attention to the table weight limit. You will find a sticker indicating the weight limit on your table. The patient table can be moved in all directions. 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. When inserting the grid, please make sure that the label points toward the patient and the arrows point towards the flat detector. The flat detector is mounted on a lifting device for a variable source image distance (SID). Trolley with Control Modules The system is moved via the following control modules: Patient Table Control Module (TCM) Stand Control Module (SCM) Collimation Control Module (CCM) Touchscreen Control (TSC) X-ray Tube Assembly with Primary Collimator 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\Telephone: +49 9131 84-0\siemens-healthineers.com Disclaimer Disclaimer Assessment This assessment will test your retention of the presented content. A passing score of 80% or higher is required to complete the course and earn your certificate. You may repeat the assessment as many times as needed. Start Assessment I check that the C-arm is almost in an anterior-posterior position. I loosen the screw that holds the grid. I press the removal button on the stand control module. You want to remove the scatter-radiation grid from the flat detector. What do you need to do first? Question 1 of 9 Select the best answer. Multiple Choice Question Incorrect There is no such button on the stand control module. Incorrect The scatter-radiation grid is not secured with a screw. Correct 1 2 3 4 Which button do you need to press to lock the lateral tabletop movement? Question 2 of 9 Look at the image and select the correct key. 2 3 4 1 Multiple Choice Question Incorrect Incorrect This is not the key to lock the lateral tabletop movement. Incorrect This is not the key to lock the lateral tabletop movement. Correct This is not the key to lock the lateral tabletop movement. … Store Monitor button on the touchscreen control. … gray button on the hand switch. … storing key on the stand control module. … yellow button on the hand switch for more than 2 seconds. Complete the following sentence: “To store a generated image, I press the…” Question 3 of 9 Select the best answer. Multiple Choice Question Incorrect The yellow button releases radiation. Incorrect You cannot store generated images using the stand control module. Incorrect You cannot store generated images using this button. Correct I need to hold down the dead man's grip as well. I need to hold down one of the side buttons too. I need to set the angulation direction using the orientation key. You deflect the joystick to change the LAO angulation of the C-arm, but nothing happens. Why is that? Question 4 of 9 Select the best answer. Multiple Choice Question Incorrect You need to activate another function first. Otherwise nothing will happen if you simply deflect the joystick. Incorrect This key does not change the LAO angulation. Correct I briefly activate one of the joysticks on the collimator control module. I activate the CAREprofile function on the touchscreen. I press the CAREprofile key on the collimator control module. You want to activate CAREprofile. What do you do? Question 5 of 9 Select the best answer. Multiple Choice Question Incorrect This key does not exist on the collimator control module. Incorrect You cannot use the touchscreen to activate CAREprofile. Correct I press the dead man's grip. I press one of the joystick’s side buttons. I press the programmed position key. I press the system position key. You have opened the system position menu and selected a system position. How do you confirm your choice? Question 6 of 9 Select the best answer. Multiple Choice Question Incorrect You cannot confirm your choice with the system position key. Incorrect You cannot confirm your choice with the programmed position key. Incorrect Correct You cannot confirm your choice with the dead man's grip. I set the isocenter height. I cannot lift or lower the table anymore. I deactivate the tilt function of the table. I reset all stored patient table positions. What happens if you press the orange-circled key on the table control module? Question 7 of 9 Select the best answer. Multiple Choice Question Incorrect This function does not exist. Incorrect This is not the correct function for this key. You would still be able to tilt the table if this key is pressed. Incorrect This is not the correct function for this key. You would still be able to lift and lower the table if this key is pressed. Correct When I position the control console from the side to the end of the patient table When I want to rotate the table When I want to release the brake for moving the C-arm When I want to release the C-arm brake for LAO/RAO angulation adjustments When should you consider using the orientation key on the table or stand control module? Question 8 of 9 Select the best answer. Multiple Choice Question Incorrect The orientation key does not releases any brakes. Incorrect The orientation key does not releases any brakes. Incorrect You do not need to press the orientation key to rotate the table. Correct The C-arm would stop in a basic position. I would open the programmed position menu. I would open the system position menu. I could block all system movements. What happens if you press the orange-circled key on the stand control module? Question 9 of 9 Select the best answer. Multiple Choice Question Incorrect You cannot block system movements by pressing this key. Incorrect You cannot open the system position menu by pressing this key. Incorrect You cannot open the programmed position menu by pressing this key. Correct Review Review Retry Assessment Results %Results2.ScorePercent%Results2.ScorePoints% %Results2.PassPercent%Results2.ScorePoints% Continue YOUR SCORE: PASSING SCORE: Assessment Results You did not pass the course. Take time to review the assessment then 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 System Overview Online Training for the Artis zee multi-purpose. Completion HOOD05162003124438 | Effective Date: 02-Oct-2020 1.1 Welcome 2.1 System Components 2.2 Stand and Patient Table 2.3 Input Field of the Detector 2.4 Scatter-radiation Grid 2.5 Trolley with Control Modules 2.6 Exam Room Display 3.1 Knowledge Check 4.1 Move the System 4.2 Table Control Module (TCM) 4.3 Stand Control Module (SCM) 4.4 Membrane Keys on the Flat Detector 5.1 Knowledge Check 6.1 Touchscreen Control (TSC) 6.2 Functions of the TSC 7.1 Radiation Release 7.2 Foot Switch 7.3 Hand Switch 7.4 Collimator Control Module (CCM) 8.1 Store Images 8.2 Review Images 9.1 Knowledge Check 10.1 Course Review 10.2 Disclaimer 10.3 Assessment 10.14 Completion