Luminos dRF MAX version VE10 Turnover Workbook

Turnover Workbook | Luminos dRF Max Luminos dRF Max Turnover Workbook ...... He SIEMENS Luminos CRP Max SIEMENS Education & Workforce Solutions SIEMENS Your potential is calling. Healthineers Turnover Workbook | Luminos dRF Max Welcome A Message from Nanci Wozniak Welcome to your training experience with Education & Workforce Solutions. I want to personally thank you for choosing Siemens Healthineers. We are honored to have you as our partner and hope you will enjoy this course. Our teams strive to ensure your priorities and needs are met. We sincerely appreciate your hard work around what really matters - the human side of health care. You are our heroes. Thank you for being part of the Siemens Healthineers family and we look forward to our partnership with you. Nanci Wozniak Vice President, Education & Workforce Solutions CX SV USA – Customer Service Organization Siemens Healthineers Clinical Training and Continuing Education Contact Information Customer Care Center - Clinical Application Support: Call 1-800-888-7436 PEPconnect https://pep.siemens-info.com/en-us 2 Turnover Workbook | Luminos dRF Max Contact Information Summary Welcome to Siemens Healthineers Siemens Training Centers Siemens Healthineers is dedicated to helping you get Siemens Clinical Education the most out of your investment throughout the Training Center – TDC2 entire product life cycle and beyond. Our goal is to 110 Mac Alyson Court enable you to take technology further, profitability Cary, NC 27511 higher, and patient care to the next level. Find the information, resources, and tools you need to get the most out of your recent investment and stay up-to- date. Visit https://www.siemens-healthineers.com Clinical Training and Continuing Education Customer Care Center - Clinical Application Support: Call 1-800-888-7436 • Troubleshooting assistance • Immediate assistance for software applications and workflow issues • Please provide the Functional Location Number when calling for assistance. Clinical Education Offerings: Call 1-888-221-8010 (follow the prompts) • Classroom Training (Offerings, Registration & Scheduling) • Educational Symposia • On-site Training • Printed Self-studies • Virtual Education (Offerings & Registration) • Workshops & Fellowships Visit https://www.siemens-healthineers.com/en-us/ education/personalized-education-by-solution for more information regarding the current Siemens Healthineers Clinical Training and Continuing Education portfolio. 3 Turnover Workbook | Luminos dRF Max Contents Welcome .................................................................................................................................................................................2 Contact Information Summary ........................................................................................................................................3 Contents .................................................................................................................................................................................4 Course Description............................................................................................................................................................... 5 1. System Overview ..............................................................................................................................................................6 2. Key Hardware Features .................................................................................................................................................. 7 3. MAXtouch Features....................................................................................................................................................... 13 4. Remote Control Console.............................................................................................................................................. 19 5. PEX Editor ........................................................................................................................................................................26 6. Registering a Patient.....................................................................................................................................................29 7. Making Acquisitions....................................................................................................................................................... 31 8. Postprocessing Mode ....................................................................................................................................................33 9. Documentation Mode...................................................................................................................................................35 10. Exercises .........................................................................................................................................................................37 11. Technical Data Sheet...................................................................................................................................................38 12. Review............................................................................................................................................................................ 40 4 Turnover Workbook | Luminos dRF Max Course Description Course Overview: After completing this training session, you will be able to: • Perform start-up and shutdown procedures • Identify the key hardware features of the Luminos dRF system • Describe the key features of the FLUOROSPOT Compact imaging system • Demonstrate how to register a patient • Navigate the Examination taskcard to perform a patient procedure • Utilize the Postprocessing taskcard to adjust an image • List the steps needed to archive a patient study • Explain the MAX features and their clinical uses 5 Turnover Workbook | Luminos dRF Max 1. System Overview Notes System Overview After this session, you will be able to: • Perform start-up and shutdown procedures • Identify the key hardware features of the Luminos dRF system • Describe the four steps of the workflow • Program the PEX Editor Switching On/Start-Up • The Luminos dRF is started from the switched-off mode. • The X-ray room and FLUOROSPOT Compact are switched on and off by the same switch. Starting the system from the powered-down state If the Luminos dRF has been off for an extended time at the main circuit break- er, the detector requires a warm-up time of between 60 and 120 minutes to achieve optimal image quality. Caution: Image acquisition is possible, but reduced image quality may occur. 1. Switch the main circuit breaker in the room ON. 2. Press the ON button on the generator ON/OFF console. • The system performs a self-test of the Fluorospot Compact and Luminos dRF systems. 3. Reboot the system. • Press the OFF button on the console. 4. When the FLUOROSPOT Compact has shut down(dark monitor), press the ON button. A daily reboot of the system is recommended. 6 Turnover Workbook | Luminos dRF Max 2. Key Hardware Features Notes Key Hardware Features Overview This section will discuss key hardware features of the Luminos dRF system. Tableside Controls Emergency Stop All system movements and release of radiation are disabled. Emergency Stop Button Turn the Emergency Stop button clockwise and release it. System movements and release of radiation are now enabled. # Displays -30º Left Display - Table tile angulation 45º Right Display – X-ray tube angulation System Settings Tube Angulation Return Tube to 0º Angulation Enable/Disable tube/detector coupling Select SID 115 cm or 150 cm 1.50 1,15 7 Turnover Workbook | Luminos dRF Max Key Hardware Features continued Notes Raise/lower table Tabletop movement Longitudinal tube movement HO Ortho start and end position (optional) SmartMove for pre-defined OGP positions Patient transfer vertical Patient transfer horizontal Overhead tube Park bypass Adjust collimator settings # # # Collimator light on/off 8 Turnover Workbook | Luminos dRF Max Notes Table-mounted X-ray Tube L O 0(7) (6) ( 5 ) (4) M + (8) ( 3 ) # # # (2) (9) (1) ( 1) 1. Accessory rails. 2. Collimator on/off. Recommendation is to allow the timer to turn off the collimator light. 3. Manual adjustment of transverse and longitudinal collimated field. 4. Motorized copper filtration button: 0.1, 0.2and 0.3 mm are selectable. 5. Collimator field size will be displayed in inches. 6. Memory function. Recalls the last exposed collimated field size. 7. Stop lever for ±45º rotation of collimator. Stop position is 0º. 8. Buttons for entering free exposure SID (X or C organ program). 9. Tape measure for SID setting. 10. Slide cover for laser light localizer. The laser shuts off when the collimator light does. 3-D Tube with MAXtouch Display (optional) MAXtouch (Touch User Interface) 25 O. Sanplonan. Jahn row-ihdwww. ? Hooch HAL 0115 # V ? 020en 11 The touch screen corrects its display orientation from portrait to landscape when the tube is angled from vertical to horizontal. 9 Turnover Workbook | Luminos dRF Max Key hardware features continued Notes Overhead Tube with MAXtouch User Interface (optional) Tape Measure • SID Measurement • SOD Measurement • Magnification display (for reference only) Device Position • Tube angulation • Tube rotation • Wall stand* height • Wall stand* tilt • Table height • MAXalign detector angulation/tilt • Detent on/off Setup • Block system movement • Block radiation Ortho* • Select TOD • Confirm ortho start position • Confirm ortho end position Tomo* • Tomographic angle and exposure time • Measure tomo height on/off • Tomo height display • Tomo test run with x-ray off Generator • Tube kV • Tube mAs • Exposure time • Dose level (sensitivity) • Exposure (density) correction • AEC measuring fields • Increase exposure time • Cu filtration • Large/small focal spot • Restore original values *optional Directly Accessible Functions Cervical spine-C1, A.P. Organ Program List lying position Alternative Organ Programs Tube/detector tracking on/off SID tracking on/off 10 Turnover Workbook | Luminos dRF Max Notes Top alignment on/off Restore collimation ? Help + Select detector for free exposure Sampleman, John Patient name and configurable parameter 15.05.1958 HFRL +B Patient position Ready Status ready/not ready Exchange Grid for next exposure! SID display DO cm Centering display – red if not centered Grid status 115 cm 11 Turnover Workbook | Luminos dRF Max Notes Key hardware features continued # 20 cm # Collimator width/height = 20 cm # Collimator mode – ACSS or manual ACSS Collimator rotation Detector orientation portrait Detector orientation landscape No detector available in bucky tray (wall stand) 12 Turnover Workbook | Luminos dRF Max 3. MAXtouch Features Park Position of the MAXtouch Notes When park position of the MAXtouch overhead tube is reached it will be displayed on the front of the MAXtouch screen. Park position will allow full table tilt and tabletop movement. If park position is not reached, the table will tilt 10º and then stop (from horizontal position). Tape Device Measure Position 3 P Generator Tomo ? Sampleman, John $15 05 1058 Cleaning the MAXtouch Do not spray liquids or cleaners on the MAXtouch directly. Wipe the MAXtouch only with a clean, damp cloth moistened with water. Vertix Wall Stand (optional) (3) (2) (4) (5) System movements Grid insertion/removal • 115 cm and 180 cm focused grids Hand-held remote 1. Ysio® feature only 2. Ysio feature only 3. Tracking button (tube to detector) 4. Collimator light 5. Ysio feature only 13 Turnover Workbook | Luminos dRF Max MAX Features continued Notes Wireless Detectors 00 00 MAX mini MAX wi-D 1. Detector MAX wi-D, to be used in wall stand and for free exposure 2. Detector MAX mini for free exposures only 3. Detector indicators Detector Indicators for MAX wi-D and MAX mini (5) (4) (1) (2) (3) 1. Detector status LED 2. Wi-Fi status LED 3. Battery status LED 4. Infrared sensor needed for attachment of a detector (MAXswap) 5. Power button • Short push (wake up) • Long push (switch off/on) 14 Turnover Workbook | Luminos dRF Max Battery status LED (3) Notes LED color / status Detector status LED (1) Wi-Fi status LED (2) LED off OFF state Wi-Fi disabled No battery LED green / Operating state and online / Listen Wi-Fi available (de- Battery OK blinking slow state tector connected to an Access Point) LED orange Offline or download state Wi-Fi not ready (de- Battery getting low tector not connected to an Access Point) LED orange - Error state or switching ON n.a. n.a. blinking slow LED orange - n.a. n.a. Battery low blinking fast LED orange - Switching OFF (going to OFF state) n.a. n.a. blinking fast, when requested by message or by then red flashlight time-out on the 3 LEDS, then OFF Charging the detector batteries The battery of the detector can be charged: • With the detector in the closed bucky tray of the wall stand (MAX wi-D) • In the battery charger (MAX wi-D and MAX Mini) Here is an overview of the battery charger: (1) (2) (4) (3) El (3) E (3) E (3) 1. Charger 2. Batteries 3. Four charging LEDs for each battery. 4. Power input with green power indicator. Green LED is illuminated when power is on. • Insert the battery into the charger as shown above • Pay attention to the alignment identification (1) on the battery and the charging slot (see above). • Gently push the battery onto the connector. Once the battery is in place correctly, the bottom green LED starts blinking. 15 Turnover Workbook | Luminos dRF Max Status LEDs on the battery charger Notes For each charging slot, there are four LEDs. When there is no battery to be charged, all LEDs should be off. There is one bottom LED (orange or green) and three green LEDs. 0-25% 25-50% 50-75% 75-100% 100% Changing the Battery 1. Open the locking system of the battery. = 2. Remove the discharged battery. 3. Orient the charged battery in the correct position. Battery connector should be facing the detector connector. 4. Slide the battery in the recessed area of the detector. 5. Push down the battery in the recessed area. 6. Close the locking system of the battery and push down the latch. The detector should start automatically. *Important: Before using the detector, wait until all LEDs are green. 16 Turnover Workbook | Luminos dRF Max Attaching the clip-on grid. Notes 1. Put the detector with the bottom edge into the clip-on grid, and the detector handle aligned with the handle cut-out of the grid. Be sure to align the LEDs on the detector with the LED openings on the grid. For the MAXmini detector, there will be no detector handle or cutout on the grid. 2. Push the detector gently against the loading spring of the grid and let it slide smoothly into the grid. Release the detector. The grid is now secured. 3. To remove the grid, press the detector gently down against the loading spring of the grid and pull the detector out. MAXswap – attaching or detaching a detector from the Ysio system. MAXswap allows you to share several wireless MAX detectors between systems. You do this by detaching a detector from one system and attaching it to another system. Some guidelines for using MAXswap: • The detector has been registered to the Ysio system by a Siemens Service Engineer • The FLUOROSPOT Compact (computer) is in the patient tab • The calibration data from the registered detector is currently in the system 17 Turnover Workbook | Luminos dRF Max Attaching a detector Notes 1. Hold the detector with the LEDs facing the infrared sensor on the upper right corner of the FLUOROSPOT Compact . 2. All of the LEDs on the detector will start to blink orange, then green. 3. When the LEDs stop blinking, the detector can be taken away. SIEMENS M D 4. The following message will appear on the FLUOROSPOT Compact . Detector attachment Do you want to attach this portable detector? Detector type MAX mini, Serial number 1237E2. Yes Cancel 18 Turnover Workbook | Luminos dRF Max 4. Remote Control Console The Remote control console Notes The remote control console is separated into 3 areas: 1. The hardware buttons user interface 2. The modular joystick user interface 3. The touchscreen user interface (TUI). Since the Luminos dRF is a remote fluoro room, a great number of exams will be performed with the physician at the remote control console. ( 1 ) O (2) (0) (9 (3) The system remote control consol consists of three main parts: (1) Touchscreen User Interface TUI (2) Hardware buttons panel User Interface (3) Modular joystick User Interface (There are three different versions: one with a throttle instead of a joystick for the collimator settings, one without ST filters and one with ST filters.) TUI (Touchscreen User Interface) TO [ 120mm Xl #42.0x42.0cm Scheduled list v 1 Series 8f/S + Image Tools Setup 0.2 70 mm Cu 30 5 5 2:52 min 15 The TUI is separated into 3 sections: • The left-hand side will show fluoro parameters. • The center section shows the acquisition/ radiographic parameters. • The right-hand side is for image review and system setup. Fluoro Parameters Functions in this section include: • Fluoro mA, kV and cumulative fluoro time. • Store Fluoro (optional). Stores a dynamic loop of fluoro. Length of loop stored depends on pulsed fluoro rate used. 19 Turnover Workbook | Luminos dRF Max Remote control console continued Notes Fluoro 5-minute alarm reset. CAREVISION (Pulsed Fluoro). • Pulse rates are 15, 10, 7.5, and 3 pulses per second. • 30 pulses per second is possible on full field and Mag 2 only. 15 p/s Setup Subtask Card The Setup Subtask Card has functions for image manipulation and tabletop movements. Image Tools Setup DVD i+ R Preselect flipping about vertical axis on/off RA Preselect flipping about horizontal axis on/off Image flip horizontal and vertical. • Used depending on the patient’s position on the table. Inverse orientation transversal on/off Inverse orienetation logitudinal on/off Table and display-related movements. • Used depending on how the operator works – either looking at the table or looking at the monitor. Unit orientation on/off Monitor orientation on/off 20 Turnover Workbook | Luminos dRF Max Initiate DVD recording. Notes DVD CAREposition (optional). • Allows for repositioning of the patient without the use of fluoroscopy. Once active, it stays active for that patient. Block system movements The digital detector zoom modes are displayed along the bottom: • Full field, Mag 1, 2 and 3. • The field size will be displayed at the top center of the TUI. Image subtask card This tab allows you to: Tools Setup • Review images already acquired. mage • Save LIH (last image hold) fluoro images. • Re-mask and pixel shift on DSA images (optional). • Send images to the reference monitor or folder (monitor optional). Replay series/start and stop loop. BREF FRE • • Select the image source to be displayed on the reference monitor and store these images. • Image segmentation. Tools subtask card This tab allows you to: • Review acquired images. • Mark/unmark images. • Put a R/L marker on the image. • Magnification of current image. • Lock collimation. 21 Turnover Workbook | Luminos dRF Max Hardware Buttons User Interface Notes STOP This panel includes: 1. Radiation ON indicator. 2. Exposure release. 3. Block Radiation. 4. Room lights on/off (onsite installation required). -O 5. Move tube to 0º position. 6. Enable/disable tube/detector coupling. 7. Joystick for tube angulation. 22 Turnover Workbook | Luminos dRF Max 8. Tomographic fulcrum height setting. Notes 9. Select SID of 115/150 cm. 1,50 HO 1,15 10. Adjust table height. 11. System On/Off. 12. Emergency Stop. STOP 13. Patient Transfer Vertical/Horizontal. 14. SmartMove button. 23 Turnover Workbook | Luminos dRF Max Modular Joystick User Interface Notes 1. System movement and exposure release. • Exposure release (button on the rear side of shaft). • Switch between over-table/tube and tabletop motion (button on top of shaft). 2. Table tilt. • Disable automatic stop in 0º position when the button is pressed. 3. Collimator function with the joystick. • Button for opening the collimator completely. # • Button for turning on/off the collimator light. 4. Compression Cone (optional). D-+ O • Joystick will deploy compression cone and bring the cone toward the table. • Compression force is displayed, in Newtons, in the upper left corner of the TUI. • Button with LED will override motion blocking. 5. Wedge and finger filter controls (optional). • Left and right wedge filters can be moved and rotated independently. • Finger filter can be deployed and moved using either joystick. • Button for removal of all filters from the imaging field. • Typically used with DSA. 24 Turnover Workbook | Luminos dRF Max Workflow Notes High level overview. Discussed in detail in following pages. There are four main steps to the workflow: 1. Patient Task Card Register a patient – 2. Examination Task Card Perform the patient examination – 3. Postprocessing Task Card Manipulate an image – 4. Documentation Task Card Archive the exam/study – PEX Editor Overview Programs and Exams Editor is divided into six task cards: • Exam Enter your RIS exam names and OGP views – • Organ Program Edit technical factors – • Fluoro program View and/or edit fluoro program parameters – • Parameter Module (no function for this system) • Configuration Back up the OGPs – Exercises Complete the following exercises. 1. Turn the system on. 2. Perform table movements. 3. Attach any accessories to table. 4. Remove the grid from the table. 5. Put the table into transverse and vertical patient transfer positions. 6. On the MAXtouch, change the kV, AEC, and add 0.2 mm copper. 7. On the Vertix wall stand, change out the grid. 8. Adjust the vertical movements of the Vertix wall stand. 9. End session. 25 Turnover Workbook | Luminos dRF Max 5. PEX Editor Opening the PEX Editor Notes 1. On the Patient Task Card > Settings Subtask Card, and click on this icon: The logon screen will appear. Programs and Exams Editor 2. Click the radio button next to Siemens. 3. Enter the password that your Siemens clinical education specialist gave you and click OK. Exam Tab The PEX Editor opens to the Exam subtask card. PACOMEH CHEST EXTREMITY PHANTOMS Firtulogramjd) PH-G CAUDAATION ROY CAPP Dufauk Esamm Harm for RE Filming Layout H Fluor 26 Turnover Workbook | Luminos dRF Max Entering Exam Names Notes On the right side of the screen, you see the Examination View. This is where you will modify or create the listed exam names to match your site’s RIS Exam Names.(You will need to have a copy of your RIS Exam Names supplied by the site.) 1. Left-click on an Exam name that closely matches one of the exams on your RIS worklist. 2. Populate the Name for RIS and Exam Name fields with the correct name. 3. When finished click Store if you modified the name or Store as New if you created a new name. 4. Continue until all exams are entered. It is very important that you type in the name exactly as it appears on your list (letter-for-letter and spacing, up to 64 characters). If not, the study will not populate when you click on the patient to be examined. Modifying or Creating OGP View On the left side of the screen, you see OGP View. This is where you will modify or create a new view. Make sure you pick the correct prefix in front of the OGP View. • C = Cassette exposure (CR or film) • T = Table exposure • W = Wall stand exposure • X = Free exposure (the wi-D external from the table bucky) 1. Double left-click on the OGP View you wish to modify. 2. The Organ Program subtask card will open. 3. In the Program Name field, backspace out the (d) and enter in the new or modified name. 4. Make any technical factor changes and either click Store if you modified the name or Store as New if you created a new name. Exam Organ program Body Part Examined TC TESTPROGRAMS Program Name 00_DFR_Ka (d) Acquisition Mode Series Native General Parameters Fluoro Program Set CP_MP MFicld Dose per Pulse 1.09 Exp Data from Flucro KV 70Auto Characteristic Curve (C) Dose Reducton 1022 Focus O Regulation Stop Wax Puise Width Blackening Correction EP 27 Turnover Workbook | Luminos dRF Max Adding OGP View to Examination View Notes Highlight the desired Examination View and highlight the OGP View to be added, then click on Insert OGP. T Ankle Joint Lat. Right (d) Insert OGP B- ANKLE 2 MIEW BILATERA T Ankle Joint Obl. Left (d) T Ankie Joint a.p. Lert [d) Ankie Joint Lat. Lert [d) M T Ankle Joint Obl Right (d) T Anke Joint a.p. Right (d T Anke Joint Lat. Right (d X Ankle Joint a.p. Left (0) X Ankle Joint Lat. Left (0) Y Ankle Inint a n Right id You are able to arrange the order of the views by clicking on the arrows. T Ankle Joint Lat. Left (d) T Ankle Joint a.p. Right (d) T Ankle Joint Lat. Right (d) X Ankle Joint a.p. Left (0) X Ankle Joint Lat. Left (0) Checking the box Automatically switch to next OGP after acquisition allows the next view to populate during the exam. Make sure to click Store to save. Backup PEX Editor After you finish making changes in the PEX Editor, it is very important to do a backup. 1. Click on the Configuration tab. 2. Click on Backup/Export. 3. Click on the C drive and click Go. On the local hard disc (e.g., drive C and D) the number of backups is limited to up to ten. For more details and diagrams of the PEX Editor, please see the online User Manual located by pressing the F1 key on the Patient tab on the FLUOROSPOT Compact. 28 Turnover Workbook | Luminos dRF Max 6. Registering a Patient FLC and Performing Patient Exams Notes Objectives After this session, you will be able to: • Register a patient. • Perform patient exams. • Postprocess an image. • Archive patient data. During the Clinical Education Specialist training, you will also be doing patient exams. Study Lists On the FLUOROSPOT Compact (FLC), the main area of the monitor shows: 1. Preregistered Patient • List of patients from RIS 2. Examined Patients • List of patients that have been examined 3. Archiving Information • Patient data and image stamps of deleted or archived studies, if configured The Patient Task Card is divided into 3 subtask cards: 1. Patient 2. Settings 3. Service Patient|Settings| Service Registering a Patient To select a patient from the Preregistered list: 1. Click on the Patient tab. 2. If your system has a RIS, click on the RIS icon to update. RIS 3. Double click on the patient’s name to be examined. 4. The Examination Tab opens with all exams ordered and the organ programs listed for each study. 29 Turnover Workbook | Luminos dRF Max To manually register a patient: Notes 1. Click on the Patient Tab. 2. Click on the Patient Registration icon (Create New Study). 3. Populate all fields in bold text. 4. If this is a patient with no data, click on the Emergency icon to start the ex- amination. You will be able to populate the data later. Settings Subtask Card • User Settings Patient Settings | Service ? • View Job Status • PEX Editor • Clinical EXI log • Recycle Bin (if configured) Service Subtask Card • Rejected Image Statistics Exporting Data via USB You may export files using a USB memory stick. 1. Clinical EXI log 2. Reject Analysis log Exporting Data via CD/DVD You may export patient studies/images via CD/DVD. 30 Turnover Workbook | Luminos dRF Max 7. Making Acquisitions Patient Resource Information Notes The patient loads with all OGPs for the exam ordered. If you have many OGPs, click on the eyeglasses icon and it will expand the list. Right-clicking on the OGP will show you a summary of the OGP setup in the PEX Editor. Emergency, 14 uGym2 Patient 299 31 0.0 O *1 Series 8f/s 8_DSA_2 2_RAD_AEC_C_D089 8_rad_2pt Exar Fluoro Rad Acquisition Parameters All Organ Programs will populate with predefined acquisition parameters. These are based on an average adult patient and should be adjusted for body habitus and pediatric patients. AEC Exposure: Sensitivity 400=Detector Dose 2.5 micro gray. Fluoro Rad 42.6 cm x 42.6 cm Wil none ( 125 cm 2 115 cm 115 cm KV 70 MAS Dose 0.89 0.0 mm Cu 0.0 Focus 80 Exam Manager If the Exam Manager is displayed, you will need to select the correct exam on the left side, click Replace in the center so the accession number stays the same and click Examination. The Exam Manager is displayed whenever the exam name from the RIS is not recognized by the PEX Editor, or that exam name has not yet been programmed. TI 31 Turnover Workbook | Luminos dRF Max Notes This happens because the Exam Name from the RIS does not match what you have entered into the PEX Editor. Remember to correct the exam spelling in the PEX Editor. Patient: Emergency, PT Available Exama / Organ Programa Assigned Exama / Organ Programa & Cogas Proguess by Faas alphabeic ty body patregion 1_TC_dPF_All_Anq_Types 20_20_wall_vertical 2_RAD AEC_C_DURS I.DBA 2 DFR Sigle_IDC TOM_40_2301_P148 DFR Jodive Bile BW DFRProf Borism2po_BW ANKLE BREAST A CHEST Orges Play Details Making an Exposure When all parameters are set, and you are ready to make an exposure, make sure you see the Ready symbol on the bottom right of the FLC. Subtask Card You can crop the image and review all images. Tools Subtask Card You can review the Exam Protocol. Monitor Display The information that populates in the 4 corners of the image is configurable. The upper left side should show a white circle, meaning that the image is marked to be sent to the printer or PACS. To unmark the image, simply right-click on it. The bottom left corner shows the Clinical EXI. This number has a low and high range (125-500) and is only one of the determining factors for checking if the image is under/overexposed. 32 Turnover Workbook | Luminos dRF Max 8. Postprocessing Mode Postprocessing Notes The Postprocessing task card lets you make changes to the acquired image. Postprocessing It is divided into three subtask cards: 1. Process 2. Graphics 3. Rad Process Subtask Card • Zoom/Unzoom images using variable zoom function • Invert grey scale • Flip image horizontal and vertical • Once an image has been flipped it is not possible to rotate it • Window – Contrast and Brightness adjustments Window Center – Brightness (move mouse up/down) – Window Width – Contrast (move mouse left/right) – • Rotate image – Images can be rotated 90º clockwise, or 90º clockwise/ counterclockwise and 1º clockwise/counterclockwise depending on software level Process. Graphics Rad O- R R R R K SO RT -226 533 auto Graphics Subtask Card • Set Laterality label (R/L marker) • Draw arrow • Draw distance/calibrate Remember to store the image with the distance graphics as a new im- – age. The graphics are burned into the image. • Draw angle • Set view position and laterality • Enter Text and Comments Comments will always be at the bottom center of the monitor. – Text can be placed anywhere in the image. – You can build a list for Text and Comments and change the Text – font size. 33 Turnover Workbook | Luminos dRF Max Rad Subtask Card Notes LUT (look up table selection) Process. Graphics Rad Auto-cropping g2 Set black Auto-window Amplification 2.0 Auto Gradation Curve • The LUT and Histogram chart is displayed. Gradation Data Contract LE:LE EE Astagran ROI FLR 2174 Filter Icon • Select Spatial Filtering parameters • Diamond View settings • Set Gain and Kernel for Edge Enhancement and Harmonization Make sure to click on the Apply icon to save processing changes. V 34 Turnover Workbook | Luminos dRF Max 9. Documentation Mode Documentation Mode Notes Documentation The Documentation task card is where you archive patient studies. It is divided into three subtask cards: 1. Select 2. Film 3. Send Select Subtask Card All images need to be marked with a white circle to be sent to the hardcopy camera or PACS. 1 RAD • Mark all images • Unmark all images • Mark/Unmark single images • Delete images Film Subtask Card The Film subtask card can be set up with a default hardcopy camera and film size and layout per exam. • Film-marked images • Preview marked images • Show film status 35 Turnover Workbook | Luminos dRF Max Send Subtask Card Notes The Send subtask card can be set up with three default network/PACS nodes. • Send marked images • Show send status • Send Exam Protocol as secondary capture image • Send Exam Protocol as a Structured Report • Override the configured Target Settings Tage 2 Send Exam Protocolar Seadi Exwn Protocol as: DICOM DEN 21 ? Status Messages and Display Ready DUD - 2% hu 1. Message line for system messages 2. Status symbols General status Symbol Short description Ready for fluoroscopy and acquisition Not ready Free hard disk space 100% 0% Free DVD space 100% 0 % Detector temperature is not within required range Detector calibration has expired. Software update is available. Remote service is selected/active. 2% hu Tube heat units Wireless detector status Symbol Color Short description green Detector battery is well charged. yellow Detector battery is low. red Detector battery is empty. Detector battery is being charged. green Detector signal is good. yellow Detector signal is weak Detector signal has been lost. 36 Turnover Workbook | Luminos dRF Max 10. Exercises Exercises Notes Complete the following exercises. 1. Open the PEX Editor and create/modify Examination Views. 2. Create/modify OGP Views and insert OGP into Examination View. 3. Rearrange the order of the OGPs in the Examination View. 4. Back up the PEX Editor. 5. Manually register a patient. Make sure to add the accession # and Study description. 6. Set the room up for the exam. 7. Change the technical factors. 8. Make exposure and continue with the rest of the views. 9. Re-crop the image. 10. Add a laterality label to the image. 11. Enter Text and place in image. 12. Select the Text and erase it. 13. Unmark all images and change the order. 14. Send all images to PACS. 15. End current patient study. 37 Turnover Workbook | Luminos dRF Max 11. Technical Data Sheet Technical Data Sheet Notes Patient Table • Max. patient weight – 300 kg with restrictions • Table tilt - +90 to -45 or +90 to -90 (optional) • Table height – 50 cm to 100 cm from the floor • Table grid – stationary, 15:1, 80 lines/cm, 125 cm focus, removable • SID – 115 cm or 150 cm, selectable Table Detector (MAX Dynamic) • Active detector size – 42 x 42.6 cm • Pixel size – 148 microns • Semiconductor material – amorphous silicon • Scintillating layer – cesium iodide • Acquisition depth – 16 bits • Matrix – up to 2840 x 2874 pixels Wall stand (optional) • Tiltable from -20º to +90º with 0º detent • Grids – 115 cm focused, 180 cm focused MAX Wi-D (optional) Active detector area – 34.9 cm x 42.5 cm • Pixel size – 148 microns • Semiconductor material – amorphous silicon • Scintillating layer – cesium iodide • Acquisition depth – 16 bits • Weight – 6.6 lbs. • Max. load capacity – 600 lbs. with patient recumbent, 220 lb. with the patient standing • Battery – lithium ion, rechargeable, exchangeable • Battery charging time – 4 hours in battery charger • Battery operation time – up to 525 images • Charging location – Wall stand (optional) detector tray, battery charger (optional) • Clip on grid – 5:1, 85 lines/cm, 115 cm focus or 15:1, 80 lines/cm, 115 cm focus MAX Mini (optional) • Active detector area – 28.4 cm x 22.8 cm • Pixel size – 148 microns • Semiconductor material – amorphous silicon • Scintillating layer – cesium iodide • Acquisition depth – 16 bits • Weight – 3.5 lbs. • Max. load capacity – 600 lb. with patient recumbent, 220 lb. with the patient standing • Battery – lithium ion, rechargeable, exchangeable • Battery charging time – 4 hours in battery charger • Battery operation time – up to 525 images • Charging location – battery charger • Clip on grid – 5:1, 85 lines/cm, 115 cm focus 38 Turnover Workbook | Luminos dRF Max Notes Imaging System • Image storage capacity – 200,000 images • CAREvision – pulsed fluoro at rates of 3, 7.5, 10 and 15 pulses/sec. Also available is 30 pulses/sec. in full field and zoom 2 only • Acquisition – single image or series (0.5, 1, 2, 4 or 8 frames/sec.) • LIH – storage for last image hold 39 Turnover Workbook | Luminos dRF Max 12. Review Review of System Objectives Notes Topic Objectives Today is a full work schedule and review: • Patient imaging – continued • Modify exam protocols in PEX Editor – continued • Questions Review of System and Sign-off Topic Objectives Today is a full work schedule and review: • Patient imaging – continued • Checklist sign-offs • Questions 40 Turnover Workbook | Luminos dRF Max Notes 41 Turnover Workbook | Luminos dRF Max On account of certain regional limitations of sales rights and service availability, we cannot guarantee that all products included in this brochure are available through the Siemens sales organization worldwide. Availability and Local Contact Information packaging may vary by country and is Siemens Medical Solutions USA, Inc. subject to change without prior 40 Liberty Blvd. notice. Some/All of the features and products described herein may not Malvern, PA 19355-9998 be available in the United States. USA Telephone: +1-888-826-9702 Customer Care The information in this document Telephone: +1-800-888-7436 contains general technical https://www.siemens-healthineers.com/en-us descriptions of specifications and options as well as standard and optional features which do not Legal Manufacturer always have to be present in Siemensstrasse 1 individual cases. Forchheim, Germany 91301 Siemens reserves the right to modify Phone: +49 9131 84-4746 the design, packaging, specifications https://www.siemens-healthineers.com/radiography and options described herein without prior notice. Please contact your local Siemens sales representative for the Siemens Healthcare Headquarters most current information. Siemens Healthcare GmbH Healthcare Sector Henkestr. 127 Note: Any technical data contained in 91052 Erlangen this document may vary within Germany defined tolerances. Original images Phone: +49 9131 84-0 always lose a certain amount of https://www.siemens-healthineers.com detail when reproduced. 42 Published by Siemens Healthcare GmbH Printed in USA 00002· ©Siemens Healthcare GmbH, 2022