MR Injector Coupling Job Aid

SIEMENS Healthineers Injector Coupling Job Aid Template Effective Date: 05/27/2019 | HOOD05162003010284 Effective Date: 08/28/2020| HOOD05162003110487 Unrestricted © Siemens Healthineers, 2020 Injector Coupling – SIEMENS Healthineers Table of Contents Overview 3 Prerequisites 4 Setting up the injector 5 BA Injector states 6 700 Preparing injection 7 Starting injection 8 700 2 Effective Date: 08/28/2020| HOOD05162003110487 Unrestricted © Siemens Healthineers, 2020 Injector Coupling – SIEMENS Healthineers Overview Dynamic contrast enhanced MRI imaging The MR scanner then gets certain operational workflows require precise synchronization of control over the injector. injecting contrast medium and performing the scan to achieve a good image quality. To synchronize contrast agent administration and measurement, you can couple the MR scanner and the injector. Please note: You can only use injectors that are This allows you to start the injection in a precisely released to be coupled with your MR system. timed manner and to retrieve information about completion of injection. Please note: You still have the full control over CH the injector and always trigger the donation of contrast manually. 3 Effective Date: 08/28/2020| HOOD05162003110487 Unrestricted © Siemens Healthineers, 2020 Injector Coupling – SIEMENS Healthineers Prerequisites MR XA30 Software with ISI Bayer MRXperion Injector with ISI box New Bayer Injector Console Software Interface The Imaging System Interface The ISI box is located next to the It’s software was extended to (ISI) allows you to connect to a injector console. It offers the MR allow the interaction with the SHS MR scanners. interface via the CAN connection to MR scanner showing the current the MR cabinet. The LEDs indicate a connection status. Please note: The scanner needs successful connection. to run on SW Version XA30 or higher with the injector Protocol 2.00 9.0 - 2.00 50.0 -- ----- 4 Effective Date: 08/28/2020| HOOD05162003110487 Unrestricted © Siemens Healthineers, 2020 Injector Coupling – SIEMENS Healthineers Setting up the injector Protocol* Protocol Manager PatientID: Fluid Source Flow Rate Volume Duration Pressure Limit DOO 325 psi In order to set up the injector in the state armed, you need Weight 2.00 9.0 0:00:04 Procedure Reminders to perform the following steps: Accession A B 2.00 50.0 0:00:10 Test Inject 50.0 Fluids 0 Fui A KVO 02:17:30 O 0 Fluit B. 1. 1 Register a new patient on the injector console by Events 2 selecting the New patient button. System Patient Worklist 11/07/2019 10:14:07 AM Total A Total B Fluid A ml 9.0 ml 50.0 Lock 2. 2 Lock the protocol by pressing the Lock button. Protocol* Protocol Manager 3. Arm the injector by pressing the Arm button and confirm Patient ID: Fluid Source mi Flow Rate Volume mi Duration 3 h.mm:ss Pressure Limit DOB: mi's Weight: 325 psi the pop up with Yes. 2.00 8.0 0:00:04 Procedure Reminders Accession A B B 2.00 30.0 0:00:15 Test Inject 8.0 30. Fluids ? Please note: If you want to trigger the injector you need to Fluid A KVO 02:17:39 Fluid B ensure, that the injector pump is loaded with a syringe. Events 3 System O Patient Worklist 11/07/2019 10:14:07 AM R Total A Total B ED Fluid A ml 8.0 ml 30.0 Arm 5 Effective Date: 08/28/2020| HOOD05162003110487 Unrestricted © Siemens Healthineers, 2020 Injector Coupling – SIEMENS Healthineers Injector states The Injector has been coupled with the MR scanner and has been loaded. 1. In order to check the current injector status, monitor the 3. If the injector is not in state armed, but shown as in state: injection symbol on the Examination toolbar in the lower left corner. If you hover over the Control icon with the mouse, you • disconnected can read the status as text. Injector disconnected O SAR Stimu Dot Injector First Nomal or – – Settings ettings Doplay Display Cockpit Control Level Mode Waiting for user to continue. A problem with • Error (A problem with the injector exists) the injector exists 2. If this Injector Control symbol is not present, either the license or You need to check the connection cable and ensure, if the the entire coupling was not installed properly. In this case please injector is switched on. Otherwise please contact someone from contact someone from the Siemens contact service. the Siemens Healthineers contact service. 6 Effective Date: 08/28/2020| HOOD05162003110487 Unrestricted © Siemens Healthineers, 2020 Injector Coupling – SIEMENS Healthineers Preparing injection Exam Paused ? x The Injector is in state armed and the patient is registered. Patient has Contrast Agent (Vol. 0.00) Agent Name Catalog ... 1. You can start preparing the injection when you insert a pause step in the exam Volume 0.00 ¢ ml queue to administer contrast agent. Total Dose ml Active Ingredient Dilution Concentration If the pause step is reached while the measurement program is being processed, mg/ml 2. the Exam Paused dialog box is displayed. Timing Break time 0 s 3. In the Exam paused dialog box you can enter the contrast agent details for the Total Time O Countdown 8 S entire examination workflow, such as the volume of contrast agent. Auto Continue Start Countdown 4. 1 Contrast agent data that you enter in the MR scan user interface is only used for documentation and is not transferred to the coupled injector device. Injector Control Injector armed Use Injector with Auto Continue and Countdown (see Timing) Start injectie Continue Close 7 Effective Date: 08/28/2020| HOOD05162003110487 Unrestricted © Siemens Healthineers, 2020 Injector Coupling – SIEMENS Healthineers Starting injection Triggering injection automatically Timing 1. If you want to start the next measurement with a defined delay between injection Break time 5 and start of MR acquisition, select the option and Countdown (see Timing) in the Total Time 0 5 Injector Control area. Countdown S 2. Enter a Countdown in seconds in the Timing area. Then the Injection will start v Auto Continue immediately when you click on the Start Injection button. The next measurement Start Countdown step is started automatically as soon as the countdown has elapsed. Injector Control 3. In the Injector Control area, you can select the option Use Injector with Auto Continue. The Injection and the next measurement step will be started Injector armed simultaneously when you click on the Start Injection button. Use Injector with Auto Continue Mand Countdown (see Timing) Start Injection 8 Effective Date: 08/28/2020| HOOD05162003110487 Unrestricted © Siemens Healthineers, 2020 Injector Coupling – SIEMENS Healthineers Starting injection Triggering injection manually 1. The Injector Control dialog box opens automatically if the Auto Open Contrast Injector Control ? X Injector Dialog option is selected in the Step Properties/Execution card, and the corresponding measurement step is reached within the workflow. Injector armed 2. To manually trigger injection, click the Start Injection button in the Injector Control dialog box. Injection Procedure 3. You can follow the progress of the injection procedure in the Injector Control Start Abort dialog box. Close 1 • The Injector Control dialog box allows to catch up on the injector status and to manually start/abort injection at any time, if required. 9 Effective Date: 08/28/2020| HOOD05162003110487 Unrestricted © Siemens Healthineers, 2020 SIEMENS Healthineers Please note that the learning material is for training purposes only! For the proper use of the software or hardware, please always use the Operator Manual or Instructions for Use (hereinafter collectively “Operator Manual”) issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training. The Operator's Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Note: Some functions shown in this material are optional and might not be part of your system. Certain products, product related claims or functionalities (hereinafter collectively “Functionality”) may not (yet) be commercially available in your country. Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. Copyright © Siemens Healthcare GmbH 2020 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens.com/healthineers 10 Effective Date: 08/28/2020| HOOD05162003110487 Unrestricted © Siemens Healthineers, 2020