Quick Guide Ion/Cios Spin Job Aid

Quick Guide Ion/Cios Spin Preparation for Working with Cios Spin and Ion1 • The OR table used for cases with Cios Spin and Ion2 must be radiolucent in the area used for 2D and 3D imaging. • Check if the correct organ program is set after starting the patient (e.g. Gen Standard). • Make sure Cios Spin and Ion are connected via Ethernet cable (NaviLink port on the left side of NaviLink the Cios Spin monitor trolley) - CAT5e or higher is recommended. Room Set Up • To ensure optimal use of space, consult with the physician and nursing staff. The positioning of personnel and equipment is important. It is recommended to rotate the Cios Spin to a 90° orbital angle before locking the Ion to correct for unforeseen collisions. • When preparing the patient, ensure any objects (ex. tubes, wires, lines, straps) that could potentially hang below the procedure table are restrained by holders. These holders should be attached where they do not interfere with C-arm rotation during the 3D acquisition. • When there is a need for arm boards to assist patient positioning, always check for a collision clearance. • To limit any metal in the field of view, place any patient monitoring devices on the lateral side of the patient. • The region of interest3 e.g. the lesion and the tip of the Ion catheter should be positioned isocentrically, in essence the area of interest is centered in both AP and LAT. Be careful when using additional cushions or patient positioning devices. Important for Physicians and Anesthesiologists Prior communication with the physician and the anesthesiologist is required to provide proper breathing techniques during the 3D scan. The physician and the anesthesiologist should discuss respirations and medications needed to perform a 30 second or a 60 second respiration hold upon inspiration. 3D Scan Preparation • Take one image in AP view (0° angulation4, 0° orbital) and ensure that all relevant anatomy and tools (catheter tip) are within the Region Of Interest (ROI). • Take one image in LAT view (0° angulation3, 90° orbital) and ensure that all relevant anatomy and tools (catheter tip) are within the Region Of Interest (ROI). • Hint: Use the laser crosshair to center the region of interest. 1 Ion is a 3rd party medical device from the company Intuitive. 2 The product names and/or brands referred to are the property of their respective trademark holders . 3 Please refer to Ion specific requirement for optimal choice of Field of View. 4 0° angulation is considered the optimal position. However small deviation can be used max ]-15° + 15°[. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 SIEMENS Master Template Effective Date: 10 Aug 2021 | HILS 2224 Job Aid Effective Date: 16 Aug 2022 | HOOD05162003295119 Healthineers Job Aid | Quick Guide Ion/Cios Spin Effective Date: 16 Aug 2022 | HOOD05162003295119 • During all movements, perform manual orbital movements at a similar speed to motorized C-arm or orbital movement. • Once you have verified the ROI, lock the brakes on Cios Spin. Ion-NaviLink3D Workflow • Select 3D Scan. Tab Settings Configure Scan • Select scan quality. If not otherwise indicated by the physician, select High quality (30 sec scan time, 400 projections). • When using the Cios Spin to perform the Ion-NaviLink3D workflow, select ION in the Navigation drop down window. Orb. 0º X Ang. 0º Select scan quality O 80 Select navigation uGym KV 00:00:00 1 hh:mm:ss MAS Scan quality Navigation Laser Extra power: Obese #60s I 400 Images ION Single Scan High quality 0 305 400 Images Sub Road DCM Standard @ 308 # 200 Images Low dose @ 30s X 100 Images Mag O Configure Scan Patient System Relation Collision Check Scan Please note: Ion and Cios Spin must be connected through an ethernet cable Patient System • Check and select the patient orientation (it will be supine for Ion Relation cases). • Check and select the Cios Spin system position in relation to the patient. Collision Check Move the C-arm either by hand or with motor5 per the pictures on the touch screen • To its start position. • To its end position. Scan Once collision check has been performed, you now have 180 seconds to start the scan using either the footswitch (preferred) or the handswitch. The remaining time until the scan starts is displayed on the monitor trolley. The scan will start after 6-8 seconds. During this time, the connection to the Ion system will be established. Please note: More detailed information about Cios Spin will be available on PEPconnect. 5 When performing the movements, make sure that there are no collision hazards for the 3D scan and the scan will be done com- pletely. SIEMENS Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 Master Template Effective Date 10 Aug 2021 | HILS 2224 Healthineers Page 2 of 3 Job Aid | Quick Guide Ion/Cios Spin Effective Date: 16 Aug 2022 | HOOD05162003295119 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 (here- inafter 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 Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Please 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. © Siemens Healthcare GmbH 2022 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Phone: +49 9131 84-0 siemens-healthineers.com SIEMENS Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 Master Template Effective Date 10 Aug 2021 | HILS 2224 Healthineers Page 3 of 3