Siemens Healthineers Academy

MAMMOMAT B.brilliant biopsy system messages

This job aid will assist MAMMOMAT B.brilliant users on the different messages that may appear during a biopsy workflow and how to appropriately respond to these messages.

Biopsy System Messages MAMMOMAT B.brilliant Communication Messages Tube head movement How to respond: WH AWS When the gantry is placed in an Make sure the path of the To perform stereotactic biopsy, ensure that angled position to acquire a gantry is clear of all equipment there is no risk of collision within the tube arm biopsy, a warning message will and the patient. swivel range - tube head will traverse a range of +/- 15* be generated. OK Compression Force Messages Compression Force has How to respond: changed WH AWS The message will be generated Yes– You have confirmed the ? The compression force changed by 26N. Be aware that this may influence the biopsy at the end of the biopsy compression thickness has not accuracy. Do you want to continue the stereo procedure when compression is changed, or you are finished examination? released with the Yes OR procedure. No If the patient moves or relaxes, WH AWS the system will ask you to verify No- the compression that the biopsy target is still thickness has changed, The compression force changed by more than 15N or dropped below 15N Sufficient compression for accurate target Secure. the target is no longer valid, positioning cannot be ensured. Do you want to continue with the current and a new scout must be compression phase? taken. Yes No Unrestricted | Published by Siemens Healthineers AG, 2024 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 6/4/2025 | QR700024152 Healthineers Target/Aperture Messages Target location within the How to respond: aperture Consult the radiologist WH AWS This message will be generated if Yes– The radiologist has The specified target cannot be taken at the the selected target is not in the concluded that the area of middle of the aperture of the selected core needle, but it can be reached within the center of the aperture. concern can be aperture area. adequately sampled Do you want to proceed with this needle? The system inquires whether the despite the adjustment. customer would like it to adjust the selected needle to account for No– The radiologist has de- Yes No the safety distance. termined that they will ei- ther choose a different nee- dle, if feasible, or alter their approach. Target/Aperture Messages Horizontal Approach – Target How to respond: may not be reachable Consult the radiologist WH AWS This message will be generated Proceed: The target is located beyond the center of with the horizontal approach if The radiologist has the biopsy volume the target is closer to the opposite determined that the Please consider to access from the opposite side. approach (right or left). selected approach is Otherwise make sure the lateral holder optimal and would like to doesn't colide with paddle or breast. It suggests the customer consider keep the set approach. the opposite horizontal approach OK if the distance to the lesion is Discontinue: shorter. The radiologist has determined that they will ei- The system is not aware of tissue ther choose a different nee- not imaged; the customer should dle, if feasible, or choose the best approach. alter their approach. Unrestricted | Published by Siemens Healthineers AG, 2024 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 6/4/2025 | QR700024152 Healthineers Page 2 of 6 Target/Aperture Messages Target location within the How to respond: aperture Consult the radiologist WH AWS This message will be generated if Yes– The radiologist has de- ? The identified target is located close to the the selected target is in the center termined that the area of skin line. The target can be reached with the middle of the aperture, however a part of the of the aperture but part of the concern should remain in aperture might jut out the skin line. aperture is outside of the breast the center of the aperture, Press 'Yes' if you want to proceed with the target in the middle of the aperture while the due to insufficient breast volume. even though part of it is out- upper edge of the aperture is out of the skin line. side the breast. Press 'No' if you want to select another needle or target. The system inquires whether the customer would like it to proceed No– The radiologist has de- Yes No with the selected needle and part termined that they will ei- of the aperture out of the breast. ther choose a different nee- dle, if feasible, or alter their approach. Target/Aperture Messages Target location within the How to respond: aperture Consult the radiologist WH AWS This message will be generated if Yes– The radiologist has ? The identified target is located close to the the selected target is at the center determined that the area of skin line. The target can be reached with the middle of the aperture, however a part of the of the aperture, but part of the ap- concern should remain in aperture might jut out the skin line. Press 'Yes' if you want to proceed with the erture is outside of the breast due the center of the aperture, target in the middle of the aperture while the upper edge of the aperture is out of the skin to insufficient breast volume. even though part of it is line. Press 'No' if you want to proceed with the outside the breast. target at the upper edge of the aperture (the needle will be inserted deeper with an The system inquires whether the automatic adjustment). Press 'Cancel' if you want to select another customer would like it to proceed No– The radiologist has de- needle or target. with the selected needle and part cided to advance the needle of the aperture out of the breast. deeper into the breast to Yes No Cancel acquire the target at the proximal portion of the aperture. Cancel– The radiologist has determined that they will either choose a different needle, if feasible, or alter their approach. Unrestricted | Published by Siemens Healthineers AG, 2024 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 6/4/2025 | QR700024152 Healthineers Page 3 of 6 Error Messages The reference mark is out of How to respond: range WH AWS While setting a reference point 1. Use the Zoom From x The selected reference mark cannot be during a biopsy procedure. Point tool to magnify the used because it differs by more than 1cm from the reference mark defined during reference mark area. biopsy calibration. To ensure target accuracy, the ref- 2. Ensure the reference The current biopsy examination is blocked until position of the reference mark is erence cross must coincide with cross is directly over the adjusted. the reference point. reference mark. If the position of the reference mark is already correct, a calibration of the biopsy 3. Confirm the mark. unit is required. This message will be generated. If the selected cross is outside the OK 1 cm range of the reference point. . Error Messages Needle holder movement How to respond: has been interuppted WH AWS x The message will be generated OK– Begin the referencing × The Biopsy Unit encountered a hardware if the needle holder movement process. Steps can be found in problem during self test. Error: 7 A new Biopsy Unit referencing is required. Please remove the needle (respectively the has been interrupted or if the the Operator Manual. needle holder) and paddle and push OK to open the user interface for Biopsy Unit needle holder senses resistance referencing during movement. After successful referencing the system should be restarted. OK Unrestricted | Published by Siemens Healthineers AG, 2024 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 6/4/2025 | QR700024152 Healthineers Page 4 of 6 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 Healthineers AG 2025 Siemens Healthineers Headquarters Siemens Healthineers Headquarters Local Contact Information Local Contact Information Legal Manufacturer Legal Manufacturer Siemens Healthineers AG Siemens Healthineers AG Siemens Medical Solutions USA, Inc. Siemens Medical Solutions USA, Inc. Siemensstrasse 1 Siemens Medical Solutions USA, Inc. Siemensstraße 3 Siemensstraße 3 40 Liberty Blvd. 40 Liberty Blvd. Forchheim, Germany 91301 Molecular Imaging 91301 Forcheim, Germany 91301 Forcheim, Germany Malvern, PA, USA 19355-9998 Malvern, PA 19355-9998 USA 2501 N. Barrington Road Phone: +49 9131 84-4746 Phone: +49 9191 18-0 Phone: +49 9191 18-0 Telephone: +1-888-826-9702 Telephone: +1-888-826-9702 siemens-healthineers .com/radiography Hoffman Estates, IL 60192 USA siemens-healthineers.com siemens-healthineers.com siemens-healthineers .com/en-us Customer Care Telephone: Telephone: +1 847 304-7700 +1-800-888-7436 siemens-healthineers.com/molecular-imaging Unrestricted | Published by Siemens Healthineers AG, 2024 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 6/4/2025 | QR700024152 Healthineers Page 5 of 6 Unrestricted | Published by Siemens Healthineers AG, 2024 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 6/4/2025 | QR700024152 Healthineers Page 6 of 6

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