MAMMOMAT B.brilliant Biopsy Quick Guide

MAMMOMAT B.brilliant Biopsy SIEMENS Quick Guide MAMMOMAT B.brilliant Welcome to Siemens Healthineers This quick guide will cover biopsy examinations on your MAMMOMAT B.brilliant. The following job aids provide steps to navigate biopsy functions on your system. SIEMENS Healthineers Table of contents How to perform a new biopsy unit referencing 3 Compression force change during a biopsy 6 How to change a view midexam stereotactic biopsy 8 How to use Direct Comparison in a biopsy procedure 10 How to delete a biopsy target mark 12 How to hide a biopsy target mark 13 How to invert stereo images 14 How to release a patient during a biopsy power failure 15 How to Perform a New Biopsy Biopsy Quick Guide I MAMMOMAT B.brilliant Unit Referencing- Error 7 How to perform a new biopsy unit referencing MAMMOMAT B.brilliant If the biopsy unit is mounted on the MAMMOMAT, the needle holder automatically moves through the reference positions. The referencing movement of the needle holder must not be interrupted. If a malfunction occurs during the referencing movement, the following window appears. The Biopsy Unit encountered a hardware problem during self test. Error: 7. A new Biopsy Unit referencing is required. Please remove the needle (respectively the needle holder) and paddle and push OK to open the user interface for Biopsy Unit referencing. After successful referencing the system should be restarted. OK 1. Select OK. OK 2. The following window is displayed. Select Allow blocked content. @ Biopsy Referencing Tool - Internet Explorer provided by Siemens Healthcare x An error has occured while trying to access Biopsy referencing page Internet Explorer restricted this webpage from running scripts or ActiveX controls. Allow blocked content x Unrestricted | Published by Siemens Healthineers AG, 2025 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 02/03/2025 | QR700018530 3 Biopsy Quick Guide I MAMMOMAT B.brilliant 3. The following window is displayed. Select Yes. Windows Internet Explorer ? The webpage you are viewing is trying to close the tab. Do you want to close this tab? Yes No 4. The Zigma Webserver will open. Follow the onscreen instructions for Referencing: ensure the biopsy unit is plugged in, the system is in a state where movements are possible, no pad- dle is mounted, and no obstacles are on the table. Select Start Referencing. Zigma Page sent at 15:38:32 19.05.2021 Webserver System Version VF02E State E STATE BLOCKED Biopsy Service Please check following: Biopsy is plugged - System is in state where movements (compression unit, rotation, ... ) are possible No paddle mounted No obstacle on the biopsy table Start.Referencing 5. The needle holder automatically moves through several positions. It should stop moving in the upper left-hand position. • Select OK if the needle holder is located in the upper left position OR • Select Continue if the needle holder is NOT located in the upper left position. Zigma Page sent at 15:39:29 19.05.2021 [yebserver System Version VF02E State E STATE BLOCKED - Back to Home Service Mode Ok: confirm the Reference Position. The needle guide should be in the top left inside position Continue: Reference Position is not ok Retry: Move to the reference position again @K Continue Retry Unrestricted | Published by Siemens Healthineers AG, 2025 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 02/03/2025 | QR700018530 Page 2 of 4 4 Biopsy Quick Guide I MAMMOMAT B.brilliant 6. When referencing is complete, you will see the message: Referencing is done! Zigma Page sent at 15:41:08 19.05.2021 Webserver System Version VF02E State E_STATE_BLOCKED - Back to Home Referencing done! 7. Select the in the upper right corner of the the window to close the application. 8. The biopsy unit is ready for operation. Unrestricted | Published by Siemens Healthineers AG, 2025 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 02/03/2025 | QR700018530 Page 3 of 4 5 Biopsy Quick Guide I MAMMOMAT B.brilliant Compression Force Change Compression force change during a biopsy During a Biopsy MAMMOMAT B.brilliant It is recommended that you compress until at least 30N is achieved. The table movement is blocked when the checkmark for the minimum compression reached is displayed on the stand display. Compression Force Changes by more than 15N or drops below 15N If the compression force changes by more than 15N, the following message indicates that the targeting may have changed. WH AWS The compression force changed by more than 15N or dropped below 15N. Sufficient compression for accurate target positioning cannot be ensured. Do you want to keep the current compression group? Yes No Select Yes to continue the examination – the compression group/target has not changed. Select No to interrupt the examination – the target may have changed, and a new scout is required. No = New Scout Anytime the patient is repositioned, the NO options should be selected to start a new compression/biopsy phase. Example scenario • The patient is positioned in the CC approach. • Stereo scout and stereo pair have been acquired, the target is unreachable. • The decision is made to reposition to the LM approach. Compression is raised for repositioning. • Select No to the onscreen message. All remaining stereo pairs will go away. You must add scout, pairs, etc., in the LM approach. Note: Do not select Yes in this scenario. Targeting accuracy is not guaranteed. Unrestricted | Published by Siemens Healthineers AG, 2025 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 02/03/2025 | QR700018534 6 Biopsy Quick Guide I MAMMOMAT B.brilliant Yes = continuing with the exam (ex., the needle is in the breast). Select Yes to this message using the following scenarios as a guide. Example scenario 1 • At the beginning of a new biopsy, the patient needs to be repositioned. • Did Not select New on the workstation before releasing compression to reposition. • Select Yes to the onscreen message. • It is recommended that New be selected on the scout image before repositioning. OK New Note: This applies Only if a stereo pair and/or a tomo biopsy image has not been taken. Example scenario 2 • The patient is positioned in the CC approach. • Biopsy compression force began at 55N; after inserting the needle, the compression force changed to 39N. • The compression Force changed, but the compression Thickness has not. • Select Yes to the onscreen message and verify that the target has not changed. This can be done by taking a stereo pair and retargeting if necessary. • If the target has not changed, No further action is needed. Example scenario 3 • The biopsy is complete. • Post-biopsy images are done under the same accession number as the biopsy. • When compression is released, select Yes to the onscreen message. This will allow you to continue with the non-biopsy images. • If No is selected, you must close the exam and open a new procedure to take the post- images. Reason: The first image in a biopsy must be a scout. How to Re-target and Transmit Note: If the target has changed significantly, you must raise the needle out of the breast before transmitting the new target. Once raised, transmit the new target. Set a new target on the active stereo pair • Transmit the target from the AWS • Press the override button, and the needle holder will move ... • Keep the override button pressed until the needle holder reaches the newly transmitted • target. A checkered flag is displayed next to the target number in the top line. Ensure that the skin at the newly targeted area has been anesthetized before inserting the • biopsy needle. Unrestricted | Published by Siemens Healthineers AG, 2025 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date:02/03/2025 | QR700018534 Page 2 of 3 7 How to Change a Biopsy View Biopsy Quick Guide I MAMMOMAT B.brilliant Mid-exam How to change a view midexam stereotactic biopsy MAMMOMAT B.brilliant A new compression phase must be started if the patient must be repositioned after biopsy images are acquired. 1. Release compression. 2. Select No on the pop-up message. WH AWS The compression force changed by more than 15N or dropped below 15N. Sufficient compression for accurate target positioning cannot be ensured. Do you want to keep the current compression group? Yes No 3. Right-mouse-click on an image in the image gallery. In the pop-up menu that appears, se- lect Add, Modify, or Insert. - ) Modify Add Insert 4. The Modified Views window is opened. Modified Views Please select the view position and modifierts). Acquisition mode Tomo Booty Scour Axiay el Prenre F MpanticaGos Posthire L ML R ML L-MLO R-MLO L-LM R-LM Unrestricted | Published by Siemens Healthineers AG, 2025 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: |02/03/2025 | QR700018534 8 Biopsy Quick Guide I MAMMOMAT B.brilliant 5. Projection views (PVs) need to be added individually, clicking OK after each addition. Select the appropriate Acquisition Mode. Example: 2D Biopsy • Stereo Scout, Stereo Pairs, InSpect Modified Views Please select the view position and modifier(s) Images Acquisition mode Stereo 2D Scout exposure Scout · Pair (1) Adillary Tail Cleavage Implant Displaced Tangential [ Rolled Inferior [ Rolled Lateral [ Rolled Medial Rolled Superior 8 Prefire Magnification D Spot Postfire Stereo pair for targeting (2) + L-ML R-ML CC L-MLO R-MLO L-LM (3) ->++ + R-LM L-LMO R-LMO Pre-fire stereo pair cc L-CC R-CC Post-fire stereo pair (4) + New projection view: R-postCC TOMO SC Cc OK Cancel Example: 3D Horizontal Tomo Biopsy • Tomo Biopsy Scout, Tomo Pairs, InSpect Modified Views Please select the view position and modifier(s). Images Acquisition mode Tomo Biopsy @ Scout Axillary Tail O Cleavage [ Implant Displaced mi Tangential Tomo Scout (1) [ Rolled Inferior [ Rolled Lateral Rolled Medial [ Rolled Superior CC Prefire TI Magnification Spot Postfire L-ML R-ML Pre-fire Tomo (2) L-MLO R-MLO L-LM cc R-LM L-LMO R-LMO L-CC R-CC Post-fire Tomo (3) CC New projection view: R-postCC TOMO SC InSpect (4) OK Cancel InSpect Unrestricted | Published by Siemens Healthineers AG, 2025 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date:02/03/2025 | QR700018534 Page 2 of 3 9 Biopsy Quick Guide I MAMMOMAT B.brilliant How to use Direct Comparison in a Biopsy Procedure How to use Direct Comparison in a biopsy procedure MAMMOMAT B.brilliant Stereo images can be displayed under the main image area during a biopsy to compare the cur- rent images with previously acquired images. 3. To exit, select the X at the top of the comparison images at the bottom of the screen. EXAMPLE: This can be useful to determine if the targeted area has been displaced by the local anesthetic or determining if the breast has moved during the biopsy. 1. Right-click on the stereo pair to be compared. Select Direct Comparison. Images - ) Image Attributes .. cc Correct ... - ) + Reprocess ... Direct Comparison OC NOTE: It is not possible to display a Tomosynthesis biopsy image using Direct Comparison. 2. The comparison images will appear on the bottom of the screen. Unrestricted | Published by Siemens Healthineers AG, 2025 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 01/31/2025 | QR700018531 Page 2 of 3 Unrestricted | Published by Siemens Healthineers AG, 2025 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 01/31/2025 | QR700018531 10 Biopsy Quick Guide I MAMMOMAT B.brilliant 3. To exit, select the X at the top of the comparison images at the bottom of the screen. x Direct Comparison NOTE: It is not possible to display a Tomosynthesis biopsy image using Direct Comparison. Unrestricted | Published by Siemens Healthineers AG, 2025 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 01/31/2025 | QR700018531 Page 2 of 3 11 Biopsy Quick Guide I MAMMOMAT B.brilliant How to Delete a Biopsy Target Mark How to delete a biopsy target mark MAMMOMAT B.brilliant A target mark can be deleted if it has not been confirmed. Example: A left mouse click on the biopsy image will initiate targeting, which can be done acci- dentally. During targeting, other functions cannot be performed. This can include not being able to transmit another target, change the biopsy needle/holder, or acquire another image. 1. Right-click on the biopsy image. 2. Select Cancel in the pop-up menu. The marker is removed from the stereo image. 3. Targeting is canceled, and other functions can now be resumed. Cancel Hide target marks Show selected and transmitted target marks Show all target marks Image Attributes ... Unrestricted | Published by Siemens Healthineers AG, 2024 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 01/31/2025 I QR700018531 12 Biopsy Quick Guide I MAMMOMAT B.brilliant How to Hide a Target Mark How to hide a biopsy target mark MAMMOMAT B.brilliant Confirmed targets can obscure the area of interest, such as a small cluster of calcifications. The targets can be hidden to show the biopsy field of view without any overlying targets. 1. Right-click on the image. 2. Select Hide target marks in the pop-up menu. Hide target marks Show selected and transmitted target marks Show all target marks 3. To show target marks again, right-click on the image and select Show all target marks. Hide target marks Show selected and transmitted target marks Show all target marks Unrestricted | Published by Siemens Healthineers AG, 2024 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 01/31/2025 | QR700018531 13 Biopsy Quick Guide I MAMMOMAT B.brilliant How to Invert Stereo Images How to invert stereo images MAMMOMAT B.brilliant 1. Select the stereo pair you want to invert. 2. Right-click on the stereo pair, and a pop-up menu displaysselect Invert. Invert Zoom From Point Zoom/Pan Home Zoom/Pan Zoom From Target Mark F F 3. To revert to the original stereo pair, right-click on the image and select Invert again. Unrestricted | Published by Siemens Healthineers AG, 2024 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: :09/04/2024 | QR700012699 14 How to Release a Patient during Biopsy Quick Guide I MAMMOMAT B.brilliant a Power Failure How to release a patient during a biopsy power failure MAMMOMAT B.brilliant biopsy In the event of a power failure or if movement is blocked during a stereotactic biopsy examina- tion, release the patient as follows: Removing the Needle: 1. If the biopsy device is large and at risk of colliding with the collimator during the removal, then: Push the black button (1) to release the needle holder. (1) 2. Remove the biopsy device (2), the needle holder, and the needle by slightly tipping the biopsy device (e.g. Mammotome) in the direction of the patient. (2) Unrestricted | Published by Siemens Healthineers AG, 2025 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 02/03/2025 | QR700018530 15 Biopsy Quick Guide I MAMMOMAT B.brilliant Releasing the Patient: 1. If the distance between the compression plate and the positioned biopsy unit is greater than 3 cm, then: • Press the manual compression release button (1), and the compression plate can be pushed up. Continue to hold the compression plate, until you let go of the manual com- pression release button (1) ˃ 3cm 2. If the distance between the compression plate and the positioned biopsy unit is less than 3 cm, then you must first raise the biopsy tower: • To remove the cover, press the button on the back of the cover (2) at the top of the biopsy tower. • Using a pen, turn the wheel (3) clockwise. • Press the manual compression release button (4), and manually raise the paddle. (2) (3) (4) (3) Unrestricted | Published by Siemens Healthineers AG, 2025 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 02/03/2025 | QR700018530 Page 2 of 3 16 Biopsy Quick Guide I MAMMOMAT B.brilliant 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 Operators 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. 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