Troubleshooting Guide Ion/Cios Spin Job Aid

SIEMENS Healthineers Troubleshooting 3D - Healthingers Guide Cios Spin and Intuitive Ion Endoluminal System* INTUITIVE * Template Effective Date: 10 Aug 2021| HILS 2223 * The product names and/or brands referred to are the property of their respective trademark holders. Job Aid Effective Date 21 DEC 2022 | HOOD05162003321151 Unrestricted © Siemens Healthineers, 2022 Troubleshooting SIEMENS Healthineers Table of Contents Unplugging and Plugging in the Ethernet Cable 3 Resend Images to Ion 4 Improve Image Quality 8 3D SIEMENS Healthineers Cios Spin 2 * The product names and/or brands referred to are the property of their respective trademark holders. Effective Date: 21 DEC 2022 | HOOD05162003321151 Unrestricted © Siemens Healthineers, 2022 Troubleshooting SIEMENS Healthineers Unplugging and Plugging in the Ethernet Cable O The Ethernet cable can be unplugged and plugged back in the A system during a case, but not while a scan is being transferred. No errors should be expected. Systems just need to establish NaviLink communication again and that might take some time. Fluoroscope R-EBUS Bronchoscope Composite S-Video Compostte S-Video SCI Comportte S-Video SDI DM DM Auxiliary Top Monitor Bottom Monitor HDMI Output 3 Effective Date: 21 DEC 2022 | HOOD05162003321151 Unrestricted © Siemens Healthineers, 2022 Troubleshooting SIEMENS Healthineers Resend Images to Ion (1/4) Resend images to Ion after a 3D scan or new Orb. 0º × reconstruction Ang.0º Store Select scan quality position 80 Select navigation O If ION was not selected in the Navigation drop-down menu uGym2 KV before completing the 3D scan, then there is another way to 00:00:00 1 send the 3D data to Ion. hh:mm:ss mAs Scan quality Navigation * Extra power: Obese Collimator Laser Reset ION Please find the detailed steps described on the following timer 60s #400 Images slides. Fluoro Single 3D High quality image Scan Ö 30s 400 Images Standard Sub Road DCM 30s 200 Images Medium Auto Low dose Metal Dose Tech lock Ö 30s : 100 Images correction Mag 0 15 p/s Magnify Motion Configure Scan Patient System Collision Check Scan Noise filter Pulse rate Relation 4 Effective Date: 21 DEC 2022 | HOOD05162003321151 Unrestricted © Siemens Healthineers, 2022 Troubleshooting SIEMENS Resend Images to Ion (2/4) Healthineers 285, Emergency E_285 Card Standard 1) First select “New Scan” on the Ion Controller. 2 2) Go to 2D multiselect and select the 3D reconstruction to transfer from the Cios Spin monitor trolley to the ION system. 3) Select the Export to button. Orbital 0º Angular 0º < 0.1 mGy < 0.01 uGy*m2 00:00:00 hh:mm:ss 3 Single Image Fluoro 1 Select patient 3 1 Select patient |1/2] O 5 Effective Date: 21 DEC 2022 | HOOD05162003321151 Unrestricted © Siemens Healthineers, 2022 Troubleshooting SIEMENS Resend Images to Ion (3/4) Healthineers John, Doe Export X 4) Once the dialog box opens, select: Target Type DICOM node Target Type: DICOM node 4 Target • ION Format DICOM • Target: ION Export images as: ELL Processed Anonymized 5) Under Export subtracted images as select Native. Downsized Export subtracted images as: Subtracted 5 Native 6) Please make sure that under Export Dose Report as Export Dose Report as: DICOM Dose SR DICOM Dose SR and DICOM SC are unchecked. 6 DICOM SC Include DICOM viewer Transfer Selected Space Session Used 09% Required 0% Set as Default Export Status Close 1 Select patient O 6 Effective Date: 21 DEC 2022 | HOOD05162003321151 Unrestricted © Siemens Healthineers, 2022 Troubleshooting SIEMENS Resend Images to Ion (4/4) Healthineers John, Doe Export X 7) Under Transferselect Selected from the drop-down Target Type DICOM node menu. Target ION ION Format DICOM Export images as: 8) Click Export to send images. ELL Processed Anonymized Downsized Export subtracted images as: Subtracted Native Export Dose Report as: DICOM Dose SR DICOM SC relude DICOM Transfer Selected 7 Space: Session Used. Required 0% Set as Default 8 Export Status Close 1 Select patient O 7 Effective Date: 21 DEC 2022 | HOOD05162003321151 Unrestricted © Siemens Healthineers, 2022 Troubleshooting SIEMENS Healthineers Improve Image Quality 2D – Motion Artifacts If there is patient movement or Orb.0º X 2D 3D Store Motion 0: 00 not flipped the nodule is close to the heart or Ang.0º - position detection Off On an obese patients enlarged heart 68 O uGym2 KV Averaging live image 00:00:00 Cardiac Low Medium High is causing motion artifacts, 17 hh:mm:ss mA Averaging * LIH Low Medium High Collimator Laser timer Series #: Press the Cardiac button. Image #: • Fluoro Single 3D R XYZ image Scar Rotate Live graph Zoom Pan Measure Flip overlay Shutter Annotate Reset all • It could also help to magnify the image. To do so, Sub Road DCM 8888 REF . + press Magnify button. Then select Mag 1 or Mag 2. Brightness Overview Hold Cine Contrast reference replay Previous Next Medium Auto A + B Dose Metal correction Tech lock Image enhance Transfer Store Store cine Print Export Mag 0 15 p/s Magnify Motion Noise filter Pulse rate PREPARATION PROCESSING EXTERNAL INSTANTLINK Close pat. Keyboard 8 Effective Date: 21 DEC 2022 | HOOD05162003321151 Unrestricted © Siemens Healthineers, 2022 Troubleshooting SIEMENS Healthineers Improve Image Quality 3D – Post Processing Improve image quality if metal is in the image field Direct Load A B Back to 2D Please note: Applying reconstructions to the scan (such as 1. Adjust orientation Brightness Contrast reduced noise, reduced blur, or Metal Artifact Reduction) may Zoom Pan result in sub-optimal performance of CBCT integration feature. @ Lock planes Hide all Reset Recommendation is limiting any metal or bright objects from the Redo field of view. Previous slice Next slice Screenshot If there is a lot of metal in the field, the image can be re- Image Manager Screw Scout processed by using Metal Artifact Reduction (Metal artifact). Reconstruction 3 A Annotation Measurement 1) Select the 3D image data set from Overview on the Cios Slice thickness Brightness Contrast Spin monitor trolley. Partial Volume Parallel Ranges 2) Select 3D. 3) Select Reconstruction. Reconstruction 4) Under Reconstruction Reduce Standard Reduce a) Select Metal artifact. blur noise b) Select Start. Metal artifact Start 5) Once 3D dataset has been re-processed, images can be sent to Ion (see slides 5-7). 4a 4b 9 Effective Date: 21 DEC 2022 | HOOD05162003321151 Unrestricted © Siemens Healthineers, 2022 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 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 Telephone: +49 9131 84-0 10 siemens-healthineers.com Effective Date: 21 DEC 2022 | HOOD05162003321151 Unrestricted © Siemens Healthineers, 2022