MOBILETT Elara Max Turnover Workbook

Turnover Workbook | MOBILETT Elara Max MOBILETT Elara Max Turnover Workbook Healthineers> MOBILETT Elara Max SIEMENS .. Healthineers Education & Workforce Solutions SIEMENS Your potential is calling. Healthineers 1 Turnover Workbook | MOBILETT Elara 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. Nani llig 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 | MOBILETT Elara 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 | MOBILETT Elara Max Contents Welcome .......................................................................................................................................................................2 Contact Information Summary ..............................................................................................................................3 Contents .......................................................................................................................................................................4 Course Description.....................................................................................................................................................5 1. System Introduction ............................................................................................................................................. 6 1.1 Objectives ....................................................................................................................................................... 6 1.2 System Start-up and Shutdown .............................................................................................................. 6 1.3 Emergency Stop.............................................................................................................................................7 1.4 Wireless Detectors.........................................................................................................................................7 1.5 Control and Display Panel .......................................................................................................................13 1.6 Remote Control (Optional).......................................................................................................................14 1.7 Arm System...................................................................................................................................................14 1.8 X-ray Tube Assembly..................................................................................................................................15 1.9 Exposure Release.........................................................................................................................................16 1.10 System Movement.....................................................................................................................................17 2. FLC and Performing Patient Exams ................................................................................................................18 2.1 General Workflow .......................................................................................................................................18 2.2 Overview.......................................................................................................................................................18 2.3 Patient Tab....................................................................................................................................................18 2.4 Flurorospot Compact (FLC) Training .....................................................................................................21 3. System Overview..................................................................................................................................................27 4. Review.................................................................................................................................................................... 32 4 Turnover Workbook | MOBILETT Elara Max Course Description Course Overview: The purpose of this training is to enable end users to effectively operate the Elara Max at its optimal level. Proper use of system functions and features will empower operators with precise workflow, ease of use, and user satisfaction. Upon completion of this course, you will be able to: • Perform start-up and shutdown procedures • Identify the key hardware features of the MOBILETT Elara Max system • Utilize the FLC (Fluorospot Compact) imaging system • Navigate the PEX Editor for setting up site specific examinations • Describe post-processing functions to optimize image impression • Successfully send images to the archiving station 5 Turnover Workbook | MOBILETT Elara Max 1. System Introduction 1.1 Objectives Notes By the end of this section, the technologist will be able to: • Correctly perform start-up and shutdown procedures • Identify the key hardware features of the Elara Max system • Follow the basic system workflow • Examine the tabs and subtask cards available in the Fluorospot Compact 1.2 System Start-up and Shutdown Start-up Under normal circumstances, the MOBILETT Elara Max is dependent upon a regular supply of power. If the device remains without power for a long period of time (e.g. several days), both the system batteries and detector battery will use their charge completely. This can require the assistance of a service technician, and under some circumstances, complete battery replacement. A warm-up period of 60-120 minutes is recommended if the system battery has been depleted. This is recommended to avoid a reduction in image quality. Press the Power ON/OFF button on the console. MOBILETT ELOro Max Shut Down In both key switch and keypad variations of the MOBILETT Elara Max system, if the Fluorospot Compact (FLC) and generator are on, turning off the system will actually shut down all components of the system (i.e., the FLC shuts down along with the generator and the system will be immobilized (no driving)). • Turn the key to the O (Off) position if there is a key switch (optional) or press the Power ON/OFF button on the control panel if there is a keypad. 6 Turnover Workbook | MOBILETT Elara Max 1.3 Emergency Stop Notes Press the Emergency Stop button to immediately stop radiation and motorized movement of the MOBILETT Elara Max system. The screen saver will appear and the control and display panel will show EMER STOP. The system will not shut down or disconnect from the battery or mains connection when the Emergency Stop button has been pressed. To unlock the Emergency Stop button, turn the button clockwise until it snaps back into the normal position. You will then be able to continue using the system as normal. MOBILETT Flora Max 1.4 Wireless Detectors The Elara Max includes options for both the MAX Wi-D and MAX Mini detectors. MAX wi-D Size: 34.8 cm x 42.4 cm Weight: 3.3 kg/7.2 lbs Max Load: 150 kg/661 lbs (pt recumbent) 100 kg/220 lbs (pt standing) MAX ... Battery: 6.5 hours battery life Charging Time 90 minutes charging time for 80% battery capacity Pixel Size: 148 micron Area: 13.7 in x 16.7 in 7 Turnover Workbook | MOBILETT Elara Max MAX mini Notes Size: 22.5 cm x 28.4 cm Weight: 1.6 kg/3.5 lbs Max Load: 150 kg/661 lbs (pt recumbent) 100 kg/220 lbs (pt standing) Battery: 6.5 hours battery life Charging Time 3 hours charging time for 100% battery capacity Pixel Size: 148 micron Area: 8.9 in x 11.2 in 1.4.1 Detector Indicators Detector indicators provide status on internal functions, Wi-Fi status, battery status, infrared sensor, and power. These indicators are located near the handle. Detector indicators ( 5) ( 4 ) (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 1.4.2 Battery Charger (optional) The battery of the MAX wi-D will begin charging when the detector is properly inserted into the holder at the back of the unit. This will be indicated by a blinking battery LED located on the detector (see above). As long as the system batteries hold a charge, the MAX wi-D will also be charged when the chassis is switched off and not connected to mains power. Ensure that the detector is placed in the holder carefully and in the correct orientation (handle up, detector front showing to the operator and backside showing to the unit). The MAX wi-D and MAX mini can both be charged using the external battery charger (optional). Batteries of the MAX mini can only be charged in the external battery charger. If the MAX mini is urgently needed but is low on battery, you can swap batteries with the MAX wi-D. 8 Turnover Workbook | MOBILETT Elara Max If the battery of the detector is completely empty, charge it and wait at least 1 Notes hour. The detector needs to warm-up for at least 1-2 hours to achieve good image quality. Do not remove the detector battery from the detector directly after acquisition or during image recovery. The image could get lost in the transfer. IEI El 1.4.3 Battery Charger (optional) (1) (4) (2) (3) (1) Charger (3) 4 charging LEDs for each battery (2) Batteries (4) Power input with green power indicator The battery charger is designed to insert a battery in only one direction. (1) Insert the battery into the charger as shown above. Pay attention to the alignment identification (1) on the battery and the charging slot. Gently push the battery onto the connector. Once the battery is in place correctly, the bottom green LED will begin blinking. 9 Turnover Workbook | MOBILETT Elara Max 1.4.3.1 LED Status (Battery Charger) Notes Each charging slot will have its own LED light. When there is no battery to be charged, the LED light will be off. There is 1 bottom LED light (that can be orange or green) and 3 green LEDs. For each charging slot, there are 4 LEDs. When there is no battery to be charged, all LEDS should be off. There is 1 bottom LED (orange or green) and 3 green LEDs. Charging levels 0-25% 25-50% 50-75% 75-100% 100% Fault signal The orange or Fault LED indicates that the battery is not inserted correctly. Remove the battery and insert it again correctly. If the problem persists, the battery may be damaged. If the power LED is not green, check the power supply. If no charging LEDs are active, it could mean that the no battery is inserted or the battery is inserted incorrectly. Try reinserting the battery or check to see if the connectors are not damaged or the battery is not faulty. 10 Turnover Workbook | MOBILETT Elara Max 1.4.4 Changing the Battery Notes 1. Open the locking system of the battery. 2. Remove the discharged battery. 3. Orient the charged battery in the correct position; battery connector (1) facing the detector connector (2). (1) (2) 4. Slide the new battery in the recess area of the device and push down into place. 5. Close the locking system of the battery and push down the latch. The detector should start automatically. NOTE: Before using the detector, wait for all LEDs to be green. 1.4.5 Clip-on Grid The clip-on grid can be used with the MAX wi-D detector when needed. When not in use, remove the clip-on grid from the detector and store it in a safe place where it cannot fall, such as the grid holder. Clip-on grids for MAX wi-D will have either a 5:1 or a 15:1 grid ratio. Both will have a focus of 45 inches. Clip on grids for MAX Mini will have a 5:1 grid ratio, with a focus of 45 inches. 11 Turnover Workbook | MOBILETT Elara Max 1.4.5.1 Attaching/Removing the grids Notes 1. Insert the detector into the slot on the back of the grid, with the front of the detector facing the same direction as the front of the grid. 2. Push the detector gently down against the loading springs and let it slide smoothly into the clip-on grid and let go. (1 (1) Clip-on grid for MAX wi-D 00 (2) Detector MAX wi-D (2) 3. Ensure that the grid unit is locked and the LED lights show through the LED openings on the grid. 4. To remove the grid, press the detector gently down against the loading springs of the grid and pull the detector out. 1.4.6 Connecting/Disconnecting the MAX detector to the system A MAX detector can only be connected to your system if it has been registered for your system by its serial number and if it has been calibrated for use with your system. 1. Open detector overview as first step for connecting detector. 2. Hold the MAX detector with the side of the LEDs to the infrared sensor. All of the LEDs on the detector will start to blink orange then green. 3. The detector can be moved away from the infrared sensor when the LEDs stop blinking. 4. Select the Yes button to attach the detector. Wait a few seconds and a message will indicate that the detector has been successfully attached. Detector attachment Do you want to attach this portable detector? Detector type:MAX mini, + Serial number: 1237E2. Yes Cancel 12 Turnover Workbook | MOBILETT Elara Max Disconnecting the Detector Notes In Patient Mode, open the MAX Detector Overview page on the FLC to display the available MAX detectors. Select Disconnect for the desired MAX detector. Detector overview Default Type for Free Exposures Portable Detectors MAX Wi-D MAX min Detector Type 3 x35 cm 24x 30 cm MAX mini 24 x 30 cm Serial number S/N:1313MO S/N:1313M5 Batery Signal Actual Position Free Free Disconnect Disconne Calibration due 16-05-2019 Firmware Up-to-date Up-to-date Fixed Detectors Detector Type MAX static 43x 43 cm Calibration due 13-03-2019 Position Wallstan Close 1.5 Control and Display Panel (1) (2) (3) (4) (5) (6) (7) (8) 1 12 A 5 KV mAs (1a) (1) Numeric keypad with LOCK button (1a) (2) kV display (3) mAs display (4) Light Localizer button (5) Low Charge battery indicator (red LED 1) (6) Battery indicator (Yellow LED bars) (7) Mains Operation LED display (yellow) (8) Radiation display with 2 LEDs • Upper LED: ready for X-ray (green) • Lower LED: radiation (yellow) 13 Turnover Workbook | MOBILETT Elara Max 1.6 Remote Control (Optional) Notes (1) Battery charge display - lights up as soon as the battery is low and needs replacing (1) (2) Radiation preparation IR >)) (3) Exposure release (2) (3) (4) Collimator light ON/OFF button Press to switch the light localizer on and off (4) Interferences with other systems may occur if other infrared remote control systems are within range. Switch off any other infrared remote control systems that are within view. If your facility uses more than one MOBILETT Elara Max system, Siemens Service will make sure that their remote controls are encoded to control only the respective system. 1.7 Arm System The MOBILETT Elara Max has a double articulated arm with a counterbalance. The x-ray tube assembly and articulated arm remain in the set position without additional locks. (2) (7) (4) ... ... (3) (5) (6) (1) X-ray tube assembly (5) Exposure release button (2) Arm system (6) Transport safety device (3) Holder for lead apron (7) Buttons for fine adjustment of the system (4) Radiation display 14 Turnover Workbook | MOBILETT Elara Max 1.8 X-ray Tube Assembly Notes (1) Protractors X-ray tube assembly (7)(8)(9) (1) - (1) (2) ( 3) (5) (6) (6) (10) (2) SID tape measure (3) Collimator (4) DAP ionization chamber (5) Light localizer button ON/OFF (on both sides) (6) Collimator adjustment knobs (7) Move forward (8) Deadman switch (9) Move backward (10) Handles for adjusting the X-ray tube assembly and arm system 15 Turnover Workbook | MOBILETT Elara Max Notes 1.9 Exposure Release Exposures are released via a two-stage manual button. With exposure release button Exposures are released via a two-stage manual button. (1) ( 2 ) (3) (1) Starting position (1) Starting position (2) Preparation (2.5 second duration - ready after two short beeps) (3) Exposure (Duration is as long as the radiation indicator is lit & the signal sounds) Preparation Before each exposure, check the Fluorospot Compact screen should display the status message Ready with a green check mark or that the radiation lights on the articulated arm are green to indicate the system is ready for exposure. 1. Press the button up to the first pressure point. This acti- vates the preparation phase for the exposure. The green ready indicator goes out and only lights again when the rotational anode has reached its full speed (after approx. 2.5 seconds). This is indicated via four short acoustic sig- nals. The generator is now ready for exposure release. • If an exposure is not released within 15 seconds, preparation is automatically discontinued and the message WARN 205 is displayed. 2. Press the button up to the second pressure point. The yel- low radiation indicator is lit during exposure. This visual radiation display lasts longer than the actual exposure so that the operator sees it even during very brief exposures. The end of an exposure is indicated by a longer acoustic signal. 3. Keep the button pressed until the end of the exposure is indicated. The exposure button can also be pressed directly to the second pressure point (3). In this case, an exposure is released as soon as the anode has reached its full speed, i.e., after approx. 2.5 seconds. NOTE: The image shown here on the right, depicts the actual exposure release button (on top). The button on the front activates the collimator light. 16 Turnover Workbook | MOBILETT Elara Max 1.10 System Movement Notes Movement control includes a function that prevents uncontrolled acceleration of the MOBILETT Elara Max. Uncontrolled acceleration may occur, for example, on slopes or if the MOBILETT Elara Max is moved faster by force. The power supply to the motor is interrupted until the MOBILETT Elara Max decelerates. This prevents possible accidents in the event that the operator loses control of the system. As long as motor operation is active, radiation release and detector charging are disabled. (1) (2) (1) Handle for direction and speed control (2) Safety switch (back of handle) Push the handle in the desired direction of travel to control the device. Increase the pressure to control the movement speed. • Push the handle forward while keeping the safety switch pressed • For changing the direction, push the handle backward while keeping the safety switch pressed If the MOBILETT Elara Max does not move: • Check whether the device is switched on • Charge the batteries, if needed 1.10.1 Movement without the Motor The system can be moved even if the motor drive is not available. Pull the lever on the detector side of the unit. This permanently deactivates the automatic brake mechanism so that the device can be moved manually. When the drive is disengaged, the system is no longer stopped automatically. 17 Turnover Workbook | MOBILETT Elara Max 2. FLC and Performing Patient Exams 2.1 General Workflow Notes High level overview There are four main steps to the workflow: • Patient Task Card • Register a patient • Examination Task Card • Examine the patient • Postprocessing Task Card • Manipulate an image • Documentation Task Card • Archive the exam/study 2.2 Overview On the Fluorospot Compact (FLC), the main area of the monitor shows: 1. Preregistered Patients • List of patients from RIS or patients that have been manually entered 2. Examined Patients • List of patients that have been examined. This is where you can burn a CD/ DVD 3. Archiving Information • This screen is always blank and will never contain patient information. . 2.3 Patient Tab Patient Patient Subtask Card Patient Settings Service + RIS RIS 18 Turnover Workbook | MOBILETT Elara Max Registering a Patient Notes To select a patient from the Preregistered list: 1. Tap on the Patient tab. RIS 2. If your system has a RIS, Click/Tap on the RIS icon to update. OR Click/Tap on this icon to do a patient search. RIS 3. Double Click/Tap on the patient’s name to be examined or highlight the patient’s name and Click/Tap on the Examination Tab. To manually register a patient: 1. Click/Tap on the Patient Tab. 2. Click/Tap 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/Tap on the Emergency icon to start the exami- nation. You will be able to populate the data later. Settings Subtask Card Patient Settings Service ? EXI • User Settings • View Job Status • PEX Editor • Clinical EXI Log • Recycle Bin (if configured) 19 Turnover Workbook | MOBILETT Elara Max Exam Manager Notes 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. This may also be used to add views not displayed in the list of protocols. This happens because the Exam Name from the RIS does not match what you have entered in the PEX Editor. Remember to correct the exam spelling in the PEX Editor. The triangle will appear when there is a RIS Mismatch. To fix this, refer to the section on “Entering Exam Names” in the PEX Editor section. am Manager Patient: Test, Testing Available Exams / Organ Programs Assigned Exams / Organ Programs @ alphabetic by name @ Organ Programs by Exam @ alphabetic by body part region C Organ Programs in acquisition order C) alphabetically by acquisition type 9_Peri_Template PELVI C CASSETTE Fluoro_Arthrogram_Singleshot_BB Fluoro_Arthrogram_Singleshot_BW Fluoro_Barium 1tps_BB Fluoro_Barium 1fps_BW Fluoro_Barium 2fps_BB Fluoro_Barium 2fps_BW Fluoro_Barium 4fps_BB Fluoro_Barium 4tps_BW Fluoro_Barium Esophagram 2fps_DB Fluoro_Barium Esophagram 2fps_BW Add Fluoro_Barium Singleshot_BB Fluoro_Barium Singleshot_BW Replace Fluoro_Barium Swallow 2tps_BB Fluoro_Barium Swallow 2fps_BW Fluoro_Chest_BW Fluoro_HSG_Singleshot_BW Fluoro_lodine 1fps_BB Fluoro_lodine Ifps_BW Fluoro_lodine 2fps_BB Exams Favontes Organ Prog. Details Accession Number: 852741 352741 Details ... Study Description: PELVIS Scheduled Procedure Step: Home Cancel Image Subtask Card Image Tools • Cropping Tool • Store Image • Navigation Buttons for Image Review • Send Image” • You are able to crop your image and review all images. Tools Subtask Card • Store/Review Reference Images • Review Exam Protocol NOTE: Monitor Display The information that populates in the four corners 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. The bottom left corner shows the Clinical EXI. This number has a low and high range and is only one of the determining factors for checking if the image is under/overexposed. 20 Turnover Workbook | MOBILETT Elara Max 2.4 Flurorospot Compact (FLC) Training Notes Patient Tab • Pre-registered and Examined Patient tabs • Patient subtask card Icon Short description Patient Settings Service Call up the input form to create a new study with a new patient Generate a patient ID (in the Data Entry Dialog) + EE Modify study data + == Add a study to selected patient RIS RIS Delete selected study/studies • Settings subtask card Icon Short description Patient Settings Service Change general user settings View job status Create a study statistics Open Programs and Exams Editor FXI Enable/disable access for remote diagnosis (on service login dialog) • Tools subtask card Import data2 Tools Export data2 ee-> Display exam protocol2 Open the Virtual Workstation RIS/PACS RISSPACS Open the Detector Overview dialog + Open the onscreen keyboard Screen saver Protect the screen from unauthorized viewing of patient data. 21 Turnover Workbook | MOBILETT Elara Max Notes Examination Tab • Acquisition parameters Item Short description Define view position and image Laterality Target Target Target grid use and SID defined by the organ program Target SID (source to image distance) [cm] none kV 40 Target grid type [cm] / no grid + ky Tube voltage [kilo volts] Product of tube current and time [milli ampere seconds] mAs 0.5 + • Tools subtask card Icon Short description Tools Restore original state of an image to the state after acquisition Restore the state of an image to the state before calling up the current function Store a new or modified image Show previous image (of a study) - Show next image (of a study) 22 Turnover Workbook | MOBILETT Elara Max Postprocessing Tab Notes • Process subtask card Icon Short description Process. Graphics Rad Zoom an image continuously Pan an image if parts of the image are not visible Zoom/Unzoom image to 1:1 pixel display 11:1 Invert/Reinvert grey scales of an image R R Flip about vertical/horizontal monitor axis R K Process. Graphics Rad Window: Adjust contrast and brightness -O- Apply automatic window values auto R R Rotate the image R CR Rotate the image by 90 degrees counter-clockwise CR RT R- Rotate the image by 90 degrees clockwise 270 70 Rotate the image by 1 degree counter-clockwise FR • Graphics subtask card Icon Short description Process. Graphics Rad Modify view position and image laterality Select graphical objects if there are any Set/change/remove Laterality Label Draw arrow(s) XYZ Remove selected graphical objects Draw angle(s) Draw distance(s) Text: Enter image text and image comment 23 Turnover Workbook | MOBILETT Elara Max Notes • Rad subtask card Process. Graphics Rad Icon Short description Shutter: Set or change the electronic shutter and crop the image (rectangular and 4 point cropping) Auto-cropping Set black Auto-window LUT: Select Look-up table ansyadjust parameters Amplification 2.0 Auto Define gradation curve Perform batch processing of images using parameter sets as cropped 4 Filter: Select spatial filter and DiamondView Plus Adjust edge enhancement and harmonization OK: Apply parameters and recalculate image V • Image subtask card Icon Short description Image Tools Restore original state of an image to the state ofter acquisition Restore the state of an image to the state before calling up the current function Store a new or modified image Show previous image (of a study) - Show next image (of a study) • Tool subtask card Image Tools Icon Short description Perform IQ analysis with WinNIE (Windows Numerical Image Evaluation program) Screen saver IQ 24 Turnover Workbook | MOBILETT Elara Max Documentation Tab Notes • Select subtask card Icon Short description Select Film Send Mark all images for filming/sending Unmark all images for filming/sending Mark/unmark single image for filming/sending Create twin image horizontal/vertical Create quad image • Film subtask card Select Film Send Delete image(s) Printer PaperPrinter Name defaultPaper Size A5 Layout 1×1 PaperPrinter, defaultPaper Scale 100% Auto Override configured settings % 100 Copies Anonymous Hide Text 25 Turnover Workbook | MOBILETT Elara Max 3. System Overview Notes • Send subtask card Select Film Send Target 1 Store Target 2 Target 3 Send Exam Protocol as: SC image DICOM Dose SR Override configured settings ? • Tool subtask card Tools + HI = 26 Turnover Workbook | MOBILETT Elara Max 3.1 Objectives Notes • Explore features and functions available in the PEX Editor • Perform a patient exam using the MOBILETT Elara Max • Successfully send images to the archiving station 3.2 PEX Editor The Programs and Exams Editor or PEX Editor is a tool for viewing and editing organ programs and exams stored on the PEX database. It allows users to define organ programs (OGPs), define exams that consist of one or more organ program as well as define parameter sets for filming layouts that can be used within exams. The setup of workflow parameters is also done in the PEX Editor. Opening the PEX Editor 1. From the Patient Task Card, select the Settings Subtask Card. 2. Click the PEX Editor icon. Patient Settings Service EXI 3. When the logon screen appears, select the Siemens radio button. 4. Enter the password provided by the Applications Specialist during on-site training. 5. Click the OK button. Programs and Exams Editor Login Viewing only Customer O SIEMENS Password Ok Ok 27 Turnover Workbook | MOBILETT Elara Max Exam Tab Notes The PEX Editor opens on the Exam subtask card. Exam Organ Program Fluoro Program Param. Module Configuration OGP View Examination View 9 Peri_Template (d) DEFOGRAM_S(d) C Abdomen, left side pos. (d) DISCOGRAM_S(d) C C-spine lat (d) ELBOW 2 VIEW BILATERAL_S(d) C CASSETTE (d) Insert OGP ELBOW 2 VIEW LEFT_S(d) C Femural neck axial (d) X ELBOW AP Left (d) C Hip (d) ..... X ELBOW LAT Left (d) C Hip, with grid (d) ..... X ELBOW Left 0-3yrs (d) C Humerus lat (d) X ELBOW Left 4-12yrs (d) C Patella tangential (d) C CASSETTE (d) C Pelvis (d) ELBOW 2 VIEW RIGHT_S(d) C Pelvis, with grid (d) ELBOW 3 VIEW BILATERAL_S(d) C Portable lung (d) Remove OGP ELBOW 3 VIEW LEFT_S(d) C Portable lung, with grid (d) ELBOW 3 VIEW RIGHT_S(d) C Shoulder (d) ELBOW ARTHROGRAM_S(d) C Shoulder axial (d) + ENTEROCLYSIS_S(d) ....................................................................................................................................................... Group by O Name Body Part Acq. type Sort by O Name Body Part Acq. type Exam Parameters Default Exams OGP Parameters ExamName ELBOW 2 VIEW LEFT_S Name for RIS ELBOW 2 VIEW LEFT_S DICOM Modality Entering Exam Names The Examination View is located on the right side of the screen in the Exam tab. This is where the names can be created or modified to match the RIS Exam Names ( a copy of the RIS Exam Names should be supplied by the site). Exam Organ Program Fluoro Program Param. Module Configuration OGP View Examination View 9_Peri_Template (d) DEFOGRAM_S(d) ...... C Abdomen, left side pos. (d) DISCOGRAM_S(d) C C-spine lat (d) ELBOW 2 VIEW BILATERAL_S(d) C CASSETTE (d) ..... - ELBOW 2 VIEW LEFT_S(d) C Femural neck axial (d) Insert OGP ...... X ELBOW AP Left (d) ..... C Hip (d) X ELBOW LAT Left (d) C Hip, with grid (d) ..... X ELBOW Left 0-3yrs (d) ..... C Humerus lat (d) X ELBOW Left 4-12yrs (d) C Patella tangential (d) C CASSETTE (d) C Pelvis (d) ELBOW 2 VIEW RIGHT_S(d) ..... C Pelvis, with grid (d) ELBOW 3 VIEW BILATERAL_S(d) C Portable lung (d) ELBOW 3 VIEW LEFT_S(d) C Portable lung, with grid (d) Remove OGP ELBOW 3 VIEW RIGHT_S(d) ..... C Shoulder (d) ELBOW ARTHROGRAM_S(d) ..... C Shoulder axial (d) + ENTEROCLYSIS_S(d) ...... Group by Name Body Part Acq. type Sort by O Name Body Part Acq. type Exam Parameters Default Exams OGP Parameters ExamName XRF 2 V ELBOW Name for RIS XRF 2 V ELBOW DICOM Modality 1. Click on an Exam name that is similar to the name in the RIS worklist 2. Enter the name from the RIS list into the Name for RIS field. 3. Copy then paste this name into the Examination View field (Ctrl + C to copy and Ctrl + V to paste). 28 Turnover Workbook | MOBILETT Elara Max 4. Click the Store button if the name was modified. This will overwrite the cur- Notes rent Examination View. OR - - 5. Click the Store as New button if a new name is created. This will create a new Examination View and leave the selected View unaltered. C Hip, with grid (d) ELBOW 2 VIEW LEFT_S(d) .... C Humerus lat (d) X ELBOW AP Left (d) ........ C Patella tangential (d) ..... X ELBOW LAT Left (d) C Pelvis (d) X ELBOW Left 0-3yrs (d) ..... C Pelvis, with grid (d) ...... X ELBOW Left 4-12yrs (d) C Portable lung (d) ...... C CASSETTE (d) C Portable lung, with grid (d) Remove OGP ELBOW 2 VIEW RIGHT_S(d) C Shoulder (d) ELBOW 3 VIEW BILATERAL_S(d) C Shoulder axial (d) + ELBOW 3 VIEW LEFT_S(d) Group by O Name Body Part Acq. type Sort by @ Name Body Part Acq. type Exam Parameters Default Exams OGP Parameters ExamName XRF 2 V ELBOW Name for RIS XRF 2 V ELBOW DICOM Modality Add to favorites Filming Layout Network Node 1 Default Network Node Exam level OGP level Network Node 2 Fluoro Network Node 3 Rad Camera Default camera OAuto Scale O Auto Scale Autosending Never for this exam O % % Automatically switch to next OGP after acquisition tore as new Delete Modifying / Creating Organ Programs The OGP View is located on the left side of the screen in the Exam tab. This is where organ programs can be modified or created. When creating or modifying organ programs, be mindful to pick the correct prefix. C = Cassette Exposure (CR or Film) X = Free Exposure (Wireless Detector) 1. Double-click on the organ program to be modified. 2. The Organ Program subtask card will display. 3. In the Program Name field, remove the (d) and enter the new or modified name. 4. Adjust any Exposure parameters or settings. 29 Turnover Workbook | MOBILETT Elara Max Notes 5. Click the Store button if editing the organ program or Store as New if creating a new organ program. Exam Organ Program Fluoro Program Param. Module Configuration Body Part Examined ELBOW Alternative Acquisition Programs Program Name X ELBOW AP LT T ELBOW AP Left (d) W ELBOW AP Left (d) Acquisition Mode DR RAD Acquisition Type Free Exposure < - Ray Parameters Image Processing Parame Presettings Mark Image Auto-cropping Standard Set Black Fluoro Program Set none PT Position Not defined Defined size as cropped MField Laterality Not Defined Amplification 2.0 Auto View position Not Defined 1 pt Gradation Parameters Anatomically Correct View 1 pt with ext. exp. Flip No change 0 2 pt 4 Extremity/Skull 3 pt Invert (Image) 3 pt with AEC Spatial Frequency Parameters KV 53.5 Rotate 00 0 90 180 270 MAS 2.5 Extremities - HC Label ms EXI Values R Exp. Correction EP default Dose 2.55 Sensitivity 400 Windowing Tube Load Stand Parameters 80 Width Factor Auto Center Shift TOD not defined cm Focus Filter Type 0.0 Cu mm Window Center 2000+ Grid No value cm Window Width 2500+ Collimator 7.48 × 6.3 inches Stand Position T FOOT END Top Alignment SID Tracking Tracking Anatomic order number 0 Store Store as new Print Delete previous next Close Adding an OGP View to the Examination View 1. On the right side of the Exam tab, select the Examination View. This will be the “destination” for the OGP you select next. (e.g. XRF 2 V ELBOW(d)) 2. On the left side, select the individual OGP to be added to the Examination View. (e.g. X ELBOW LAT Left (d)) 3. Click the Insert OGP button. 4. To remove an OGP from an Examination View, select the OGP from the Exami- nation View window on the right side of the Exam tab. 5. Click on the Remove OGP button. The order of the OGP views can be adjusted using the up and down arrows to the of the Examination View window. Exam Organ Program Fluoro Program Param. Module Configuration OGP View Examination View X CLAVICLE AP (d) CLAVICLE RIGHT_S(d) X CLAVICLE AP Left (d) CYSTOGRAM_S(d) X CLAVICLE AP Right (d) daily quality control(d) X CLAVICLE Left 0-3yrs (d) Insert OGP DEFOGRAM_S(d) X CLAVICLE Right 0-3yrs (d) DISCOGRAM_S(d) X CLAVICLE TANGENTIAL (d) ELBOW 2 VIEW BILATERAL_S(d) X CLAVICLE TANGENTIAL Left (d) XRF 2 V ELBOW(d) X CLAVICLE TANGENTIAL Right (d) X ELBOW AP Left (d) X ELBOW 0-3yrs (d) X ELBOW Left 0-3yrs (d) X ELBOW 4-12yrs (d) X ELBOW Left 4-12yrs (d) X ELBOW AP (d) C CASSETTE (d) X ELBOW AP Left (d) X ELBOW LAT Left (d) X ELBOW AP Right (d) Remove OGP ELBOW 2 VIEW RIGHT_S(d) X ELBOW LAT (d) ELBOW 3 VIEW BILATERAL_S(d) TTTTTTTTTTTTT X ELBOW LAT Left (d) ELBOW 3 VIEW LEFT_S(d) Group by Name Body Part Acq. type Sort by O Name Body Part Acq. type 30 Turnover Workbook | MOBILETT Elara Max 4. Review Notes When selected, the Automatically switch to next OGP after acquisition checkbox allows the next OGP view to populate automatically. This will need to be selected then saved for each applicable OGP View. PEX Editor Backup A backup of the PEX Editor database should be made after any changes are made. 1. Select the Configuration tab within the PEX Editor. 2. Click on the Backup/Export button. Exam Organ Program Fluoro Program Param. Module Configuration Jnits for Password Collimator Size cm inches Change Password Reset Customer Password Data Type Selection Siemens Default Database Export/Import Language English Backup / Export Restore / Import Merge Image Converter Flat detector Include RIS Names ... Image intensifier 3. Select the C or D drive. This will back up the PEX Editor database to the local hard drive. Each drive can hold 10 backup databases. 4. Click on the Go button. 4.2 Perform Patient Exams 31 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 packaging may vary by country and is subject to change without prior notice. Some/All of the features and products described herein may not be available in the United States. The information in this document contains general technical Local Contact Information descriptions of specifications and Siemens Medical Solutions USA, Inc. options as well as standard and 40 Liberty Blvd. optional features which do not Malvern, PA 19355-9998 always have to be present in individual cases. USA Telephone: +1-888-826-9702 siemens.com/healthcare Siemens reserves the right to modify the design, packaging, specifications and options described herein without Legal Manufacturer prior notice. Please contact your local Siemensstrasse 1 Siemens sales representative for the most current information. Forchheim, Germany 91301 Phone: +49 9131 84-4746 Note: Any technical data contained in siemens.com/healthcare this document may vary within defined tolerances. 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