SOMATOM On.site ICU Hardware Overview Online Training

Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue SOMATOM On.site ICU Hardware Overview Online Training Master Template HILS2218 | Effective Date: 25 Mar 2022 ? SOMATOM On.site ICU Hardware Overview Online Training This training covers the ICU variant of SOMATOM On.site. It will introduce you to the basic hardware components and functions of the CT scanner. Recall system highlights 1 Know about available accessories 4 Be familiar with major hardware components 3 ​Understand important safety aspects 2 Welcome [somatom_on-site_hardware-olt_1_1_icu.wav] Welcome to the SOMATOM On.site ICU Hardware Overview Online Training. This training covers the ICU variant of SOMATOM On.site. It will introduce you to the basic hardware components and functions of the CT scanner. By the end of this training, you will have a comprehensive understanding of the device's capabilities. And you will be able to achieve the four learning objectives listed. Table with 2 columns and 4 rows Not all pages contain audio. Some pages invite you to read for yourself. All pages show a ? button in the lower-right corner. Select the ? button to get a quick guide through the navigation elements. Select the button on the left upper corner to display or hide the menu. ? Navigation hints Before you start, we would like to give you a few tips on how to navigate: Enjoy the course! ? This slide is mandatory for all ED1 trainings. It is displayed directly after the Welcome slide. Please delete what is not needed. Navigation hints Chapter 1 Overview ? Chapter 1: Overview [somatom_on-site_hardware-olt_1_3.wav] Welcome to chapter 1: Overview. In this chapter, you will get an overview of the system highlights of SOMATOM On.site. Additionally, we will take a look at the technical specifications. Let's get started! System highlights ? Primarily used in intensive care units (ICU) Has a motorized trolley For use within a healthcare facility ICU variant Telescopic gantry design Two independent gantry compartments: The rear compartment houses the tube and the detector and moves during scan acquisition, while the front part stays in place during scan acquisition. Built-in radiation safety Self-shielding gantry with attachable front and back radiation covers for reduced scatter radiation. Touch UI The scan setup can be done completely via a touch screen display, the integrated Touch UI. Control the entire scan process and stay right next to the patient. SOMATOM technologies Stellar detector, iMAR, and ADMIRE for the acquisition of sharp images. CARE 2D Camera and bore lighting A live feed of the inside of the bore is displayed to you on the touch screen by the integrated CARE 2D Camera and integrated bore lighting. This allows a view of the patient’s head inside the bore, even when the front Halo radiation shield has been closed. Built-in accessories Convenient patient positioning accessories to address individual patients and patient bed designs. Driving concept Single-operator, easy to maneuver system with integrated drive camera for secure transportation across the institution. Select the markers to learn more. System highlights [somatom_on-site_hardware-olt_1_5_icu.wav] SOMATOM On.site is your chance to move CT exams to the point of care. The ICU variant of SOMATOM On.site is primarily used in intensive care units, ICU for short. It has a motorized trolley and is intended for use within a healthcare facility. The highlights of this mobile CT scanner system include: - a first of its kind telescopic gantry design - built-in radiation safety - a Touch UI for intuitive and easy use - proven SOMATOM technologies - a CARE 2D Camera and bore lighting - built-in accessories for patient positioning - and a smart driving concept to bring critical care imaging to the patients. Select the markers to learn more. ? Technical specifications Detector: ..............……….. Stellar Detector UFC (Ultra Fast Ceramics) Slices: …….…………………. 32 Z-coverage: ………………… 24 mm (32 x 0.75 mm) Rotation time: ....…………. 1.0 s kV settings: .........………... 80 kV; 120 kV Current: …………………….. up to 25 mA Iterative reconstruction: .. ADMIRE, iMAR Gantry aperture: ………….. 35 cm / 13.8” Technical specifications [somatom_on-site_hardware-olt_1_6.wav] On this page, you'll find the technical specifications for the SOMATOM On.site. Take a moment to review the data. Then, proceed to the next page. Chapter 2 Safety ? The image placeholder shows in which area the image should be placed. You do not need to use. In the timeline, you can unhide the examples to look how the image should be positioned here. Choose a representive image that stands for the whole lesson. Chapter 2: Safety [somatom_on-site_hardware-olt_1_7_icu.wav] Welcome to the second chapter about Safety. In this chapter, we focus on radiation safety and the emergency functions of the scanner. You will learn how to mount the radiation shields and where to position yourself during a scan due to stray radiation. Additionally, we will address how to use the EMERGENCY STOP key and the brake override knob in critical situations. Radiation safety Self-shielding gantry Front Halo radiation shield ? The radiation shields at the front cover and gantry back reduce scatter radiation outside the system. For reduced X-ray exposure in the room, close the front and rear radiation shields during an examination. Select the tab arrows to learn more about the radiation shields and the radiation intensity around the scanner. Radiation shields Mounting the front Halo radiation shield Removing the front Halo radiation shield Mounting and removing the rear radiation shield Radiation intensity around the scanner Radiation safety [somatom_on-site_hardware-olt_1_8_icu.wav] Traditional stationary CT scanners require users to return to the control room during scan acquisition for radiation protection. SOMATOM On.site allows you to stay close to your patients and remain at their side during scanning. The self-shielding gantry, along with the attachable front and back radiation covers provide protection for staff and neighboring patients. [2 sec. pause] The radiation shields at the front cover and gantry back reduce scatter radiation outside the system. For reduced X-ray exposure in the room, close the front and rear radiation shields during an examination. Select the tab arrows to learn more about the radiation shields and the radiation intensity around the scanner. Radiation intensity around the scanner During the examination, position yourself at the operator position in front of the touch screen display and the gantry operator panel. Hint: The radiation safety officer of your organization has to decide on the necessary radiation safety procedure. For further details, please refer to the SOMATOM On.site Radiation Safety Online Training on PEPconnect or the SOMATOM On.site Radiation Safety Guide. Mounting and removing the rear radiation shield Using the shield retaining loop, hold the rear radiation shield firmly with the handle at the top. Mount the rear radiation shield onto the rear bore opening. The rear radiation shield is held in place with magnets. Removing the rear radiation shield Hold the rear radiation shield firmly using the retaining loop. Pull the rear radiation shield out of the bore opening. Shield retaining loop Removing the front Halo radiation shield Simultaneously press and hold both release buttons at the bottom of the radiation shield housing. Hold the radiation shield housing horizontally and firmly using both hands. Pull the front Halo radiation shield off the CT scanner. Front Halo radiation shield release button Front Halo radiation shield release button Mounting the front Halo radiation shield Hold the radiation shield housing horizontally using both hands, with the front of the radiation shield facing toward you. Ensure that the retaining pins on the CT scanner go into the holes in the radiation shield housing so that the radiation shield is held in place. Retaining pins on CT scanner (2 units) Radiation shields Table with 4 columns and 3 rows Illustration Name Dimensions and Weight Manufacturer Front Halo radiation shield Weight: 5.6 kg (12.35 lb) Width: 887 mm (34.9 in) Length: 290 mm (11.4 in) Height: 431 mm (17.0 in) Siemens Healthcare GmbH Rear radiation shield Weight: 3.3 kg (7.3 lb) Width: 424 mm (16.7 in) Length incl. handle: 30 mm (1.2 in) Height: 424 mm (16.7 in) Siemens Healthcare GmbH ? Emergency situations SOMATOM On.site has the following equipment that is to be used in case of emergency: An EMERGENCY STOP key that allows you to interrupt all system functions, switch off radiation and stop all movement. And a brake override knob that, if released, allows you to manually move the CT system in case of a power loss. Select the tab arrows to learn more. EMERGENCY STOP key Brake override knob Emergency situations [somatom_on-site_hardware-olt_1_9_icu.wav] SOMATOM On.site has the following equipment that is to be used in case of emergency: An EMERGENCY STOP key that allows you to interrupt all system functions, switch off radiation and stop all movement. And a brake override knob that, if released, allows you to manually move the CT system in case of a power loss. Select the tab arrows to learn more. Brake override knob To re-engage the brakes, turn the brake override knob clockwise until it is no longer possible. The loud audible signal stops when the brakes are re-engaged. Charge the CT system. Contact the Siemens Healthineers Service. Manually driving the CT system You can manually drive the ICU variant of the SOMATOM On.site. In case of a power loss of the CT system when the Touch UI is not functioning, you are able to move the CT system, for example to leave the patient room. Only move the system disengaged in an emergency and only for short distances on level ground. 1 1 2 2 3 3 Select the X to close the pop-up. 4 4 4 Brake override knob disengaged Brake override knob Grab the drive handle and carefully maneuver the CT system to the required location. Manually driving the CT system You can manually drive the ICU variant of the SOMATOM On.site. In case of a power loss of the CT system when the Touch UI is not functioning, you are able to move the CT system, for example to leave the patient room. Only move the system disengaged in an emergency and only for short distances on level ground. 1 1 2 2 3 3 3 Select step 4 to continue. Brake override knob engaged 4 4 Brake override knob Kneel down next to the CT system. Use your hand to turn the brake override knob counterclockwise. As soon as the brakes start to disengage, a loud audible signal is emitted. The audible signal is only emitted if the battery has power. Turn the brake override knob until it is no longer possible. Manually driving the CT system You can manually drive the ICU variant of the SOMATOM On.site. In case of a power loss of the CT system when the Touch UI is not functioning, you are able to move the CT system, for example to leave the patient room. Only move the system disengaged in an emergency and only for short distances on level ground. 1 1 2 2 3 3 2 Select step 3 to continue. Brake override knob engaged 4 4 Brake override knob Manually driving the CT system Kneel down in front of the CT system. Use a finger to pull the override lever towards you. The brakes of the CT system are disengaged. Grab the drive handle and carefully drive the CT system to the required location. Use a foot to push the drive override lever back until the lever engages. The brakes of the CT system are re-engaged. Charge the CT system. Contact the Siemens Healthineers Service You can manually maneuver the SOMATOM On.site. In case of a power loss of the CT system when the Touch UI is not functioning, you can still maneuver the CT system, for example to leave the patient room. Only maneuver the CT system with disengaged brakes in an emergency and only for short distances on level ground. Due to the weight of the CT system, a second person is necessary for maneuvering. Brake override knob engaged 1 1 2 2 3 3 4 4 1 Select step 2 to continue. EMERGENCY STOP key Press the EMERGENCY STOP key if there is any unintentional system movement or a hazardous situation. All system movements are interrupted and radiation is stopped. A corresponding message is displayed on the Touch UI. To disengage the EMERGENCY STOP key, pull and twist the key until it is in the starting position. Please note: Shut down the system immediately if system malfunctions are detected and notify the Customer Service at Siemens Healthineers. EMERGENCY STOP key Knowledge check You have just gained an overview of the SOMATOM On.site and learned about important safety aspects. Select Start to test your knowledge of the presented content. Start ? Knowledge check ? Select three (3) answers. Question 1 of 3 Which statements about the ICU variant of SOMATOM On.site are correct? Is primarily used in intensive care units (ICU) Has a motorized trolley Has a brake override knob to manually maneuver the CT scanner in an emergency Requires a separate workstation for the scan setup Question 1 One or more answers are incorrect. Select the correct designated area, then select Submit below. Question 2 of 3 Where should you position yourself while scanning? ? Question 2 That is not the correct position. That is not the correct position. ? Select three (3) answers. Question 3 of 3 Which of the following are product features of the SOMATOM On.site? Self-shielding gantry with attachable front and back radiation covers Telescopic gantry design External keyboard and mouse CARE 2D Camera and bore lighting Question 3 One or more answers are incorrect. Knowledge check completion Review Retry Retry Continue Continue ? You have just completed the Knowledge Check. Select Review to assess how your responses compare to the correct answers. Select Retry to test your knowledge again or select Continue to advance through the course. Knowledge check completion Chapter 3 System description ? Chapter 3: System description [somatom_on-site_hardware-olt_1_15.wav] Welcome to the third chapter, System description, where we delve into the major hardware components of the SOMATOM On.site. Throughout this chapter, we will examine the individual components of the scanner in detail. ? System hardware overview Brake override knob Motorized trolley Bumper Drive handle Shoulder board Front Halo radiation shield Telescopic Gantry Touch screen display EMERGENCY STOP key On/Off key Storage compartment Power mains breaker (behind access door) Head holder Bore Light CARE 2D Camera Gantry operator panel System interfaces System hardware overview [somatom_on-site_hardware-olt_1_16.wav] Here you can get an overview of the individual parts of the scanner. On the following pages, we will take a closer look at the specific components. Select the orange markers to learn more. Telescopic gantry SOMATOM On.site features a specially designed telescopic gantry with two independent gantry compartments: The front cover and the gantry itself hosting the tube and the detector. You can move both of these components back and forth to enable patient positioning, scanning, and driving the CT system. Telescopic scanner design Front cover Gantry ? Telescopic gantry [somatom_on-site_hardware-olt_1_18.wav] SOMATOM On.site features a specially designed telescopic gantry with two independent gantry compartments: The front cover and the gantry itself hosting the tube and the detector. You can move both of these components back and forth to enable patient positioning, scanning, and driving the CT system. ? Positions of the gantry and front cover Patient load / unload position Patient load / unload position Scan start position Scan start position Scan end position Scan end position Drive and parking position Drive and parking position During transport or parking, the gantry and the front cover need to be in the drive and parking position. The front cover is locked to the support column. The telescopic gantry is moved towards the center of the CT scanner. Drive and parking position Positions of the gantry and front cover [somatom_on-site_hardware-olt_1_18_2.wav] Here you can see the different positions of the gantry and front cover. Select the buttons on the left to learn more about their range of application. Patient load / unload position Patient load / unload position Scan start position Scan start position Scan end position Scan end position Drive and parking position Drive and parking position After the scan is completed, the gantry moves away from the patient and stops at the end of the scan range. Patient load / unload position Patient load / unload position Scan start position Scan start position Scan end position Scan end position Drive and parking position Drive and parking position In the scan start position, the front cover and the gantry are moved towards the patient. The front cover is locked to the support column. During the scan, the gantry moves back and forth while the front cover is locked in place. Patient load / unload position Patient load / unload position Scan start position Scan start position Scan end position Scan end position Drive and parking position Drive and parking position For patient positioning or for unloading the patient, the telescopic gantry and the front cover move away from the patient to expose the patient head holder. Patient observation You can observe the patient through the CARE 2D Camera. It is mounted on the front cover below the front Halo radiation shield. The Bore Light illuminates the gantry funnel so that you can see the patient when the radiation shields are closed. It is mounted at the back of the gantry funnel. Select the tab arrows to learn more about the CARE 2D Camera and the Bore Light. Bore Light CARE 2D Camera ? CARE 2D Camera Bore Light Patient observation [somatom_on-site_hardware-olt_1_19.wav] You can observe the patient through the CARE 2D Camera. It is mounted on the front cover below the front Halo radiation shield. The Bore Light illuminates the gantry funnel so that you can see the patient when the radiation shields are closed. It is mounted at the back of the gantry funnel. Select the tab arrows to learn more about the CARE 2D Camera and the Bore Light. Bore Light The Bore Light is activated when a patient study is opened and deactivated when the patient is closed. Closing the patient observation window does not deactivate the Bore Light. Bore Light 1 1 2 2 2 Select the X to close the pop-up. Bore Light The Bore Light provides a soothing ambient light aimed at illuminating the bore once the radiation shield covers have been set up. The Bore Light uses an LED light that is integrated in the gantry funnel. It allows you to monitor the movements of sedated patients during examination through the CARE 2D Camera. Bore Light 1 1 2 2 1 Select step 2 to continue. CARE 2D Camera The CARE 2D Camera is activated when a patient study is opened and is deactivated when the patient study is closed. Opening the CARE 2D Camera window on the touch screen display is possible at any point during examination. CARE 2D Camera 1 1 2 2 2 Select the X to close the pop-up. CARE 2D Camera The CARE 2D Camera provides live images that allow a view of the patient during the whole examination, including when the patient is inside the gantry. A live image from the CARE 2D Camera mounted on the gantry is displayed at the touch screen display. 1 1 2 2 1 Select step 2 to continue. ? When radiation is being emitted during a scan, the X-ray lamp on the right side and on the left side of the gantry light up. You can see both X-ray lamps from the front and rear side of the CT scanner. The color of the X-ray lamp indicates the radiation status of the system: Illuminated in yellow: radiation being emitted Not illuminated: no radiation being emitted In addition to the X-ray lamp, a loud audio signal is emitted when radiation is on. X-ray lamp X-ray lamp [somatom_on-site_hardware-olt_1_20_icu.wav] When radiation is being emitted during a scan, the X-ray lamp on the right side and on the left side of the gantry light up. You can see both X-ray lamps from the front and rear side of the CT scanner. The color of the X-ray lamp indicates the radiation status of the system: • If it is illuminated in yellow, radiation is being emitted. • If it is not illuminated, no radiation is being emitted. In addition to the X-ray lamp, a loud audio signal is emitted when radiation is on. ? Touch screen display SOMATOM On.site is provided with a touch screen display. You can tilt the touch screen display to optimize the viewing angle and to avoid ceiling lights reflecting off the surface and causing glare. An on-screen keyboard is available on the touch screen display to enable manual data entry. Touch screen display [somatom_on-site_hardware-olt_1_21.wav] SOMATOM On.site is provided with a touch screen display. You can tilt the touch screen display to optimize the viewing angle and to avoid ceiling lights reflecting off the surface and causing glare. An on-screen keyboard is available on the touch screen display to enable manual data entry. ? On/Off key You can use the On/Off key to turn on the CT system. It is located under a service flap between the gantry operator panel and the EMERGENCY STOP key. The On/Off key has a blue LED light that illuminates when you power on the system. The blue LED light indicates the following states: Blinking: The CT system is charging and switched off. Glowing: The CT system is on and operating. Not lit: The CT system is not charging and switched off. On/Off key On/Off key [somatom_on-site_hardware-olt_1_22.wav] You can use the On/Off key to turn on the CT system. It is located under a service flap between the gantry operator panel and the EMERGENCY STOP key. The On/Off key has a blue LED light that illuminates when you power on the system. The blue LED light indicates the following states: Blinking: The CT system is charging and switched off. Glowing: The CT system is on and operating. And Not lit: The CT system is not charging and switched off. If the CT system becomes unresponsive, the On/Off key can force a shutdown of the system, allowing you to restart it. Learn more about this on the next page. ? Performing a forced shutdown Briefly press the On/Off key. The On/Off key starts blinking, indicating that the system is shutting down. It stops blinking when the system has shut down. If the CT system has not shut down after briefly pressing the On/Off key, disconnect the power cord. Then press and hold the On/Off key for 10 seconds to manually switch off the system. On/Off key Performing a forced shutdown [somatom_on-site_hardware-olt_1_23_icu.wav] To perform a forced shutdown of the CT system briefly press the On/Off key. The On/Off key starts blinking, indicating that the system is shutting down. It stops blinking when the system has shut down. If the CT system has not shut down after briefly pressing the On/Off key, disconnect the power cord. Then press and hold the On/Off key for 10 seconds to manually switch off the system. Only use this method if there is no other option as the Image Reconstruction System computer may lose data. ? Gantry operator panel The gantry operator panel enables you to do the following: Control the gantry functions Control the movement of the gantry Trigger scanning Select the colored zones on the left to learn more. Gantry operator panel [somatom_on-site_hardware-olt_1_24.wav] The gantry operator panel enables you to do the following: Control the gantry functions Control the movement of the gantry and trigger scanning Select the colored zones on the left to learn more. Cover Close key Press and hold this key to move the gantry with the front cover towards the patient until the front cover is closed. This position is also referred to as the scan start position at which a scan can be performed. A firm click that reaches the second pressure point activates the fast mode, which makes the cover close faster. Gantry Forward key Press and hold this key to move the gantry towards the patient. This is only possible if the front cover is in the scan start position. SUSPEND key Press this key to suspend the scan procedure. This is the preferred method for interrupting a scan before completion. Do not use the EMERGENCY STOP key for this purpose. MOVE key When prompted, press and hold this key to move the gantry with the front cover to the drive position or scan position. Gantry Back key Press and hold this key to move the gantry back while the front cover stays in the scan start position. Cover Open key Press and hold this key to move the gantry with the front cover away from the patient until you can access the patient head holder to load or unload the patient. A firm click that reaches the second pressure point activates the fast mode, which makes the cover open faster. Light Marker key Press this key to turn the laser light marker on or off during the examination workflow. The laser lightmarker is a laser beam that emanates from one point in the front cover and is projected onto the patient. The center point of the laserlight marker is displayed on the Touch UI in [mm] and can be used to identify the scan start or end position. START key Press this key to trigger a scan. The START key is illuminated when ready for a scan or during a scan. ? System interfaces Select the colored zones to learn more. System interfaces [somatom_on-site_hardware-olt_1_25.wav] You can access the system interfaces through a service flap between the gantry operator panel and the EMERGENCY STOP key. [3sec. pause] Select the colored zones, to learn more about the system interfaces. Empty port The Empty port is for future use. CANopen port The remote control that is used by certified Siemens Healthineers service technicians can be connected through this port. The remote control must only be used by the Siemens Healthineers service technicians. Charging indicator LED A blue LED light indicates that the CT system is receiving power through the power cord and that the system is charging. Network port Hardwired network communication for RIS or PACS communication. The following cables are supported: CAT5, CAT6, CAT7. The maximum possible data speed is 1 GB/s. The CT system also supports wireless network communication. SD card reader External type memory space for data export or software updates. USB-C port You can use the USB port to connect Flash devices and to export data, for example, to archive images if a PACS connection is unavailable. USB-A port Supports USB 2.0 and USB 3.0. You can use the USB port to export data, for example, to archive images if a PACS connection is unavailable. ICU variant ? Power supply components Power cord The power cord is retractable by an integrated cable drum. The power cord is accessible at the rear side of the scanner and has a length of 2.7 m (8.8 ft). Power mains breaker (behind access door) Disconnects the system from the wall power, for example, in case of a power overload or short circuit. Only a Siemens Healthineers service technician is allowed to switch on the power mains breaker. Power cord socket Power mains breaker Power supply components [somatom_on-site_hardware-olt_1_26_icu.wav] SOMATOM On.site has the following power supply components: A power cord that is retractable by an integrated cable drum. The power cord is accessible at the rear side of the scanner and has a length of 2.7 meter or 8.8 feet. A Power mains breaker that disconnects the system from the wall power, for example, in case of a power overload or short circuit. Only a Siemens Healthineers service technician is allowed to switch on the power mains breaker. ? Motorized trolley The motorized trolley provides the base for the ICU variant of the CT scanner. The trolley comprises the following components: Motorized drive wheel assemblies Swivel castors with absorbing properties Drive control system Drive handle for driving the scanner Integrated drive camera Bumper System batteries Set of hydraulic feet Integrated drive camera Bumper Motorized trolley [somatom_on-site_hardware-olt_1_27.wav] The motorized trolley provides the base for the ICU variant of the CT scanner. The gantry and front cover are attached to it. The trolley comprises the following components: Motorized drive wheel assemblies Swivel castors with absorbing properties The drive control system A drive handle for driving the scanner An integrated drive camera that provides a live view of the surroundings in front of the scanner on the Touch screen display A bumper The system batteries And a set of hydraulic feet. Learn more about the hydraulic feet on the next page. ? Hydraulic feet The hydraulic feet lower automatically when you start a scan to provide stability while scanning and to ensure that the CT scanner is level. CAUTION: Before lowering the hydraulic feet, make sure that no objects can get caught between the floor and the hydraulic feet. This includes, for example, feet of persons, infusion tubes, respiration tubes, catheters, ECG cables, clothing, sheets, and blankets. When the scan is completed, the feet retract. Hydraulic feet [somatom_on-site_hardware-olt_1_28.wav] The hydraulic feet lower automatically when you start a scan to provide stability while scanning and to ensure that the CT scanner is level. CAUTION: Before lowering the hydraulic feet, make sure that no objects can get caught between the floor and the hydraulic feet. This includes, for example, feet of persons, infusion tubes, respiration tubes, catheters, ECG cables, clothing, sheets, and blankets. When the scan is completed, the feet retract. Support devices * Optional feature The following support devices are available for the ICU variant of SOMATOM On.site: 50 cm shoulder board Pediatric support board* Head holder Low head holder* Select the tab arrows to learn more about the weight, dimensions, and weight limits of the support devices. ? Shoulder board Pediatric support board Head holder Support devices [somatom_on-site_hardware-olt_1_29_icu.wav] The following support devices are available for the ICU variant of SOMATOM On.site: - a 50 cm shoulder board - an optional pediatric support board - a head holder - and an optional low head holder [2sec. pause] The shoulder board of the ICU variant is fixed to the support column on the front of the CT scanner. Use the shoulder board to bridge the gap between the end of the mattress and the head holder. The shoulder board provides support when you pull the patient up to the end of the mattress. [3sec. pause] The pediatric support board helps positioning and immobilizing pediatric patients during the examination. You can mount it to the CT scanner if required. The pediatric support board substitutes the head holder on the support column. [3sec. pause] The head holder provides scan support and places the body parts isocentrically within the gantry bore to ensure quality images. It is securely mounted on the support column. You can remove it for cleaning or when you need to place a phantom in the gantry bore. The head holder is X-ray transparent. For patients with bolts or surgical fixations attached in the head, the low head holder provides more room for the positioning of the patient's head. [2sec. pause] Select the tab arrows to learn more about the weight, dimensions, and weight limits of the support devices. Head holder Table with 4 columns and 3 rows Illustration Name Weight Dimensions Head holder 0.95 kg (2.1 lb) Width: 225 mm (8.9 in) Length: 346 mm (13.6 in) Height: 248 mm (9.8 in) Low head holder 0.88 kg (1.9 lb) Width: 224 mm (8.8 in) Length: 345 mm (13.6 in) Height (including interface bolt): 205 mm (8.1 in) The weight limits for both head holders are 22.4 kg (49 lb). Pediatric support board The weight limit for the pediatric support board is 25 kg (55.1 lbs). Table with 4 columns and 2 rows Illustration Name Weight Dimensions Pediatric support board 4.0 kg (8.82 lb) Width: 280 mm (11.0 in) Length: 818 mm (32.2 in) Height: 207 mm (8.1 in) Shoulder board Table with 4 columns and 2 rows Illustration Name Weight Dimensions 50 cm shoulder board 3.2 kg (7 lb) Width: 600 mm (23.6 in) Length: 536 mm (21.1 in) Height: 26.3 mm (1 in) The weight limit for the 50 cm shoulder board is 112.0 kg (246.9 lb), based on a maximum patient weight of 307 kg (677 lb). ? Mounting the pediatric support board No head holder or other component is fixed on the support column. The single wing nut lever of the pediatric support board is positioned in the unlocked position. Hold the pediatric support board horizontally using both hands, with the open table side facing toward you. Insert the nose of the pediatric support board into the support column. Tighten the single wing nut lever 180º counterclockwise to fix the pediatric support board securely in place. Single wing nut lever in locked position Support column Front side of the pediatric support board Mounting the pediatric support board [somatom_on-site_hardware-olt_1_31.wav] Please ensure the following before mounting the pediatric support board: No head holder or other component is fixed on the support column. The single wing nut lever of the pediatric support board is positioned in the unlocked position. To mount the pediatric support board to the CT scanner, proceed as follows: Hold the pediatric support board horizontally using both hands, with the open table side facing toward you. Next, insert the nose of the pediatric support board into the support column. Tighten the single wing nut lever 180º counterclockwise to fix the pediatric support board securely in place. [2sec. pause] The scan target area should be within the scannable range, which is marked with white lines. [2sec. pause] To remove the pediatric support board, proceed in reverse to the mounting procedure. ? Mounting the head holder Hold the head holder horizontally using both hands, with the slanted side that comprises the nose facing toward you. Insert the nose of the head holder into the support column. Check if the head holder is in the isocenter position. Removing the head holder Pull up the nose of the head holder from the support column. Do not use force when removing the head holder. If there is resistance, slightly twist the head holder while pulling up. Spring ball Nose Mounting the head holder [somatom_on-site_hardware-olt_1_32.wav] To mount the head holder, hold it horizontally using both hands, with the slanted side that comprises the nose facing toward you. Insert the nose of the head holder into the support column. Finally, check if the head holder is in the isocenter position. To remove the head holder, pull up its nose from the support column. Do not use force when removing the head holder. If there is resistance, slightly twist the head holder while pulling up. Head holder – scannable area and isocenter The sagittal isocenter (1) position is the middle of the head holder. Coronal isocenter (2): The front edge of the head holder provides a white mark with the indication of the coronal isocenter position of the CT system. The top edge of the low head holder indicates the coronal isocenter position of the CT system. ? 1 2 Head holder – scannable area and isocenter [somatom_on-site_hardware-olt_1_33_icu.wav] Please pay attention to the following instructions when positioning the patient's head on the head holder. The scan target area should be within the scannable range, which is marked with a white line. [3sec. pause] To recognize the sagittal isocenter position and the coronal isocenter position use the following references. The sagittal isocenter position is the middle of the head holder. The front edge of the head holder provides a white mark indicating the coronal isocenter position of the CT system. On the low head holder, the top edge indicates the coronal isocenter position of the CT system. Depending on the patient's load on the head holder, the coronal isocenter indication may deviate from the CT system isocenter. For further information, please refer to the SOMATOM On.site Instructions for Use. ? Parking area Requirements: Minimum parking spot should be: 1.60 m / 2.00 m / 1.00 m (h/w/d) 5.25 ft / 6.56 ft / 3.28 ft (h/w/d) 100/240-VAC power socket for permanent battery charging. Ethernet-LAN socket and/or secure access point for WiFi. ICU variant 1 1 2 2 1 Select step 2 to continue. 3 3 Parking area and service area [somatom_on-site_hardware-olt_1_34_icu01.wav] It is important to ensure that the parking area for standby times meets specific requirements. Please take some time to review these requirements. [somatom_on-site_hardware-olt_1_34_icu02.wav] Specific requirements also apply to facilitate maintenance and servicing of the scanner. Requirements: A minimum service clearance of 700 mm around the CT system. A separate room must be provided for maintenance and servicing. The possibility of triggering radiation and the establishment of a controlled area at this location must be given. A radiation-protected room is preferable. In special service cases, test scans must be performed without the shielding system covers. Without the shielding system covers, the stray radiation is much higher. In this case, special protective measures must be taken into account. It is recommended to use a radiation-protected room (e.g. CT room, AX room). 1 1 2 2 3 Service area ICU variant ? Parking area Requirements: Structure and composition of the floor must be appropriate for the total weight of the system. Protection against collision with other mobile equipment (beds, cots, containers, etc.). Protection against unauthorized access (if possible, away from public traffic areas). ICU variant 2 Select step 3 to continue. Chapter 4 Accessories ? Chapter 4: Accessories [somatom_on-site_hardware-olt_1_35.wav] Welcome to the fourth and final chapter, where we will discuss accessories for the SOMATOM On.site. In this section, we will take a closer look at different positioning aids, such as straps and cushions, and explore their specific applications. Positioning aids There are several positioning aids like straps and cushions available to position the patient safely and comfortably. Select the tab arrows to view available straps and cushions. Chin support strap Forehead support strap Shoulder board strap Flat cushion Pads ? Straps Cushions Positioning aids [somatom_on-site_hardware-olt_1_36.wav] There are several positioning aids like straps and cushions available to position the patient safely and comfortably. Use the chin support strap to position and immobilize the patient's head or jaw more effectively. Use the forehead support straps to immobilize the head in the head holder. They restrain the head in a stable position to avoid motion artifacts. Use one or several shoulder board straps to position and immobilize the patient, depending on the requirement, such as mobility or cooperation. Flat cushions are used for comfortable positioning of the patient's head in a head support. And pads are typically used for lateral immobilization of the patient's head in a head holder. Please note that the images shown here are only examples. The appearance and availability of the components depend on your system configuration. [2sec. pause] Select the tab arrows to view available straps and cushions. Cushions Table with 4 columns and 5 rows Illustration Name Weight Dimensions Flat cushion, 10 mm 0.03 kg (0.07 lb) Width: 200 mm (7.9 in) Length: 250 mm (9.8 in) Height: 60 mm (2.4 in) Flat cushion, 32 mm 0.10 kg (0.22 lb) Width: 200 mm (7.9 in) Length: 250 mm (9.8 in) Height: 60 mm (2.4 in) Pad thin 0.07 kg (0.15 lb) Width: 85 mm (3.3 in) Length: 150 mm (5.9 in) Height: 26 mm (1.0 in) Pad thick 0.09 kg (0.2 lb) Width: 90 mm (3.5 in) Length: 150 mm (5.9 in) Height: 38 mm (1.5 in) Manufacturer of all cushions: Siemens Healthcare GmbH Straps Table with 4 columns and 5 rows Illustration Name Weight Dimensions Chin support strap 50 0.013 kg (0.029 lb) Width: 50 mm (1.97 in) Length: 700 mm (27.5 in) Chin support strap 30 0.008 kg (0.02 lb) Width: 30 mm (1.18 in) Length: 700 mm (27.5 in) Forehead support strap 0.008 kg (0.02 lb) Width: 30 mm (1.18 in) Length: 700 mm (27.5 in) Shoulder board strap 0.210 kg (0.46 lb) Width: 200 mm (7.87 in) Length: 1,800 mm (70.87 in) Manufacturer of all straps: Siemens Healthcare GmbH ? Course review Congratulations. You have completed the SOMATOM On.site ICU Hardware Overview Online Training. Select the numbered buttons below to review the material before proceeding to the final assessment. Know about available accessories Be familiar with major hardware components Understand important safety aspects Recall system highlights 1 1 2 2 2 3 3 3 4 4 4 Course review Know about available accessories There are several positioning aids available to position the patient safely and comfortably. Chin support strap 50, Chin support strap 30: Use the chin support strap to position and immobilize the patient's head or jaw. Forehead support strap: Use the forehead support straps to immobilize the head in the head holder. Shoulder board strap: Use one or several shoulder board straps to position and immobilize the patient. Flat cushion (10 mm), Flat cushion (32 mm): Use flat cushions for comfortable positioning of the patient's head in a head support. Pad thin, Pad thick: Use pads for lateral immobilization of the patient's head in a head holder. Be familiar with major hardware components Brake override knob Turn the brake override knob counterclockwise to disengage the brakes of the CT system. Turn the brake override knob clockwise to re-engage the brakes. Motorized trolley Integrated drive camera Bumper System batteries Set of hydraulic feet 50 cm shoulder board Telescopic gantry Two independent gantry compartments (the front cover and the gantry itself) Gantry positions: Drive and parking position Patient load / unload position Scan start position Scan end position Touch screen display Can be tilted With on-screen keyboard EMERGENCY STOP key Press the EMERGENCY STOP key if there is any unintentional system movement or any hazardous situation. On/Off key The On/Off key has a blue LED light that illuminates when the system is powered on. Blinking: CT system charging and switched off Glowing: CT system is on and operating Not lit: CT system not charging and switched off Support devices Head holder Low head holder (optional) Pediatric support board (optional) Patient observation Through CARE 2D Camera Bore Light illuminates the gantry funnel Gantry operator panel Using the gantry operator panel, you can: Control the gantry functions Control the movement of the gantry Trigger scanning System interfaces USB-A port USB-C port SD card reader Network port Power mains breaker (behind access door) Understand important safety aspects The radiation shields at the front cover and gantry back reduce scatter radiation outside the system. For reduced X-ray exposure in the room, close the front and rear radiation shields during an examination. During the examination, position yourself at the operator position in front of the touch screen display and the gantry operator panel. An EMERGENCY STOP key allows you to interrupt all system functions, switch off radiation and stop all movement. A brake override knob allows you to manually move the CT system in case of a power loss. Recall system highlights SOMATOM On.site allows head CT imaging directly at the point of care. First of its kind telescopic gantry design with two independent gantry compartments. Self-shielding gantry with attachable front and back radiation covers for reduced scatter radiation. Scan setup can be done completely via a touch screen display, the integrated Touch UI. Proven SOMATOM technologies: Stellar detector, iMAR, and ADMIRE for the acquisition of sharp images. CARE 2D Camera and bore lighting. Built-in patient positioning accessories to address individual patients and patient bed designs. Disclaimer 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 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. Unrestricted | Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Siemens Healthineers HQ | Siemens Healthineers AG Siemensstr. 3 91301 Forchheim Germany Phone: +49 9191 18-0 siemens-healthineers.com ? Disclaimer Assessment Start ? This assessment will test your retention of the presented content. A passing score of 80% or higher is required to complete the course and earn your certificate. Assessment questions must be answered completely to receive full credit. Partial credit will not be given for assessment questions that require multiple answers. You may repeat the assessment as many times as needed. Assessment Select the best answer. ? Has a motorized trolley Comes with a 50 cm shoulder board Question 1 of 5 Which of the following statements does not apply to the ICU variant of SOMATOM On.site? Is primarily used in intensive care units Can be installed in an emergency medical service vehicle Question 1 The ICU variant comes with an 50 cm shoulder board. The ICU variant has a motorized trolley. The ICU variant is primarily used in intensive care units. ? Select three (3) answers. Question 2 of 5 (5) Power cord socket (5) Power cord socket Which of the following labels are correct? (1) 80 cm shoulder board (2) Gantry operator panel (4) Brake override knob (3) EMERGENCY STOP key 4 1 5 2 3 Question 2 One or more answers are incorrect. Select the best answer. ? The system is charging and switched off. The system could not be started correctly. Question 3 of 5 What does it mean when the blue LED light of the On/Off key is blinking? The system is on and operating. The system is not charging and switched off. Question 3 The blinking LED light has a different meaning. The LED light is off when the system is not charging and switched off. The LED light glows when the system is on and operating. Select the applicable image. ? Which of the following images shows the gantry with the front cover in the patient load / unload position? Question 4 of 5 Question 4 This is the Scan end position. This is the Scan start position. This is the Drive and park position. Select the correct designated area, then select Submit below. Question 5 of 5 Which button do you press and hold to move the gantry with the front cover to the scan start position? ? Question 5 This is the Gantry Back key. Press and hold this key to move the gantry back while the front cover stays in the scan start position. This is the Cover Open key. Press and hold this key to move the gantry with the front cover away from the patient to load or unload the patient. This is the Gantry Forward key. Press and hold this key to move the gantry towards the patient. You did not select a designated area. Assessment results YOUR SCORE: PASSING SCORE: Review Retry Retry Continue Continue Continue %Results.ScorePercent%% %Results.PassPercent%% ? Assessment results You did not pass the course. Take time to review the assessment then select Retry to continue. Congratulations. You passed the course.. Exit To access your Certificate of Completion, select the Certificates tab from the learning activity overview page. You can also access the certificate from your PEPconnect transcript. ? You have completed the SOMATOM On.site ICU Hardware Overview Online Training. Completion Navigation Help Select the icon above to open the table of contents. Click Next to continue. Next Welcome Slide The timeline displays the slide progression. Slide the orange bar backwards to rewind the timeline. Click Next to continue. Next Tmeline Select the buttons to learn more about a topic. Be sure to review all topics before navigating to the next slide. Click Next to continue. Next Tab Arrow Slide Select the X to close the pop-up. Click Next to continue. Next Layer Slide Some images may have a magnifier icon. Select the image to see an enlarged view. Select it again to return to the normal view. Click Next to continue. Next Zoom Slide Some images have a magnifier icon in the bottom-left corner. Select these image to see an enlarged view of the image. Select the image again to return to the normal view. Select Submit to record your response. Click the X in the upper right corner to exit the navigation help. Assessment Slide Question Bank 1 QR700010176 | Effective Date: 25 Jul 2024 1.1 Welcome 1.2 Navigation hints 1.3 Chapter 1: Overview 1.4 System highlights 1.5 Technical specifications 1.6 Chapter 2: Safety 1.7 Radiation safety 1.8 Emergency situations 1.9 Knowledge check 1.14 Chapter 3: System description 1.15 System hardware overview 1.16 Telescopic gantry 1.17 Positions of the gantry and front cover 1.18 Patient observation 1.19 X-ray lamp 1.20 Touch screen display 1.21 On/Off key 1.22 Performing a forced shutdown 1.23 Gantry operator panel 1.24 System interfaces 1.25 Power supply components 1.26 Motorized trolley 1.27 Hydraulic feet 1.28 Support devices 1.29 Mounting the pediatric support board 1.30 Mounting the head holder 1.31 Head holder – scannable area and isocenter 1.32 Parking area and service area 1.33 Chapter 4: Accessories 1.34 Positioning aids 1.35 Course review 1.36 Disclaimer 1.37 Assessment