Biograph Mobile mCT System Power VG80 Job Aid

Biograph Mobile mCT System Start-up and Shutdown Procedure Mobile Biograph mCT VG80 and above Starting up and preparing the system 1. Connect the system to shore power. Performing patient scans while connected to genera- tor power is not supported. 2. Remove the Transportation Belt. 3. With the patient table in the fully retracted and down (latched) position, firmly push the pedestal horizontally as far as possible toward the gantry in preparation for startup. Note that the movement may be 2mm or less when pushing the PHS toward the gantry. This movement, although minimal, is necessary to allow the patient table to operate. 4. Locate the Main Control Box and press FIRST status (9) button to turn on the PET/CT system. (4) (5) (6) SIEMENS (7) (9) (3) -(10) (2) STOP -(11) -(12) (13) (1) (14) (15) (16) Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 SIEMENS Job Aid Effective Date: 08/29/2022 | HOOD05162003297052 Healthineers 5. When Smart Mobile Connect pops up on the console, select the correct hospital location for the day. Select either Change Site or Keep Current Site as necessary. 6. When all the computers are up and running and the green light on the control box is stable green, the Examination task card is displayed on the syngo Acquisition Workplace console and all computer icons on the bottom right of the monitor are green. 7. Perform Daily Checkup on the CT subsystem by clicking Checkup on the Checkup window. This prompt should appear automatically. Checkup For best image quality please run checkup procedure. Please leave the scan room. The table will move out of the gantry. X-rays will be produced during the checkup procedure. Click on Checkup to start procedure Click on Cancel to skip procedure. Time since last successful checkup: 05:42 Checkup Cancel Help 8. Ensure there are no obstructions in the CT field of view. Press the Start button on the control box when prompted. 9. After the successful checkup, perform CT Quality using the proper CT Quality phantom. This can be accessed by clicking Setup > Quality. 10. Attach the L-shaped phantom bracket into the receptacle at the end of the PHS and then attach the quality phantom securely into the bracket. Lightly tighten any bolts to hold the pieces in place. 11. Press the predefined position button A on the gantry controls. This will bring the phantom up and into the gantry field of view at the proper location. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 08/29/2022 | HOOD05162003297052 Healthineers Page 2 of 8 12. Start the CT Quality test by pressing OK and pressing the Start button on the control box when prompted. 13. When finished, confirm a successful test by clicking OK. 14. Remove the CT Phantom and prepare the PET Quality Check by clicking Setup > PET Quality Check. 15. Attach the semi-circular phantom adapter securely to the bracket and slide the PET uniform phantom into the phantom adapter. 16. Select Full Setup (this will also automatically highlight the Time Alignment). PET Quality Check Days until next Full Setup: 89 Days until next Partial Setup: 6 Phantom QC Only Partial Setup Full Setup Time Alignment Start View Close Help 17. Select Start. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 08/29/2022 | HOOD05162003297052 Healthineers Page 3 of 8 18. When the PET Quality Check is complete, the results display in the PET Quality Check Results window. PET Quality Check ET Quality Check Perform and Monitor QC Configure QC Perform and Monitor QC Configure QC Gathering System information. Quaity Check procedure initiated. Quality Check procedure initi ated ... Moving the bed to PET-FOV. Moving the bed to FET-FOV The bed is at PET-FOY. The bed is at PET-FOV. Gantry Checkis being performed ... Gantry Check is being performed ... Gantry Check completed successfuly. Gantry Check completed successfully. Setting energy thresholds on ACS. Setting energy thresholds on ACS ... Energy thresholds set successfully Energy thresholds set successfuly. Configuring ACS. Configuring ACS ... Configured ACS successfully. Configured ACS successfuly PET Acquisiti on is in progress ... PET Acquisi tion is in progress FET Acquisition completed successfully. ACS is unconfigured successfully. Deleting sinogrem files from ACS ... Successfuly deleted si nogram files from ACS PET Image Reconstruction in progress Acquisition Progress Information PRS Progress Information Sinogram Acquisition in progress ... Image reconstruction is in progress ... Trues 412900 Randoms 154864 Singles 10094212 Est Time 8min 1sec Total Time Remaining: 14min 2199c Total Time Remaining 9min 55sec Stet Cancel Help Start Cancel Heb 19. If the results are within the typical range of your system type, the system quality result will PASS and a green checkmark is displayed. User may view sinogram to visually inspect. If all tests are successful, click Save and Close. 20. If the results are out of range, the system quality result will say FAIL and there will be a red X box. If the system quality result fails, check the phantom placement and repeat the acquisition. If the problem persists, contact the Siemens Healthineers service representative. 21. Remove the PET phantom and source holder, leaving the L-shaped bracket. 22. Prepare for Gantry Offset test by placing the two rod sources in the Gantry Offset holder. 23. Attach the Gantry Offset holder to the bracket and ensure that it is level. 24. Position the Gantry Offset holder for a Topogram. Use the horizontal and vertical laser lights to align the phantom in the isocenter. Note the height and table position for future reference. 25. Manually register a Gantry Offset patient (or select a previously registered one) and click Exam. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 08/29/2022 | HOOD05162003297052 Healthineers Page 4 of 8 26.Hover the mouse over the blue PET category in the Patient Model Dialog, and then select the Gantry Offset Protocol. 27. Once the protocol is opened, click Load and then Start when prompted. Gantry_Offset (Adult) GantryOffset, 35 mA 120 kV 2.7 $ 0.6 mm Topogram Press START CT RT KV 120 Pause Scon time 2.7 $ PET Gantry Offt Sice 0.6 mm Topogram length- 256 mm Tube position O Top . Bottom . Lateral Commeres Table: Position Height Lopd Cancel 89.5 - 104.5 Craniocaudal .] Recon Routine Scan Auto Tasking PNP Device Mounted - Drive(F:) Total Space(7628 MB) 01-Oct-2014 10:23:2 28. Align the purple scan range box on the topogram so that the bottom lies just above the metal portion of the bracket. Edit losert View Setup Image Options System GantryOffset, 14.10.01-10:10:58-STD-1.3.1. H Hospital "01-Oct-1992, 0, 22Y 01-Oct-2014 10:24:21.18 1 IMA 1 TOP 1 SP 88.5 SP 1: 66.0 SP 2 -155.0 LEN 221.0 GT Fov. 500 CE (1) 3) (2) mA 35 11 27 GT 0.0 512 010 18or U32PO 16 -10242 338 29. Click Load to prepare the scan and press the Start button to begin. The acquisition will move automatically to the PET scan and process the results. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 08/29/2022 | HOOD05162003297052 Healthineers Page 5 of 8 30. When the procedure is complete, check the results and record the X, Y, and Z measure- ments and click Save New Offsets. set Save new offsets Restore fast saved off seto FOV offset calculation finished 31. Close the Gantry Offset test. The system is now ready for use. Shutting down and preparing the system 1. Exit all examinations and applications. 2. Remove the head holder and foot extender accessories from the patient table and store them for transport. If present, remove the Radiation Therapy Planning (RTP) pallet from the patient table and secure it for transport. 3. On the gantry control panel, press and hold the Home button until the patient table motion stops in the fully-retracted and down position. 4. Inspect the lock indicator on the table column to verify that the table is locked. The indica- tor should line up with the adjacent decal. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 08/29/2022 | HOOD05162003297052 Healthineers Page 6 of 8 5. From the ICS console, select System > End. 6. Select Shutdown System, and then click Yes. If the patient table is not in the locked position, an error message is displayed along with instructions on how to proceed. Follow the on-screen instructions and click Confirm. IMPORTANT: Failure to properly restrain the patient table prior to transport could result in serious damage to the system. If the patient table cannot be locked, inform transport personnel to ensure that the PHS latch strap is installed to secure the patient table prior to transport. Shutdown Denied X Mobile PHS Latching Error X The following applications have denied the - Dismiss Shutdown dialog by clicking "No" option. shutdown/restart request: - Move bed to its outermost / lowest position (in transport At least one component is not responding lock/ latched position). Bed (PHS not in transport lock/latched position) - Click "Confirm" option. - Re-initiate shutdown by selecting System/ End menu item. Should a forced shutdown/restart be done? Yes No Help Confirm 7. Once all components have been powered off, verify that all of the following have been secured prior to transport: • Patient table: Try to pull it toward the gantry and confirm that it is secure • System components, computers, and printers • Sources – properly stored and secured in lead shields • The RTP pallet if present Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 08/29/2022 | HOOD05162003297052 Healthineers Page 7 of 8 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 2022 Siemens Healthineers Headquarters Local Contact Information Legal Manufacturer Siemens Healthcare GmbH Siemens Medical Solutions USA, Inc. Siemens Medical Solutions USA, Inc. Henkestr. 127 91052 Erlangen, Germany 40 Liberty Blvd. Molecular Imaging Phone: +49 9131 84-0 Malvern, PA, USA 19355-9998 2501 N. Barrington Road siemens-healthineers.com Telephone: +1-888-826-9702 Hoffman Estates, IL, USA 60192 siemens.com/healthcare Telephone: +1 847 304-7700 siemens.com/mi Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 08/29/2022 | HOOD05162003297052 Healthineers Page 8 of 8