Ysio Max Turnover Workbook

Turnover Workbook | Ysio Max Ysio Max Turnover Workbook SIEMENS Education & Workforce Solutions Your potential is calling. Healthineers Turnover Workbook | Ysio 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. 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 | Ysio 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 | Ysio Max Contents Welcome .................................................................................................................................................................................2 Contact Information Summary ........................................................................................................................................3 Contents .................................................................................................................................................................................4 Course Description...............................................................................................................................................................6 1. System Overview .............................................................................................................................................................. 7 1.1 Generator Console.........................................................................................................................................7 1.2 Emergency Stop .............................................................................................................................................7 2. Hardware Features ..........................................................................................................................................................8 2.1 Detectors ........................................................................................................................................................ 8 2.2 Patient Table with Wireless Mobile Detector ......................................................................................12 2.3 3D Tube with MAXtouch Display............................................................................................................14 2.4 Wall Stand....................................................................................................................................................17 3. FLC and Performing Patient Exams .......................................................................................................................... 18 3.1 General Workflow .......................................................................................................................................18 3.2 Overview.......................................................................................................................................................18 3.3 Patient Tab....................................................................................................................................................18 3.4 Exam Tab...................................................................................................................................................... 20 3.5 Postprocessing Tab.................................................................................................................................... 22 3.6 Documentation Tab .................................................................................................................................. 24 4. PEX Editor ........................................................................................................................................................................26 4.1 PEX Editor Overview .................................................................................................................................. 26 4.2 Opening PEX Editor ................................................................................................................................... 26 4.3 Exam Tab.......................................................................................................................................................27 4.4 Organ Program Tab................................................................................................................................... 29 4.5 Param Module Tab .................................................................................................................................... 30 4.6 Configuration Tab...................................................................................................................................... 30 5. User Settings ...................................................................................................................................................................32 5.1 Overview ....................................................................................................................................................... 32 5.2 DICOM Properties ...................................................................................................................................... 32 5.3 Site Info......................................................................................................................................................... 33 6. MAX Swap .......................................................................................................................................................................34 6.1 Attaching and Detaching Detectors ...................................................................................................... 34 6.2 Switching Between MAX wi-D and MAX mini .................................................................................... 36 4 Turnover Workbook | Ysio Max 7. Quick Info .........................................................................................................................................................................37 7.1 Abbreviations................................................................................................................................................37 7.2 Status Messages and Display ..................................................................................................................37 7.3 Cleaning ....................................................................................................................................................... 38 7.4 Technical Data ............................................................................................................................................ 39 8. Troubleshooting .............................................................................................................................................................41 8.1 System Movements and Functions.........................................................................................................41 8.2 SID Tracking .................................................................................................................................................41 8.3 Collimation ................................................................................................................................................. 42 8.4 The Message Field ..................................................................................................................................... 42 5 Turnover Workbook | Ysio Max Course Description Course Overview Upon completion of this course, you will be able to: • Correctly perform start-up and shutdown procedures • Identify the key hardware features of the Ysio® system • Describe the key features of the Fluorospot Compact Imaging System • Utilize the Examination task card to perform a patient procedure • Navigate the Postprocessing task card to adjust an image • Identify the MAX features of the system • Utilize the Documentation task card to send a study 6 Turnover Workbook | Ysio Max 1. System Overview 1.1 Generator Console Notes SIEMENS Switching On/Off System • The Ysio system is started from the switched off mode • The x-ray room and Fluorospot Compact are switched on and off by the buttons located on the generator console. Starting the system from the off state • Switch On the main circuit breaker in the room. • Press the ON button on the Generator ON/OFF console. The system performs a self-test of the Fluorospot Compact and - Ysio systems. • Rebooting the System Press the OFF button on the console - When the FLC has shut down (dark monitor), press the ON button - We recommend a daily reboot of the system. Making an Exposure When all parameters are set and you are ready to make an exposure, make sure you see the Ready symbol on the bottom right of the FLC. 1.2 Emergency Stop Activating the Stop button (in an emergency) All system movements and release of radiation is disabled. Turning clockwise (when situation has been rectified) Turn Emergency Stop button clockwise and release. System movements and release of radiation are now enabled. 7 Turnover Workbook | Ysio Max 2. Hardware Features 2.1 Detectors Notes (1) Detector MAX wi-D, to be used in table, wall stand, and for free exposure (2) Detector MAX mini, for free exposures only (3) Detector indicators *Note: Detector calibration should only be done by a trained facility service engineer. LEDs are provided on the detector (close to the handle), to give basic information on the detector behavior. Detector Indicators (5) (4) (1) (2) (3) (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 long push (switch off/on) 8 Turnover Workbook | Ysio Max Detector Battery Notes Charging the battery of the detector can be accomplished: • with the detector in the closed table bucky tray (MAX wi-D only). • with the detector in the closed wall stand bucky tray (MAX wi-D only). • in the battery charger. Changing the Batteries The battery is located on the back of the MAX wi-D and MAX mini. Changing the battery is a three step process. It is recommended to power down the detector prior to removing the battery. 1. Locate the battery on the back of the detector 2. Turn the lock on the handle to the Unlock position 9 Turnover Workbook | Ysio Max 3. Lift the battery and remove it Notes To insert a battery, insert the battery and turn the handle to the lock position, then press the handle down. The Battery Charger To charge the battery, when inserting a battery in the charger (if present), ensure that the gray stripe on the battery is facing the triangle on the charger. • Standard with the MAX mini; optional with the MAX wi-D • Charging time is approximately 4 hours in the battery charger • 4 LEDs will indicate the amount of charge on the battery Note: It is recommended to turn the detector off before removing the battery. EEEEE 0-25% 25-50% 50-75% 75-100% 100% 10 Turnover Workbook | Ysio Max Grids Notes 1. 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. 2. Clip on grids for MAX mini will have a 5:1 grid ratio, with a focus of 45 inches. Attaching/Removing the grids 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 down against the loading springs until the detector is secured inside the frame of the grid. 3. Ensure that the LED lights show through the LED openings on the grid. 4. To remove the grid, press the detector down against the loading springs of the grid and pull the detector out. (4) 11 Turnover Workbook | Ysio Max 2.2 Patient Table with Wireless Mobile Detector Notes Maximum table capacity 660 lbs. • Table movements If patient is over 440 pounds, movement of table is limited to raising - and lowering. If patient is under 440 pounds, all table movements are available. - • Accessories • Grid insertion/removal For pediatric exposures, the grid can be removed - Stationary; 15/80 focused at 115 cm - • Bucky Tray When the tracking function is active, the detector tray follows the - longitudinal movement of the 3D overhead support • Table Centering Button SIEMENS ... 1. The table bucky tray can be moved manually by pulling out the blue handle and moving tray into position. 2. It can be aligned automatically to the position of the overhead tube by press- ing and holding the tube-detector-centering button. 12 Turnover Workbook | Ysio Max Hand-held Tableside Control (Optional) Notes (3) (1) (2) (4) -(5) 1. Parking position* 2. Table movement down 3. Table movement up 4. Floating tabletop 5. SmartMove button* *Functional for automated movement on automated systems only. 13 Turnover Workbook | Ysio Max 2.3 3D Tube with MAXtouch Display Notes Movement Buttons There are eight buttons for movement on the MAXtouch that are associated with colored arrows. • The buttons by the blue arrows will unlock up and/or down movement of the overhead tube. • The buttons by the orange and green arrows will allow movement of the overhead tube along the associated tracks on the ceiling. • The buttons near the purple arrow will allow rotation of the overhead tube along the vertical axis. • The button near the pink arrow will allow rotation of the overhead tube along the horizontal axis. • The button near the overlapping blue, orange and green arrows will allow movement of the overhead tube in all three directions (as will the buttons on the end of each handle). Tape 90 Device Measure Position Goporator 2.5 Setup 0 mm Cu APPS, SIEMENS BBBBB T CHEST AP Select mAs value or set WOSS H. 321. # #| 16.2" 1 Manual = 137' Z 14 Turnover Workbook | Ysio Max Tab Cards Notes • Generator kV and mAs - used to change technique 73 - Exposure Correction - used to increase or - decrease exposure points (-2 to +2) Dominants - used to change which AEC - chambers are active. • Tape Measure Tape Measure 8 8 Generator 8 0 cm 8 0 cm SID measurement - SOD measurement - Magnification display (SOD Mag = SID/SOD) - Can be displayed in inches - 15 Turnover Workbook | Ysio Max Notes • Device Position Device Position Setup 0º 0º -16º Tube Angulation - MAXalign - • Setup Device Position Setup Block Radiation - Block Movement - Tube Speed - 16 Turnover Workbook | Ysio Max Information Display Notes The section at the bottom of the MAXtouch displays information such as collimation size and detector orientation. Directly accessible functions • Restore Collimation – recalls last collimation from previous exposure. Cleaning the MAXtouch Do not spray the MAXtouch directly. Wipe the MAXtouch only with a clean, damp cloth. 2.4 Wall Stand • System movements • Grid insertion/removal 115, 140 and 180cm focused grids - 300 cm grid is for Ortho package only* (purchasable option) - • Hand-held remote (3) (1) (2) (4) (5) 1. Parking position 2. Centering button (tube to detector)* 3. Tracking button (tube to detector) 4. Light localizer 5. OGP button * Used to align tube/detector with fully synchronized system. Hand-held remote is an option with fully synchronized systems. 17 Turnover Workbook | Ysio Max 3. FLC and Performing Patient Exams 3.1 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 - 3.2 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. . 3.3 Patient Tab Patient Patient Subtask Card |Seninga RIS 18 Turnover Workbook | Ysio Max Registering a Patient Notes To select a patient from the Preregistered list: 1. Click on the Patient tab. 2. If your system has a RIS, click on the RIS icon to update. RIS OR Click on this icon to do a patient search. 3. Double click on the patient’s name to be examined or highlight the patient’s name and click on the Examination Tab. To manually register a patient: 1. Click on the Patient Tab. 2. Click 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 on the Emergency icon to start the exami- nation. You will be able to populate the data later. Settings Subtask Card Patient Seminys Semnice • User Settings • View Job Status • PEX Editor • Clinical EXI Log • Recycle Bin (if configured) 19 Turnover Workbook | Ysio Max 3.4 Exam Tab Notes Examination Patient Resource Information The patient loads with all of the OGP’s for the exams ordered. If you cannot see the entire list, click on the eyeglasses icon to expand the list. NOTE: Right-clicking on the OGP will show you a summary of the OGP set up in the PEX editor. 123458: TANKLE APLMA XANKLE LAT Let Acquisition Parameters All Organ Programs will populate with predefined acquisition parameters. These are based on an average adult patient and should be adjusted for body habitus and pediatric patients. *AEC Exposure: Sensitivity 400 = Detector Dose 2.5µgy 20 Turnover Workbook | Ysio 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. Inals Image Subtask Card • Restore the original x-ray paramenters • Cropping tool • Store Image • Navigation buttons for image review • Send Image 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. 21 Turnover Workbook | Ysio Max 3.5 Postprocessing Tab Notes Postprocessing The Postprocessing task card lets you make changes to the acquired image. It is divided into three subtask cards: Process Graphics Rad 1. Process 2. Graphics 3. Rad R R Process Subtask Card • Zoom/Unzoom image 1:1 pixel display • Invert grey scale • Flip image horizontal and vertical Process. Graphics Rad • Window – Contrast and Brightness adjustment Window Center = Brightness - (move mouse up/down) Window Width = Contrast (move mouse left/right) - R R • Rotate image Several rotational functions are available. Click R - icon for the options. Images can be rotated by simply left clicking on - the image and, holding the left mouse button R down, rotate the image to the desired level. Graphics Subtask Card R R • Set laterality label (R/L marker) • Draw arrow Process. Graphics Rad • Draw distance/calibrate Remember to store the image with the - distance graphics as a new image. The graphics are burned into the image • Draw angle • Enter text Text can be placed anywhere in the image - You can build a list for text and comments and - change the text size 22 Turnover Workbook | Ysio Max Rad Subtask Card Notes Process. Graphics Rad Auto-cropping Set black Auto-window Amplification 2.0 Auto as cropped Cropping Tool – Will open to raw image and show collimation lines. Using your mouse, you can: • Drag lines in, out, up. and down. • Drag the corners to new positions. • Left click and hold to draw your own new box. • Right click and release (four times) to create your own four input points. • Click on the button with the blue check mark to accept changes. Amplification Tool - Used to adjust the contrast of the image • Use the drop-down box to select a new value • Higher numbers are darker, lower numbers are lighter • If there is a check mark in the Auto box, click on it to remove it so that you can get the drop-down box • Click on the button with the blue check mark to accept changes” 23 Turnover Workbook | Ysio Max Notes 3.6 Documentation Tab Documentation The Documentation task card is where you archive patient studies. It is divided into three subtask cards: 1. Select 2. Film 3. Send Select Subtask Card All images need to be marked with a white circle to be sent to the hardcopy camera or PACS. • Mark all images • Unmark all images • Mark/unmark single image • Delete images Film Subtask Card Select Senil The Film subtask card can be set up with a default Printer DICMPintor hardcopy camera and film size and layout per exam. dicom TEST • Film marked images 147:1784, 182. 100% Name TEST • Preview marked images Show film status Layout • 190 Ovamdi Copias 1 2: 24 Turnover Workbook | Ysio Max Send Subtask Card Notes The Send subtask card can be set up with three Select Film Send default networks/PACS. Tamnel 1 PPACS • Send marked images Tampel 2 • Show send status • Send exam protocol to the network as a Target 3 Secondary Capture image Send Exam Protocol na • Send a DICOM Dose Structured Report to SCimage the network DICOM Dose SA • Override the configured settings for the Send targets ¡Òmarido configured songs 25 Turnover Workbook | Ysio Max 4. PEX Editor 4.1 PEX Editor Overview Notes Programs and Exams Editor is divided into five task cards: • Exam Enter your RIS exam names and OGP views - • Organ Program Edit technical factors - • Fluoro Program (no function on this system) • Param. Module Build Stand Positions* - • Configuration Backup system - *Fully automated system only 4.2 Opening PEX Editor On the Patient Task Card > Settings Subtask Card click on this icon. The login screen will appear. 1. Click the radio button next to Siemens. 2. Enter the password that your Clinical Education Specialist provided and click OK. 26 Turnover Workbook | Ysio Max 4.3 Exam Tab Notes The PEX Editor opens up to the Exam subtask card. Entering Exam Names On the right side of the screen you see Examination View. This is where you will modify or create the listed exam names to match your site’s RIS Exam Names. (You will need to have a copy of your RIS Examination Names.) 1. Left click on an Exam name that closely matches one of your exams. 2. Populate the Name for RIS and Exam Name fields with the correct name. 3. When finished click Store if you modified the name or click Store as New if you created a new name. 4. Continue until all exams are entered. NOTE: It is very important that you type in the name exactly as it appears on your list (word-for-word and spacing). If not, the study will not populate when you click on the patient to be examined. 27 Turnover Workbook | Ysio Max Adding/Removing OGP View in Examination View Notes 1. Examination Views can be customized with the views needed. The order of the views can also be customized. 2. Select the Examination View to be modified. Open the drop-down box by double left clicking on it or clicking on the Plus Icon. 3. To add a new OGP view, find the correct one under the OGP View on the left side. Click on it one time and select the Insert OGP button in the center. (Be careful to choose the correct acquisition mode - T, W, X.). 4. To remove an OGP view from the Examination, click one time and click the Remove OGP button in the center.” TIT TETTI You are able to arrange the order of the views by clicking on the arrow. ¥ ABDOMEN 3 VIEWS_S(0) T ABDOMEN SUPINE (O) W ABDOMEN UPRIGHT (0) W ABDOMEN DECUD (0) T ABDOMEN 0-3yrs (8-14cm) (0) W ABDOMEN 4-12yrs (12-20cm) (0) W ABDOMEN 12-16yrs (14-22cm) (d) Checking the box Automatically switch to next OGP after acquisition allows the next view to populate during the exam. Make sure to click Store to save. Automatically switch to next OGP after acquisition 28 Turnover Workbook | Ysio Max 4.4 Organ Program Tab Notes This tab shows the technical factors for the OGP views - to include AEC chambers to be activated, technique, collimation size, etc. It is used to modify or create an OGP View. This tab is opened by selecting an OGP view in the Exam Tab and then selecting the Organ Program tab, or double left clicking on the OGP View. Modifying or Creating OGP View Begin by going to the correct acquisition mode in the Exam tab. • C = Cassette exposure • T = Table exposure • W = Wall exposure • X = Free exposure 1. Choose the OGP view to be modified, or (for a new OGP) a view that is similar to the one to be created. 2. Select the Organ Program tab or double left click on the OGP view. 3. For a new OGP View, change the name in the Program Name box. Be sure to delete the (d) at the end, but do not remove the acquisition mode (T, W, X). To modify the view, you will not make any changes to this box. 4. Make any technical factor changes to the view parameters, such as technique and collimation size. 5. For a new OGP view, select the Store as New button at the bottom. For a modi- fied view, select the Store button. Tube Lood BI Store Store as new 29 Turnover Workbook | Ysio Max 4.5 Param Module Tab Notes This tab is used to create stand positions on fully automated systems (optional). ogram Param. Module Contiguration Stand Position Identifier 0008 Name W 45 NO angle HIGH Collimator settings ignore for auto-cropping Position: Undefined Store Position Store Parameters Delete Activate New 4.6 Configuration Tab This tab can be used to change the default password, make a backup of the database, and to import a database. gram Param. Module Cantiguration Password Change Password Reset Customer Password Database Export Import Backup / Export Restore / Import Include RIS Names ... 30 Turnover Workbook | Ysio Max Backup PEX Editor Notes After you finish making changes in the PEX Editor, it is very important to do a backup. 1. Click on Configuration. 2. Click on Backup/Export 3. Click on C Drive and click GO Then do the same for the D Drive. Import PEX Editor NOTE: Each import replaces the current database and cannot be undone unless database has been backed up so be careful not to replace the original or most recent backup. Consider making a backup of current database before importing a new one. On the local hard disk (e.g., drive C: and D:) the number of backups is limited to 10. For more details and diagrams of the PEX Editor, please see the online User Manual located by pressing the F1 key on the keyboard while on the Patient tab on your Fluorospot Compact. 31 Turnover Workbook | Ysio Max 5. User Settings 5.1 Overview Notes User Settings are customizable settings that include sending of dose reports, modifying auto delete of old exams, and turning on/off reject analysis. To get to the User Settings, in the Patient Tab, select the Settings subtab. Choose the Wrench Icon on the top left. 5.2 DICOM Properties In the Sending tab of the DICOM Properties, it is possible to select rather or not to auto send the dose report as well as the background color of the dose report. Background Color of Exam Protocol Notes It is possible to send the Exam Protocol (exposure data, fluoro time, number of images, etc.) over the network with the patient images. These are sent as an SC, or secondary capture image. The background color of this SC image can be selected as black or white. 32 Turnover Workbook | Ysio Max 5.3 Site Info Notes This tab allows for input of Institution name, screen saver wait time, and patient demographics to be displayed for each exam. 5.4 Image Delete and User Initials Notes User initials can be part of the DICOM header with the images or for Reject Analysis • User Settings • Auto Delete • User Initials – enter user initials in the dialog box when a patient is registered • Use as DICOM operator name – user initials will be inserted into DICOM header 33 Turnover Workbook | Ysio Max 6. MAX Swap 6.1 Attaching and Detaching Detectors Notes Detaching a Detector To detach or disconnect the MAX wi-D or MAX mini from the system, click on the Detector Overview icon to open the Detector Overview information window. Select the wireless detector you wish to detach, then click on Disconnect. Confirm that you want to detach this detector, and the detector is now detached from this system. NOTE: If the detector is just removed from the room and not detached, it may cause problems with performance and workflow with the system. 34 Turnover Workbook | Ysio Max Attaching a Detector Notes For a detector to be attached, or connected, to the Luminos Agile Max, the system must first know the serial number of the detector and its calibration data. To do this, follow these steps: 1. Locate the infrared sensor on the front of the Fluorospot Compact. It is located in the upper right-hand corner. 2. Make sure the Fluorospot Compact is in the Patient tab. Then click on detector overview. 3. Hold the wireless detector you wish to attach in front of the infrared sensor. This should be done along the edge of the detector, between the indicator lights for the wireless network and the detector status. 4. Confirm the message on the Fluorospot Compact about the attachment. 5. This detector is now attached to the system. Note: Exporting and Importing of calibration data is a function done by Siemens Service. 35 Turnover Workbook | Ysio Max 6.2 Switching Between MAX wi-D and MAX mini Notes It is possible to exchange the MAX wi-D and MAX mini between systems. 1. On the Max Touch – Look for a new button in the lower right-hand corner to select which detector you wish to use. 2. On the Fluorospot Compact – Click on the detector you wish to use. Select the portable detector to use for free acquisition Detector 1339D1 Detector 133908 NOTE: If both the MAX wi-D and the MAX mini are attached and ready for use, select the appropriate detector for use or put the wi-D in the table or wall bucky. In the patient tab of the Fluorospot Compact, in the lower right hand corner, is the detector overview icon. Click on it and you will see the detector overview screen. This will show you what detectors are currently connected to the system, what the serial number is (MAX wi-D and MAX mini) and the latest calibration data. 36 Turnover Workbook | Ysio Max 7. Quick Info 7.1 Abbreviations Notes FLC - Fluorospot Compact, the operating system FD - Flat Detector BWS - Bucky Wall Stand Wi-D - Wireless detector OGP - Organ Program, a set of parameters for acquisition T - Table Bucky Acquisition W - Wall Bucky Acquisition X - Tabletop or Free Exposure 7.2 Status Messages and Display Ready 57 5 +0 2% hu Symbol Short description Ready for acquisition Not ready Free hard disk space 100% Free DVD space 100% Detector temperature is not within required range. Detector calibration has expired. 37 Turnover Workbook | Ysio Max 7.3 Cleaning Notes The following substance classes may be utilized for the entire system excluding the monitors and touchscreens. • Aldehydes • Alkylamines • Quaternary Compounds • Guanidine Derivates • Peroxide Compounds • Pyridine Derivatives • Organic Acid • Chlorine Derivatives • Household Detergents Please keep in mind substances with Quaternary Compounds and Chlorine Derivatives must not be used on stainless steel surfaces. Cleaning and disinfecting the monitors and touchscreens, please note: • The following substance classes are recommended: Aldehydes - Chlorine Derivatives - Alcohol - • The following substance classes must not be used: Peroxide Compounds - Gasoline - Regarding the disinfecting effect of the substance classes, please note: • The following substance classes have no disinfecting “effect” and are only cleaning substances: Household Detergent - The following substance classes have disinfecting effects, but cannot be used for all germs. The knowledge regarding the effect for specific germs must come from the hygiene officer from the site/hospital. • Aldehydes • Alkylamines • Quaternary Compounds • Peroxide Compounds • Pyridine Derivatives • Organic Acid • Chlorine Derivatives • Alcohol 38 Turnover Workbook | Ysio Max 7.4 Technical Data Notes Patient table • Max.patient weight 300 kg • Table grid Stationary; 15/80; focused grid: 115 cm Wall stand • Detector Tiltable from – 20° to + 90° with 0° detent MAX wi-D Detector (optional) • Dimensions (Active Area) 34.8 x 42.4 cm • Active area matrix 2350 x 2866 pixels • Pixel size 148 microns • Scintillator Cesium Iodide • Acquisition depth 16 bits • DQE in %, 2 µGy (RQA5) 66% at 0.05 lp/mm • Data transmission < 2 sec. preview, <5 sec. full image • Thickness 19 mm • Weight 3.3 kg • Max. load capacity 300 kg with patient recumbent 100 kg with patient standing • Battery Lithium ion, rechargeable, exchangeable • Charging time 3 hours in battery charger • Battery operation time Up to1050 images Up to 6.5 hours during normal use Up to 11.7 hours in standby mode • Charging location Table detector tray, Bucky wall stand detector tray, battery charger (option), and wall charger (option) • Clip-on grids (optional) 5:1, 85 lines/cm, 115 cm focus; 15:1, 80 lines/cm, 115 cm focus 39 Turnover Workbook | Ysio Max MAX mini (optional) Notes • Dimensions (Active Area) 22.5 x 28.4 cm • Active area matrix 1520 x 1920 pixels • Pixel size 148 microns • Scintillator Cesium Iodide • Acquisition depth 16 bits • DQE in %, 2 µGy (RQA5) 66% at 0.05 lp/mm • Data transmission < 1.5 sec. preview, <3.5 sec. full image • Thickness 16 mm • Weight 1.6 kg • Max. load capacity 300 kg with patient recumbent 100 kg with patient standing • Battery Lithium ion, rechargeable, exchangeable • Charging time 3 hours in battery charger • Battery operation time Up to 1050 images Up to 6.5 hours during normal use Up to 11.7 hours in standby mode • Charging location Battery charger MAX static • Input fields (active field) 42 x 42.6 cm (full format), 30 x 30 cm (zoom 1), 22 x 22 cm (zoom 2), 15 x 15 cm (zoom 3) • Scintillator Cesium iodide • Pixel size 148 microns • Spatial resolution 3.4 lp/mm • Matrix Up to 2840 x 2874 pixels • Acquisition depth 16 bits • DQE >65% (at 0.05 lp/mm) • Modulation depth >63% (at 1 lp/mm) • Anti-scatter grid Stationary, Pb 15:1, 80 lines/cm, focused at 125 cm removable • Tabletop-detector distance 7.3 cm • Five selectable solid state measurement fields • Measurement fields adjusted according to collimation and zoom format Imaging System • Image display < 1.5 sec. preview, <3.5 sec. display • Image storage capacity 10,000 images • Image size Approx. 9 MB 40 Turnover Workbook | Ysio Max 8. Troubleshooting 8.1 System Movements and Functions Notes It is possible to disable system movements and functions by using the Disable button in the Set Up tab on the 3D overhead tube. Some points to remember are: • When not activated, the icon will be gray and black. All system movements should be possible. • When active, the icon will be backlit. All buttons on the tube, wall bucky, and table are disabled and no system movement is possible. 8.2 SID Tracking SID Tracking, or Source to Image Distance Tracking, allows the user to change the height of the all buck or table and have the tube follow to maintain the SID. This can be done at the table or wall bucky. When SID Tracking is active, the icon will be backlit. Some conditions must be met for SID Tracking to function: Wall Bucky • The wall bucky is tiltable and is tilted to 90 degrees (horizontal) • X-ray tube must be detented in X and Y planes above tilted wall bucky • X-ray tube angulation must be 0 degrees, +/- 3 degrees. • SID must be greater than 33 inches • The detector must be inserted into the wall bucky tray Table Bucky • The X-ray tube is in detent to the table bucky grid • X-ray tube angulation is 0 degrees, +/- 3 degrees • SID is greater than 33 inches • The detector must be inserted into the table bucky tray If these conditions cannot be or have not been fulfilled when the SID Tracking button is pressed, then the icon will appear dark pink. This indicates that SID Tracking is lost. The function is active, but not all of the requirements for tracking have been met. 41 Turnover Workbook | Ysio Max Here are some things to look for when SID Tracking is lost: Notes 1. If at the wall bucky, make sure the bucky is horizontal and not tilted. 2. Make sure the x-ray tube is not angled more than 3 degrees. 3. If at the table bucky, make sure the table height is not too high or low, meaning the tube cannot maintain an SID greater than 33 inches When it comes to Top Alignment and SID Tracking, the optimal workflow is to fulfill all requirements for that function first, then activate the function with the icon. 8.3 Collimation ACSS stands for Automatic Collimator Size Selection. Simply put, this is automatic collimation: when active, you cannot collimate larger than the detector size, but you can collimate smaller. ACSS has a couple of conditions that must be met for it to be active: • The bucky tray must be pushed all the way in (table or wall) • The detector must be centered in the table bucky tray in landscape (crosswise) orientation Key Points 1. When the bucky tray is pushed in, ACSS will be displayed on the LCD display of the tube. This indicates that ACSS is active. 2. If you see Manual on the tube after pushing the bucky tray in, then ACSS is not active. This is usually a result of not pushing the bucky tray all the way in, or the detector is not centered when in landscape orientation in the table bucky tray. Remember, ACSS only applies to exposures in the table and wall bucky. It does not apply to tabletop exposures. OGPs Each OGP has a set collimation size located within the program parameters. Collimation size will adjust when a different OGP View is selected manually or via the automatic drop-down function. 8.4 The Message Field Ready 182568 • The Message Field is the area of the Touch User Interface next to where the system green Ready field is displayed with the check mark, indicating an exposure can be made. • This is also the area where system error messages are displayed. 42 Turnover Workbook | Ysio Max The various messages that may be displayed are as follows: Notes • The bucky tray is open (table or wall); no exposure • The Emergency Stop button has been activated STOP • The SID on the wall bucky is not defined (not in detent); • Undefined image receptor (detector not centered); Insert image 800 no exposure. • Call Service • Generator not ready; no exposure X Key Points If there are more than 3 messages, only one will be displayed. If there are three or fewer messages, all will be displayed. 43 Turnover Workbook | Ysio Max 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 Local Contact Information subject to change without prior Siemens Medical Solutions USA, Inc. notice. Some/All of the features and 40 Liberty Blvd. products described herein may not Malvern, PA 19355-9998 be available in the United States. USA Telephone: +1-888-826-9702 The information in this document Customer Care contains general technical Telephone: +1-800-888-7436 descriptions of specifications and https://www.siemens-healthineers.com/en-us options as well as standard and optional features which do not always have to be present in Legal Manufacturer individual cases. Siemensstrasse 1 Forchheim, Germany 91301 Siemens reserves the right to modify Phone: +49 9131 84-4746 the design, packaging, specifications https://www.siemens-healthineers.com/radiography and options described herein without prior notice. Please contact your local Siemens sales representative for the most current information. Siemens Healthcare Headquarters Siemens Healthcare GmbH Healthcare Sector Note: Any technical data contained in Henkestr. 127 this document may vary within 91052 Erlangen defined tolerances. Original images Germany always lose a certain amount of Phone: +49 9131 84-0 detail when reproduced. https://www.siemens-healthineers.com 44 Published by Siemens Healthcare GmbH · Order No. HOOD05162003011421· Printed in USA · 0000.2 · ©Siemens Healthcare GmbH, 2022